Remote Utilization Review Nurse - Home Health & Compliance
IntePros
- Remote job
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 a nursing license in Arizona and substantial experience in utilization review or case management. Strong communication skills and flexibility are essential. This is a contract position that offers a chance to make a direct impact on patient outcomes. #J-18808-Ljbffr IntePros
$85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR... ...TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than... ...transitions across care settings, ensuring compliance with Oregon Health Plan (OHP),...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday- ...insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines. Candidates should have a BSN... .... The position offers options for remote work, health insurance, and other competitive benefits....Remote jobFull time
- ...healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities... ...and have experience in utilization review or home health. This contract role offers a chance to...Remote jobContract work
$49.14 per hour
Dignity Health is seeking a Utilization Review Nurse to supervise clinical decision-making and ensure resource utilization compliance. Responsibilities include reviewing medical records, implementing utilization review principles, and liaising with care coordinators and...Remote jobHourly pay$35 - $45 per hour
...from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison,... ...meet patients’ needs while ensuring compliance with federal, state, and... ...to determine the need for continued home health services in alignment with Medicare...Remote workContract workWeekend work- ...Nurses Are you looking for a change? Want... ...able to work from home 50% of the time... ...Must have Mental Health and/or Substance Abuse... ...life balance. ~ Remote/hybrid setting (... ...This individual will utilize clinical knowledge... ...to a second level reviewer. This individual...Remote workWork from homeTemporary workWork at officeMonday to FridayFlexible hours
- ...Remote Registered Nurse Position Join a stable work-from-home team! This is a great opportunity for a local remote position... ...(commercial, behavioral health, inpatient, etc.) Schedule... ...hospitalized patients ~2 years of Utilization Review (UR) experience reviewing...Remote workWork from homeFull timeReliefLocal areaMonday to FridayFlexible hoursShift work
$35 - $45.94 per hour
...Oscar. We're hiring a Utilization Review Nurse to join our... ...Work Location This is a remote position, open to candidates... ...completed from your home office, occasional travel... ...when needed Compliance with all applicable laws... ...a mission to change health care -- an experience...Remote workWork from homeHourly payFull timeHome office$43 - $63 per hour
...Job Description Job Description The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate levels of care, efficient resource utilization, and compliance with third-party payer requirements. This position involves reviewing...Relocation package- ...you a registered nurse ready to take... ...integrity through compliance management.... ...of working from home, the flexibility... ...setting to review and audit claims... ...Experience in utilization review, case management... ...Remote work – enjoy the... ...medical assistance, health care services or...Remote jobWork from homeFull timeTemporary workWork at office
- ...affordable, improve the health of patients, and... ...leverages remotely-embedded Healthguides... ...You’ll Be Doing Utilization Review & Clinical... ...rotational basis. Compliance, Quality & Documentation... ...with Illinois nursing regulations and contemporary... ...Work from Home: Guidehealth is a...Remote workWork from homeBi-weekly payFull timeTemporary workFor contractorsLocal area
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor... ..., and Values of Nexus Health Systems o Upholds the Standards... ...of conduct and corporate compliance. o Demonstrates honest... ...for facility based staff; optional for remote staff....Remote workWork at office
$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$30.64 - $45.8 per hour
...Job Description Job Description The Utilization Review Nurse gathers demographic and clinical... ...department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...for the workers’ compensation, auto, health and disability management industries....Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$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- Elevance Health is seeking a CareBridge Advance Practice Provider, Nurse Practitioner, to provide primary health care virtually... ...focuses on patients receiving home and community-based services, developing... ...clinical plans, and ensuring compliance with regulations. The ideal...Remote jobWork from home
- ComForCare is seeking a per-diem nurse to ensure compliance with NJ Board of Nursing regulations. The role involves conducting assessments, developing... ...and CPR certifications. Flexibility in work hours with options to work from home is available. #J-18808-Ljbffr ComForCareRemote jobWork from homeDaily paidFlexible hours
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL... ...combination of in person and remote considered)... ...GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION... ...safe transition to home or extended care facility... ...understanding of compliance with Severity of Illness...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...Rising Medical Solutions has an opening for a Utilization Review Nurse , and we want to hear from you! We're a bill review and cost containment... ...you need it!) Comprehensive benefit package including health/dental/vision insurance, profit sharing, and 401k matching...Remote workFull timeTemporary workFlexible hours
$76k - $96k
Ellie Mental Health-Capital Region NY seeks an Outpatient Therapist dedicated to improving access to quality... ...create treatment plans, and ensure documentation compliance. The role offers the flexibility of working from home and a competitive salary range of $76,000 - $96,0...Remote jobWork from home- ...Clinical Director, the Registered Nurse oversees primary caseload of... ...by the physician and in compliance with the Hospice Medicare Conditions... ...with current hospice, home health, medical, surgical or critical... ...Displays a willingness to utilize problem-solving techniques to...Remote workWork from homeWork experience placementWork at officeAfternoon shift
- Trillium Health Resources is seeking an IDD Monitoring Coordinator to join... ...Carolina. This role ensures the compliance of services provided to members receiving Home and Community Based Services while... ...offers competitive benefits, remote work options, and a work/life balance...Remote jobWork from home
- ...Join Martin's Point Health Care - an innovative, not-for-profit health care organization... .... Position Summary The Utilization Review Nurse works as is responsible for ensuring... ...for billing, coding, and other compliance or reimbursement related issues Collaborates...Remote workWork at office
- ...Beltsville, Maryland is seeking a dynamic Health and Life Insurance Agent to engage with... ...manage administration tasks, and ensure compliance with industry standards. The ideal candidate... ...in their schedule and the opportunity to work from home. #J-18808-Ljbffr TryApplyNowRemote jobWork from home
$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- American Specialty Health is seeking an Examiner I for the Credentialing department. This remote position requires verifying practitioner credentials and ensuring compliance with standards. The ideal candidate... ...accuracy while working from home. #J-18808-Ljbffr American-...Remote jobWork from home
- American Specialty Health is looking for an Associate Manager-Federal Regulatory Compliance to oversee all compliance matters within its Regulatory & Program Compliance department. This position involves ensuring adherence to regulatory laws while leading the compliance...Remote jobWork from home
- Clarinda Regional Health Center is seeking a full-time 340B Program Compliance Analyst to support hospitals with compliance auditing... ...the opportunity to work from home and offers a competitive salary... ...conducting compliance audits, reviewing patient records, and preparing...Remote jobWork from homeFull timeWork at office
- ...Utilization Review Nurse (RN) Neuropsychiatric Hospitals is looking for a Utilization... ...utilization, monitoring health resources and elaborating... ...multiple hospitals both remotely and traveling onsite to the... ..., severity of illness, and compliance with regulatory and care...Remote workWork at office
- ...About US: At POD Health, we enhance patient outcomes... ...services-Telehealth, Remote Patient Monitoring (RPM... ...all. Position Title: Nurse Practitioner... ...To: Senior Director of Compliance & Clinical Operations... ...| 9:00 AM - 5:00 PM | Home Base: Brooklyn, NY, 112...Remote workWork from homeWork at officeMonday to Friday
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