Remote Inpatient Utilization Review RN
WellSense Health Plan
- Remote job
WellSense Health Plan in Boston is looking for an Inpatient Utilization Management Clinician to evaluate inpatient medical treatments, monitor ongoing treatment, and facilitate discharge planning. This fully remote role offers a competitive salary range and excellent benefits. The ideal candidate will have an active RN license, a bachelor's degree in nursing, and at least 2 years of utilization review experience. Join WellSense in helping our members achieve optimal health outcomes. #J-18808-Ljbffr WellSense Health Plan
- ...(Days) Overview: Sentara Health Plansis hiring an Utilization Review Nurse/RN- Remote in Virginia Status: Full-time,permanent position (40... .... Conducts primary functions of prior authorization, inpatient review, concurrent review, retrospective review, medical...Remote workPermanent employmentFull timeTemporary workShift work
- ...A healthcare institution in the United States is hiring for a Concurrent Review Nurse responsible for performing utilization management activities remotely. The role involves conducting concurrent reviews, evaluating clinical documentation against guidelines, and collaborating...Remote work
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Remote workContract workWork from home
$30 - $38 per hour
...Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time basis... ...for medical appropriateness; inpatient hospital stay including mental health... ...skills to successfully perform in a remote healthcare environment. Ability to perform...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work$78k - $92k
...TalentLNX LLC is seeking a Utilization Review Nurse for a remote position focusing on evaluating medical necessity of inpatient and outpatient services. Ideal for experienced RNs aiming to utilize their clinical expertise without direct patient care. The role involves...Remote work$75k
...Cottage Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical... ...to make informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting...Remote work$2,210 per week
...Holidays Work-life balance. Remote/hybrid setting (once... ...: This individual will utilize clinical knowledge and... ...treatment or inpatient confinement. This individual... ...decision to a second level reviewer. This individual interfaces... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours- ...telephonic and e-referral case review and authorization of services utilizing established mental health... ...management review of inpatient, residential, partial,... ...position is full-time, fully remote (work from home) and... ...Michigan clinical license (RN, LMSW, LP, LPC, or LLP) required...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
$41 - $45.5 per hour
...Management Senior Analyst Location: Remote (within plan states: IL, TX,... ...: Active, unrestricted RN License Must have MCG/... ...assessments, health education, and utilization management. Key... ...concurrent, and retrospective reviews for inpatient, rehab, referrals, and select...Remote work- WellSense Health Plan is seeking an Inpatient Utilization Management Clinician to... ...optimizing health outcomes. This fully remote role involves supporting care... ...Candidates must have an active RN license and at least 2 years of utilization review experience. Competitive...Remote job
$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying medical...Remote workHourly pay$85.7k - $128.54k
...opportunities for growth and innovation. Utilization Management Nurse Lead Responsibilities Reviews reporting to assign tasks to UM... ...as first-line SME/resource for inpatient UM questions; provides 1:1... ..., valid, and unrestricted LVN or RN license in California (Non-Compact...Remote jobImmediate start$30 - $34 per hour
...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation... ...prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare services...Remote workHourly payMonday to Friday- ...TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must be a Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking skills and attention to detail. The...Remote work
$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 requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart 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
- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews. This full-time role supports high... ...at least 3 years of relevant experience. The position is remote, allowing work from any location in the U.S., and offers competitive...Remote workFull time
- ...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...Remote workFull time
- ...Health Plan is seeking a full-time remote Licensed Utilization Clinician. The role involves evaluating inpatient medical treatments and performing utilization reviews to facilitate optimal health... .... Candidates must have an active RN license, nursing degree, and at least...Remote jobFull time
- ...great opportunity for a local remote position. Schedule PRN... ..., behavioral health, inpatient, etc). Requirements: ~2... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing... ...both Missouri and Illinois RN licenses. ~ If candidate...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
- ...Management Location: 100% Remote Schedule: M-F 9:00am... ...to have an Illinois state RN license Assess and... ...Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management...Remote workContract work
$33 - $37 per hour
A national healthcare staffing firm seeks an experienced RN Utilization Review Nurse in Troy, MI. Responsibilities include utilization review for Medicaid and Medicare, managing authorization processes, and collaborating with healthcare teams to ensure quality care. Ideal...Hourly payMonday to Friday- ...oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience in healthcare... ...providers. This position offers the flexibility of remote work while supporting professional growth and a...Remote work
$40.12 - $62.19 per hour
...Utilization Review Nurse RN ~Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~Full-time w/Weekend Commitment - Day shift - 8:00... ...License Experience: At least 2 years of experience in acute inpatient utilization review required Additional...Full timeShift workWeekend workDay shift- **SIGN-ON BONUS: $5,000 FOR A 2 YEAR COMMITMENT**JOB TITLE: UTILIZATION REVIEW/CASE MANAGEMENT – NurseDEPARTMENT: CASE MANAGEMENT (QUALITY)HOURS... ...: Full time position. Hybrid (combination of in person and remote considered)GENERAL SUMMARYThe Utilization Review/Case...Remote workFull timeSecond jobWork at officeRelocation packageShift work
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the delivery of appropriate, efficient, and cost-effective... ...preferred. • Basic Life Support (BLS) certification as required for facility based staff; optional for remote staff.Remote workWork at office
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay Range: $35.00 – $4... ...-paced environment. Comfortable working independently in a remote or office-based setting. Working Conditions May be exposed...Remote workWeekly payContract workWork at officeMonday to Friday- ...General Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central Utilization... ...a Bachelor's of Science in Nursing, an RN license, and extensive experience in clinical... ...review. The position offers a remote work model with a flexible schedule while...Remote workFlexible hours
- ...Currently seeking a Utilization Management RN . Please see details and qualifications... ...below: Position is remote - candidate must reside in... ...through medical record review to determine medical necessity... ...determine medical necessity for inpatient admissions, continued stays...Remote workImmediate startDay shift
- ...Summary: This position has a remote option for those living... ...hospital as needed. The Utilization Review Nurse is responsible for determining... ...and Medicaid Services "CMS" Inpatient List). They effectively and... ...or compact required RN license in state of...Remote workFull time
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