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
$69.38k - $92.28k
...vibrant communities. About the Opportunity As a Sub-Acute RN UM Reviewer-Medicare, you will play a vital role in our Utilization Management... ...practices. Where you'll be: Location: Remote Pay Transparency MVP Health Care is committed to...Remote work- ...MVP Health Care is seeking a Sub-Acute RN UM Reviewer-Medicare to join our Utilization Management team. In this remote role, you will conduct clinical reviews to ensure compliance with Medicare guidelines and support high-quality patient outcomes. The ideal candidate...Remote work
$59.83k - $89.75k
...Governmental Audit Reviewer Explore opportunities with Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaHome office- ...provision of quality care throughout the continuum of care. The Registered Nurse Utilization Management/Episodic Case Manager (UM/ECM - RN) Reviewer facilitates clinically appropriate and fiscally responsible care through communication with the providers and health plan...SuggestedShift workDay shift
$33 per hour
...RN Reviewer The RN Reviewer position is a crucial role in our organization... ...to review Commercial, Medicare, and Medicaid lines of business... ...collaboration skills across remote teams Customer-focused... ...experience ~ Experience in acute or post-acute settings ~ Comfortable...Remote workHourly payFull timeFlexible hoursShift work$33 - $45.75 per hour
...Sub-Acute/Rehabilitation RN *NEW GRADS ARE WELCOME TO APPLY!* Full Time | Days or Nights | $33 - 45.75/hr (Pay based on experience) Part Time | Evenings or Nights | $33 - 45.75/hr (Pay based on experience) Pool/PRN | Must be available to work Nights |...Full timePart timeReliefWork from homeFlexible hoursShift workNight shiftWeekend workAfternoon shift$4,000 per month
...Registered Nurse (RN) Weekender Acute Medical Surgical 3 North (3N) is made up of 30 private telemetry... ...inpatient beds which is unique to our Medicare Designated Hospital setting. Being the... ...Job Level: Entry Level Travel: No Remote Work: No Job Posting: Apr 22, 2026, 1:2...Remote workHourly payFull timePart timeWork at officeRelocation packageShift workWeekend work- ...Document Integrity Specialist - RN (PRN) With over 75 years of... ...clinical documentation reviews concurrently to ensure that the... ...nursing, BSN Experience 3 years acute care Hospital nursing experience... ...Experience Experience working in a remote environment Job Duties...Remote workFull timeRelief
- ...RN Clinical Documentation Case Manager - CDI Specialist (Clinical Documentation Integrity... ...Monday - Friday 7 am - 3:30 pm, fully remote Job Summary: The Clinical Documentation... ...: Three years of current medical/surgical/acute care nursing experience or two years of inpatient...Remote workCasual workMonday to FridayFlexible hoursShift work
$34 - $50.99 per hour
...RN UM Discharge, Planning SummaCare - 1200 E Market... .../ Days LOCAL - Remote after training... ...management/utilization review experience and care coordination... ...care (e.g. Inpatient Acute, LTAC, Rehabilitation,... ...Ohio, SummaCare provides Medicare Advantage, individual and...Remote workDaily paidFull timeTemporary workWork at officeLocal areaFlexible hours$37.14 - $61.9 per hour
...community. As a Registered Nurse RN Utilization Management Care Reviewer, you will be working in... ...position is a fully remote position with a work schedule... ...model. 7. Adheres to UM policies and procedures. MINIMUM... ...(CPHQ). Experience with Medicare Advantage, ACOs, Commercial...Remote workFull timeWork experience placementLive inMonday to FridayShift work- ...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
- ...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
- ...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
$174.07k - $374.92k
...Utilization Management Physician Reviewer Location: Remote/ Treehouse Role... ...applying utilization management (UM) criteria, clinical... ...include but not limited to: Acute, Post-Acute, and Pre-service... ...Utilization Management services to a Medicare and/or Medicaid line of...Remote workHourly payFull timeLocal area- ...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
- ...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
$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- ...Full-Time Day shift Registered Nurse for our Acute Medical Telemetry Unit in Williamsburg, VA... ...required, automatic enrollment for any RN with less than 12 months experience or transitioning... .... For positions that are available as remote work, Sentara Health employs associates in...Remote workFull timeTemporary workRelocation packageShift workDay shift
- ...a day in the life of a Registered Nurse (RN) with Sentara Healthcare. keywords:... ...Hospital , located in Norfolk, VA, is a 274-bed acute care facility that opened in 1903 and... ...environment. For positions that are available as remote work, Sentara Health employs associates...Remote workFull timeTemporary workPart timeRelocationRelocation packageAll shiftsShift workNight shift
$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$26.41 - $51.49 per hour
Molina Healthcare is seeking an RN with at least 2 years of experience in hospital acute care for a remote role supporting the Arizona State Plan. Key responsibilities include assessing inpatient services, analyzing clinical requests, and collaborating with healthcare...Remote workHourly pay$65k - $75k
Gainwell Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews remotely in the United States. Responsibilities include reviewing medical records, documenting findings, and supporting decision-making within healthcare guidelines. Candidates must...Remote workFull time$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$50 per hour
...Parkview Medical Center - Pueblo Department: 28 Bed Med/Surge/Acute Care, Neurosurgical, Orthopedic Work Schedule: Full... ...position is an onsite role and does not offer a hybrid or remote option. LOCAL RN Traveler contract options available for those who reside...Remote workHourly payFull timeContract workTemporary workLocal areaFlexible hoursShift work- ...nurse to join our content quality team as an Expert Question Reviewer for NCLEX-RN exam preparation materials. You'll review practice questions... ...NCSBN standards. This is a contract position — flexible, remote, and project-based. You'll work independently through our review...Remote workContract workFlexible hours
$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- ...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
$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 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
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