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 2 days ago
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...Registered Nurse (RN) | Utilization Review Location: Harrisburg, PA Agency: 22nd Century Healthcare, Inc. Pay: $40 to $45 per hour Shift Information... ...Possess an active Pennsylvania Registered Nurse license. Possess a documented work history of five (5) or...Hourly payFull timeContract workWork at officeImmediate startShift workTravelNurseSource
Harrisburg, PA13 days ago- ...Responsibilities Responsible for the review of medical records for... ...Coordination staff utilizing evidence-based... .... Job Requirements Remote. Must reside within... ...experience. California RN license. AHA BLS Ability to pass... ...guidelines (MCG/InterQual) preferred Knowledge of...Remote work
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TurningPoint Healthcare Solutions
Florida, NY3 days ago $78k - $88k
Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective... ...on clinical guidelines. Maintain RN license and meet continuing education... ...in prior authorization reviews using InterQual or MCG. Strong written communication skills...Remote jobFull timeContract workWork at officeWork from homeFlexible hours- ...Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday... ...Job Requirements: Active RN license with Multi-State/Compact License required... ...improvement Experience applying InterQual and/or MCG criteria preferred...Remote jobFull timeMonday to Friday
HealthPlus Staffing
Fort Lauderdale, FL23 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, NY4 days ago$78k - $88k
Gainwell Technologies is seeking a skilled Utilization Review Nurse to perform prior authorization... ...home-based role supports providers, uses InterQual/MCG criteria, requires 3+ years inpatient experience and an active RN license in the U.S. Core hours 8:00 AM-6:00 PM ET...Remote job$35 - $43 per hour
...Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must... ...or hold an active CA RN license) Duration: 12 months... ...Review will perform utilization management functions to... ...determinations in alignment with InterQual and organizational...Remote workIMCS Group
New York, NY4 days ago- ...Bonus Program Job Summary The Utilization Review Nurse is to assess the... ...based UM department with use of Interqual or MCG Prefer clinical experience... ...and make solid decisions License/Certification: Current... ...unrestricted Registered Nurse (RN) license EQUAL OPPORTUNITY EMPLOYER...Remote jobFull timeTemporary workLocal area
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University of Utah
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CHRISTUS Health
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...in TX Full time remote Candidates must be based in TX. RN working in the insurance... ..., concurrent review activities; discharge... ...regarding utilization management requirements... ...current, unrestricted license in the state of operations... ...* MCG or InterQual experience HireOps...Remote jobFull timeContract workWork at office- ...RN Case Manager - Utilization Review (Temple Hospital Jeanes Campus) Utilizing InterQual and other appropriate criteria, responsible for reviewing all admissions and continued... ...and InterQual criteria tools Preferred Licenses PA Registered Nurse License Required or...Full timeShift workNight shiftWeekend work
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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 Friday- ...Utilization Management Registered Nurse Duration: 6... ...outpatient utilization review and prior authorization... ...unrestricted Registered Nurse (RN) license. Associate Degree... ..., Precertification, InterQual and/or MCG Guidelines.... ...independently in a remote environment....Remote workContract work
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...for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to... ...nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby.vecnakraska...Remote jobHourly pay
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