Remote Utilization Review RN Case Manager (PRN)
OU Health
OU Health is seeking a Case Manager, RN - Utilization Review (PRN) to evaluate medical necessity and appropriate care, securing authorizations and coordinating with payors, patients, and interdisciplinary teams. This role emphasizes HIPAA compliance and strong communication across stakeholders for optimal financial reimbursement. The candidate will review medical records, apply evidence-based criteria, and participate in quality improvement initiatives while maintaining regulatory alignment and #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review RN Case Manager (PRN) in New York, NY vacancy
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United States4 days ago - ...University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care....Remote workFull time
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Folsom, CA1 hour ago - ...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. Job Description Join our team as a remote (Oklahoma City) full time days and every other weekend...Remote workFull timeWork at officeWeekend work
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United States4 days ago - ...Responsibilities Review and evaluate electronic... ...and ensure proper utilization of healthcare... ...and unrestricted RN license At least... ...years utilization management experience in acute... ...in Nursing (BSN) Case Management Certifications... ...Comfortable with remote work arrangements...ReliefRemote workFor contractorsWork at office
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...Missouri Categories: Case Coordination Job Status: PRN Req ID : 118108... ...for a local remote position. There is... ...Requirements : ~2 years of RN experience... ...patients ~2 years of Utilization Review (UR) experience... ...resources to help you manage your physical,...ReliefRemote workHourly payFull timeWork experience placementLocal areaMonday to FridayFlexible hoursShift workBJC HealthCare
Saint Louis, MO2 days ago- ...service skills. Hospice RN experience strongly preferred... ...experience. The Hospice RN Case Manager utilizes the nursing process (assess,... ...activities (i.e. chart review, committees, etc.). * Participates... ...as a clinical resource for PRN RNs, on-call RNs, LPNs and...ReliefRemote workFull timeShift work
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United States2 days ago - ...Case Manager RN This Case Manager RN role is with the Costco... ...Team and is fully remote; however, candidates must... ...quarterly meetings or PRN meetings. Normal... ...and information/data review, conducts an evaluation... ...overall claim management. Utilizes case management processes...ReliefRemote workTemporary workWork at officeLocal areaMonday to Friday
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University of New Mexico
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Grants, NM1 day ago$47.58 - $76.68 per hour
...California is hiring for a position that involves managing admissions and conducting patient reviews in accordance with established regulations. The... ...including a BSN. Experienced candidates in Utilization/Quality/Case Management will thrive in this supportive environment...Hourly payUniversity of Southern California
Los Angeles, CA4 days ago- ...Netpace Inc. is seeking a motivated RN Case Manager to join our team in a contract role. Responsibilities include initial patient assessments... ...candidate holds an Active CA RN License, with strong Utilization Review and InterQual experience, supporting utilization...Contract workDay shift
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Greenbrae, CA1 day ago - ...Registered Nurse Case Manager Inova Fairfax Medical... ..., part-time and PRN availability.... ...work schedules, and remote and hybrid career... ...Registered Nurse (RN) Case Manager 1 Job... ...excess days, resource utilization, readmission rates... ...needs through review of patient information...ReliefRemote workFull timePart timeRelocation packageMonday to FridayFlexible hoursWeekend work
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...Gateway Regional Medical Center is looking for a Utilization Review Specialist RN to join our Case Management team in Granite City, Illinois. This full-time role is ideal for nurses eager to transition into a more analytical and administrative position, focused on service...Full timeGateway Regional Medical Center
Granite City, IL1 day ago- ...UCI Health Case Manager UCI Health is one of California's largest academic... ...and coordinates resource utilization throughout the health system... ...the appropriate utilization review functions utilizing medical staff... ...skills in English Current RN License Computer literacy and...Remote jobWork at officeMonday to Friday
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Tallahassee, FLmore than 2 months ago$32 - $48 per hour
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Granite City, IL4 days ago- 3M HEALTHCARE is seeking a Utilization Review RN to ensure high-quality, cost-efficient medical outcomes through utilization review and management. The role involves chart review, collaboration with physicians, care coordinators, social workers, and revenue cycle teams...Relief
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PruittHealth
Peachtree Corners, GA2 days ago
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