Remote RN Utilization Review Specialist
Cedarparktexasedc
- Remote job
Cedarparktexasedc is seeking a Licensed Registered Nurse for a remote position focused on admissions, case management, and utilization management. This role involves reviewing service requests for compliance and coordinating with interdisciplinary teams for discharge planning. Ideal candidates must hold a license from the Texas Board of Nursing or an equivalent multi-state license. The position offers a full-time schedule and generous benefits including health coverage, career growth support, and PTO. #J-18808-Ljbffr Cedarparktexasedc
- Ascension Health is seeking a Licensed Registered Nurse for a remote role within Ascension Network Services. This position focuses... ...services related to admissions, case management, and utilization review, ensuring compliance with regulations. The ideal candidate must...Remote job
- Ascension is seeking a Remote Registered Nurse for Utilization Management. Your vital role will involve providing healthcare services related to admissions... ...ensuring compliance with federal regulations. You will review service requests for medical necessity and assist with...Remote job
$75k
...Houston, Texas, is looking for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing license... ..., dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a supportive...Remote jobMonday to Friday- ...Remote Jobs are seeking a Senior Virtual Utilization Review Specialist primarily for roles in the Pacific and Mountain Time zones. The role requires a Bachelor's in Nursing and a current LPN or RN compact license. Responsibilities include conducting medical necessity...Remote work
$60.2k - $107.4k
...Utilization Management RN Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...Management RN Coder will accurately and efficiently review and extract pertinent case details from patient medical records...Remote workMinimum wageFull timeWork experience placementLocal area$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ...along with experience in Epic EHR and Utilization Review. The selected candidate will perform... ...program metrics. This position is remote and offers a pay range of $30-$45 per...Remote workHourly payContract work- ...Santa Barbara Cottage Hospital is hiring an LTC Utilization Management Reviewer for remote work in New Mexico. The role involves conducting Nursing Facility Level of Care determinations, performing utilization reviews, and ensuring services meet long-term care criteria...Remote work
$60.2k - $107.4k
UnitedHealth Group is hiring a Utilization Management RN Coder in San Francisco. This role involves reviewing patient medical records, drafting appeal letters, and educating clients about coding compliance. Candidates need an Associate's degree and a valid RN license,...Remote job$60.2k - $107.4k
The University of Minnesota School of Nursing seeks a Utilization Management RN Coder. The successful candidate will review patient medical records, write appeal letters, and ensure accurate coding practices. Requirements include an Associate's degree, RN license, and relevant...Remote job$60.2k - $107.4k
Stryker Corporation is hiring a Utilization Management RN Coder who will review medical records and craft appeal letters. This remote role requires a working knowledge of coding systems like ICD-9, ICD-10, and CPT. The ideal candidate should possess an Associate's degree...Remote job- ...solutions company based in Newtown Square is seeking a Utilization Management RN Coder. This role involves reviewing patient medical records and composing appeal... ...an unrestricted RN license. The position supports remote flexibility, ensuring compliance with healthcare regulations...Remote job
$65.5k - $96.89k
...R1 RCM in Salt Lake City is seeking a Utilization Review Specialist to be part of the Physician Advisory Team. This role involves performing initial... ...criteria. Candidates must possess a Bachelor's Degree, a current RN license, and at least 3 years of clinical nursing...$50k
...the lives of patients and their families What to Expect (Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment team to gather necessary information for concurrent...Remote work- Dove Recovery is seeking a Utilization Review Specialist responsible for managing authorization and review activities for clients. The position requires... ...MCO processes. This full-time position offers potential remote flexibility and requires attention to detail. #J-18808-...Remote jobFull time
- ...2 days ago Requisition ID: 9252 UR Specialist - Join Camber and Make an Impact At Camber... ...every day. Job Summary The Utilization Review department manages all aspects of a patient... ...schedule of 2 days in office and 3 days remote after successfully completing their first...Remote workFull timeWork at officeMonday to Friday
- Utilization Review (UR) Specialist Position Title: Utilization Review Specialist Department: Clinical / Billing Operations Reports To: Executive Director... ...Environment Fast-paced behavioral health environment. Remote flexibility depending on needs of department. Requires...Remote workFull time
- .... Ready to join our quest for better? Job Description The RN Utilization Specialist reflects the mission, vision, and values of NM, adheres to... ...expertise in hospital utilization. The RNUS through regular reviews and audits and collaboration with the clinical team, facilitates...For contractorsCasual workWork at officeLocal areaRelocation package
- UofL Health in Louisville, KY is seeking a Utilization Review RN to manage the Utilization Management process. The role involves conducting admission and concurrent utilization reviews, certifying medical necessity, and working with payors. Candidates must have an RN license...
$55k - $70k
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue... ...(e.g., BCBA, LSW, LMHC, PT, OT, SLP, RN). Proven experience in utilization review...Remote workWork at officeFlexible hours- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing Solutions is a unique team... ...certification (e.g., BCBA, LSW, LMHC, PT, OT, SLP, RN) Proven experience in utilization review...Remote workWork at officeFlexible hours
- RN Utilization Review Specialist PRN Corewell Health Location: 4700 60th St - Grand Rapids, MI Employment Type: Part time Shift: Day (United States of America) Hours of Work: 8:00 a.m. to 4:30 p.m. Job Responsibilities Provides health information, interacts and acts...Part timeReliefShift work
- Canon Recruiting Group is hiring an RN / Utilization Review Nurse for a potential contract to hire position in Sacramento, CA. This role involves reviewing medical records and treatment requests to ensure compliance with guidelines and provide timely care decisions. Applicants...Weekly payContract workMonday to Friday
- A regional healthcare provider is seeking a part-time RN Utilization Review Specialist in Caledonia, Michigan. The role involves assessing inpatient admissions, advocating for patients within acute care services, and educating medical staff on utilization management. Ideal...Part timeReliefDay shift
$56.32 - $87.11 per hour
...qualified nursing professional to oversee utilization management and patient care delivery in... ...Everett. Responsibilities include clinical reviews and appeals during hospital stays. The... ...'s degree in Nursing, a valid Washington RN license, and experience in acute care settings...Hourly payDaily paid- A regional healthcare provider in Bowling Green, Ohio, is seeking an RN for Utilization Review on a per diem basis. This role involves reviewing patient records for medical necessity, collaborating with healthcare teams, and ensuring adherence to clinical guidelines. A...Daily paid
- A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity compliance. The role involves collaborating with healthcare teams, managing denial appeals, and supporting discharge planning....Full time
- Endeavor Health is seeking an RN Utilization Review in Naperville, IL. This full-time role involves performing utilization reviews, communicating with healthcare team members, and ensuring the appropriateness of admissions and continued stays. Candidates should have an...Full time
$35 - $45 per hour
Canon Recruiting Group is seeking an experienced RN / Utilization Review Nurse in Sacramento, CA. The role involves reviewing medical records and treatment requests, ensuring compliance with clinical guidelines, and collaborating with internal teams. Candidates should have...Contract work$55.56 - $85.96 per hour
A healthcare facility in California is seeking a Utilization Review Case Manager to validate patient admissions and levels of care. The role involves performing patient chart reviews, securing authorizations for clinical services, and collaborating with healthcare teams...Hourly pay- ...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...Remote work
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