RN Utilization Review Specialist — Remote After Training
HonorHealth
- Remote job
HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost-effective, high-quality care. This role ensures medical necessity across Medicare, AHCCCS, and other payers, both on admission and concurrently. The position requires an RN license (compact allowed), 1 year UR/UM or Case Management experience, and a strong collaboration with physicians and care teams. Remote work is available after training. #J-18808-Ljbffr HonorHealth
- HonorHealth is seeking a Utilization Review RN Specialist to review and monitor health care utilization, ensuring medical necessity... ...driving accurate documentation for data reporting. Remote work is available after training, with a day shift in a major Arizona healthcare...Remote jobTrainingDay shift
$55k - $70k
.... We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation... ...teams. You will be trained, coached, and expected to... ...UR & clinical experience. Remote hires and applicants without... .... Assist in after-hours utilization reviews...Remote workTrainingFull timeWork at office- ...WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing... ...Office and healthcare systems. Starting training is 08/03/2026 with a 6-week schedule; regular hours after training run CST. #J-18808-Ljbffr...Remote workTrainingWork at office
- ...currently seeking a highly motivated RN Clinical Appeals & Utilization Review for an opportunity in Columbus ,... ...& Utilization Review Location: Remote – Ohio; Columbus area preferred... ...approximately 10–15 appeals per day after training while ensuring work queues remain...Remote jobTrainingTemporary workWork at officeMonday to FridayShift work
$65k - $85k
...Utilization Review Specialist (RN) – RemoteAt Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team.This role is ideal for an RN with strong experience in OASIS, coding, QA, and home health...Remote workMonday to FridayWeekend work$70k - $100k
...Partners network, is seeking an experienced Utilization Review Specialist to join its team in Addison, Texas.... ...and work independently with minimal training. This is a hybrid opportunity offering the flexibility of three remote workdays per week while maintaining an...Remote workTrainingContract work2 days per week$39.4 - $53 per hour
...This position pays: RN pay scale $39.40 - $53/hr... ...We are seeking Virtual Utilization Review Specialists to join our team. Essential... ...designated for meetings or training, onsite or online, unless prior... ...Abilities Required: This is a remote role which requires access...Remote workTrainingTemporary workWork at officeLocal areaMonday to FridayWeekend work- ...assigned tasks related to preadmission reviews, continued stay reviews, medical necessity... ..., in the least restrictive environment, utilizing proven clinical interventions will lead... ...UR Coordinators and UR Associates. Trains new hires in the UR department and evaluates...Remote workTrainingWork at office
$41.6k - $47k
...Utilization Review SpecialistAt Umpqua Health, we're more than a healthcare... ...community.The Utilization Review Specialist supports Umpqua Health... ...organized and productive in a remote, independent work... ...employment, including hiring, training, promotion, and compensation...Remote workTrainingWork at officeLocal areaImmediate startMonday to FridayShift work- ...Description Job Description Position Summary The PACE Utilization Review Specialist – RN oversees clinical utilization management for... ...care planning sessions. Support staff education and training on utilization management policies and standards. Minimum...TrainingWork at office
- Ascension Sacred Heart Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment with reimbursement policies. Join a multidisciplinary...Remote job
- ...tasks related to preadmission reviews, continued stay reviews,... ...least restrictive environment, utilizing proven clinical interventions... ...Coordinators and UR Associates. Trains new hires in the UR... ...appropriate leadership when facility #J-18808-Ljbffr Remote JobsRemote workTrainingWork at office
$51 per hour
...Utilization Review Specialist (BCBA Licensee)Baltimore, MD (Remote – offsite) Contract To Hire $51/hr (W2) 100% Remote Must be Licensed in one of the 3 states: MD... ...updates based on data and clinical progressCaregiver training and/or supervision/model oversight (as...Remote workTrainingContract workWork at officeWork from home$51 per hour
...Job Title: Utilization Review Specialist (BCBA Licensee) Location: Baltimore, MD (Remote – offsite) Type: Contract To Hire Compensation: $51/hr (W2) Work Model... ...on data and clinical progress ~ Caregiver training and/or supervision/model oversight (as applicable...Remote workTrainingContract workTemporary workWork at officeLocal areaWork from home- ...NeighborHealth’s SCO RN UM Reviewer role is based in East Boston within the Senior Care Options team. You will review clinical appeals and service authorization needs to ensure medical necessity aligns with CMS standards and organizational determinations. The role requires...Remote work
- ...appropriate clinical review of all applicable patients... ...as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated.... ...are required as well. Training/Orientation will be 3... ...week. This role will be remote BUT regular meetings/trainings...Remote workTrainingReliefWeekend work3 days per week
- ...Management 7:30 -4:00 Team Operates Monday through Sunday Remote After Training Great care starts with great people. (Like you.) At... ...Phoenix area. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services...Remote workTrainingDaily paidContract workShift work
- ...Children’s Hospital is seeking a Behavioral Health Utilization Review Specialist to review cases, determine medical necessity, and ensure... ..., collaborating with clinical staff and payers. After a 90-day in-office training period, the position offers work-from-home options....Remote jobTrainingWork at officeWork from home
- ...integrating, and monitoring the utilization of behavioral health (... ...Medical Director for review and works closely with... .... Assists with training and special projects, as... ...degree and active NYS RN license required. Bachelors... ...may be opportunity for remote work within all jobs...Remote workTrainingContract workWork at office
$23.76 - $51.49 per hour
...JOB DESCRIPTION This RN will act as a Care Review Clinician and provide clinical... ...for Medicare inpatient utilization management activities. Conducts... ...shifts daylight schedule (Training Mon- Friday) (No nights,... ...work schedule ava after 18 weeks exp: 8 - 10-hour...Remote workTrainingHourly payWork experience placementWork at officeShift work- ...to others. How you’ll contribute A Utilization Review Specialist who excels in this role: Facilitates... ...certification and Crisis Prevention Training (CPI) preferred. May be required to work... ..., and comprehensive discharge and after‑care planning. Accredited by The Joint...TrainingFull timeTemporary workPart timeReliefFlexible hours
$50 per hour
...RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment... ...and clinical staff in training, problem-solving, and clarifying... ...experience in acute care utilization review/ appeals... ...Vacation based on accruals after 3 months of employment (2...Remote workTrainingHourly payFull timePrivate practiceFlexible hours$35 - $43 per hour
...0/hr Job Title Clinical Review Nurse - Concurrent Review Location: Remote (California only - must... ...CA or hold an active CA RN license) Duration: 12 months... ...or convert) Schedule: Training 8 AM - 5 PM PST (approx.... ...Review will perform utilization management functions to...Remote workTraining- ...The primary responsibilities of the RN UR Specialist include performing activities related... ...certifications and authorizations related to Utilization review duties in Care Management. Timely... ...For non-clinical areas, has attended training and demonstrates usage of age-...Remote workTrainingFull timeContract workWork at officeShift workWeekend work
$85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR,... ...quality improvement initiatives Provide training and mentorship on UM protocols and workflows... ...Active, unrestricted RN license (BSN or MSN) in Oregon or a compact...Remote workTrainingFull timeWork at officeLocal areaImmediate startMonday to Friday$35 - $37 per hour
...Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay... ...of physician case reviews, supporting the... ...either prior to or after their travel assignments... ...practicing or not. Utilization Review experience is... ...first three months of training (approximately 2 months...Remote jobTrainingPermanent employmentFull timeTemporary workMonday to Friday- ...Description: Manager of Clinical Utilization Management - Denial... ...Type: Hybrid (85% remote, 15% onsite in... ...daily tasks, performance reviews, and any necessary disciplinary... ....6. Design and deliver training sessions for the denial... ...Nursing Program; RN preferred.2. Minimum of...Remote workTrainingPermanent employmentFull timeTemporary workFlexible hours
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote workContract workWork from home
$42 per hour
...Registered Nurse (RN) - Telehealth Medicare... ...Wellness Visit Specialist - PRN ~ Full-... ...Guidehealthleverages remotely-embedded... ...completed. Virtually reviewing and updating patient... ...chronic diseases, utilizing remote monitoring... ...virtual team meetings, training sessions, and...Remote workTrainingBi-weekly payFull timeTemporary workFor contractorsReliefLocal areaWork from homeMonday to Friday- ...Utilization Management Specialist Under general supervision by management, and in collaboration... ...to authorize services. Reviews health care services to... ...rate of $0.54/mile. Training will be 3 – 4 weeks long that... ...LCMFC, LMHC, LMFT, LCPC or RN. OR RN, then a Bachelor Degree...Remote workTrainingContract workLocal area
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