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
- ...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
- ...Utilization Review NurseThis position has a remote option for those living close and will be able... ....The Utilization Review Nurse is responsible for determining... .../MCG/Centers for Medicare and Medicaid Services "CMS... ...with other members of the health care team to ensure the...Remote workFull time
$40 - $45 per hour
...clinically driven RN or LPN with utilization management experience and... ...coverage decisions, this remote opportunity offers the... ...in medical necessity review and behavioral health services helps ensure members... ...NC or Compact Multistate Nursing License • Experience with...Remote workHourly payTemporary workMonday to Friday$78k - $88k
...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective... .... What you should expect in this role Home-based role available to applicants residing... ...401(k) employer match, comprehensive health benefits, and educational assistance....Remote workWork from homeFull timeContract workWork at officeFlexible hours- ...Utilization Review Registered NurseExcel. Empower. Advance... ...!Johns Hopkins Health Plans (JHHP) is the... ...in Medicaid, Medicare, commercial, military... ...Review Registered Nurse for Johns Hopkins... ...balance - This is a remote role! Candidates in... ...the place to call home.Salary Range:...Remote workLocal areaMonday to Friday
$35 - $45.94 per hour
...we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review... ...Work Location: This is a remote position, open to candidates... ...will be completed from your home office, occasional travel may... ...This is an authentic Oscar Health job opportunity. At Oscar...Remote workWork from homeHourly payFull timeHome officeWeekend work$1,966 per week
...first 25 applicants Nurses - are you looking... ...able to work from home 50% of the time... ...personalized managed health care, focused on... ...Work-life balance. Remote/hybrid setting (once... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces...Remote workWork from homeFull timeTemporary workPart timeWork at officeMonday to FridayFlexible hours$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... .... Join us to make a meaningful impact while enjoying flexible work-from-home conditions. #J-18808-Ljbffr View MoreiconsRemote jobWork from homeHourly payFlexible hours- CVS Health in the United States is seeking a Bilingual Behavioral Health Case Manager (Licensed) to support Medicare members through comprehensive care management, behavioral health advocacy... ...resource coordination from a home-based setting. The role offers 40 hours...Remote jobWork from homeMonday to FridayWeekend work
$55k - $70k
A behavioral health provider in New York is looking for a dedicated Nurse Practitioner to deliver psychiatric evaluations and medication management. The ideal candidate... ...,000 to $70,000 annually with comprehensive benefits and the opportunity to work from home. #J-18808-LjbffrRemote workWork from homePart time$65k - $88.6k
...Our Caring Community The Utilization Management Behavioral Health Professional uses... ...wellness ~ Experience serving Medicare, Medicaid, TANF, and/or CHIP... ...(la.gov) Work at Home Requirements: To ensure Home... ...information.Travel: While this is a remote position, occasional...Remote workWork from homeFull timeTemporary workApprenticeshipWork at officeHome officeMonday to FridayFlexible hours- ...applicants This is full-time remote, but candidates must reside in... ...accurate and timely medical review of claims suspended for medical... ...URAC , NCQA standards and health insurance legislation . ~... ...prioritization skills. ~ Registered Nurse (RN) with unrestricted license...Remote workFull timeContract work
$30.64 - $45.8 per hour
...Utilization Review NurseThe Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent... ...and of CorVel. This is a remote position.Essential Functions & Responsibilities... ..., Vision, Long Term Disability, Health Savings Account, Flexible...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Utilization Review NurseWe are seeking a detail-oriented and experienced... ...Utilization Review Nurse to evaluate the... ...compliance with CMS, Medicare, Medicaid, Joint Commission... ...for hospitals, health plans, insurance companies... ...management department. Remote, hybrid, or on-site...Remote workWork at office
$80 - $85 per hour
...REGISTERED NURSE (RN) – HOME HEALTH | PER DIEM 1099 About the Role: Unlimited Health Care Services... ...Complete accurate, timely, Medicare-compliant clinical documentation Provide... ...about joining Unlimited Health Care Services Inc.! This is a remote position....Remote workWork from homeDaily paidFull time$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization ManagementLocation: Buckley AFB... ...Peterson AFB, Colorado Military Health System Compensation: $1,600... ...no holidays, no telehealth/remote workMinimum QualificationsU.... ...Utilization Management, Utilization Review, or Case ManagementPreferred...Remote workContract workImmediate startMonday to Friday$40 per hour
...Care Industry Registered Nurse (RN) $40/hour -... ...reside in TX Full time remote Candidates must be based... ...performing initial, concurrent review activities; discharge... ...information regarding utilization management requirements... .../surgical setting or health care insurance company....Remote workFull timeContract workWork at office$35 - $40 per hour
...$40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating... ..., and compliant delivery of home health care. This role monitors... ...ongoing care to ensure adherence to Medicare and regulatory guidelines while...Remote workContract workFlexible hoursWeekend work- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...license and have experience in utilization review or home health. This contract role offers a chance to manage healthcare...Remote workContract work
- ...TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services. Responsibilities include preauthorization...Remote work
- ...Utilization Review NurseSentara Health Plans Community Care is looking to hire a Utilization Review Nurse.The Utilization Review Nurse is responsible for utilization management services... ....For positions that are available as remote work, Sentara Health employs associates...Remote workTemporary work
- ...Utilization Review Nurse Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position... ..., respective to various Health Plans. This is a remote position for CA-licensed nurses. Candidates must live in...Remote workLive in
- ...Utilization Review Nurse, LPNAcrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment... ...per week in the office and three days remote. Candidates must also have flexibility... ...dimension of your life, from your health and finances to your family and future...Remote workWork at officeImmediate startFlexible hours2 days per week
- ...Overview Title: Clinical Review Nurse – Prior Authorization... ...Location: Fully Remote (PST Time Zone - WA/... ...Authorization Review to join our Utilization Management team. In... ...information in health management systems to... ...Familiarity with Medicare and Medicaid Job Details...Remote workContract work
- ...Evolution Sports Group in Dallas, TX, is seeking a Remote Health Coach to empower clients in achieving their health and wellness goals through... ...make a positive impact in people's lives while working from home. Join our supportive team aimed at enhancing client well‑being...Remote workWork from homeFull time
$55 per hour
...is hiring a Concurrent Review Nurse to support our client... ...Healthcare space. Location: Remote (must be based in... ...in case management, utilization management, or discharge... ...with Medi-Cal and/or Medicare populations. Licensure... ...function Job function Health Care Provider Industries...Remote workFull timeContract workTemporary workLocal area$61.05k - $98.33k
...Itemization Review NurseThe Itemization Review Nurse provides a summary and analysis of items by reviewing all... ...accuracy of billed charges. This is a remote position.Essential Functions &... ...Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending...Remote workFull timeWork at officeFlexible hours$55 - $60 per hour
...seeking an experienced Utilization Management (UM) Registered Nurse to support outpatient utilization review and prior... ...clinical guidelines and health plan policies. Evaluate... ...Care, Health Plan, Medicare, Medicaid, or... ...independently in a remote environment. Comfortable...Remote workHourly payContract work$40.12 - $62.19 per hour
...Utilization Review RNSinai Hospital's Utilization Review operates... ...physician advisors, nurses, and support staff who... ...information.This is a Full-time remote position.... ...well as the issuance of Medicare forms including HINN,... ...wellness programs and mental health support403(b)...Remote workFull time- ...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 workReliefLocal areaMonday to FridayFlexible hoursShift work
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