Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Clinical Advisor - Utilization & Case Management

$67.6k - $127k

Luminare Health Benefits Inc.

New York, NY
  • Remote job

Luminare Health Benefits Inc. is seeking a Clinical Advisor responsible for client support and collaboration with healthcare teams. This role is vital for ensuring that client needs are met in a dynamic environment. The ideal candidate should have a Registered Nursing License and at least five years of clinical experience. The position offers remote work flexibility within the continental US, excluding specific states. A competitive compensation range of $67,600 - $127,000 will be provided based on individual qualifications. #J-18808-Ljbffr Luminare Health Benefits Inc.

Vacancy posted 23 hours ago
Similar jobs that could be interesting for youBased on the Remote Clinical Advisor - Utilization & Case Management in New York, NY vacancy
  • $34 - $35 per hour

     ...Utilization Management - Clinical Nurse - Work from Home! Utilization Management - Clinical Nurse - Work from...  ...and treatment appropriateness Create case summaries for requests not meeting...  ...Clinical Review Nurse- Prior Authorization Remote Registered Nurse (Remote Patient... 
    Remote work
    Full time
    Work at office
    Work from home
    Night shift

    Broadpath Inc

    United States
    23 hours ago
  • $2,250 per week

     ...Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in...  ...and payers to ensure compliance with clinical guidelines, regulatory requirements, and...  ...-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT – 13... 
    Remote work
    Temporary work
    Shift work
    Night shift
    Weekend work

    AMN Healthcare Revenue Cycle

    Fort Myers, FL
    2 days ago
  •  ...Health Plansis hiring an Utilization Review Nurse/RN- Remote in Virginia Status: Full...  ...responsible for utilization management services within the scope...  ...of care coordinator with case management and facilitates...  ...CMS, state, medical policy, clinical criteria). Facilitates... 
    Remote work
    Permanent employment
    Full time
    Temporary work
    Shift work

    Sentara Health

    Norfolk, VA
    4 hours ago
  • $2,210 per week

     ...independent leader in personalized managed health care, focused on what'...  ...Holidays Work-life balance. Remote/hybrid setting (once trained)...  ...: This individual will utilize clinical knowledge and communication skills...  ...individual interfaces with case managers and disease... 
    Remote work
    Full time
    Temporary work
    Part time
    Casual work
    Work at office
    Work from home
    All shifts
    Monday to Friday
    Flexible hours

    Hines

    Freeport, IL
    2 days ago
  • A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care...  ...Arizona and substantial experience in utilization review or case management. Strong communication skills and flexibility are essential.... 
    Remote work
    Contract work

    IntePros

    Phoenix, AZ
    7 days ago
  •  ...Guidehealth leverages remotely‑embedded Healthguides™ and a centralized Managed Service Organization to...  ...Description We are seeking a Clinical Care Manager who is...  ...precise and timely Utilization Review. In this role,...  ...and Peer Reviewers for cases requiring medical necessity... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Work from home

    Guidehealth

    Chicago, IL
    2 days ago
  •  ...Department: Utilization Management Schedule: M-F 8am-5pm Work Location: Remote Benefits for eligible positions generous paid time off paid parental leave...  ...Provide health care services regarding admissions, case management, discharge planning and utilization... 
    Remote work

    UAB Medicine

    Birmingham, AL
    2 days ago
  •  ...Hospital Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations*...  ...Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*
    Remote work

    B2B Staffing Services

    Torrance, CA
    1 day ago
  •  ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities...  ...home health. This contract role offers a chance to manage healthcare quality efficiently while working... 
    Remote work
    Contract work

    IntePros

    New York, NY
    23 hours ago
  • Med-Metrix is hiring a Physician Advisor in Parsippany-Troy Hills, NJ, to perform clinical case reviews and optimize patient care. The role demands a Board...  ...years of clinical experience and experience in utilization management. Responsibilities include consultation on... 

    Med-Metrix

    Parsippany, NJ
    23 hours ago
  •  ...providing skilled nursing care, case management, and hospice care to...  ...health, or hospice care. Clinical assessment, medication administration...  ...: Experience in Utilization Review or case management roles...  ...to work independently in remote settings. Must be able... 
    Remote work
    Flexible hours

    vTech Solution

    Santa Rosa, CA
    2 days ago
  • $1,600 - $1,800 per week

     ...NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB, Colorado...  ...weekends, no holidays, no telehealth/remote work Minimum Qualifications...  ...Utilization Management, Utilization Review, or Case Management ~• Preferred... 
    Remote work
    Contract work
    Immediate start
    Monday to Friday

    Varite

    Aurora, CO
    4 days ago
  •  ...Communities Together. This is a remote position in which we are...  ...: ~  ~ Health plan utilization management  ~ Medicare and Medicaid rules...  ...preferred. ~ One (1) year clinical nursing experience plus four...  ...preferred:  Team leadership. Case management. Medicare and... 
    Remote work

    Samaritan Health Services

    Eugene, OR
    -43
  •  ...Summary Utilization Review Nurse - Case Management Full-time, day shift (varies 7:30a-4:00p or 8:00a-4:30p) Hybrid (remote with rotating in house coverage) 72-hour position - Rotating 4/...  ...required. (Combination of education and clinical experience will be accepted in lieu... 
    Remote work
    Full time
    Weekend work
    Day shift

    Baptist Health

    Elizabethtown, KY
    3 days ago
  • $41 - $45.5 per hour

     ...with Direct Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL, TX, NM, OK, MT,...  ...care and supports members through clinical assessments, health education, and utilization management. Key Responsibilities: Perform... 
    Remote work

    Mindlance

    Wausau, WI
    1 day ago
  •  ...hiring an Integrated Nurse Case Manager in the Central-...  ...am-5pm) *Position is remote but does require in person...  ...or face-to-face clinical assessments for the identification...  ...and efficient utilization of health benefits;...  ...Directors, Physician Advisors and/or Inter-Disciplinary... 
    Remote work
    Full time
    Temporary work
    Currently hiring
    Shift work

    Sentara Health

    Newport News, VA
    2 minutes ago
  •  ...Utilization Management Nurse BHPS provides Utilization Management services to...  ...benefit coverage while working remotely. Primary Responsibilities: Performs clinical utilization reviews using...  ...and Coordination of Benefit Cases and notifies appropriate parties... 
    Remote work
    Contract work
    Work at office

    Brighton Health Plan Solutions

    United States
    2 days ago
  •  ...Hospital is hiring a full time RN Case Manager for our inpatient units...  ...Acting as a clinical leader of the healthcare team...  ...improving patient care Utilizing complex critical thinking skills...  ...positions that are available as remote work, Sentara Health employs... 
    Remote work
    Full time
    Temporary work
    Relocation package
    Shift work

    Sentara Health

    Virginia Beach, VA
    3 hours ago
  •  ...Quorum Health is seeking a Case Manager - Utilization Review Specialist for a remote role. The Specialist will manage admission reviews, conduct appeals, and identify workflow improvements. This position requires a current RN license and significant experience in healthcare... 
    Remote work

    Quorum Health

    Brentwood, TN
    3 days ago
  •  ...Hospital is hiring an Inpatient Case Manager RN to work full-time 40...  ...of care while facilitating clinical appropriateness and LOS. Directly...  .... Promotes effective utilization and monitoring of health services...  ...that are available as remote work, Sentara Health employs... 
    Remote work
    Full time
    Temporary work
    Relocation package
    Shift work

    Sentara Health

    Norfolk, VA
    4 hours ago
  •  ...Currently seeking a Utilization Management RN . Please see details and qualifications...  ...below: Position is remote - candidate must reside in...  ...you will evaluate members’ clinical conditions through medical record...  ...when needed. Refer cases that do not meet criteria to... 
    Remote work
    Immediate start
    Day shift

    The Judge Group, LLC

    New York, NY
    3 days ago
  • $35 - $45 per hour

     ...Position: RN / Utilization Review Nurse Location: Sacramento...  ...requests, and clinical documentation to support...  ...reviewers to support case review processes. Assist...  ...timelines. Support case management activities and...  ...working independently in a remote or office-based setting... 
    Remote work
    Weekly pay
    Contract work
    Work at office
    Monday to Friday

    Neier Inc

    Sacramento, CA
    1 day ago
  • $3,155 per week

     ...Registered Nurse (RN) | Case Manager Location: San Francisco, CA Agency: Cynet Health...  ...between offices but will primarily be remote. Candidates should have experience in care...  ...is necessary. The ability to utilize InterQual criteria and engage in concurrent... 
    Remote work
    Full time
    Contract work
    Shift work

    Cynet Health

    San Francisco, CA
    23 hours ago
  • $39 - $40 per hour

     ...Recruiter at The Judge Group Utilization Management Registered Nurse (RN) Type...  ...Contract W2 Location: Remote - but MUST reside in one...  ...delegated tasks within the Nurse Case Management job family...  ...healthcare services Use clinical expertise to assess, coordinate... 
    Remote work
    Daily paid
    Contract work
    Monday to Friday
    Shift work
    Weekend work

    The Judge Group

    Chicago, IL
    1 day ago
  •  ...hiring an Integrated Nurse Case Manager for Northern Virginia,...  ...or face-to-face clinical assessments for the identification...  ...and efficient utilization of health benefits;...  ...Directors, Physician Advisors and/or Inter-Disciplinary...  ...that are available as remote work, Sentara... 
    Remote work
    Temporary work
    Currently hiring
    Shift work
    Day shift

    Sentara Health

    Manassas, VA
    3 hours ago
  • $63k - $65k

     ...PURPOSE OF THE ROLE To utilize evidence-based tools to...  ...great work. Apply your RN clinical knowledge and experience to assist in the management of complex medical...  ...well‑being of others in a remote work environment. Enjoy...  .... Certification in case management, pharmacy, rehabilitation... 
    Remote work
    Work experience placement
    Flexible hours

    Sedgwick

    Nashville, TN
    2 days ago
  •  ...Health is seeking a dedicated Utilization Management (UM) LVN. The UM LVN...  ...authorization processes, coordinate clinical information, support medical...  ...This position is fully remote Monday-Friday 8am - 5pm with...  ...and phone and ensure timely case entry into the designated tracking... 
    Remote work
    Local area
    Monday to Friday
    Shift work

    Harbor Health Services

    Austin, TX
    2 days ago
  • $35 - $40 per hour

     ...Location Fully Remote Position Summary The Utilization Review Nurse serves...  ...guidelines. Refer cases outside of...  ...Utilization Review Physician Advisor. Maintain...  ...support to payer case managers, patients, and provider...  ...needed. Review clinical documentation for... 
    Remote work
    Contract work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    2 days ago
  • $30 - $34 per hour

     ...Overview Utilization Review Nurse - Remote at Astrana Health Location: 6...  ...position, you will utilize your clinical judgement to approve or...  ...equipment Refer cases to Medical Directors as needed...  ...Candidates with only case management experience are not a fit.... 
    Remote work
    Hourly pay
    Monday to Friday

    Astrana Health

    United States
    3 days ago
  •  ...This position has a remote option for those living...  ...hospital as needed. The Utilization Review Nurse is...  ...responsible for determining the clinical appropriateness of...  ...and efficiently manage a diverse workload in...  ...Identify and present cases of possible quality of... 
    Remote work
    Full time

    CHRISTUS Health

    Alamogordo, NM
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Clinical Advisor - Utilization & Case Management. Be the first to apply!