Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse: Medicare & Home Health in United States vacancy
  •  ...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 work
    Work from home
    Temporary work
    Work at office
    Monday to Friday
    Flexible hours

    Hines

    United States
    3 days ago
  •  ...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 work
    Full time

    CHRISTUS Health

    Alamogordo, NM
    2 days ago
  • 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 work
    Contract work

    IntePros

    Phoenix, AZ
    5 days ago
  • $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 work
    Monday to Friday
    Weekend work

    Santa Barbara Cottage Hospital

    New York, NY
    5 days ago
  •  ...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 work
    Work from home
    Shift work

    Virtual Vocations Inc

    United States
    4 days ago
  •  ...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 work
    Work from home
    Relief
    Local area
    Monday to Friday
    Flexible hours
    Shift work

    BJC HealthCare

    Saint Louis, MO
    5 days ago
  • $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 work
    Full time
    Work at office
    Local area
    Immediate start
    Monday to Friday

    Umpqua Health

    Roseburg, OR
    4 days ago
  • $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 work
    Work from home
    Hourly pay
    Weekly pay
    Seasonal work
    Monday to Friday

    Sagility

    New York, NY
    2 days ago
  • $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-Ljbffr
    Remote work
    Work from home
    Hourly pay
    Flexible hours

    View Moreicons

    Florida, NY
    5 days ago
  •  ...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 work
    Work from home
    Contract work
    Monday to Friday
    Night shift

    Software Technology Inc

    Aurora, CO
    3 days ago
  •  ...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 work
    Work from home
    Full time
    Work at office

    Berkshire Hathaway Homestate Companies

    Omaha, NE
    3 days ago
  •  ...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 work
    Work from home
    Work at office

    Ahhmgt

    Ruston, LA
    5 days ago
  •  ...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 work
    Work from home
    Internship
    Weekday work

    Humana

    Denver, CO
    4 days ago
  •  ...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 work
    Work from home
    Flexible hours

    Boost Home Healthcare

    Chicago, IL
    5 days ago
  •  ...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 work
    Work from home
    Flexible hours

    FONEMED

    New York, NY
    3 days ago
  •  ...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-Ljbffr
    Remote work
    Full time
    Monday to Friday
    Day shift

    Johns Hopkins Medicine

    Hanover, MD
    1 day ago
  • $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 work
    Work from home
    Private practice
    Flexible hours

    Universal Health Services

    Portsmouth, VA
    4 days ago
  •  ...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 work
    Full time

    Berkshire Hathaway Homestate Companies

    Omaha, NE
    2 days ago
  •  ...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 work
    Work from home
    Flexible hours

    GIA Legacy Planning

    Shiner, TX
    8 hours ago
  •  ...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 work
    Full time
    Temporary work
    Worldwide

    University of Miami

    Miami, FL
    1 day ago
  •  ...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 work
    Work at office

    Nexus Health Systems

    Houston, TX
    4 days ago
  • $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 work
    Hourly pay
    Full time
    Work at office
    Relocation package
    Shift work

    Gibson Area Hospital

    Gibson City, IL
    4 days ago
  • $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 work
    Contract work
    Immediate start
    Monday to Friday

    Varite

    Aurora, CO
    2 days ago
  • $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 work
    Hourly pay
    Minimum wage
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel

    United States
    2 days ago
  • $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 work
    Hourly pay
    Minimum wage
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel

    Rancho Cucamonga, CA
    5 days ago
  • $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 work
    Work experience placement
    Flexible hours

    Sedgwick

    Nashville, TN
    5 days ago
  • $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 work
    Work from home
    Full time

    NPHire

    United States
    3 days ago
  • $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 work
    Work from home

    Seasoned Recruitment

    Portland, OR
    5 days ago
  • $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

    Umpqua Health

    New York, NY
    4 days ago
  •  ...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 work
    Work from home
    Full time
    Part time

    M&Y CARE LLC

    West Bloomfield, MI
    4 days ago

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!