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
- ...Suvida Healthcare LLC is seeking a Bilingual Community Health Worker to serve Medicare-eligible Hispanic seniors in the Katy, TX area. The... ...cultural competency, and the ability to work across home, clinic, and remote environments. Certification and a preferred Bachelor’...Remote workWork from home
$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... ...This is an authentic Oscar Health job opportunity. At Oscar,...Remote workWork from homeHourly payFull timeFor contractorsRelocationHome officeWeekend work- ...Representative to support members, providers, and patients with their health plan information. You will handle inquiries in Member Services, Medicare, and Billing, and document interactions with accuracy. This remote, home-based role emphasizes HIPAA compliance, privacy, and high-...Remote jobWork from home
$10k
...of Clinical Services Home Health will oversee the operations... ...and compliance with Medicare regulations. In this... ...helpful as you will be reviewing plans of care on a... ...accordance with the board of nursing rules for a compact... ...designated full-time remote positions, in-office attendance...Remote workWork from homeFull timeTemporary workLocal areaImmediate startRelocation package$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 MoreiconsRemote jobWork from homeHourly payFlexible hours$65k - $88.6k
...Licensed Behavioral Health Utilization Management... ...Licensed Registered Nurse (RN) - Multi-State... ...resolve within a remote environment Preferred... ...medical necessity reviews against criteria... ...Work at Home Requirements: To ensure... ...life for people with Medicare and Medicaid, families...Remote workWork from homeFull timeTemporary workApprenticeshipHome officeMonday to Friday- ...Remote role but will need to go to Newark, NJ to pick up equipment... ...Responsibilities: 1. Conducts on-site reviews at participating provider... ...for quality improvement and health management. 4. Assists the... ...2. Requires License Practical Nurse License or an active New Jersey...Remote work
- ...Comagine Health is seeking a remote clinical reviewer to support behavioral health services across Oregon. You will evaluate documentation for medical necessity... ..., conduct functional needs assessments, and coordinate home and community-based care. You will manage referrals,...Remote workWork from home
$71.1k - $97.8k
...seeking a Behavioral Health Prior Authorization Nurse to join the... ...team. You will review the clinical appropriateness... ...and other Medicare and Medicaid... ...experience in Utilization Management Two... ...planning and/or home health or rehab.... ...workstyle is defined as remote but will use...Remote workWork from homeFull timeTemporary workApprenticeshipHome officeMonday to Friday- ...management tools. The role emphasizes independent, home-based work and virtual collaboration with... ...requires at least 2 years in behavioral health or related fields and experience in managed care, with a strong ability to work remotely and communicate effectively with...Remote workWork from home
$80 - $85 per hour
...REGISTERED NURSE (RN) – HOME HEALTH | PER DIEM 1099 About the Role: Unlimited Health Care Services... ...Complete accurate, timely, Medicare-compliant clinical documentation Provide... ...about joining Unlimited Health Care Services Inc.! This is a remote position....Remote workWork from homeDaily paidFull time- ...BetterHelp is seeking experienced mental health therapists to provide remote therapy sessions. Therapists can earn up to 33% more per session with insurance... ...and can enjoy a flexible schedule while working from home. Ideal candidates should have 3+ years of counseling...Remote workWork from homeFlexible hours
- ...Group is seeking a Behavioral Health Care Advocate to join our remote team. This role conducts telephonic clinical reviews with Providers to ensure... ...required. You will work from a home office with a Monday-Friday... ...across commercial, Medicaid and Medicare #J-18808-LjbffrRemote workWork from homeHome officeMonday to Friday
- A healthcare company in Houston is seeking a Behavioral Health Care Manager to support patients and caregivers dealing with neurodegenerative... .... The position offers competitive compensation, a work-from-home stipend, and a supportive growth-oriented environment. #J-18808-...Remote workWork from home
$60k - $70k
...relationship-driven professional to support the growth of our home health team through full-cycle recruiting. In this role, you will identify... ...experience Pay $60,000 - $70,000 annually Fully Remote based in Bedford, Indiana. MUST be able to attend Career Fairs...Remote jobWork from home$65k - $135k
...Company Description Health Insurance with Sherri is committed to helping individuals and... ...Insurance with Sherri is seeking a full-time Remote Health Insurance Specialist to support... ...What You Can Expect Work from home or anywhere with a reliable internet connection...Remote workWork from homeFull time$55k - $70k
A behavioral health provider in New York is looking for a dedicated Nurse Practitioner to deliver psychiatric evaluations and medication management. The ideal candidate... ...,000 to $70,000 annually with comprehensive benefits and the opportunity to work from home. #J-18808-LjbffrRemote workWork from homePart time$40 per hour
...Care Industry Registered Nurse (RN) $40/hour -... ...reside in TX Full time remote Candidates must be based... ...performing initial, concurrent review activities; discharge... ...information regarding utilization management requirements... .../surgical setting or health care insurance company....Remote workFull timeContract workWork at office$120 per hour
...Join our network of remote Psychiatric Mental Health Nurse Practitioners (PMHNPs) and enjoy the freedom and flexibility of working from home. Benefits Guaranteed pay: You are fully compensated for cancellations and no‑shows. Set your schedule: You can work as...Remote workWork from homeContract work$36.4k
...0/hr + Incentive Plan As a Health Claims Specialist at Revecore,... ...claims for commercial health, Medicare, and Medicaid, ensuring maximized... ...metrics Work at Home Requirements: A private, distraction... ...check Location: Remote Must reside in the United...Remote workWork from homeFull timeTemporary workWork at office$79.5k - $119.25k
...and policies and procedures of Essentia Health. Education Qualifications: ~ Bachelor... ...flexing to other departments) when home department schedule allows Provide staff... ...performing services FTE: 1 Possible Remote/Hybrid Option: Shift Rotation:...Remote workWork from homeMonday to FridayFlexible hoursShift work$41.9k - $56.6k
...caring community The Community Health Worker (CHW) 1 serves as a... ...socioeconomic barriers and evaluate the home environment Assess member... .... Travel: While this is a remote position, occasional travel to... ...of life for people with Medicare and Medicaid, families,...Remote workWork from homeFull timeTemporary workApprenticeshipWork at officeHome officeMonday to Friday$70 - $100 per hour
...Psychiatric Mental Health Nurse Practitioner (PMHNP) Fort Defiance, Arizona We are a clinician-led, patient-centered, collaborative... ...patient cases or clinical topics. Clinical work is performed from home, days and hours are per the clinician's choosing (this includes...Remote workWork from homeHourly payDay shiftAfternoon shift- 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
- ...individuals to join our client's team as Remote Life Insurance Agents. This is a commission... ...We Offer Fully remote: Work from home. Inbound leads only: No cold calling... ...working environment. A valid Life and Health Insurance license, or willingness to obtain...Remote workWork from homeFlexible hours
- ...Moda Health seeks a Health Coach – Pre‑Diabetes to implement a CDC-approved Diabetes Prevention Program and guide members through lifestyle changes. This is a FT WFH role collaborating with multiple teams and external partners to ensure enrollment and completion of the...Remote workWork from homeFlexible hours
- ...Consult and coordinate with health care team members to... ...of individuals' home or work environments to... ...as required. Observe nurses and visit patients to ensure... ...ENVIRONMENT Primary or Remote office and occasional... ...further information, please review the Know Your Rights...Remote workWork from homeWork at office
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