Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Utilization Review Nurse: Medicare & Home Health

Medix™

New York, NY
  • Remote job

A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare guidelines, and collaborating with healthcare teams. Qualifications include an accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr Medix™

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse: Medicare & Home Health in New York, NY vacancy
  • A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have... 
    Remote job
    Contract work

    IntePros

    Phoenix, AZ
    1 day ago
  • $78k - $88k

     ...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some...  ...What you should expect in this role Home-based role available to applicants...  ...401(k) employer match, comprehensive health benefits, and educational assistance.... 
    Remote work
    Work from home
    Full time
    Contract work
    Work at office
    Flexible hours

    Gainwell Technologies

    United States
    1 day ago
  • $35 - $45.94 per hour

     ...Utilization Review Nurse Remote Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization...  ...work will be completed from your home office, occasional travel may be...  ...support. We're on a mission to change health care -- an experience made whole by... 
    Remote work
    Work from home
    Hourly pay
    Full time
    Home office
    Weekend work

    Oscar Health

    United States
    5 days ago
  •  ...American Insurance Services is seeking licensed Life & Health agents to work remotely, selling ACA, Medicare, STM and other health products with access to...  ...opportunities. The role offers full support, a flexible schedule, and work-from-home arrangements. #J-18808-Ljbffr
    Remote work
    Work from home
    Immediate start
    Flexible hours

    Dan Cummins Ford Lincoln

    United States
    5 days ago
  • $1,966 per week

     ...first 25 applicants Nurses - are you looking...  ...able to work from home 50% of the time...  ...personalized managed health care, focused on...  ...Work-life balance. Remote/hybrid setting (once...  ...individual will utilize clinical knowledge...  ...to a second level reviewer. This individual interfaces... 
    Remote work
    Work from home
    Full time
    Temporary work
    Part time
    Work at office
    Monday to Friday
    Flexible hours

    Hines

    Rockford, IL
    3 days ago
  • $20 per hour

    A healthcare transformation company is seeking Licensed Health Insurance Agents for a remote role. In this position, you will provide consultative support...  .... Join us to make a meaningful impact while enjoying flexible work-from-home conditions. #J-18808-Ljbffr View Moreicons
    Remote job
    Work from home
    Hourly pay
    Flexible hours

    View Moreicons

    Florida, NY
    2 days ago
  •  ...Community Health Worker VIVA HEALTH, ranked one of...  ...overall 5-out-of-5-Star Medicare Advantage Plan. Our...  ...disease self-management, utilizing approved education tools...  ...position will have work-from-home opportunities....  ...further information, please review the Know Your Rights... 
    Remote work
    Work from home
    Flexible hours

    VIVA Health

    United States
    4 days ago
  • $75k - $120k

     ...Licensed Health Insurance Agent Are you a licensed agent ready...  ...? If so, become our full-time remote Licensed Health Insurance Agent...  ...should apply for this work-from-home position if you live in one of...  ...fastest-growing health and Medicare agencies in the U.S. Following... 
    Remote work
    Work from home
    Base plus commission
    Full time
    Live in

    Get Me Healthcare

    United States
    5 days ago
  • $185.25k - $308.75k

     ...there must be robust health outcomes data to...  ...receive expedited review, or orphan product...  ...hybrid, blending remote and in-office work...  ...Applied experience in utilizing evidence for the...  ...the Centers for Medicare and Medicaid Services...  ...Upper Providence; Home Worker - CAN;... 
    Remote work
    Work from home
    Full time
    Work at office
    Local area

    GSK

    Philadelphia, PA
    3 days ago
  • $2,500 per month

     ...Care Manager, Behavioral Health to join the IL Medicaid...  ...: ~ Utilize high-quality, evidence-...  ...Services (IDHS), Center for Medicare and Medicaid Services (...  ...region-based facilities and homes for face-to-face assessments...  ...Workstyle: This is a remote position that will... 
    Remote work
    Work from home
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Home office
    Monday to Friday

    Humana

    Chicago, IL
    15 hours ago
  • $18 per hour

     ...Medicare Sales Agent Join the Connexion Point Team! Connexion Point is looking for...  ...~ Continuing education credits ~ Remote/work-from-home Schedule Training runs Monday through...  ...re Looking For Required: Active Health or Health & Life license Minimum 1... 
    Remote work
    Work from home
    Hourly pay
    Local area
    Home office
    Monday to Friday
    1 day per week

    Connexion Point

    United States
    1 day ago
  • $20 per hour

     ...Job title Licensed Health Insurance Agents - Medicare About Sagility Sagility combines industry...  ...Agents to join our growing remote Medicare sales team. Whether you...  ...What You Will Need to Work from Home Before your first day, you’ll need... 
    Remote work
    Work from home
    Hourly pay
    Weekly pay
    Seasonal work
    Local area

    Sagility

    Tulsa, OK
    2 days ago
  • $1,600 - $1,800 per week

     ...Now Hiring: Registered Nurse – Utilization Management Location: Buckley...  ...Peterson AFB, Colorado Military Health System Compensation: $1,600...  ...no holidays, no telehealth/remote work Minimum Qualifications...  ...Management, Utilization Review, or Case Management Preferred... 
    Remote work
    Contract work
    Immediate start
    Monday to Friday

    J Edward Staffing LLC

    Aurora, CO
    2 days ago
  • $40 per hour

     ...reside in TX Full time remote Candidates must be...  ...initial, concurrent review activities; discharge care...  ...information regarding utilization management requirements...  ...facilities. Registered Nurse (RN) with valid,...  ...hospital/surgical setting or health care insurance company.... 
    Remote work
    Full time
    Contract work
    Work at office

    HireOps Staffing LLC

    United States
    2 days ago
  •  ...Utilization Management Registered Nurse Duration: 6 Month Contract (Possibility...  ...utilization review and prior authorization...  ...clinical guidelines and health plan policies....  ...Care, Health Plan, Medicare, Medicaid, or Commercial...  ...independently in a remote environment. Comfortable... 
    Remote work
    Contract work

    US Tech Solutions

    United States
    3 days ago
  • $41 per hour

     ...Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract...  ...Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. Awareness of claims processes and claims... 
    Remote work
    Contract work

    HireOps Staffing LLC

    United States
    1 day ago
  • $25k

     ...Care Manager, Behavioral Health performs primarily face...  ...: Utilize high-quality, evidence-...  ...Services (IDHS), Center for Medicare and Medicaid Services (...  ...region-based facilities and homes for face-to-face assessments...  ...Workstyle: This is a remote position that will... 
    Remote work
    Work from home
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Home office
    Monday to Friday

    Humana

    United States
    2 days ago
  •  ...Evolution Sports Group in Dallas, TX, is seeking a Remote Health Coach to empower clients in achieving their health and wellness goals through...  ...make a positive impact in people's lives while working from home. Join our supportive team aimed at enhancing client well‑being... 
    Remote work
    Work from home
    Full time

    Downtown Boulder Partnership

    Dallas, TX
    2 days ago
  •  ...friendly, detail-oriented Entry‑Level Home Health Intake Coordinator to join New Paradigm...  ..., supporting home health agencies with remote patient intake. What You’ll Do Collect...  ...insurance and demographic details Review clinical documents for accuracy Prepare... 
    Remote work
    Work from home

    New Paradigm Staffing

    United States
    5 days ago
  •  ...overall experience of Evry Health's members. The incumbent strives...  ...are required to address utilization review cases. Roles and Responsibilities...  ...current, unrestricted Texas nursing license or Compact License....  ...This is a remote position. Our whole company... 
    Remote work
    Live in
    Flexible hours
    Weekday work

    Evry Health

    United States
    1 day ago
  •  ...American Health Plans, a division of Franklin, Tennessee-based American Health...  ...facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical...  ...Program JOB SUMMARY: The Utilization Review Nurse is to assess the medical necessity... 
    Remote work
    Full time
    Temporary work
    Local area

    American Health Partners

    United States
    1 day ago
  •  ...summary: Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and...  ...per week in the office and three days remote. Candidates must also have flexibility...  ...dimension of your life, from your health and finances to your family and future... 
    Remote work
    Work at office
    Immediate start
    Flexible hours
    2 days per week

    Acrisure LLC

    Bradenton, FL
    5 days ago
  • Ahhmgt is looking for a dedicated Registered Nurse in Louisiana to manage patient care and...  ...responsibilities include coordinating with health care teams, maintaining detailed reports,...  ...A hybrid work environment with occasional home visits is required. #J-18808-Ljbffr Ahhmgt
    Remote job
    Work from home

    Ahhmgt

    Louisiana, MO
    15 hours ago
  •  ...Erway - State Farm Agent in Larned, Kansas, is looking for a Life/Health Insurance position - State Farm Agent Team Member. The role...  ...customer relationships. This position offers flexible work from home options. Join a successful team and contribute to the community'... 
    Remote work
    Work from home
    Flexible hours

    Landon Erway - State Farm Agent

    Larned, KS
    1 day ago
  • $35 - $43 per hour

     ...Overview Who We Are Because health is personal. That's why...  ...life-changing decisions, one review at a time? Why This Role...  ...~ Graduate of an accredited nursing program (ADN or diploma required...  .../ED, or similar setting) ~ Utilization review/utilization management... 
    Remote work
    Hourly pay
    Immediate start
    Monday to Friday
    Flexible hours

    Personify Health

    United States
    3 days ago
  •  ...Utilization Review Nurse We are seeking a detail-oriented and experienced Utilization...  ...compliance with CMS, Medicare, Medicaid, Joint Commission...  ...working for hospitals, health plans, insurance companies,...  ...utilization management department. Remote, hybrid, or on-site... 
    Remote work
    Work at office

    Ova Technologies

    Alpharetta, GA
    5 days ago
  • $65k - $88.6k

     ...caring community The Utilization Management Behavioral Health Professional uses behavioral...  ...~ Experience serving Medicare, Medicaid, TANF, and/or CHIP...  ...Spanish Work at Home Requirements: To ensure Home...  ...Travel: While this is a remote position, occasional travel... 
    Remote work
    Work from home
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Home office
    Monday to Friday

    Humana

    United States
    5 days ago
  • $41.9k - $56.6k

     ...community The Community Health Worker contributes to the administration...  ...barriers, and evaluate the home environment Work...  ...Workstyle: Combination remote work at home and onsite/home member...  ...quality of life for people with Medicare and Medicaid, families, individuals... 
    Remote work
    Work from home
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Home office

    Humana

    United States
    1 day ago
  •  ...MCI is looking for a Licensed Life and Health Insurance Specialist in a remote, work-from-home capacity. This role involves educating customers about various insurance policies to meet their needs while ensuring compliance with regulations and achieving sales targets.... 
    Remote work
    Work from home

    MCI

    Topeka, KS
    5 days ago
  • $30.64 - $45.8 per hour

     ...Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information...  ...Management department and of CorVel. This is a remote position. Essential Functions &...  ...for the workers' compensation, auto, health and disability management industries.... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel

    United States
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Review Nurse: Medicare & Home Health. Be the first to apply!