Remote Oncology RN - Pre-Service Review Specialist
Optum
Optum is seeking Telephonic Oncology Preservice Review Nurses for full-time remote work. The role entails pre-service clinical coverage review using guidelines, benefit plans, and medical policy to determine medical necessity for outpatient services.
You'll evaluate cases, conduct non-clinical research, and ensure compliance with state and federal mandates. The position operates Tue-Sat 8-5 in the candidate's time zone and is fully telecommute across the U.S.
#J-18808-LjbffrVacancy posted 3 hours ago
Similar jobs that could be interesting for youBased on the Remote Oncology RN - Pre-Service Review Specialist in Downers Grove, IL vacancy
- UnitedHealth Group is seeking a Telephonic Oncology Preservice Review Nurse (RN) to perform pre-service clinical reviews remotely across the U.S. You will evaluate services using benefit plan documents, guidelines, and policies to determine medical appropriateness. The...Remote jobAfternoon shift
$71.1k - $97.8k
...The Hong Kong Study Skills Research Institute is seeking a Pre-Authorization Registered Nurse to join their team. This role involves reviewing prior authorization requests to ensure appropriate care while working from home. Ideal candidates will be licensed RNs with a...Remote workWork from homeHong Kong Study Skills Research Institute
Juneau, AK1 day ago- Position Summary: The RN Integrated Care... ...care coordination services and is responsible... ...address utilization review cases. Roles and Responsibilities... .../documentation, pre-certification,... .../pediatrics, and oncology. You have... ...Requirements This is a remote position. Our whole...Remote workLive inFlexible hoursWeekday work
$29 - $52 per hour
...Telephonic Oncology Preservice Review Nurse Optum is a global organization that... ...you will be performing pre-service clinical coverage review of... ...enjoy the flexibility to work remotely * from anywhere within the... ...~ Current, unrestricted RN license in your state of residence...Remote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeHome officeWeekend workAfternoon shift$82.4k - $110k
...Clinical Review RN, Oncology AI Review Position Summary Natera is seeking an experienced Oncology Registered Nurse (RN) to support... ...in other locations due to cost of labor considerations. Remote USA $82,400—$110,000 USD OUR OPPORTUNITY Natera™ is...Remote workFull timeWork at officeImmediate startWorldwide$35.29 - $54.71 per hour
...Department: PVH Medical Oncology Unit Work... ...offer a hybrid or remote option Work nights... ...Registered Nurse (RN). ~6 months of nursing... ...living. Market reviews: All UCHealth... ...up to $10,000/year pre-paid by UCHealth or... ...navigating the Public Service Loan Forgiveness program...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...Department: PVH Medical Oncology Unit Work... ...offer a hybrid or remote option Work nights... ...Registered Nurse (RN). ~6 months of nursing... ...living. Market reviews: All UCHealth... ...up to $10,000/year pre-paid by UCHealth or... ...navigating the Public Service Loan Forgiveness program...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...specialized multidisciplinary Oncology service line. Work Schedule:... ...not offer a hybrid or remote option Work nights,... ...as a Registered Nurse (RN). ~6 months of... ...cost of living. Market reviews: All UCHealth positions... ...for up to $10,000/year pre-paid by UCHealth or up...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...CO Department: Oncology Work Schedule: Full... ...offer a hybrid or remote option Work... ...Registered Nurse (RN). ~6 months of nursing... ...living. Market reviews: All UCHealth positions... ...up to $10,000/year pre-paid by UCHealth or... ...the Public Service Loan Forgiveness program...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...Department: UCH Oncology Care Clinic Work... ...offer a hybrid or remote option Summary... ...scheduled procedural services. Provides direct patient... ...and documents pre/post and procedural... ...Registered Nurse (RN). ~6 months of (RN... ...living. Market reviews: All UCHealth positions...Remote workTemporary workPart timeLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...Department: UCH Oncology Care Clinic Work... ...offer a hybrid or remote option Summary... ...scheduled procedural services. Provides direct patient... ...and documents pre/post and procedural... ...Registered Nurse (RN). ~6 months of (RN... ...living. Market reviews: All UCHealth positions...Remote workTemporary workPart timeLocal areaFlexible hoursShift workNight shift- ...Humana seeks a Pre-Authorization Nurse to review prior authorization requests for appropriate care and setting... ...strong decision-making abilities. Remote position from LA with a choice of... ...or Sun-Thurs), 8-hour shifts. Active RN license in Louisiana and 2+ years RN...Remote workShift work
Humana
United States3 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... ...per week with responsibilities such as providing reviews for pre-certification requests, processing appeals, and working...Remote workHourly payPart timeSanta Barbara Cottage Hospital
United States2 days ago$35.29 - $54.71 per hour
...Department: Surgical Oncology Work Schedule:... ...offer a hybrid or remote option Work nights... ...Registered Nurse (RN). ~6 months of nursing... ...living. Market reviews: All UCHealth... ...up to $10,000/year pre-paid by UCHealth or... ...navigating the Public Service Loan Forgiveness...Remote workFull timeTemporary workPart timeLocal areaFlexible hoursShift workNight shift$35.29 - $54.71 per hour
...Aurora, CO Department: Oncology Work Schedule:... ...offer a hybrid or remote option Summary: Provides... ...Registered Nurse (RN). Basic Life... ...of living. * Market reviews: All UCHealth positions... ...up to $10,000/year pre-paid by UCHealth or... ...the Public Service Loan Forgiveness program...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift- ...OR Pre-Op RN - PRN Days About the Role: The OR RN Pre... ...preoperative assessments including reviewing medical history, medications,... ...delivering advanced clinical services while preserving the personal... ...Georgia DPH Designated Remote Stroke Treatment Center Expanded...Remote workRelief
Morgan Medical Center
Madison, GA5 days ago - Humana is seeking a Pre-Authorization Registered Nurse for a remote, full-time role based in Virginia. The RN will review prior authorization requests, determine appropriate care settings, and educate providers on utilization and management processes. Requirements include...Remote jobFull time
- Elevance Health seeks a Wound Care Utilization Management RN to perform pre-certification and authorization activities for Home Health Services, focusing on wound care. The role involves coordinating with providers, reviewing services for clinical appropriateness, and ensuring...Remote job
$37.06 - $57.44 per hour
...does not offer a hybrid or remote option Minimum... ...as a Registered Nurse (RN). Basic Life Support (... ...cost of living. Market reviews: All UCHealth positions... ...for up to $10,000/year pre-paid by UCHealth or up to... ...assistance navigating the Public Service Loan Forgiveness program...Remote workTemporary workReliefLocal areaFlexible hoursShift workUC Health
Pueblo, CO3 days ago$38.91 - $60.31 per hour
...does not offer a hybrid or remote option Minimum... ...as a Registered Nurse (RN). Basic Life Support (BLS... ...cost of living. Market reviews: All UCHealth positions... ...for up to $10,000/year pre-paid by UCHealth or up to... ...assistance navigating the Public Service Loan Forgiveness program...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shiftUC Health
Loveland, CO2 days ago$35.29 - $54.71 per hour
...does not offer a hybrid or remote optionWork nights, earn... ...as a Registered Nurse (RN). Basic Life Support (... ...and cost of living.Market reviews: All UCHealth positions... ...for up to $10,000/year pre-paid by UCHealth or up to... ...assistance navigating the Public Service Loan Forgiveness program...Remote workFull timeTemporary workLocal areaFlexible hoursNight shiftUCHealth
Aurora, CO4 days ago- ...discharge needs. We service patient populations... ..., post cath care, remote telemetry and more)... ...medical diagnoses and pre/post-surgical care.... ...and use keywords RN New Grad to search... ...neurology, orthopedics, oncology, urology, pulmonary... ...planning needs. Reviews patient history and...Remote workPrice workTemporary workPart timeInterim roleRelocation packageShift workNight shiftWeekend work
Credenza Health
Sun City West, AZ4 days ago $38.91 - $60.31 per hour
...does not offer a hybrid or remote optionMinimum... ...as a Registered Nurse (RN). Basic Life Support (BLS... ...and cost of living.Market reviews:All UCHealth positions are... ...for up to $10,000/year pre-paid by UCHealth or up to... ...assistance navigating the Public Service Loan Forgiveness program...Remote workFull timeTemporary workLocal areaFlexible hoursShift workUC Health
Colorado Springs, CO2 days ago$38.91 - $60.31 per hour
...does not offer a hybrid or remote optionMinimum... ...as a Registered Nurse (RN).6 months RN experience... ...and cost of living.Market reviews: All UCHealth positions... ...for up to $10,000/year pre-paid by UCHealth or up to... ...assistance navigating the Public Service Loan Forgiveness program...Remote workTemporary workReliefLocal areaFlexible hoursShift workUC Health
Greeley, CO3 days ago$35.29 - $54.71 per hour
...scheduled procedural services. Provides direct... ...AuroraDepartment: UCH Oncology Care ClinicWork... ...offer a hybrid or remote optionResponsibilities... ...Performs and documents pre/post and procedural... ...Registered Nurse (RN).6 months of (RN)... ...of living.Market reviews: All UCHealth positions...Remote workTemporary workPart timeLocal areaFlexible hoursShift workNight shiftUCHealth
Aurora, CO3 days ago$45 per hour
...top healthcare workers with their dream job Pre-Certification RN Location: Remote (must reside in PA, NJ, or DE) Employment Type... ...’ clinical conditions through medical record review to determine medical necessity for services. This role applies advanced clinical judgment...Remote workPermanent employmentTemporary workMonday to FridayDay shift$2,300 per month
...The Clinical Review Nurse (RN) supports the organization’s care management... ...appropriate utilization of medical services, and maintaining compliance... ...for members. This is a remote role open to candidates residing... ...Ensure timely processing of pre-certification, prior...Remote workWork at officeMotivHealth
Utah1 day ago- ...care plans and related services, along with a wide range... ...to the LTSS department. RN will be responsible for... ...authorization and concurrent review. Provides monthly... ...services denied. Conducts pre-certification, inpatient... ...Additional Info: *possible remote opportunity after...Remote workContract workMonday to FridayFlexible hours
$29 - $52 per hour
...Optum Clinical Claim Review Nurse Optum is a global organization that delivers care, aided... ...'s degree ~ Active and unrestricted RN license in the state of residence ~2+ years... ...following areas Utilization Management, pre-authorization, claim review, appeals review...Remote jobHourly payMinimum wageFull timeContract workTemporary workWork experience placementWork at officeLocal area- ...remote type Remote work is not available locations... ...you should review before applying for... ...veteran status, military service, genetic... ...Department: ICE | NRSL RN Residency Program... ...longer available) Oncology Surgical... ...recruitment contact. Pre-employment Screening...Remote workPermanent employmentFull timeTemporary workSummer workWork at officeVisa sponsorshipShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Oncology RN - Pre-Service Review Specialist. Be the first to apply!
Related searches
- pediatric icu rn Downers Grove, IL
- connect rn Downers Grove, IL
- pediatric oncology rn Downers Grove, IL
- davita rn Downers Grove, IL
- rn per diem nurse Downers Grove, IL
- hospice registered nurse Downers Grove, IL
- oncology rn Downers Grove, IL
- behavioral rn Downers Grove, IL
- gastroenterology rn Downers Grove, IL
- rn biotech Downers Grove, IL