Remote Clinical Review Nurse II (RN)

Elevance Health

Remote job

Elevance Health is seeking a Clinical Review Nurse II (US) to review and render complex medical determinations ensuring members receive the benefits they are entitled to. The role offers flexibility with virtual work options and occasional in-person training, with some locations requiring hybrid arrangements. The position requires an AS in nursing, a minimum of 3 years of clinical experience, and an unrestricted RN license. #J-18808-Ljbffr Elevance Health

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Remote Clinical Review Nurse II (RN) in Chicago, IL vacancy

Remote RN Medical Reviewer II - Utilization & Claims
...South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and... ...multiple services. The position is remote, full-time, with standard hours 8:00 AM... ...license, associate degree, and 2+ years of clinical RN experience required. #J-18808-...
Remote job
Full time
Southcarolinablues
Brooklyn, NY
1 day ago
RN - Specialty Registered Nurse II - Cardiac Device Clinic
...culture that allows nurses to grow their skillsets... ...The Specialty Nurse II for the Cardiac Device Clinic assists with the day-... ...across in-office and remote monitoring services.... ...A minimum of 2 years RN work experience is required... ...supervision. Reviews, triages, and manages...
Remote work
Full time
Temporary work
Part time
Work experience placement
Work at office
Monday to Friday
Geisinger
Wilkes Barre, PA
a month ago
Remote Medical Review Nurse II - Clinical Validation
$69.3k - $78k
...integrity company is seeking a Medical Review Nurse II - Clinical Validation to perform medical claims... ...Payers. The position requires an active RN license and a minimum of five years... ...claims and documenting findings, all in a remote work environment. This role offers a...
Remote job
Performant Healthcare, Inc.
New York, NY
5 days ago
Medical Review Nurse II - Clinical Validation
$69.3k - $78k
Overview Medical Review Nurse II - Clinical Validation At Performant, we’re focused on helping our clients... ...and Commercial Payers. You will work remotely in a fast paced and dynamic... ...Preferred Qualifications Active unrestricted RN license in good standing, is required....
Remote work
For contractors
Work at office
Work from home
Home office
Shift work
Performant Healthcare, Inc.
New York, NY
5 days ago
Advanced Nurse Tech
$31.05 - $48.13 per hour
...hospitalization and advanced clinical care. Typical Cases:... ...ongoing commitment to nursing excellence,... ...Clinical Registered Nurse (RN) II is responsible for managing... ...educational workshops; reviews nursing professional... ...(are) waived for 100% remote employees** Cath Lab...
Remote work
Work experience placement
Immediate start
Flexible hours
Centra Health
Lynchburg, VA
1 day ago
Clinical Nurse II, Labor and Delivery
$96.35 - $111.14 per hour
...Category: Nursing Job Type: Full time Shift: Night -... ...Benefits Eligible: Yes Remote Eligible: No Department... ...purpose of the job. The Clinical Nurse II is an RN that practices as a full partner... ...in the design, review, and evaluation of QI data...
Remote work
Hourly pay
Full time
Shift work
Night shift
Stanford Medicine Children's Health
Palo Alto, CA
4 days ago
Clinical Policy Nurse RN II
$88.85k
...Clinical Policy Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position... ...Management (UM) department and healthcare services policies. Reviews and analyzes clinical financial data to assess the...
Full time
Local area
LOS Angeles Care Health Plan
Los Angeles, CA
4 days ago
Clinical Policy Nurse RN II
$88.85k
RN Job Clinical Policy Nurse RN II Shift: Full Time Pay Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Job ID: 13222 Location... ...(UM) department and healthcare services policies. Reviews and analyzes clinical financial data to assess the effectiveness...
Full time
Shift work
Working Nurse
Los Angeles, CA
3 days ago
RN Clinical Nurse II - Behavioral Emergency Response Team
...RN Clinical Nurse II - Behavioral Emergency Response Team This position qualifies for our UNC Rex Incentive Program, which includes up to... ...staff recommendations for patient/environmental management, reviews medication records, updates the plan of care, and serves as...
Relocation package
UNC HEALTH
Raleigh, NC
5 days ago
Clinical Utilization Review Nurse Preceptor / RN
...Emory Healthcare Clinical Utilization Review Nurse Preceptor Be inspired. Be rewarded. Belong. At Emory Healthcare... ...Review Nurse Preceptor (UR RN Preceptor) will be responsible for training... ...in UR. Minimum 1 year as UR RN II or equivalent experience. Case Management...
Temporary work
Casual work
Shift work
Emory Healthcare
Atlanta, GA
1 day ago
Senior Clinical Nurse II, Care Delivery
...Senior Clinical Nurse II - Virtual Heart Failure Transitional Care Bridge Clinic... ...avoidable readmissions. The RN will work collaboratively with... ...symptom evaluation, medication review, patient education, and ongoing monitoring through remote patient monitoring, virtual...
Remote work
University of Maryland Medical Center
Linthicum Heights, MD
1 day ago
Clinical Nurse II, Post Anesthesia Care Unit
$96.35 - $111.14 per hour
Category: Nursing Job Type: Full time Shift: Rotating - 10 Hour... ...Benefits Eligible: Yes Remote Eligible: No Department: TxCtr... ...Hours: 40 JOB SUMMARY The Clinical Nurse II is an RN that practices as a full partner... .... Participates in design, review, and evaluation of QI...
Remote work
Hourly pay
Full time
Rotating shift
Stanford Children's Health | Lucile Packard Children's Hospi...
Palo Alto, CA
4 days ago
RN Clinical Nurse II - UNC Youth Behavioral Health Facility
...Assistance Who are we looking for? RN with at least one year of work experience Experience in behavioral health nursing (pediatric or adult) strongly preferred... ...more? Apply now! Seeking RN Clinical Nurse II for UNC Health Youth Behavioral Health (YBH...
Full time
Work experience placement
Relocation package
Shift work
Night shift
Rotating shift
Weekend work
Weekday work
UNC Health
Butner, NC
16 days ago
Clinical Nurse II - Operating Room (Part Time, Night)
...Health the Registered Nurse on the... ...current and unencumbered RN license by the State... ...including a Level II Trauma Center and a... ...and specialty care clinics. We provide advanced... ...based compensation review and increases subject... ...requirements. Remote Work Disclosure...
Remote work
Part time
Shift work
Night shift
NorthBay Health
Fairfield, CA
3 days ago
RN Clinical Nurse II - 5HV Cardiovascular Surgery Stepdown
$34.22 - $48.38 per hour
...Description ????? NOW HIRING: Clinical Nurse II – 5HV Cardiovascular Surgery Stepdown ????? Are you a passionate nurse looking to advance... ...continuous learning ?? Ideal Candidates Have ? Current RN License ? BLS Certification ? At least one year of acute...
Hourly pay
Part time
Immediate start
Day shift
UNC Health
Raleigh, NC
12 days ago
RN Clinical Nurse Coordinator II - Pediatric Endocrinology
$68.7k - $123.6k
...RN Clinical Nurse Coordinator II As the clinical heartbeat of a premier Pediatric Endocrinology outpatient team, the RN Clinical Nurse Coordinator... ...of care for patients. Onboards new coordinators. Reviews EPIC treatment plans for new order sets and clinical trials...
Work at office
Monday to Friday
Washington University in St. Louis
Saint Louis, MO
5 days ago
Urgent!! REMOTE Registered Nurse (RN)
$65 per hour
...Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift:... ...Hospital Highlights Type of Facility: Level II Trauma Center Total Staffed Beds: 571 total for...
Remote work
Local area
Immediate start
Monday to Friday
Shift work
Weekend work
Pacer Group
Everett, WA
1 day ago
Clinical Research Nurse II | School of Medicine - Pediatrics, Infectious Disease
...Emory University Research Nurse Emory University is a leading... ...Coordinates implements and evaluates clinical research trials, studies and... ...under the category of RN II. Preferred Qualifications... ...an Emory University location. Remote work from home day options may...
Remote work
Temporary work
Work from home
SOM: Peds: Infectious Disease
Atlanta, GA
1 day ago
RN Clinical Nurse II-Intermediate Neurosciences & ENT Unit Nights
...RN Clinical Nurse II-Intermediate Neurosciences & ENT Unit Nights Experienced Nurses needed for the new Intermediate Neurosciences and Otolaryngology/Head & Neck Surgery (ENT) Unit at UNC Medical Center in Chapel Hill, NC. This is a 36 hour/week position Night Shift...
Flexible hours
Night shift
Weekend work
UNC Health
Chapel Hill, NC
19 hours ago
RN Clinical Nurse II- 6 East Medical Surgical Flex Unit
...RN Clinical Nurse II- 6 East Medical Surgical Flex Unit Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient...
Flexible hours
Shift work
Night shift
Weekend work
UNC Health
Raleigh, NC
4 days ago
Clinical Review Nurse - Concurrent Review
...Job Title: Clinical Review Nurse - Concurrent Review Location: Remote -Anywhere in US Shift : Tuesday - Thursday 9:30 am - 6 pm CST / Overtime may be required... ...experience Licensure Required: LPN or RN, active in any state Preferred: Compact Years...
Remote work
Local area
Shift work
Spectraforce Technologies
Raleigh, NC
4 days ago
RN, Registered Nurse Clinical Education II - Education
...Description Summary: The Clinical Educator II plays a vital role in advancing clinical excellence... ...Skills Bachelor's of Science in Nursing (BSN) required; current enrollment... ...Registrations, or Certifications RN licensure in the state of employment or...
Full time
CHRISTUS Health
Elysian Fields, TX
8 days ago
Clinical Review Nurse 1
$42 - $45 per hour
...Position Title: Clinical Review Nurse 1 Location: Remote Schedule: Mon- Fri 8-5pm EST Duration: 6 Months (Possibility of Extension and Conversion... ...and 2 4 years of related experience. Required : RN/LPN Years of experience required: 2-4 years of...
Remote work
Pacer Group
Remote
2 days ago
Clinical Medical Review Nurse
...Clinical Medical Review Nurse We are seeking Licensed Practical Nurses (LPN) or Registered Nurses (RN) to join the Quality team as Clinical Medical Review Nurses. This is a hybrid contract position requiring both remote work and regular onsite presence at the Canton...
Remote work
Contract work
Work at office
2 days per week
3 days per week
Lumen Solutions Group Inc.
Baltimore, MD
4 days ago
Clinical Review Nurse - Prior Authorization Various, NV
$44 per hour
...Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse - Prior Authorization... ...Various, NV All On-site Location: Fully Remote – Prefer Candidates reside in NV, but can reside elsewhere if they have an NV RN License. SHIFT: Training schedule is...
Remote work
Permanent employment
Contract work
Live in
Shift work
ESR Healthcare
United States
1 day ago
Clinical Review Nurse - Remote
...CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct... ...proficiency * Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS * Inpatient Rehabilitation...
Remote work
Permanent employment
Work at office
Local area
American Recruiting and Consulting Group
United States
3 days ago
RN Clinical Nurse II - Acute Care, General Surgery
...RN Clinical Nurse II - Acute Care, General Surgery Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. 7 West Acute Care General Surgery The Acute Care General...
UNC Health
Raleigh, NC
4 days ago
Advanced Registered Nurse
Review and make complex medical determinations about whether claims meet the member... ...Requirements Associate degree in nursing and minimum of 3 years of clinical experience, or an equivalent... ...and experience Current unrestricted RN license required Applicants for the...
Monday to Friday
Jobtailor
Brooklyn, NY
3 days ago
Clinical Nurse II (RN) - SICU - Nights
$37.33 - $62.43 per hour
...Clinical Nurse II (RN) Role Summary The Clinical Nurse I (CN II) provides direct patient care across the continuum of care while developing clinical judgment, technical skills, and professional practice. This role is designed for early-career nurses who are committed...
Full time
Local area
Shift work
Night shift
Afternoon shift
Howard University Hospital
Washington DC
more than 2 months ago
Clinical Education Resource Nurse RN Acute Care Nights
$38.91 - $60.31 per hour
...Springs Department: SRSS Clinical Education Work... ...not offer a hybrid or remote option This is a part... ...Clinical Education Resource Nurse (CERN) position with... ...as a Registered Nurse (RN). ~2 years of nursing... ...of living. Market reviews: All UCHealth positions...
Remote work
Full time
Temporary work
Part time
Local area
Flexible hours
Shift work
Night shift
UC Health
Colorado Springs, CO
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Clinical Review Nurse II (RN). Be the first to apply!