Remote Utilization Review Nurse: Medicare & Home Health
Medix
A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare guidelines, and collaborating with healthcare teams. Qualifications include an accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr
- ...Nurses Are you looking for a change? Want... ...able to work from home 50% of the time... ...*Must have Mental Health and/or Substance Abuse... ...life balance. ~ Remote setting... ...This individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces...Remote workWork from homeTemporary workWork at officeMonday to FridayFlexible hours
- ...Summary: This position has a remote option for those living... ...as needed. The Utilization Review Nurse is responsible for determining... ...(InterQual/MCG/Centers for Medicare and Medicaid Services "CMS"... ...with other members of the health care team to ensure the above...Remote workFull time
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
$57.24k - $62.18k
...Santa Barbara Cottage Hospital is seeking a Registered Nurse with Mental Health and/or Substance Abuse experience. This Monday to Friday position... ...with no nights, weekends or holidays, and up to 50% remote work after training. The ideal candidate will have recent acute...Remote workMonday to FridayWeekend work- ...professionals, the full-time remote Medicare Sales Agent will... ...while working from home in Maine, New Hampshire... ...questions and product reviews, assisting with enrollment... ...Current and active Health Insurance license in the... ...sales experience utilizing a health insurance license...Remote workWork from homeShift work
- ...Join a stable work from home team. This is a great... ...for a local remote position. Schedule... ...commercial, behavioral health, inpatient, etc). Requirements... ...: ~2 years of staff nurse experience performing... .... ~2 years of utilization review (UR) experience reviewing...Remote workWork from homeReliefLocal areaMonday to FridayFlexible hoursShift work
$85k - $105.34k
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed... ...TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a... ...with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday$20 per hour
Job title Licensed Health Insurance Agents - Medicare - Work from Home About Sagility Sagility combines industry-leading technology and transformation-driven... ...Job Description: Job Description: In this fully remote role, you'll provide consultative support to customers...Remote workWork from homeHourly payWeekly paySeasonal workMonday to Friday$20 per hour
A healthcare transformation company is seeking Licensed Health Insurance Agents for a remote role. In this position, you will provide consultative support... ...environment. Join us to make a meaningful impact while enjoying flexible work-from-home conditions. #J-18808-LjbffrRemote workWork from homeHourly payFlexible hours- ...Registered Nurse - Utilization Review (Nursing) Location: Aurora, CO. Location: Colorado Military Health System – Buckley AFB and Peterson AFB. Labor Category: Registered Nurse... ...40 hours per week. Tele-health/work from home is not an option. Legal Authorization to Work...Remote workWork from homeContract workMonday to FridayNight shift
- ...insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers'... ...documentation. The position offers flexibility with work-from-home options, competitive benefits, and a supportive office environment...Remote workWork from homeFull timeWork at office
- ...provider in Louisiana is seeking a Registered Nurse to manage patient care and scheduling. The role includes participation in health education, monitoring patients, and... ...involves both office work and occasional patient home visits, emphasizing the need for strong communication...Remote workWork from homeWork at office
- ...is seeking an intern for the Utilization Management Behavioral Health Registered Nurse role. This position supports... ...and focuses on clinical review, communication with providers... ...behavioral health. The internship is remote, requiring a conducive home work environment and offers...Remote workWork from homeInternshipWeekday work
- ...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
- ...Fonemed is seeking a Virtual Care Registered Nurse for a work-from-home role, helping to triage and support callers through the Newfoundland and... ...years of clinical experience, with strong skills in mental health and crisis intervention being an asset. This position requires...Remote workWork from homeFlexible hours
- ...tuition assistance, 403(b), remote work United States,... ...: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Nursing Schedule: Day Shift... ...0 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns... ..., JHHP is the place to call home. #J-18808-LjbffrRemote workFull timeMonday to FridayDay shift
$90 - $127 per hour
...Remote Licensed Mental Health Therapist (LMHT) Wage: Between $90-$127 an hour Are you a Licensed Mental Health Therapist looking to launch a private... ...in-person or remotely via telehealth while working from home. We accept the following licenses on a state-by-state basis...Remote workWork from homePrivate practiceFlexible hours- ...A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with... ...accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits. #J-18808-Ljbffr...Remote workFull time
- ...Life & Health Insurance Agent Location: Remote Position/ Work from Home Job Type: Full-Time/Part-Time Compensation: 100% Uncapped Commission-Based About Us: GIA Legacy planning is a dynamic and client-focused insurance agency. We specialize in providing...Remote workWork from homeFlexible hours
- ...staff position, please review this tip sheet ( . The... ...Enter Ancillary notes utilizing the templates for care... ...Utilize Case Manager nurse driven protocols to facilitate... ...Provide all required Medicare documents to the... ...UHealth-University of Miami Health System, South Florida's...Remote workFull timeTemporary workWorldwide
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the delivery of... ...Mission, Vision, and Values of Nexus Health Systems o Upholds the Standards... ...certification 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... ...of in person and remote considered) GENERAL SUMMARY... ...GIBSON AREA HOSPITAL & HEALTH SERVICES MISSION STATEMENT... ...facilitates safe transition to home or extended care facility....Remote workHourly payFull timeWork at officeRelocation packageShift work$1,600 - $1,800 per week
...NOW HIRING: Registered Nurse - Utilization Management Location: Buckley... ...Peterson AFB, Colorado Military Health System Compensation:... ...no holidays, no telehealth/remote work Minimum... ...Utilization Management, Utilization Review, or Case Management ~•...Remote workContract workImmediate startMonday to Friday$30.64 - $45.8 per hour
...CA Utilization Review Nurse I The Utilization Review Nurse gathers demographic and clinical information... ...department and of CorVel. This is a remote position. Essential Functions &... ...Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent... ...department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...for the workers' compensation, auto, health and disability management industries....Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$63k - $65k
...PRIMARY PURPOSE OF THE ROLE To utilize evidence-based tools to... ...making an impact on the health and well‑being of others in a remote work environment. Enjoy... ...with the client, nursing staff and claims examiners... ...treatment utilization management reviews. Maintain client’s...Remote workWork experience placementFlexible hours$125k
...Work From Home Nurse Practitioner – Telehealth Women’s Health | $125K+ 2 days ago Be among the first 25 applicants This range is provided by NPHire. Your actual... ...care for patients across the U.S. This fully remote position offers flexibility, autonomy, and competitive...Remote workWork from homeFull time$120 per hour
...Overview Join our network of remote Psychiatric Mental Health Nurse Practitioners (PMHNPs) and enjoy the freedom and flexibility of working from home. Benefits Guaranteed Pay: You are fully compensated for cancellations and no-shows Set Your Schedule: You...Remote workWork from home$85k - $105.34k
...Umpqua-Health seeks a Utilization Review Nurse to evaluate clinical service requests and ensure quality care. This role includes conducting prior authorizations, collaborating with healthcare teams, and ensuring compliance with regulations. The ideal candidate will have...Remote work- ...Overview Home Health Visits with Growth Potential Job Summary:... ...includes opportunities to offer Remote Therapeutic Monitoring (RTM)... ...care while adhering to Medicare and Medicaid standards. Responsibilities... ...services such as: RTM Utilize RTM technology to monitor and...Remote workWork from homeFull timePart time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Nurse: Medicare & Home Health. Be the first to apply!
- utilization review registered nurse United States
- utilization review nurse work from home United States
- utilization review nurse United States
- remote utilization review nurse United States
- remote utilization review nurse part time United States
- program coordinator remote United States
- research coordinator remote United States
- automation engineer remote United States
- remote ui developer United States
- remote customer service advisor United States


