Remote Clinical Utilization Review Nurse (RN)
Comagine Health
Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This full‑time position involves managing utilization reviews and ensuring compliance with clinical policies for quality care. Candidates should possess a BA/BS in Nursing, hold a current RN license, and have over 3 years of clinical experience. Strong skills in communication and organizational abilities are essential for success in this role. #J-18808-Ljbffr
- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews. This full-time role supports high-quality... ...least 3 years of relevant experience. The position is remote, allowing work from any location in the U.S., and offers...Remote workFull time
- ...Comagine Health is seeking a Clinical Utilization Review Nurse (RN) to work remotely. This role involves assessing the necessity and quality of healthcare services through various review methods, ensuring compliance with clinical criteria. The ideal candidate must hold...Remote work
- ...Sentara Obici Hospital is hiring a Clinical Nurse Manager for our Med-Surg/Oncology Specialty in Suffolk, VA! The RN Clinical Manager for Med-Surg/Oncology Specialty... ...environment. For positions that are available as remote work, Sentara Health employs associates...Remote workTemporary workShift workNight shiftWeekend workAfternoon shift
- ...operations team, the Primary Care Nurse works directly with Mercy... ...providers, and other members of the clinical care team to drive quality... ...Details: ~ Full Time RN/LPN Position @ Mercy Family Medicine... ...~ Hours: 8a-5p ~ Hybrid/Remote Position ~90 days of onsite...Remote workFull time
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the delivery of appropriate... ...conducts comprehensive reviews of clinical documentation, assesses medical... ...as required for facility based staff; optional for remote staff.Remote workWork at office
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range... ...Hybrid (combination of in person and remote considered) GENERAL SUMMARY... ...issues on a case-by-case basis with clinical staff. Demonstrates working knowledge...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...Position Description: RN-Specialty Location: Hybrid... ...to come on-site for monthly clinic meetings ** Mercy Heart &... .... keyword(s): Heart, vascular, EP, electrophysiology, nursing, RN, Mercy, Days, clinics, outpatient, no weekends, nurse, hybrid, remoteRemote workFull timeWork from home
$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... ...must have a current RN license and at least 1 year of clinical experience. Competitive hourly compensation worth $30-$38...Remote workHourly payPart time- ...Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must... ...Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking... ...position involves performing clinical reviews, assisting in quality...Remote work
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract... ...records, treatment requests, and clinical documentation to support timely,... ...Comfortable working independently in a remote or office-based setting. Working Conditions...Remote workWeekly payContract workWork at officeMonday to Friday$30 - $38 per hour
...Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time basis... ...(Nursing program) required. 1+ year clinical experience required. Required... ...skills to successfully perform in a remote healthcare environment. Ability to perform...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work- ...is seeking an Oncology Registered Nurse to support interventional cancer clinical trials at a leading research center... ...weekends, or holidays). On-Site / Remote schedule: Work 4 days on-site and 1... .... QUALIFICATIONS ~ Active RN license in the state of New Jersey....Remote workTemporary workMonday to FridayWeekend work
- ...services firm that partners with clinical research sites, sponsors, and... ...experienced Clinical Research Nurse to join our team as a full-... ...Work 4 days on-site and 1 day remote weekly after training period.... ...with an active Registered Nurse (RN) license in the State of New...Remote workFull timeTemporary workMonday to FridayWeekend work
- ...located in Atlanta, GA, is seeking a Clinical Quality Assurance Coordinator for a fully remote position. In this role, you will ensure top-quality peer review case reports while adhering to... ...The ideal candidate will be an active RN or LPN with strong clinical skills and...Remote workWork from home
- ...Mayo Clinic is top-ranked in more specialties than any other care... ...City: Jacksonville, State: FL; Remote: No. Benefits Highlights Medical... ...‑Oncology Clinic Registered Nurse is responsible for supporting... ...and social workers. The clinic RN provides disease‑specific education...Remote workFull timeMonday to FridayFlexible hoursShift workNight shiftWeekend workAfternoon shift
- ...Plansis hiring an Integrated Nurse Case Manager/Registered Nurse (RN) for Inpatient and Outpatient Clinical Appeals- Remote in Virginia! Status:... ...and commercial insurance Review clinical denials (non-... ...Experience/knowledge in Rev Cycle, Utilization Review (UR) and Case...Remote workPermanent employmentFull timeTemporary workShift work
$35.9 - $53.9 per hour
...Responsibilities: Direct Nursing Care ~... ...effects of devices and utilizes critical thinking... ...an independent daily review of remote transmission of the devices... ...information with the clinical condition of patients... ...~Nurse, Registered (RN) Education...Remote workWork at officeRelocation package- ...Boost Home Healthcare in Chicago is seeking a Clinical Manager who is a Registered Nurse (RN) to oversee home health services. The role involves direct clinical supervision, staff evaluations, and ensuring quality care for homebound patients. Candidates must have a passion...Remote workWork from homeFlexible hours
- A growing healthcare company in New York seeks a Utilization Review Nurse to conduct clinical reviews and ensure medical necessity authorizations are met. The ideal candidate will be an LPN or RN with critical thinking skills and attention to detail, able to manage tasks...
- ...Job Title Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) Job Description The Clinical Utilization Review Nurse Preceptor (UR RN Preceptor) will be responsible for training, mentoring, and coaching for the Utilization Review Department. The UR RN...Temporary workCasual workShift work
$38.91 - $60.31 per hour
...Springs Department: SRSS Clinical Education Work... ...not offer a hybrid or remote option This is a part... ...Clinical Education Resource Nurse (CERN) position with... ...as a Registered Nurse (RN). ~2 years of nursing... ...of living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workPart timeLocal areaFlexible hoursShift workNight shift- ...Sentara Leigh Hospital is hiring a Clinical Nurse Manager, Registered Nurse (RN) for our Intermediate Care Unit (... ...research, quality, evaluation, resource utilization, and environmental health)... ...For positions that are available as remote work, Sentara Health employs associates...Remote workFull timeTemporary workRelocationShift work
$74k - $111k
...Registered Nurse (RN) - Clinical Evaluation Unit - Full Time Fargo, ND $74K - $111K Building Location: 32nd Avenue Building Department: 30143... ...Support (ACLS) certification within one year FTE: 0.9 Possible Remote/Hybrid Option: Shift Rotation: Day/Night Rotation (United...Remote workFull timeLocal areaWork from homeFlexible hoursShift workNight shiftRotating shiftWeekend work$38.91 - $60.31 per hour
...offer a hybrid or remote option Summary:... ...care liaison and clinical resource. Conducts... ...coordination and utilization. Responsibilities... ...frequent rounds to nursing units and... ...Registered Nurse (RN). ~2 years of critical... ...living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$26.5 - $31 per hour
...Join Our Team as a Clinical Quality Assurance Coordinator! Are you passionate... ..., youll ensure that our peer review reports meet the highest... ...Qualifications 5+ years of RN or LPN experience. A keen eye... ...Type This is a fully remote position. Application Deadline...Remote workContract workTemporary workFlexible hoursShift workDay shift$26.5 - $31 per hour
...Join Our Team as a Clinical Quality Assurance Coordinator! Are you... ..., you’ll ensure that our peer review reports meet the highest standards... ...: ~5+ years of RN or LPN experience ~ A keen eye... ...Workplace Type This is a fully remote position. Application Deadline...Remote workContract workTemporary workFlexible hoursShift workDay shift- ...maintaining cost-effective clinical operations in accordance with... ...employees, including performance reviews, disciplinary action and... ...Responsible for efficient utilization of medication, laboratory, inventory... ...of an accredited School of Nursing (RN). Current appropriate...Full timeTemporary workLocal areaImmediate start
- ...About this role: As a Clinical Manager with Fresenius Medical Care... ...the Annual Standing Order Review and Internal Classification... ...financials including efficient utilization of supplies or equipment and... ...of an accredited School of Nursing (RN). Current appropriate...Full time
$79.45k - $102.15k
...About this role: As a Clinical Manager with Fresenius Medical Care... ...the Annual Standing Order Review and Internal Classification... ...financials including efficient utilization of supplies or equipment and... ...of an accredited School of Nursing (RN). Current appropriate state...Full timeWork experience placement- ...About this role: As a Clinical Manager with Fresenius... ...Clinical Manager/Charge Nurse regarding the provision... ...Clinical Manager/Charge RN acting as nurse manager... ...including the review of patient satisfaction... ...to facility staff. • Utilizes knowledge of FMCNA and...Full timeTemporary workWork at officeRelocation package
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