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™
- 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
$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 workWork from homeFull timeContract workWork at officeFlexible hours$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 workWork from homeHourly payFull timeHome officeWeekend work- ...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-LjbffrRemote workWork from homeImmediate startFlexible 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$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- ...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 workWork from homeFlexible hours
$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 workWork from homeBase plus commissionFull timeLive in$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$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 workWork from homeFull timeTemporary workApprenticeshipWork at officeHome officeMonday to Friday$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 workWork from homeHourly payLocal areaHome officeMonday to Friday1 day per week$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 workWork from homeHourly payWeekly paySeasonal workLocal area$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 workContract workImmediate startMonday to Friday$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 workFull timeContract workWork at office- ...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 workContract work
$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 workContract work$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 workWork from homeFull timeTemporary workApprenticeshipWork at officeHome officeMonday to Friday- ...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
- ...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 workWork from home
- ...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 workLive inFlexible hoursWeekday work
- ...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 workFull timeTemporary workLocal area
- ...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 workWork at officeImmediate startFlexible hours2 days per week
- 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 AhhmgtRemote jobWork from home
- ...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 workWork from homeFlexible hours
$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 workHourly payImmediate startMonday to FridayFlexible hours- ...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 workWork at office
$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 workWork from homeFull timeTemporary workApprenticeshipWork at officeHome officeMonday to Friday$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 workWork from homeFull timeTemporary workApprenticeshipWork at officeHome office- ...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
$30.64 - $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 workHourly payFull timeWork at officeLocal areaFlexible hours
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