Remote RN: Utilization Review & Care Management
Intermountain Healthcare Inc.
- Remote job
Intermountain Health is seeking an RN Utilization Review Care Management I for fully remote work. This role focuses on utilization review screenings, assessments, and evaluations to promote cost-effective, high-quality care, collaborating with patients, families, providers, and payers to ensure compliant and efficient processes. The position requires an RN license with compact license, a BSN within four years, inpatient nursing experience, and strong communication. #J-18808-Ljbffr Intermountain Healthcare Inc.
- ...Intermountain Health’s St. Marys Regional Hospital seeks an RN Utilization Review Care Management I to perform utilization review screenings, assessments,... ...compliant, efficient, and patient-centered services. Remote work is offered where approved, with shifts enterprise-...Remote workShift work
- ...Intermountain Healthcare Inc. is seeking an RN Utilization Review Care Management I for a fully remote, part-time role. You will review records, apply clinical guidelines, and collaborate with providers and members to ensure appropriate, cost-effective care across multiple...Remote workPart timeWeekend work
- ...Intermountain Health is seeking an RN Utilization Review Care Management I for a fully remote, part-time role. The position covers enterprise-wide shifts with on-call and weekend rotations, requiring RN licensure with a compact license within the service area. Responsibilities...Remote workPart timeShift workWeekend work
- Intermountain Health is seeking an RN Utilization Review Care Management I for remote, part-time coverage across enterprise regions. The role focuses on utilization review, evaluating care plans, and ensuring compliant, efficient, and patient-centered services with collaboration...Remote jobPart time
$119.14k - $184.95k
...Utilization Review RN - REMOTE position. This position is Per Diem and will work 8- hour, Day shifts.... ...knowledge and skills in Utilization Management, medical necessity, and patient status... ...culture of patient-focused, whole-person care built on understanding, commitment, and...Remote workDaily paidMinimum wageLocal areaShift workDay shift$38 - $40 per hour
...Title: RN -- Review Analyst Location: Remote Duration: 12 months with possible extension... ..., and retrospective utilization reviews for inpatient, outpatient... ...length of stay, level of care, and intensity of... ...background includes Utilization Management (UM) , Case Management...Remote workHourly payWork at officeMonday to FridayShift work- ...Partners is seeking a Virtual Utilization Review Specialist to join our remote team. You will perform medical necessity reviews, manage denials, and coordinate with FCC and care management to optimize... ...Qualified candidates hold a current RN license, have at least 1 year...Remote job
- Intermountain Health is seeking an RN Utilization Review Care Management I for a fully remote, part-time role supporting enterprise-wide coverage across Peaks/Canyons/Desert regions. You will review medical records, apply guidelines, and collaborate with providers to authorize...Remote jobPart timeFlexible hours
- Intermountain Health is seeking an RN Utilization Review Care Management I for remote/part-time work. The role focuses on utilization review, cost-effective and high-quality care, with collaboration among patients, families, providers, and insurers. 8-hour schedule and...Remote jobPart timeShift work
- Ensemble Health Partners is seeking a Lead Utilization Review RN to drive medical necessity reviews, discharge planning, and appeals... ...The role supports revenue cycle integrity and patient care quality in a remote US-based environment. You will evaluate admissions, coordinate...Remote job
$63.1k - $94.65k
...enabled revenue cycle management solutions for health systems... ...have current compact RN license, or be willing... ...are seeking Virtual Utilization Review Specialist with at... ...utilization of health care resources and assists... ...Required: ~ This is a remote role which requires...Remote workFull timeTemporary workWork at officeLocal areaMonday to FridayShift work- Intermountain Health is seeking an RN Utilization Review Care Management I for St. Marys Regional Hospital in a fully remote, part-time role. The position emphasizes utilization review screenings, assessments, and coordinating with patients, providers, and payers to ensure...Remote jobPart time
$35 - $40 per hour
Sagility is hiring an RN Utilization Management Reviewer to perform day-to-day clinical and service authorization reviews for medical necessity, ensuring... ...2+ years in a clinical setting; CCM a plus. This fully remote US-based role offers competitive benefits, M-F 9:00-5:30...Remote jobHourly payShift workWeekend work$35 - $40 per hour
...offerings for clinical, case management, member engagement,... ...and analytics. Job Title RN Utilization Management Reviewer Responsibilities Conduct timely... ...written notification to primary care team, specialty providers,... ...weekends. Location: Fully remote work at home role. Secure,...Remote workHourly payTemporary workMonday to FridayFlexible hoursWeekend work- Intermountain Health seeks an RN Utilization Review Care Management I for a fully remote, part-time role. You will use clinical expertise to perform utilization review screenings, assessments, and evaluations, developing plans that promote cost-effective, high-quality...Remote jobPart time
$35 - $40 per hour
...offerings for clinical, case management, member engagement,... ...across 5 countries. Job title: RN Utilization Management Reviewer Job Description: We are... ...more years of Home Health Care experience 2 or more years... ...weekends This is a fully remote work at home role. You must...Remote workHourly payTemporary workCurrently hiringMonday to FridayFlexible hoursWeekend work- Intermountain Health seeks an RN Utilization Review Care Management I to perform utilization review screenings, assessments, and evaluations with a focus on cost-effective, high-quality care. The role involves collaboration with patients, families, providers, and insurers...Remote jobFlexible hoursShift work
- Intermountain Health is seeking an RN Utilization Review Care Management I for remote work. The role focuses on screenings, assessments, and evaluations to ensure cost-effective, high-quality care while coordinating with patients, families, providers, and payers. This...Remote jobPart timeShift work
- Intermountain Health is seeking an RN Utilization Review Care Management I to perform utilization review screenings, assessments, and evaluations with a focus on cost-effective, high-quality care. The role collaborates with patients, families, providers, insurers, and stakeholders...Remote jobPart time
- ...District Physicians Health Plan Inc is seeking a Utilization Management professional to coordinate, integrate, and... ...health services for members. You will review appropriateness, document processes, and collaborate with care teams to ensure timely, high-quality care. The...Remote job
- Intermountain Health is hiring for an RN Utilization Review Care Management I to perform screenings, assessments, and evaluations with a focus on cost-effective, high-quality care. The role requires collaboration with patients, families, providers, and insurers to ensure...Remote jobPart timeFlexible hoursShift workWeekend work2 days per week
- Ensemble Health Partners is seeking a Lead Utilization Review RN to enhance financial, quality, and clinical performance across the patient care continuum. You will lead medical necessity determinations, coordinate discharge planning, and work with physicians, nurses, and...Remote job
- ...Description Join our team as a remote (Oklahoma City) full time days and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK. Get to Know... ...timely transfers to appropriate levels of care as indicated by clinical needs and utilization...Remote workFull timeWork at officeWeekend work
- ...Description Job Description The utilization review and management (UM) component program ensures that external... ...at the appropriate level of care, while supporting regulatory compliance... ...for lunch This is an in-office, no remote work capability position Travel...Remote workWork at office
- Excellus BCBS in New York is seeking a Health Utilization Management professional to coordinate, integrate,... ...position involves applying clinical review criteria, ensuring compliance with... ...standards, and supporting access to necessary care while maintaining member privacy and...Remote jobRotating shift
$81.95k - $110.24k
...technology-enabled revenue cycle management solutions for health systems... ...in healthcare. The Lead Utilization Review RN is a key contributor to the... ...outcomes-oriented, patient care delivery system, which... ...Nursing required #LI-LS1 #LI-REMOTE Join an award-winning company...Remote workFull timeWork at officeLocal area- Jobgether, on behalf of a partner company, is seeking a Case Manager - Utilization Review Specialist for a remote US role. You will oversee admission and concurrent... ..., and payer representatives to protect patient care and optimize reimbursement outcomes. The ideal candidate...Remote job
- ...behalf of a partner company, is seeking a Case Manager - Utilization Review Specialist based in the United States. This remote role oversees admission and concurrent reviews... ...case managers to support appropriate patient care and financial performance. You will apply clinical...Remote job
- Intermountain Health is seeking an RN Utilization Review Care Management I for St. Marys Regional Hospital. This fully remote role involves coordinating utilization reviews, applying evidence-based guidelines, and ensuring compliant, cost-effective care. Flexible options...Remote jobPart timeFlexible hoursWeekend work2 days per week
- Intermountain Health is seeking an RN for Utilization Review Care Management I to perform screenings, assessments, and evaluations focused on cost-effective, high-quality care. Remote-friendly role with enterprise-wide shift coverage and weekend rotation; requires RN license...Remote jobShift workWeekend work
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