Remote Utilization Nurse (RN/LVN) - Inpatient
Medix™
- Remote job
Medix is seeking experienced Registered Nurses (RN) or Licensed Vocational Nurses (LVN) for a 100% remote Utilization Management role in inpatient acute care. Involves discharge planning, concurrent reviews, and post-acute coordination, with a California license required and 5+ years of UM experience preferred. The position supports a fast-paced, metrics-driven environment and offers a fully remote work arrangement with a contract-to-hire path. #J-18808-Ljbffr Medix™
- 100% Remote | Contract-to-Hire | Monday-Friday 8-5pm | California License Required We are seeking experienced Registered Nurses (RN) or Licensed Vocational Nurses (LVN) with a strong background in Inpatient Utilization Management to join a growing healthcare organization...Remote workContract workWork at officeMonday to Friday
- Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will oversee inpatient case reviews, coordinate referrals, and collaborate with physicians, discharge planners, and ancillary services to ensure safe, cost-effective...Remote job
$65k - $85k
...Summary The Licensed Vocational Nurse (LVN) – Utilization Management & Inpatient Case Management is responsible for... ...ability to work independently in a fully remote environment. Budgeted... ...clinical review and escalate to an RN, Medical Director, or other designated...Remote workWork at office$77.91k - $116.86k
...saving them. Together. Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review nurse, you... ...and maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact) Immediately upon...Remote jobImmediate startMonday to Friday- Alignment Health seeks an inpatient review nurse to join its remote utilization management team. You will assess inpatient stays, collaborate with PCPs, discharge... ...and cost-effective care. The role requires LVN or RN licensure (CA) with willingness to obtain licenses...Remote job
- ...: As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link between... ...compliance. Unlike remote roles, this position relies... ...Nurse is a Registered Nurse (RN) responsible for performing... ...correct Patient Class (e.g., Inpatient vs. Outpatient with...Remote workFull timeImmediate startShift work
$60.2k - $107.4k
...Inpatient Care Management NurseOptum is a global organization... ...Care Management Nurse, you will be responsible for ensuring proper utilization of our health services.... ...the flexibility to work remotely from the Pacific, Mountain... ...:Current, unrestricted RN license in state of...Remote workMinimum wageFull timeWork experience placementLocal area- ...Integrated Home Care Services (IHCS) seeks a Utilization Management Nurse to ensure home health services are delivered with quality, cost efficiency... ...optimize patient outcomes. State licensure as an LPN or RN and a minimum of 2 years in Utilization Management are...Remote work
- Arkansas Blue Cross Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews of prior approvals, network exceptions, and inpatient/outpatient procedures. The role requires an active RN license and a Bachelor's degree is preferred, with at least...Remote jobWork from home
$60.2k - $107.4k
About This Role As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of health services by assessing and interpreting member needs and... ...Requirements Education: Active, unrestricted RN license in state of residence Experience: 1...Remote jobPermanent employmentFull timeDay shift$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities... ...treatment plans, Intensity and duration of inpatient or outpatient services, Quality of care concerns....Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- Astrana Health is seeking a CA-licensed Utilization Review Nurse to support the Health Services Department. You will review outpatient services... ...and refer cases to Medical Directors as needed. This is a remote role for CA-licensed RNs/LVNs, with candidates living in California...Remote jobCasual workWork at office
- Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will collaborate with the patient’s physician, facility... ...care at the right level. Requirements include a CA LVN/RN license, minimum 3 years in case management,...Remote job
- ...Blue Zones Health seeks a Licensed Vocational Nurse (LVN) for Utilization Management & Inpatient Case Management in a fully remote role based in California. You will monitor inpatient services, perform concurrent reviews, and coordinate transitions of care while collaborating...Remote work
- UnitedHealth Group seeks an Inpatient Care Management Nurse RN for a remote role across the U.S. The position focuses on reviewing inpatient cases, coordinating... ...with medical directors to ensure appropriate utilization and discharge planning. Strong nursing experience...Remote job
$2,083 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location:... ...Fast-paced ED Observation and inpatient holding unit serving adults and... ...management, telemetry (on-unit and remote), rapid response/code team... ...culture, and the chance to utilize advanced clinical skills...Remote workFull timeContract workShift workWeekend workDay shift- ...CVS Health is seeking a Utilization Management Nurse Consultant (Remote) to support Florida Medicare home-care requests. You will review cases, determine coverage... ..., full-time setting. The position requires an active RN license, 2+ years of experience (including 1+ year in...Remote workFull time
- Astrana Health is seeking a Utilization Review Nurse with a Texas LVN license to support our Health Services Department... ...a high volume of outpatient and inpatient cases. The role requires open... ...holiday rotation. The position is fully remote and will align with PST hours...Remote jobTrial periodWeekend work
- ...Job Description Job Description Position Summary: The Utilization Management Nurse (UMN) works under general supervision of the Director and/... ...stay. Qualifications: Current unrestricted Florida RN or LPN License. Minimum of two years of utilization review...Remote workWork at officeWeekend work
- ...Medix Staffing Solutions, Inc. is seeking an experienced California RN or LVN with strong Utilization Management and inpatient review experience for a 100% remote role focused on inpatient clinical review, UM, and discharge planning. You will apply MCG criteria and...Remote work
- ...Sentara Norfolk General Hospital Hiring Inpatient Case Manager/ Registered Nurse (RN) Sentara Norfolk General... ...management. Promotes effective utilization and monitoring of health services,... ...For positions that are available as remote work, Sentara Health employs associates...Remote workPermanent employmentFull timeTemporary workRelocation packageWeekday work
$45 per hour
Utilization Management Nurse Coordinator(RN or LVN) needed for a temp 6+ month, remote contract opportunity with Yoh'smanaged care health plan client based out of Fairfield & Redding, CA. Anticipating to betemporary for at least 6 months with potential for temp-to-hire...Remote workContract workTemporary workMonday to FridayWeekend work- ...the role We're looking for an RN who has personally owned grievance... ...services. This is not an inpatient or hospital-based role. The best fit has a utilization management or case management foundation... ...cases at once in a fully remote setting. Nice to haves BSN...Remote job
- ...The role of Precertification Nurse is to perform Pre-Certification... ...: Precertification Nurse - LPN/RN Full time: Monday to Friday Location: Remote. Will need to be in Hamilton NJ... ...3 Years Med-Surg – Required # Utilization Review – Preferred # Ortho/Rehab...Remote jobFull timeWork at officeMonday to Friday
- ...Care Management RN - Internal Resource Pool The Clinical... ...efficient, effective, compassionate inpatient care and a safe transition to... ...with physicians, nurses and other health care workers... ...and ensure efficient resource utilization. Minimum Qualifications For...Shift work
- ...healthcare recruiting firm is looking for a candidate with inpatient nursing experience in Columbus, Ohio. You will be responsible for assessing... ...should have 2 years of inpatient nursing, familiarity with Utilization Management, and experience with ICD10 and CPT coding....
- TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers’ compensation utilization... .... The position requires a nursing degree and an active RN/LPN license, with CCM/CMCN/CPHUR/CPDM/CDMS...Remote job
$27.1 - $40.65 per hour
...better care experience for all. JOB SUMMARY The Utilization Management (UM) Prior Authorization (PA) Nurse is a full-time role with NeueHealth, dedicated to... ...Education: Licensed Vocational/Practical Nurse (LVN/LPN) with an active, unrestricted California...Remote workHourly payFull timeContract workWork at officeWork from home- ...Utilization Management Nurse at Cambia Health Solutions, Inc. works from home across Oregon, Washington, Idaho or Utah, with preference for Idaho/ Utah residents. The role performs prospective, concurrent and retrospective reviews to ensure medical necessity and appropriate...Remote workWork from home
- ...Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Edmond I-35 South Monday-Friday, 40 hours per week *This is a hybrid remote position. The person hired for this role will complete at least 90 days of...Remote workFull timeMonday to Friday2 days per week3 days per week
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