Remote RN: Utilization & Care Coordination
$69.38k - $92.28kMVP Health Care
MVP Health Care is looking for a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This hybrid-role offers autonomy and collaboration, ideal for RNs seeking growth in utilization management. Applicants should have a current RN license and strong clinical background. The position also includes a competitive salary range of $69,383.00–$92,279.00. #J-18808-Ljbffr
- ...Administration, Inc. is seeking an RN Clinician to provide utilization management services in a remote role from Virginia. The ideal... ...and over 3 years of acute care experience. Responsibilities include... ...authorization reviews, care coordination, and managing appeals for...Remote work
$71.1k - $97.8k
...healthcare organization seeks a Utilization Management Registered Nurse to utilize clinical skills in coordinating medical services. This remote position requires a Compact RN license and over a year of... ...members, and ensuring coordinated care. The role offers a salary...Remote work- ...The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes determinations for authorization...Remote workWork at officeLocal areaWork from homeHome officeMonday to Friday
$71.1k - $97.8k
...organization is seeking a Utilization Management Registered Nurse to support the coordination and determination of... ...and ensuring appropriate care for members. Candidates should hold a Compact RN license and possess... ...experience. The position is remote with a salary range of...Remote job$71.1k - $97.8k
...insurance company is seeking a Utilization Management Registered... ...nursing skills for coordinating medical services and... ...benefit determinations. This remote position requires... ...experience and a Compact RN license. Responsibilities include making care determinations,...Remote job$71.1k - $97.8k
...solutions company is seeking a Utilization Management Registered Nurse to join their remote team. This role involves using clinical nursing skills to coordinate medical services and manage post-acute care. Candidates must hold a Compact RN license and possess over one...Remote job- Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including... ...in Oregon and Washington. This role encompasses care coordination and discharge planning, along with various compliance...Remote job
$71.1k - $97.8k
...health organization is seeking a Utilization Management Registered Nurse to support coordination and documentation of medical... ...candidate holds a Compact RN license and has over one... ...criteria and facilitating member care. The role offers a remote work option, a competitive...Remote job$71.1k - $97.8k
A leading health care organization is seeking a Utilization Management Registered Nurse to help coordinate medical services and support benefit determinations... ...nursing skills within a remote work environment, making... .... This role requires an RN license and over one year of...Remote job$71.1k - $97.8k
A healthcare company based in Arizona seeks a Utilization Management Registered Nurse to interpret and support the coordination of medical services. Responsibilities include... ...members. Required qualifications include a valid RN license and over a year of clinical nursing...Remote job$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 organization is seeking a dedicated Utilization Management LVN to ensure timely access to care. This remote role involves coordinating authorization workflows, reviewing clinical documents for CPT verification, and supporting high-needs members. Required...Remote work
$69.8k - $96.2k
...leading health services company is looking for a Utilization Management Nurse 2 to utilize clinical skills, coordinate with providers and members, and ensure optimal... ...experience, preferably in emergency or critical care settings. This position offers a competitive salary...Remote job$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi,... ...and will include 80% travel. Remote role. Will require a driver’... ..., and need for services for care plan development. Monitor... ...telephonic contact Authorize and coordinate referral for services....Remote workHourly payFull timeContract workImmediate startShift work3 days per week$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi,... ...and will include 80% travel. Remote role. Will require a driver’... ..., and need for services for care plan development. Monitor... ...telephonic contact Authorize and coordinate referral for services....Remote workHourly payFull timeContract workImmediate startShift work3 days per week- ...Confluence Health is seeking a Utilization Review Specialist to ensure... ...years of experience in an acute care setting and an Associate's... ...Nursing. The ideal candidate will coordinate reviews, issue notifications,... ...for flexibility between remote and in-office work. #J-18808-...Remote workWork at office
- ...Utilization Management RN Remote (Must reside in PA, NJ, or DE) Overview: Seeking an experienced Utilization Management RN to support inpatient utilization review and care coordination in a remote environment. This role is responsible for reviewing hospital...Remote work
- ...an active unrestricted RN license in the state of... ...training then will be fully remote Description -... ...program interventions. Utilizes clinical proficiency,... ...assess, plan, implement, coordinate, monitor, and evaluate... ...Subrogation, Quality of care Referrals, etc.)....Remote jobContract workLive in
- ...tango is seeking a Utilization Review Nurse (LPN or RN) to join our remote team. This role processes patient authorization requests and coordinates care to ensure compliance with health care standards. Candidates must have at least two years of nursing experience and be...Remote workFull time
- ...Martin's Point Health Care Inc. is looking for a Utilization Review Nurse in New York. This role requires a strong background in clinical nursing and utilization... ...in quality initiatives. Candidates must have a Compact RN License and at least 3 years of clinical nursing...Remote work
- ...Hospital is seeking a Case Manager responsible for coordinating patient care and ensuring proper utilization of resources. The role involves managing medical necessity... ...and a Registered Nurse license. This is a remote position with a Tuesday to Saturday schedule and requires...Remote workLocal area
- ...responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s... ...DAYS: Tuesday thru Saturday schedule. Remote, but you must live locally in AZ. #J-1880...Remote workWork at office
$26.01 - $62.32 per hour
...Enhancement is seeking a full-time Utilization Management Nurse Consultant to... ...precertification for complex spine cases. This remote position requires an active RN license and a minimum of 3 years'... ...including evaluating care and coordinating services. Candidates should have...Remote workHourly payFull timeWork at office$26.01 - $62.32 per hour
...Resources, LLC is seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to work remotely. The role involves reviewing clinical information and coordinating treatment plans to ensure quality care. Candidates must have an active RN license and at...Remote workHourly payFull timeAfternoon shift- ...Description We are seeking an experienced Utilization Review Nurse to join our team in... ...Nassau County (Hybrid: In Office/Remote) Schedule: Monday to Friday, 8:30... ...in case management and care coordination meetings. Qualifications Active RN license in the state of New York....Remote workWork at officeMonday to FridayFlexible hours
- ...insured travelers. The role offers hybrid or remote work options and an opportunity to engage... ...will be a Registered Nurse with acute care experience and strong organizational... ...IMG to contribute to quality patient care and utilization review processes. #J-18808-Ljbffr...Remote work
- ...is seeking a Clinical Program Manager RN for a full-time evening shift. This important... ...a liaison with providers and Ministry Care Coordination teams, ensuring patients are... ...license, along with a strong background in Utilization Management. A comprehensive benefits package...Remote workFull timeAfternoon shift
- ...recruitment firm is seeking a Lead Healthcare Recruiter (Utilization Management RN) for a remote 6-month contract. The ideal candidate will have an... ...include evaluating healthcare services and coordinating care for members. Join a dynamic team and make a meaningful...Remote jobContract work
$41.07 - $66.85 per hour
...The Quality Outcomes Coordinator (QOC) works at the unit... ...efficient, high-quality care. The QOC continuously evaluates... ...Professional Nurse (RN) - Illinois Department... ...standards.Utilizes metrics on unit dashboard... ...bedside sitters and video remote sitters, if applicable...Remote workWork experience placementLocal areaShift work- ...California is seeking a Supervisor of Utilization Management to oversee... ...management. You'll manage staffing, coordinate referrals, and facilitate team meetings. A California RN license is required. This... ...focuses on improving patient care and operational efficiency. Join...Remote job
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