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

Apply

Vacancy posted 5 days ago

Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse - Home Health & Compliance in Phoenix, AZ vacancy

Utilization Review Nurse
...To support a centralized Utilization Management department, the full-time Utilization Review Nurse will conduct timely utilization review activities... ...status determinations and compliance with regulatory requirements while working remotely. Key responsibilities: Conduct...
Remote work
Full time
Virtual Vocations Inc
United States
4 days ago
Remote Utilization Review Nurse - Case Management
...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 work
Contract work
IntePros
United States
4 days ago
Prior Authorization Utilization Review Nurse- Remote
$64.5k - $82k
.... As a Prior Authorization Utilization Review Nurse, you will review prior authorization... ...for members while ensuring compliance with program requirements... ...in this role ~100% remote work environment. ~... ...match, comprehensive health benefits, and educational assistance...
Remote work
Full time
Flexible hours
Gainwell Technologies LLC
Ohio
2 days ago
Utilization Review Nurse- Remote
$78k - $88k
...Summary We are seeking a skilled Utilization Review Nurse to conduct prior... ...findings, and ensuring policy compliance. Your role in our mission Review... ...should expect in this role Home-based role available to... ...employer match, comprehensive health benefits, and educational...
Remote work
Work from home
Full time
Contract work
Work at office
Flexible hours
Gainwell Technologies
Juneau, AK
2 days ago
Utilization Review Nurse - Managed Care
$39.64 - $61.45 per hour
...Refer a Friend Back Remote Work from Home Share This Page Share... ...Location: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Nursing Schedule: Day Shift Employment... ...:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns...
Remote work
Work from home
Full time
Local area
Monday to Friday
Day shift
Johns Hopkins Medicine
Hanover, MD
3 days ago
Utilization Review Registered Nurse
$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
1 day ago
Utilization Review Nurse
$90k - $92k
...NH - Hybrid Work from Home: Monday & Tuesday | In... ...get away from bedside nursing or transition out of the field as a Home Health Nurse? This could be a... ...clinical knowledge in a Utilization Review role while gaining a... ...more structured office/remote environment . #J-1880...
Remote work
Work from home
Work at office
Monday to Friday
Medix
Manchester, NH
2 days ago
Utilization Review Nurse
$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... ...when needed Compliance with all applicable laws... ...is an authentic Oscar Health job opportunity. At...
Remote work
Work from home
Hourly pay
Full time
Home office
Weekend work
Oscar Health
Tampa, FL
6 days ago
Remote Utilization Review Nurse: Medicare & Home Health
...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 work
Medix
United States
4 days ago
Utilization Review Nurse
...To ensure appropriate resource utilization and minimize payment denials, the full-time remote Maryland Licensed Utilization Review Nurse will conduct initial, concurrent, and retrospective chart reviews while coordinating with healthcare teams and third-party payers. Key...
Remote work
Full time
Virtual Vocations Inc
United States
1 day ago
Remote Utilization Review Nurse
...TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services. Responsibilities include preauthorization...
Remote work
TriWest Healthcare Alliance
United States
1 day ago
Remote Utilization Review Nurse: Flexible Hours & Growth
...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness of services, utilizing clinical criteria and guidelines. Qualified candidates should have an active Maine RN...
Remote work
Flexible hours
kozmetickesluzby.vecnakraska.sk - Jobboard
United States
23 hours ago
Utilization Management Review Nurse
...Utilization Review Nurse Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position... ..., respective to various Health Plans. This is a remote position for CA-licensed nurses. Candidates must live in...
Remote work
Live in
KZX - Astrana Health Management, Inc.
United States
3 days ago
Utilization Review Nurse (RN) | Sign on Bonus Up to $15K + Benefits
$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
Utilization Review Nurse - RN
...To support a mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-certifications for secondary clinical review, and analyze clinical records to ensure timely and compliant care determinations...
Remote work
Full time
Virtual Vocations Inc
United States
1 day ago
Field-Based Utilization Review Nurse, NJ (Remote Capable)
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 work
Contract work
Rangam
United States
4 days ago
Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Hospice Expert)
...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
Harrisburg, PA
1 day ago
Registered Nurse - Utilization Review (Nursing)
$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 work
Contract work
Immediate start
Monday to Friday
J Edward Staffing LLC
Aurora, CO
1 day ago
Utilization Review Nurse - Remote - Contract
$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 for... ...Knowledge of accreditation, i.e. URAC, NCQA standards and health insurance legislation. Awareness of claims processes and...
Remote work
Contract work
HireOps Staffing LLC
Dallas, TX
23 hours ago
Utilization Review Registered Nurse
...Healthcare is seeking an RN Care Review Clinician to support Medicaid... ..., coordinating discharge to home or facility. The role blends... .... Preferred candidates have utilization management or case management... ...skills. This telephonic remote role follows EST hours, Monday...
Remote work
Work at office
Monday to Friday
Molina Healthcare
Brooklyn, NY
1 day ago
Utilization Review Nurse
...Overview Title: Clinical Review Nurse – Prior Authorization... ...Location: Fully Remote (PST Time Zone - WA/OR... ...Authorization Review to join our Utilization Management team. In... ...information in health management systems to ensure compliance with regulatory guidelines...
Remote work
Contract work
SPECTRAFORCE
Washington DC
23 hours ago
Utilization Review Nurse-Remote-Contract
$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
1 day ago
Utilization Review Nurse RN
$40.12 - $62.19 per hour
...Sinai Hospital's Utilization Review operates as a distinct specialty service... ...line of physician advisors, nurses, and support staff who... ...Position Type This is a Full-time remote position. Responsibilities... ...wellness programs and mental health support 403(b) retirement plan...
Remote work
Full time
LifeBridge Health
Owings Mills, MD
23 hours ago
Utilization Review Nurse
...Location: Fully remote (PA RN License or Compact including PA... ...skilled and detail-oriented Utilization Review RN with a valid PA license (... ...in a timely manner Maintain compliance with internal and external regulatory... ...review tools and electronic health records Familiarity with...
Remote work
Full time
Contract work
IntePros
New York, NY
23 hours ago
Utilization Review Nurse
...Utilization Review NurseWe are seeking a detail-oriented and experienced... ...Utilization Review Nurse to evaluate the... ...clinical reviews, ensure compliance with payer guidelines... ...for hospitals, health plans, insurance companies... ...management department. Remote, hybrid, or on-site opportunities...
Remote work
Work at office
Ova Technologies
Alpharetta, GA
1 day ago
Utilization Review Nurse
...Currently seeking a Utilization Management RN . Please... ...below: Position is remote - candidate must reside... ...PA license or a Nurse Licensure Compact to include... ...medical record review to determine medical necessity... ...patients, and ensure compliance with federal, state,...
Remote work
Immediate start
Day shift
The Judge Group, LLC
New York, NY
3 days ago
Utilization Review Nurse
$45 - $50 per hour
...Join Our Team as a Utilization Management RN – Make an Impact... ...you a dedicated Registered Nurse passionate about... ...experience to support meaningful health outcomes. Whether working remotely or in a flexible hybrid setting... ...'ll play a key role in reviewing authorization requests,...
Remote work
Hourly pay
Work at office
Flexible hours
The Hollister Group LLC
Oklahoma City, OK
11 hours ago
UTILIZATION REVIEW NURSE
...Days) Overview: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization... ...set reviews to ensure compliance with applicable criteria... ...are available as remote work, Sentara Health... ...12 hospitals, PACE, home health, hospice, medical...
Remote work
Temporary work
Shift work
Sentara Health Plans
Norfolk, VA
2 days ago
Utilization Review Nurse
...Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career... ...facilities under the provisions of applicable health benefit plans to ensure quality and... ...and accurate documentation, ensuring compliance with audit standards. Participate...
Remote work
Full time
Temporary work
Summer work
Work at office
Flexible hours
Cobalt Benefits Group
United States
4 days ago
Utilization Review Nurse - Remote
$30 - $34 per hour
...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS - UM This is a fully remote position. Description Astrana Health is looking for an experienced...
Remote work
Hourly pay
Monday to Friday
Astrana Health
California, MO
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!