Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Utilization Review Nurse - Home Health & Compliance

IntePros

Phoenix, AZ
  • 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

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse - Home Health & Compliance in Phoenix, AZ vacancy
  •  ...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 job
    Contract work

    IntePros

    New York, NY
    3 days ago
  • $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 work
    Contract work
    Weekend work

    IntePros

    New York, NY
    3 days ago
  • $40 - $50 per hour

    Utilization review Registered Nurse ( Post service Medical Review 3) Working Shift - (08:00 AM - 05:00 PM) Remote in California 6+ Months Summary: The Facility Compliance Review team reviews post service prepayment facility claims for contract compliance, industry billing... 
    Remote work
    Contract work
    Work at office
    Local area
    Shift work

    Spectraforce

    Sacramento, CA
    2 days ago
  • Utilization Review Nurse Auditor (33034)# Utilization Review Nurse Auditor (33034)Fully Remote • Mount Laurel, NJ 08054## OverviewSalary Range$33.00 - $46.00 HourlyPosition TypeFull...  ...integrity and that all work is in full compliance with client contractual agreements,... 
    Remote work
    Local area
    Monday to Friday

    Network Medical Review Co.

    Mount Laurel, NJ
    1 day ago
  • $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 work
    Work from home
    Full time
    Temporary work
    Part time
    Work at office
    Monday to Friday
    Flexible hours

    Hines

    Rockford, IL
    18 hours ago
  • $35 - $45.94 per hour

     ...Oscar. We're hiring a Utilization Review Nurse to join our...  ...Location: This is a remote position, open to candidates...  ...completed from your home office, occasional travel...  ...engagement when needed Compliance with all applicable...  ...is an authentic Oscar Health job opportunity. At... 
    Remote work
    Work from home
    Hourly pay
    Full time
    For contractors
    Relocation
    Home office
    Weekend work

    Oscar Health

    New York, NY
    2 days ago
  •  ...Remote role but will need to go to Newark, NJ to pick...  ...1. Conducts on-site reviews at participating provider...  ...physicians medical records, and compliance with documentation...  ...improvement and health management. 4. Assists...  ...Requires License Practical Nurse License or an active... 
    Remote work

    Winston Staffing

    Newark, NJ
    3 days ago
  •  ...Registered Nurse: Review and EvaluationAre you a registered nurse ready...  ...program integrity through compliance management. Here, you'll champion...  ...the freedom of working from home, the flexibility and...  ...medical recordsExperience in utilization review, case management, quality... 
    Remote work
    Work from home

    The CKHobbie Group

    Pittsburgh, PA
    4 days ago
  •  ...HIRING: Utilization Review Nurse | Remote | UM Training Provided 5 Clinical Nurses Wanted for an Exciting UM Pilot Program! Have you been working...  ...~ Reliable, quiet, dedicated, and HIPAA-compliant home office ~ Adaptable attitude and genuine interest in learning... 
    Remote work
    Full time
    Contract work
    Home office
    Shift work

    Medix™

    United States
    23 hours ago
  • $40 per hour

     ...Care Industry Registered Nurse (RN) $40/hour -...  ...reside in TX Full time remote Candidates must be based...  ...performing initial, concurrent review activities; discharge...  ...information regarding utilization management requirements...  .../surgical setting or health care insurance company.... 
    Remote work
    Full time
    Contract work
    Work at office

    HireOps Staffing LLC

    United States
    4 days ago
  • You will be reviewing clinical documentation to ensure accuracy, completeness, and regulatory compliance Work directly with physicians and clinical staff to clarify documentation...  ...interested in learning more! xhyhwjd Remote working/work at home options are available for this role.
    Remote work
    Work from home
    Contract work
    Shift work

    Insight Global

    Johnson City, TN
    1 day ago
  •  ...Performs medical record review for severity of...  ...review agencies to ensure compliance with regulations affecting...  ...and Training: Nurse, Registered (RN)...  ...preferred. 2-5 years previous Utilization Review experience...  ...Details: Days, Primarily remote; onsite orientation... 
    Remote work
    Shift work
    Weekend work

    Silver Cross Hospital

    New Lenox, IL
    3 days ago
  •  ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the...  ...necessary with other members of the health care team to ensure the above...  ...intellectual property; assures compliance with national health information... 
    Remote work
    Full time

    CHRISTUS Health

    Alamogordo, NM
    2 days ago
  •  ...Centene is seeking a Nursing professional to perform concurrent reviews from a home-based setting, ensuring appropriate care levels and discharge planning. Requires...  ...with Medical Affairs and educating providers on utilization processes. Schedule is Mon-Fri, 8am-5pm Central... 
    Remote work

    Centene Corporation

    United States
    5 days ago
  •  ...Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities...  ...critical care and/or medical/surgical nursing At least 2 years utilization...  ...Expectations Comfortable with remote work arrangements and virtual... 
    Remote work
    Full time
    For contractors
    Work at office
    Shift work
    Weekend work
    Weekday work

    Netsmart

    United States
    1 day ago
  • $35 - $40 per hour

     ...experienced Registered Nurse (RN) with health plan or payer-side Utilization Management (UM) experience...  ...clinical quality review and AI model development...  ...Fri, 40 hrs/week Fully Remote Position Pay Range: $...  ...program, legal support, auto, home insurance, pet insurance... 
    Remote work
    Hourly pay
    Local area
    Shift work

    PRIDE Health

    Minneapolis, MN
    2 days ago
  • $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

    Lancesoft INC

    Las Vegas, NV
    more than 2 months ago
  • A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality... 
    Remote work

    Insight Global

    Raleigh, NC
    2 days ago
  •  ...Rheumatology Associates, P.C. is seeking a Clinical Research Nurse to manage unblinded protocols, prepare...  ...and travel to multiple sites. The CRN will ensure compliance with protocols and SOPs, and may work from home when not needed on site. The role requires RN or LPN... 
    Remote job
    Work from home

    Arizona Arthritis and Rheumatology Research, PLLC

    Phoenix, AZ
    3 days ago
  • Moda Health is seeking a Registered Nurse Case Manager to perform comprehensive case management within Government...  ...Programs. This full-time, work-from-home role focuses on coordinating care...  ...plans—all while maintaining compliance with medical policies and standards.... 
    Remote job
    Work from home
    Full time

    Moda Health

    Portland, OR
    2 days ago
  •  ...patients, develop treatment plans, and prescribe medications when needed, while ensuring compliance with regulations and ethics. The role supports clinicians working remotely from home, with flexible scheduling and regular virtual team meetings. Collaboration with a... 
    Remote job
    Work from home
    Flexible hours

    BlueSky Telepsych

    Cambridge, MA
    4 days ago
  •  ...treatment plans, and prescribe medications as needed, while ensuring compliance with regulations and ethical standards. The role offers...  ...with regular virtual team meetings and the opportunity to work from home on a flexible schedule. #J-18808-Ljbffr BlueSky Telepsych
    Remote job
    Work from home
    Flexible hours

    BlueSky Telepsych

    Belleville, IL
    4 days ago
  • Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-quality documentation. The role emphasizes strong clinical judgment, coding accuracy,... 
    Remote job
    Work from home

    Machinify, Inc.

    New York, NY
    18 hours ago
  •  ...company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services....  ...authorization requests, ensuring compliance with Medicare guidelines, and collaborating...  ...review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr... 
    Remote job

    Medix™

    New York, NY
    3 days ago
  • Centene Management Company LLC is seeking a remote Nurse Reviewer to perform concurrent reviews, determine the member’s health status, and oversee appropriate levels of...  ...planning teams while educating providers on utilization processes. The ideal candidate holds a nursing... 
    Remote job

    Centene Management Company LLC

    Seattle, WA
    6 hours ago
  •  .... You will train families and caregivers on home-based strategies and supervise client programming, while maintaining compliance with Medicaid requirements and state guidelines...  ...distances, hybrid for mid-distance, and remote for longer distances, with flexibility to support... 
    Remote job
    Work from home
    Long distance

    Strides ABA

    New York, NY
    18 hours ago
  • Memorial Hermann Health System is seeking a Medical Physicist to implement and maintain advanced...  ...technologies, ensuring regulatory compliance, and leading quality assurance programs across...  ...to align with organizational goals. The home-based position focuses on CT and MRI... 
    Remote job
    Work from home

    Memorial Hermann Health System

    Cleveland, OH
    1 day ago
  • Netsmart Technologies, Inc. is seeking a Registered Nurse with utilization management experience to review ED admissions and apply InterQual/MCG criteria for medical...  ...management, with proficiency in EMR and MS Office. Remote work arrangements are supported where appropriate.... 
    Remote job

    Netsmart Technologies, Inc.

    New York, NY
    1 day ago
  •  ...Credentialing Specialists to join a remote team serving health plans. You will ensure timely, accurate...  ...provider credentialing and maintain compliance with internal standards and external...  ...experience. The role offers a work-from-home setup, weekly pay, and schedules... 
    Remote job
    Work from home
    Weekly pay

    Sagility Member Enrollment LLC

    New York, NY
    2 days ago
  • A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license... 
    Remote job
    Contract work

    Rangam

    Pennington, NJ
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Review Nurse - Home Health & Compliance. Be the first to apply!