Remote Utilization RN - Case Review & Care
Freelanceshop
CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will possess strong clinical knowledge and critical thinking skills, be RN licensed in the U.S., and have a minimum of 2–3 years of clinical experience. Competitive salary and comprehensive benefits are offered. #J-18808-Ljbffr
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary... ...Hybrid (combination of in person and remote considered) GENERAL SUMMARY The... ...disciplinary teams ensures safe transitions of care. GIBSON AREA HOSPITAL & HEALTH...Remote workHourly payFull timeWork at officeRelocation packageShift work- American Traveler is seeking an experienced RN Case Manager for an acute care hospital position in South Florida, requiring a minimum of 3... ...Powerchart, CarePort (Allscripts), and Epic A separate remote Utilization Review (UR) team handles formal UR, while the in‑house case...Remote workLocal areaMonday to FridayShift workWeekend workDay shiftWeekday work
- ...A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical services based on necessity and promoting quality care outcomes. The candidate must have a Bachelor's in Nursing and...Remote workFlexible hours
- ...Santa Barbara Cottage Hospital is seeking a Case Manager responsible for coordinating patient care and ensuring proper utilization of resources. The role involves managing medical... ...and a Registered Nurse license. This is a remote position with a Tuesday to Saturday schedule...Remote workLocal area
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX... ...Description of Project: Managing a case load for healthcare members... ...will include 80% travel. Remote role. Will require a driver’... ..., and need for services for care plan development. Monitor...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX... ...Description of Project: Managing a case load for healthcare members... ...will include 80% travel. Remote role. Will require a driver’... ..., and need for services for care plan development. Monitor...Remote workHourly payFull timeContract workImmediate startShift work3 days per week- ...love your Mondays as the Nurse Director Utilization Review and Case Management at an award winning... ...where your strategic vision transforms care coordination into measurable results and... ...decision support, virtual nursing, and remote monitoring; clear investment in clinician...Remote workWeekend work
- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports... ...collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana, Michigan, or...Remote work
- COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the... ...of 3 years of direct patient care experience. The role involves applying... ...collaborating with physicians for complex cases. A supportive remote work...Remote workFull time
- ...optimal health, access to care and appropriate utilization of resources, balanced with... ...negotiation with a payer on a case by case basis. This... ...delegated to Central Utilization Review LVN/LPN Case Manager and/or... ...Tuesday thru Saturday schedule. Remote, but you must live locally...Remote workWork at office
$2,210 per week
...personalized managed health care, focused on what's... ...Work-life balance. Remote/hybrid setting (once... ...individual will utilize clinical knowledge... ...decision to a second level reviewer. This individual interfaces with case managers and disease... ...is not limited to RN, LMSW, LMHC....Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...are seeking an experienced Utilization Review Nurse to join our team in a... ...Nassau County (Hybrid: In Office/Remote) Schedule: Monday to Friday,... ...standards. Participate in case management and care coordination meetings. Qualifications Active RN license in the state of New...Remote workWork at officeMonday to FridayFlexible hours
- ...experienced Registered Nurse (RN) – Utilization Management / Case Management (Medicare) with... ...across multiple Managed Care functions, including... ...involve a mix of clinical review, prior authorizations, appeals... ...weeks depending on role) Remote/hybrid flexibility available...Remote workContract workLocal area
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment... ..., accurate, and compliant care decisions in accordance with... ...reviewers to support case review processes. Assist with... ...working independently in a remote or office-based setting. Working...Remote workWeekly payContract workWork at officeMonday to Friday$34 - $52.7 per hour
...facility. This job is REMOTE. FTE: 0.500000 Standard... ...status type and level of care. Refers cases to the physician advisor, PA... ...moonlighter, for a second level review as needed. Facilitates... ...experience is required; Prior utilization management or case management...Remote workHourly payTemporary workShift work$51.43 - $79.84 per hour
...Overview Description – This is a remote role. You MUST live in the... ...(WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical... ...certification upon hire. ~1 year of Case Management experience....Remote workDaily paidLive inShift workDay shift- ...To Apply for this Job Click Here Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - SIGN ON BONUS Location: Alamogordo... ...and escalates cases involving potential quality of care concerns, questionable admissions, or extended lengths of stay...Work at officeRelocation package
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position... ...and communicate with medical teams to ensure appropriate care levels. Ideal candidates will have at least one year of utilization...Remote workContract workWork from home
$30 - $38 per hour
...solutions, and comprehensive care navigation together in one... ...Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time... ...and refer potential cases to case management, wellness... ...to successfully perform in a remote healthcare environment. Ability...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the... ...cost-effective patient care. Working collaboratively within... ...meetings to discuss cases, discharge plans, and barriers... ...for facility based staff; optional for remote staff.Remote workWork at office
$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This hybrid... ...are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent...Remote work- 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... ...experience in utilization review or case management. Strong communication skills and...Remote workContract work
$75.77k - $113.66k
...company is looking for a Medical Management Nurse to review complex cases and utilize nursing judgment to determine medical necessity.... ...'s degree in nursing, at least 4 years of care management experience, and an active RN license. The salary range for this position is between...Remote work- ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant... ...position offers the flexibility of remote work while supporting professional...Remote work
- ...seeking a skilled professional to provide utilization review and coordinate care for members in California. The... ...Nursing school degree and a California RN License. Key responsibilities include... ...healthcare. Experience in utilization and case management is preferred. Providence...
- ...Village Center for Care, Inc. is seeking a self-motivated RN for the role of Utilization Review Nurse in a full-time, hybrid position located in the New York Tri-State Area. The successful candidate will be responsible for assessing member needs and ensuring high-quality...Remote workFull time
- ...Administration, Inc. is seeking an RN Clinician to provide utilization management services in a remote role from Virginia. The ideal... ...license and over 3 years of acute care experience. Responsibilities include prior authorization reviews, care coordination, and managing...Remote work
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
$77.91k
...LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position... ...inpatient admissions, coordinating care, and ensuring quality and... ...have a minimum of 3 years in case management and licensing as an LVN or RN in California. The role...Remote work- ...Confluence Health is seeking a Utilization Review Specialist to ensure compliance with state regulations... ...three years of experience in an acute care setting and an Associate's degree in... ...position allows for flexibility between remote and in-office work. #J-18808-Ljbffr...Remote workWork at office
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