Remote Utilization Review Nurse: Medicare & Home Health
Medix™
- 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™
- ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital... ...(InterQual/MCG/Centers for Medicare and Medicaid Services "CMS" Inpatient... ...with other members of the health care team to ensure the above according...Remote workFull time
- 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 jobContract work
- ...Friend Back Remote Work from Home Share This Page... ...Location: Johns Hopkins Health Plans, Hanover,... ...21076 Category: Nursing Schedule: Day Shift... ...in Medicaid, Medicare, commercial, military... ...- 5:00 PM As a Utilization Review Registered Nurse for...Remote workWork from homeFull timeLocal areaMonday to FridayDay shift
$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... ...environment. Join us to make a meaningful impact while enjoying flexible work-from-home conditions. #J-18808-LjbffrRemote workWork from homeHourly payFlexible hours$85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR... ...TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than... ...compliance with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday$78k - $88k
Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective... .... What you should expect in this role Home-based role available to applicants residing... ...401(k) employer match, comprehensive health benefits, and educational assistance....Remote jobWork from homeFull timeContract workWork at officeFlexible hours$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 workWork from homeFull timeTemporary workPart timeWork at officeMonday to FridayFlexible hours$35 - $45.94 per hour
...we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review... ...Work Location: This is a remote position, open to candidates... ...will be completed from your home office, occasional travel may... ...This is an authentic Oscar Health job opportunity. Learn more...Remote workWork from homeHourly payFull timeHome officeWeekend work$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 workWork from homeFull timeWork at officeLocal area$20 per hour
...Job title Licensed Health Insurance Agents - Medicare About Sagility Sagility combines industry... ...Agents to join our growing remote team! If you're passionate about... ...insurance options and enjoy working from home, we'd love to hear from you. In this...Remote workWork from homeHourly payWeekly paySeasonal workLocal area$79.5k - $119.25k
...and policies and procedures of Essentia Health. Education Qualifications: ~ Bachelor... ...including flexing to other departments) when home department schedule allows Provide... ...performing services FTE: 1 Possible Remote/Hybrid Option: Shift Rotation:...Remote workWork from homeFull timeMonday to FridayFlexible hoursShift work- A healthcare recruitment company is seeking a remote Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide comprehensive patient care. The position... ...teams. This role allows you to work from home while making a significant impact on patients' lives. #J...Remote workWork from homeFlexible hours
$120.85k - $169.19k
...Department: 2901930 INTEGRATIVE HEALTH - EH DC Job Description: Utilizes advanced health... ...Qualifications: We are seeking a Nurse Practitioner with... ...FTE: 1 Possible Remote/Hybrid Option: Shift... ...thrive both at work and at home, we provide flexible...Remote workWork from homeFull timeFlexible hoursShift workWeekend work- A clinician-led behavioral health company is seeking a Psychiatric Nurse Practitioner (PMHNP-BC) in Weymouth, MA. This position offers competitive salary, flexibility to work from home, and a focus on patient-centered care. Responsibilities include medication management...Remote workWork from home
$135k - $160k
...OptiMindHealth is seeking a Psychiatric Nurse Practitioner (PMHNP-BC) to... ...its clinician-led behavioral health team. The role offers a salary... ...and flexible work from home arrangements. Join a compassionate... ...work/life balance, including remote or hybrid scheduling and a...Remote workWork from homeFull timeFlexible hours- ...Experienced Professionals: Sales Manager Role - Remote and Flexible! Are you an experienced... ...and enjoy the benefits of working from home, a flexible schedule, and a supportive... ...flexible schedule that suits your lifestyle. Health Insurance Reimbursement Plan : Your...Remote workWork from homeFull timeFlexible hours
- ..., based in Columbus, Ohio, is seeking Mental Health Professionals to train and evaluate AI models. This role involves reviewing AI-generated responses, completing psychology... ...allowing professionals to influence the future of AI while working from home. #J-18808-Ljbffr...Remote workWork from homeFlexible hours
$17.63 - $26.45 per hour
...organizes, and implements the non-nursing functions of assigned unit(s)... ...or clinic setting as a health unit coordinator, medical secretary... ...FTE: 0.5 Possible Remote/Hybrid Option: Shift Rotation... ...you thrive both at work and at home, we provide flexible scheduling...Remote workWork from homePart timeFlexible hoursShift workNight shiftWeekend work- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...license and have experience in utilization review or home health. This contract role offers a chance to manage healthcare...Remote workContract work
- ...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 workWork from home
$30 - $34 per hour
...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS - UM This is a fully remote position. Description Astrana Health is looking...Remote workHourly payMonday to Friday- ...Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance...Remote work
- ...the flexibility to work from home, a coffee shop, or anywhere you... ...your comfort and convenience! Health Insurance Reimbursement Plan... ...Work Smarter, Not Harder : Utilize cutting-edge technology to streamline... ...Self-Motivated : Thrive in a remote work environment, taking...Remote workWork from homeFull timeImmediate startFlexible hours
- ...Job Description: Baptist Health is looking for an Employee Health Nurse to join our team! This is a clinic... ...multiple locations, flexing between remote and clinic or office locations. Employees... ...to work remotely from their home. Accommodation of remote work is not...Remote workWork from homeWork at officeFlexible hours
- ...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 workWork from homeFull time
- ...Overview Title: Clinical Review Nurse – Prior Authorization... ...Location: Fully Remote (PST Time Zone - WA/... ...Authorization Review to join our Utilization Management team. In... ...information in health management systems to... ...Familiarity with Medicare and Medicaid Job Details...Remote workContract work
$35 - $45 per hour
...job poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating... ...documentation to determine the need for continued home health services in alignment with Medicare guidelines. Refer cases outside established...Remote workContract workWeekend work- ...OptiMindHealth (OMH) invites Licensed Mental Health Professionals to join our clinician-led team and work remotely from home. We offer both full-time and part-time options with customizable schedules, focusing on integrated behavioral health and high-quality patient care...Remote workWork from homeFull timePart time
- A leading online tutoring platform is seeking Adult Health and Wellness Tutors to provide instant online support to students in Cleveland... ...pay with surge pricing, and the ability to work from home. You should have strong communication skills, expertise in Adult...Remote workWork from homeImmediate start
$2,500 per month
...Care Manager, Behavioral Health to join the IL Medicaid... ...Responsibilities: ~ Utilize high-quality, evidence-... ...(IDHS), Center for Medicare and Medicaid Services (... ...region-based facilities and homes for face-to-face... ...Workstyle: This is a remote position that will require...Remote workWork from homeFull timeTemporary workApprenticeshipWork at officeHome officeMonday to Friday
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