Remote Utilization Review RN (InterQual) - PA Licensed
The Judge Group, LLC
A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information, determining medical necessity for services, and collaborating with providers. Candidates should have at least three years of Medical/Surgical experience and proficiency with InterQual criteria. This position offers a day shift workload with flexible weekends and requires an active PA RN license. #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review RN (InterQual) - PA Licensed in New York, NY vacancy
$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...Remote workHourly payAstrana Health
California, MO4 days ago$34 - $52.7 per hour
.... This job is REMOTE. FTE: 0.500000... ...physician advisor, PA moonlighter, for a second level review as needed. Facilitates... ...is required; Prior utilization management or case... .... Utilization of Interqual, MCG care web QI or... ...Wisconsin Registered Nurse License or a Multi-state...Remote workHourly payTemporary workShift workFroedtert Health
Menomonee Falls, WI3 days ago- ...assistance, 403(b), remote work United States... ...AM - 5:00 PM As a Utilization Review Registered Nurse for... ...priority: MD, DC, VA, PA, DE, FL ~ Medical,... ...criteria sets (i.e. InterQual) ~ Ability to negotiate... ...Unencumbered Registered Nurse (RN) license in Maryland (or...Remote workFull timeMonday to FridayDay shift
Johns Hopkins Medicine
Hanover, MD4 days ago - ...staffing agency seeks a Utilization Management RN to evaluate... ...through medical record reviews. The position is remote, requiring candidates to reside in PA, DE, or NJ. Key... ...have an active PA RN license and a minimum of three... ...s applications and InterQual criteria. #J-18808-...Remote job
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to... ...evidence-based criteria (e.g., InterQual) to evaluate the... ...unrestricted Registered Nurse (RN) license in the State of Texas or... ...for facility based staff; optional for remote staff.Remote workWork at office
Nexus Health Systems
Houston, TX2 days ago $34 - $47 per hour
Astrana Health, Inc. is seeking a CA-licensed UM Review Nurse for a remote position assisting the Health Services Department. Responsibilities include... ...candidates will have at least one year of outpatient Utilization Management experience and must be available for 5 shifts...Remote jobHourly payShift work- Comagine Health is seeking a Clinical Utilization Review Nurse (RN) to work remotely. This role involves assessing the... ...candidate must hold an active RN license, have a minimum of 3 years... ...experience, and be proficient with InterQual criteria. Comagine Health offers extensive...Remote job
- Currently seeking a Utilization Management RN . Please see... ...below: Position is remote - candidate must reside in PA, DE, or NJ M-F, day... ...have an active PA license or a Nurse Licensure... ...experience. **Must have InterQual exp. About the... ...judgment to review medical records, validate...Remote workImmediate startWeekend workDay shift
- A recruitment agency is seeking a Pre-Certification RN to evaluate clinical conditions and determine medical necessity for services. This remote position requires an active RN license in PA or a Compact license, along with a minimum of 3 years of acute care clinical experience...Remote job
$75k
...seeking a Registered Nurse for the role of Utilization Review Specialist. The position involves... ...utilization reviews, using criteria like InterQual, while engaging with clinical teams... ...Successful candidates must possess an active RN license and have at least two years of acute...Remote job$41 - $45.5 per hour
...Senior Analyst Location: Remote (within plan states:... ...NM, OK, MT, and TN. License Required: Active, unrestricted RN License Must have MCG/InterQual experience. Job... ...health education, and utilization management. Key Responsibilities... ..., and retrospective reviews for inpatient, rehab,...Remote workMindlance
Wausau, WI2 days ago$2,220 per week
...is seeking a travel nurse RN Utilization Review for a travel nursing job in... ...Utilization Review Nurse (Remote) Location: 100% Remote... ...Requirements: • Active RN License • Minimum 5 years of RN experience... ...• Proficiency with InterQual criteria • Managed Care Utilization...Remote workWeekly payContract workMonday to FridayShift workCare Career
Hanover, MD8 days ago- ...Office for 3 months, then remote/hybrid Must have 3-... ...setting doing utilization management. Promotes... ...for Physician Advisor review o Care coordination... ...and the application of InterQual guidelines. o Leading... ...a current Florida RN license. • Handle with Care...Remote workWork at officeLocal area
Orlando Health
Orlando, FL3 days ago - ...great opportunity for a local remote position. Schedule... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing... ...both Missouri and Illinois RN licenses. ~ If candidate only... ...'s level of care. Uses Interqual Criteria to determine level...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
BJC HealthCare
Saint Louis, MO3 days ago $30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment... ...with hospital staff. Candidates must have a current RN license and at least 1 year of clinical experience. Competitive hourly...Remote workHourly payPart timeSanta Barbara Cottage Hospital
New York, NY1 day ago$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential... .... Required Qualifications Active Licensed Vocational Nurse (LVN) license. Minimum... ...Comfortable working independently in a remote or office-based setting. Working Conditions...Remote workWeekly payContract workWork at officeMonday to FridayNeier Inc
Sacramento, CA2 days ago- ...oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience in... ...providers. This position offers the flexibility of remote work while supporting professional growth and a comprehensive...Remote work
Guidehealth
Chicago, IL3 days ago $40 per hour
...in TX Full time remote Candidates must... ...based in TX. RN working in the insurance... ..., concurrent review activities; discharge... ...regarding utilization management requirements... ...current, unrestricted license in the state of... ...experience * MCG or InterQual experienceRemote workFull timeContract workWork at officeHireOps Staffing LLC
United States2 days ago$35 - $43 per hour
.../hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must... ...CA or hold an active CA RN license) Duration: 12 months (... ...Concurrent Review will perform utilization management functions to... ...in alignment with InterQual and organizational...Remote workIMCS Group
New York, NY1 day ago- ...This position has a remote option for those living... ...hospital as needed. The Utilization Review Nurse is responsible... ...screening criteria (InterQual/MCG/Centers for... ...computers required Licenses, Registrations, or Certifications... ...compact required RN license in state of...Remote workFull time
CHRISTUS Health
Alamogordo, NM5 days ago - ...Functions Applies approved utilization criteria to monitor... ...levels of care and continued stay review. Communication to third-... ...effective utilization management and InterQual criteria. ~ The... ...Management experience. Licenses Required ~ Current license...Remote workWork at officeShift workNight shiftRotating shift
University of Utah
United States4 days ago - ...and more! Description The Utilization Review (UR) Specialist is a Registered... ...the patient chart utilizing InterQual Criteria accurately in... ...Work Type: This position is a remote position outside traditional... ...unencumbered Registered Nurse license approved by the Georgia Licensing...Remote workWork at office
- COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) for a remote full-time position based in the United States... ...will have a BA/BS in Nursing, be licensed in New Mexico, and possess experience with InterQual Criteria. Benefits include medical insurance...Remote jobFull time
- ...General Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central Utilization... ...Bachelor's of Science in Nursing, an RN license, and extensive experience in clinical... ...review. The position offers a remote work model with a flexible schedule while...Remote workFlexible hours
Santa Barbara Cottage Hospital
New York, NY4 days ago $42 - $65 per hour
...Job Description Job Description Utilization Review Nurse Location: Las Vegas, NV Job... ...stays for medical necessity. Apply InterQual and/or Milliman (MCG) criteria. Collaborate... ...School of Nursing. ~ Current RN license in the applicable state. ~5+ years...Full timeRelocation packageLancesoft INC
Las Vegas, NV7 days ago$43 - $63 per hour
...Description Job Description The Utilization Review Nurse plays a key role in evaluating... ...and discharge planning teams Utilize InterQual and Milliman criteria during utilization... ...Improvement Active Nevada RN license required Minimum 3 years of Utilization...Relocation packageLancesoft INC
Las Vegas, NVa month ago- TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must be a Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking skills and attention to detail. The...Remote job
- ...healthcare services, the part‑time Ohio Licensed Utilization Review Nurse will conduct reviews for... ...improved service utilization while working remotely. Key responsibilities Complete reviews... ...care nursing experience Current RN license in the state of hire Knowledge...Remote workPart time
- ...Office for 3 months, then remote/hybrid Must have 3-5... ...setting doing utilization management. This job will... ...for Physician Advisor review Care coordination that... ...and the application of InterQual guidelines. Leading... ...a current Florida RN license. Handle with Care (...Remote workWork at officeLocal area
- Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This... ...should possess a BA/BS in Nursing, hold a current RN license, and have over 3 years of clinical experience. Strong...Remote jobFull time
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