Remote RN: Concurrent Utilization Review Specialist
$75kHealthHelp
HealthHelp - A WNS Company in Houston, Texas, is looking for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing license, with preference for those with two years of inpatient clinical nursing experience. Offering a competitive salary of $75,000/year along with health, dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a supportive work environment that emphasizes teamwork and compliance with medical standards. #J-18808-Ljbffr
- ...appropriate use of preservice and concurrent acute medical and/or... ...care professionals regarding utilization management and quality requirements... .... Medical necessity reviews for designated services are completed... ...~ Registered Nurse (RN) - State of Michigan Upon Hire...Remote workFull timeMonday to FridayShift workWeekend work
- ...P3 Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-driven organization. This role offers hybrid or fully remote arrangements, with major responsibilities in telephonic review and collaboration with provider...Remote work
- ...Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization reviews across Southern California ministries, requiring effective problem-solving and decision-making skills...Remote workPart time
- ...Providence is seeking an experienced RN for Utilization Review to provide essential patient care while working remotely in Irvine, California. This role involves conducting clinical reviews and managing utilization efficiently in a dynamic regulatory environment. The...Remote workDaily paid
$57.28 - $88.92 per hour
...Providence Health Plan Group is seeking an RN for Utilization Review, working full-time in a remote position. The role involves conducting clinical reviews and managing utilization reviews across various health plans in Southern California. Required qualifications...Remote workHourly payFull time- ...Ensemble Health Partners is seeking Senior Virtual Utilization Review Specialists to join their remote team in the United States. This role involves conducting... ...nursing experience, possess current LPN or RN compact licensure, and have strong communication and...Remote work
- ...P3 Health Partners in Henderson, NV is seeking an RN Concurrent Review to ensure compliance with the Medical Management Program. The role may be hybrid or fully remote, with competitive hourly rates based on experience. The successful candidate will have at least two years...Remote workHourly pay
- ...Kelsey-Seybold Clinic is seeking a Utilization Review Specialist (LVN) to conduct medical reviews and assess medical necessity for services requiring... ...experience in utilization review. Flexibility for remote work is provided for Texas residents. Competitive hourly pay...Remote workHourly pay
- ...quest for better? Job Description The RN Utilization Specialist reflects the mission, vision, and... ...utilization. The RNUS through regular reviews and audits and collaboration with the... ...patients. Facilitates utilization review concurrent with decisions on hospitalization and...For contractorsCasual workWork at officeLocal areaRelocation package
$50k
...in 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- ...happen at Hopkins. This is a remote position. Our organization... ...the UM Team Manager, the Utilization Management Specialist performs UM activities which includes admission review, concurrent review, retrospective... ...accredited Nursing Program (RN) or LCSW required, BSN preferred...Remote workWork experience placementWorldwideShift work
- ...Gateway Regional Medical Center, Inc. is seeking a full-time Utilization Review Specialist RN responsible for conducting admission and concurrent reviews to avoid payment denials, while managing appeals. This role requires collaboration with interdisciplinary teams to...Full time
- ...Providence is seeking an RN for a remote Utilization Review role. This per diem position involves conducting prospective, retrospective, and concurrent utilization reviews for Southern California ministries, requiring strong clinical expertise and a solid understanding...Remote workDaily paid
- ...telephonic and e-referral case review and authorization of services utilizing established mental health... ...for prospective, concurrent, and retrospective utilization... ...is full-time, fully remote (work from home) and requires... ...clinical license (RN, LMSW, LP, LPC, or LLP) required...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...TREATMENT CENTERS! We are seeking a Utilization Review Specialist to join our corporate team in... ...organizations for pre-authorization and concurrent reviews for the duration of a patient... ...availability as needed). * Location: Remote KEY RESPONSIBILITIES: * Manage a...Remote workFull timeTemporary workWeekend workWeekday work
$62.4k - $96.08k
...in Rochester, NY is seeking a Utilization Management Coordinator responsible... .... This role involves clinical reviews, working with various... ...Candidates must have an active NYS RN license, clinical experience,... ...skills. The position may offer remote work on a case-by-case basis,...Remote work- ...access to care and appropriate utilization of resources, balanced with... ...delegated to Central Utilization Review LVN/LPN Case Manager and/or... ...from payers Managing concurrent disputes Collaborating with payers... ...Tuesday thru Saturday schedule. Remote, but you must live locally in...Remote workWork at office
$2,210 per week
...Holidays Work-life balance. Remote/hybrid setting (once... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...of precertification and concurrent review within the... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote workContract workWork from home
$90k - $100k
...wellness guidance. We are looking for a RN Concurrent Review . If you are passionate about your... ...Description of P3 Health Partners regarding Utilization Review, inclusive of prior... ...role offers either a hybrid or fully remote work arrangement. Candidates within a...Remote workWork at office3 days per week$45.9 - $71.4 per hour
...Responsibilities The RN Care Coord-Qual Med Mgmt will provide administration... ...include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation... ...'s Degree Nursing or health care. Utilization review, discharge planning and/or...Remote workLocal area- ...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 workFull time
- ...appropriate clinical review of all applicable patients... ...as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated.... ...well. This role will be remote but regular meetings/trainings... ...issues. Reviews concurrently all inpatients, including...Remote workReliefShift workWeekend work3 days per week
$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- ...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
- ...Cerebral Palsy of Georgia is hiring a Utilization Management Specialist in Miami, Florida. The role requires... ...collaboration with Medical Directors to review healthcare services and authorize... ...setting and specific licenses like LCSW or RN. The job involves some travel to...Remote workLocal area
$69.38k - $92.28k
...the Opportunity As a Professional Concurrent Review RN, you'll have the opportunity to apply... ...experienced RNs looking to expand into utilization management, this position provides exposure... ...Where you'll be: Location: Remote Pay Transparency MVP Health Care...Remote workContract work$60k - $75k
...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $60,000 - $75,000 a... ...position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be...Remote workFull timeWork at office- ...The Utilization Review Specialist is responsible for managing all aspects of the utilization review process, including preauthorization, Single Case... ...strong organizational and time-management skills. This is a full time role Up to $6/hr 100% Remote Work #J-18808-Ljbffr...Remote workFull timeFor contractors
- ...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
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