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
$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- ...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
- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews,...Remote work
$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$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
$100k - $120k
...exclusively for the research and clinical trial industry,... ...experienced Oncology Nurse to join our team as a full... ...a registered nurse (RN) with oncology experience... ...days on-site and 1 day remote weekly after the... ...documentation, and appropriate review of treatment plans and...Remote workFull timeWork at officeMonday 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
- ...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
- ...culture that allows nurses to grow their... ...the Cardiac Device Clinic assists with the day... ...across in-office and remote monitoring services... ...minimum of 2 years RN work experience is... ...physician supervision. Reviews, triages, and... ...function of devices and utilizes critical thinking skills...Remote workFull timeTemporary workPart timeWork experience placementWork at officeMonday to Friday
$35.9 - $53.9 per hour
...effects of devices and utilizes critical thinking... ...an independent daily review of remote transmission of the devices... ...information with the clinical condition of patients... ...department. Indirect Nursing Care Consistently orders... ...Licensure Nurse, Registered (RN) Education/Experience...Remote workWork at officeRelocation package$32.62 - $65.25 per hour
...The Clinical Documentation Specialist is responsible for the evaluation... ...of physician documentation utilizing their clinical expertise to ensure... ...guidance to the physicians nursing and ancillary staff on clinical... ...REQUIREMENTS Education: RN, graduate of accredited nursing...Remote workHourly payTemporary workPart timeWork experience placementFlexible hours$70k - $80k
...Piper Companies is seeking a Remote Clinical Appeals Analyst to provide clinical expertise in reviewing and resolving complex member and provider appeals. Candidates must hold an active North Carolina licensure as an RN, LPN, PT, or OT and have significant clinical experience...Remote workFull timeContract workMonday to Friday$26.5 - $28.5 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- ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements... ...(combination of in person and remote considered) General Summary The Utilization... ...on a case-by-case basis with clinical staff. Demonstrates working knowledge...Remote workFull timeShift work
- ...Maximus is hiring a Clinical Reviewer, RN/LPN to support the PASRR program in Tennessee. You will review clinical documentation and determine... ...appropriate level of care and prior authorization needs. This remote position requires candidates to reside in Tennessee and...Remote work
- ...satisfaction, 21HHS attracts top clinical talent and delivers... ...in their homes. Remote/work-from-home positions... ...Intake Coordinator (LVN / RN) Full-Time Role;... ...Management Assist field nurses and clinicians with... ...information, please review our Privacy Policy:...Remote workFull timeTemporary workWork at officeLocal areaWork from homeFlexible hoursWeekend workWeekday work
- ...Solutions is seeking a self-driven RN or LPN to join as Clinical Quality Assurance Coordinator. This 100% remote role focuses on quality assurance of peer review reports, ensuring evidence-based... ...confidentiality. Requires active nursing license and 2+ years clinical...Remote work
- Description ❤️ NOW HIRING: Clinical Nurse II - 5HV Cardiovascular Surgery Stepdown ❤️ Are you... ...learning Ideal Candidates Have ✅ Current RN License ✅ BLS Certification ✅ At least... ...coordinating and delivering patient care utilizing the nursing process in a hospital setting...Hourly payNight shift
- ...team delivers care. As a Nurse Practitioner with... ...leadership, mentorship, and clinical excellence come... ...This position combines remote clinical supervision of... ...supervisor, and partner to the RN field team. Key... ...patients in the home Review RN documentation, wound...Remote workFull timeTemporary work
- ...Position Title Clinical Nurse (RN) - Acute Inpatient Rehab Days - Full Time, Days - Part Time, Nights - Full Time, Nights - Part Time Bell Hospital Position Summary / Career Interest: The Clinical Nurse provides professional nursing care through assessment...Full timePart timeNight shift
$89.07k - $162.8k
...Collaborates with the multi-disciplinary team utilizing clinical outcome data to support innovative and... ...specialty area enables the registered nurse to triage and assess patients in order... ...preferred Licenses and Certifications RN - Registered Nurse - State Licensure and...RelocationMonday to Friday- ...MES Solutions is seeking a Clinical Quality Assurance Coordinator (RN or LPN) for a 100% remote role. You will oversee peer review reports, ensure evidence-based rationales, and maintain alignment with client agreements and regulatory standards. The job emphasizes quality...Remote workMonday to Friday
- ...Triage Registered Nurse RN Oncology Medical Clinic (Full Time/Days) Penn Medicine is dedicated to our tripartite mission of providing the highest... ...are achieved through availability and appropriated utilization of human, material and financial resources. Educates...Full timeMonday to Friday
- ...in search of our next Registered Nurse excited to help lead us into the future. As an RN in our team, you will be the hub... ...PCPs when necessary, and route sub‑clinical tasks to our Medical Assistants.... ...fields. Strong experience in remote roles, showcasing proficiency with...Remote workFlexible hours
- ...Join MES Solutions as a Clinical Quality Assurance Coordinator in a fully remote role. You will utilize your clinical skills to ensure the quality of peer review reports aligns with client instructions... ...standards. The role requires an active RN/LPN license and a commitment to...Remote work
- ...Position Title Registered Nurse (RN) - Cardiac Clinical Decision Unit Days - Full Time, Days - PRN, Nights - Full Time, Nights - PRN Liberty... ...Hospital Position Summary / Career Interest: Utilizes the nursing process to coordinate the interdisciplinary approach...Full timeWork experience placementReliefNight shift
$29.5 - $44.5 per hour
...America's heartland. Facility: Hartford Clinic Location: Hartford, SD Address: 90... ...Graduate from an accredited nursing program preferred, including, but not limited... ...preferred. Currently holds an unencumbered RN license with the State Board of Nursing where...Full timePart timeWork from homeShift work$110k - $130k
Overview: Director Clinical Operations Hospice Location:... ...Operations Director Registered Nurse Job ID: 2026-88771 Remote/Virtual Position: No... ...Reimbursement Florida RN License Required Compensation... ...Ensures protocols are utilized to guide operations and...Remote workFull timeWork experience placementLocal areaFlexible hours- ...Clinical Nurse Leader Contentnea Health is a Community Health Center... ...companies, other medical practices, remote patient monitoring program,... ...activities for employees. Reviews progress of work and offers... ...clinical experience as an RN in an ambulatory care setting...Remote workWork at officeWeekend workAfternoon shift
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