Remote Sub-Acute RN UM Reviewer (Medicare)
MVP Health Care
MVP Health Care is seeking a remote Sub-Acute RN UM Reviewer to join its Utilization Management team. In this vital role, you will conduct clinical reviews ensuring compliance with Medicare guidelines and support high-quality patient outcomes. The role requires current RN licensure in NY & VT and a solid background in nursing with experience in sub-acute care settings. You'll have the chance to make a significant impact in health care delivery while enjoying competitive compensation and benefits. If you're committed to improving health care, we want to hear from you! #J-18808-Ljbffr
$92k - $120k
...most. The Utilization Management (UM) team plays a vital role in supporting... ...guidelines. As a Registered Nurse (RN) Medicare Quality Assurance Reviewer, you will: Provide clinical... ...colleagues. You have experience working remotely; preferred. Benefits Overview: Financial...Remote workFull timeWork experience placementWork at officeFlexible hours- ...the Medical Director for review. Refer to and work... ...Associate degree and active NYS RN license required.... ...government program contracts (Medicare and Medicaid) and... ...of multiple areas (i.e. UM and CM). Incumbent is required... ...may be opportunity for remote work within all jobs posted...Remote workContract workWork at office
- ...Document Integrity Specialist - RN (PRN) The CDI Specialist... ...appropriate clinical documentation reviews concurrently to ensure that... ...Nursing, BSN Experience - 3 years acute care hospital nursing... ...Preferred - Experience working in a remote environment. Job Duties Facilitate...Remote workFull timeRelief
- ...staffing agency seeks a Wound Care Registered Nurse for a remote role focusing on conducting medical reviews for the Veterans Administration. Candidates must have extensive experience in wound care, hold a valid RN license, and be board-certified. This position offers...Remote workFlexible hours
- ...leading AI-native learning platform is seeking an experienced registered nurse to join as an Expert Question Reviewer for NCLEX-RN exam preparation. This flexible, remote contracting position involves reviewing practice questions to ensure clinical accuracy and alignment...Remote workFlexible hours
- ...A nationwide healthcare staffing agency is looking for an experienced Long Term Care Registered Nurse to conduct remote case reviews for the Department of Veterans Affairs. This role offers a competitive compensation structure based on case type and hours worked, combined...Remote work
$32 - $40 per hour
A healthcare services organization is seeking a part-time remote Nurse Reviewer based in Idaho. This role involves applying nursing expertise to... ...determination letters. Qualifications include being licensed as an RN in Idaho and having two years of nursing experience. Flexible...Remote workHourly payPart timeFlexible hours- A leading healthcare solutions provider is seeking a Nurse Reviewer (Registered Nurse) for a remote role in the US. The ideal candidate will have over 5 years of clinical experience and must hold an active RN license. Responsibilities include reviewing medical records,...Remote workFull time
- ...Humana is offering a remote RN Internship designed for transitioning military service members and military spouses. Interns will perform clinical reviews, support healthcare providers, and engage with interdisciplinary teams. Must be an active RN in Kentucky or have an...Remote workInternship
$60 - $85 per hour
...A leading education technology firm is seeking an experienced registered nurse for a remote Expert Question Reviewer role in NCLEX-RN exam preparation. You will evaluate practice questions for clinical accuracy and alignment with NCSBN standards. The ideal candidate will...Remote workHourly payContract workFlexible hours- ...We're a skilled nursing facility with sub-acute care and we are looking for dynamic associates... ...qualified to perform the procedure. Review nurses' notes to ensure that they are... ...necessary. Position Requirements Current RN License in state of California Clean...Full timePart timeTraineeshipRelocation packageShift work
- ...RN Charge Sub Acute Neuro Job Details Job Summary and Responsibilities As a Charge Nurse, you'll oversee a department of frontline... ...five stars for Children's Subacute Center by the Centers for Medicare and Medicaid Services. In 2025, we were voted Best Hospital...Full timeFor contractorsLocal area
$41.41 per hour
...Job Summary Geisinger is proud to offer an Inpatient RN a hiring incentive up to $26,000 for eligible... ...Patient population typically consists of a broad range of acute to complex medical conditions with remote telemetry capabilities. Hospitalists services 24/7....Remote workFull timeTemporary workPart timeFlexible hoursShift workNight shiftWeekend workAfternoon shift- ...intelligence company is seeking a Nurse Itemized Bill Reviewer to analyze medical claims and ensure compliance with industry standards. This remote position allows candidates to work from... ...candidates should possess an active RN, LPN, or LVN license, along with at least 1...Remote work
- ...Overview Job Title: RN Sub-Acute Location: Olympia, WA Job Type: Local Discipline: RN Specialty: Acute Facility Setting: Short Term Acute Care Shifts: Nights (3x12-Hour, 19:00 - 07:30) Weekly Schedule: 36 Hours Details Contract Length: 13 weeks Accepting Locals per Radius...Contract workTemporary workLocal areaShift workNight shiftWeekend work
$35.29 - $54.71 per hour
...position is an onsite role and does not offer a hybrid or remote option. The Surgical Specialty acute care unit is a new 18 bed addition to our legacy... ...experience. ~ State licensure as a Registered Nurse (RN). ~6 months of nursing (RN) experience. ~ BLS - BLS...Remote workTemporary workLocal areaFlexible hoursShift workNight shift$53.46 - $79.52 per hour
...RN Supervisor Um Prior Auth Inspired by faith. Driven by innovation. Powered... ...patient care. As a remote employee, we will provide you... ...appropriate evaluation of referral reviews, correct selection of... ...in health plan/UM operations, acute or subacute utilization review...Remote workWork at office$174.07k - $374.92k
...Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description... ...utilization management (UM) criteria, clinical judgment... ...include but are not limited to: Acute, Post-Acute, and Pre-service... ...Management services to a Medicare and/or Medicaid line of...Remote workHourly payFull timeLocal area- ...healthcare provider is seeking a Pediatric Home Care Specialist & Acute Care Registered Nurse in Tennessee. This role involves traveling... ...virtual acute care as needed. Requirements include an active TN RN license, at least 3 years of pediatric nursing experience, and the...Remote workHourly payFlexible hours
- ...leading healthcare organization is seeking a Telephonic Nurse to ensure optimal continuity of care for patients. You will manage post-acute services and communicate effectively with healthcare teams. The position requires at least 3 years of experience, a nursing license,...Remote jobWork from home
$35.29 - $54.71 per hour
...onsite role and does not offer a hybrid or remote option. Minimum Requirements: ~... ...~ State licensure as a Registered Nurse (RN). ~ Basic Life Support (BLS) Healthcare... ...safety and quality at the point of care Acute Care: Direct care includes specialty Acute...Remote workTemporary workReliefLocal areaFlexible hoursShift work$35.29 - $54.71 per hour
...and does not offer a hybrid or remote option Minimum Requirements... ...as a Registered Nurse (RN). ~6 months of nursing (RN)... ...quality at the point of care Acute Care: Direct care includes... ...and cost of living. Market reviews: All UCHealth positions are reviewed...Remote workFull timeTemporary workLocal areaFlexible hoursShift work$35.29 - $54.71 per hour
...onsite role and does not offer a hybrid or remote option. Minimum Requirements: ~... ...~ State licensure as a Registered Nurse (RN). Basic Life Support (BLS) Healthcare Provider... ...safety and quality at the point of care Acute Care: Direct care includes specialty Acute...Remote workFull timeTemporary workLocal areaFlexible hoursShift workWeekend work$35.29 - $54.71 per hour
...and does not offer a hybrid or remote option Minimum Requirements... ...as a Registered Nurse (RN). ~6 months of nursing (RN)... ...quality at the point of care Acute Care: Direct care includes... ...and cost of living. Market reviews: All UCHealth positions are reviewed...Remote workFull timeTemporary workLocal areaFlexible hoursShift work$35.29 - $54.71 per hour
...and does not offer a hybrid or remote option Work nights, earn... ...licensure as a Registered Nurse (RN). ~6 months of nursing (RN)... ...quality at the point of care Acute Care: Direct care includes... ...and cost of living. Market reviews: All UCHealth positions are...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift- ...Quality Strategies, Inc. (HQSI) is seeking a Nurse Reviewer to conduct medical necessity reviews in a remote work environment. The position offers 20-30 hours per... ...excellent interpersonal skills, and a current BSN with RN licensure. Benefits include medical/dental/vision...Remote job
$35.29 - $54.71 per hour
...and does not offer a hybrid or remote option Summary: Provides... ...: Provides care in a 24/7 Acute Care environment. Plans, implements... ...as a Registered Nurse (RN). ~6 months of nursing (RN)... ...and cost of living. Market reviews: All UCHealth positions are reviewed...Remote workTemporary workReliefLocal areaFlexible hoursShift work$35.29 - $54.71 per hour
...Center - Pueblo Department: Acute Care Float Pool Work... ...and does not offer a hybrid or remote option Minimum Requirements... ...licensure as a Registered Nurse (RN) ~6 months of nursing (RN) experience... ...and cost of living. Market reviews: All UCHealth positions are...Remote workFull timeTemporary workLocal areaFlexible hoursNight shiftRotating shift$35.29 - $54.71 per hour
...and does not offer a hybrid or remote option Minimum Requirements... ...as a Registered Nurse (RN). ~6 months of nursing (RN)... ...quality at the point of care Acute Care: Direct care includes... ...and cost of living. Market reviews: All UCHealth positions are reviewed...Remote workFull timeTemporary workLocal areaFlexible hoursShift work$35.29 - $54.71 per hour
...and does not offer a hybrid or remote option Minimum Requirements... ...as a Registered Nurse (RN). ~6 months of nursing (RN)... ...quality at the point of care Acute Care: Direct care includes... ...and cost of living. Market reviews: All UCHealth positions are reviewed...Remote workTemporary workPart timeLocal areaFlexible hoursShift workNight shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Sub-Acute RN UM Reviewer (Medicare). Be the first to apply!
- rn network New York, NY
- nurse consultant rn New York, NY
- registered nurse on call New York, NY
- telephonic rn New York, NY
- travel or rn New York, NY
- labor and delivery registered nurse rn New York, NY
- pcu rn New York, NY
- full-time registered nurse rn New York, NY
- private practice rn New York, NY
- postpartum rn New York, NY


