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
- ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital... ...(InterQual/MCG/Centers for Medicare and Medicaid Services "CMS" Inpatient... ...with other members of the health care team to ensure the above according...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 jobContract work
$65k - $78k
...Your Role In Our Mission Review admissions, procedures,... ...systems. Assist in training new nurses, provide feedback, and stay updated... ...Expect In This Role Home-based position. High-speed... ...employer match, comprehensive health benefits, and educational assistance...Remote workWork from homeFull timeWork at officeFlexible hours- ...Friend Back Remote Work from Home Share This Page... ...Location: Johns Hopkins Health Plans, Hanover,... ...21076 Category: Nursing Schedule: Day Shift... ...in Medicaid, Medicare, commercial, military... ...- 5:00 PM As a Utilization Review Registered Nurse for...Remote workWork from homeFull timeLocal areaMonday to FridayDay shift
$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$10k
...of Clinical Services Home Health will oversee the operations... ...and compliance with Medicare regulations. In this... ...helpful as you will be reviewing plans of care on a... ...accordance with the board of nursing rules for a compact... ...designated full-time remote positions, in-office attendance...Remote workWork from homeFull timeTemporary workLocal areaImmediate startRelocation package$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$18 per hour
...Medicare Sales Agent Join the Connexion Point Team! Connexion Point is looking for... ...~ Continuing education credits ~ Remote/work-from-home Schedule Training runs Monday through... ...re Looking For Required: Active Health or Health & Life license Minimum 1...Remote workWork from homeHourly payLocal areaHome officeMonday to Friday1 day per week$59.3k - $80.9k
...Humana in Oklahoma City is hiring a Care Manager – Behavioral Health. This role involves assessing enrollees' needs and creating care... ...experience in care management. The position offers a work-from-home option, competitive pay between $59,300 and $80,900 annually, and...Remote workWork from home$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- ...Remote role but will need to go to Newark, NJ to pick up equipment... ...Responsibilities: 1. Conducts on-site reviews at participating provider... ...for quality improvement and health management. 4. Assists the... ...2. Requires License Practical Nurse License or an active New Jersey...Remote work
- ...Comagine Health is seeking a remote clinical reviewer to support behavioral health services across Oregon. You will evaluate documentation for medical necessity... ..., conduct functional needs assessments, and coordinate home and community-based care. You will manage referrals,...Remote workWork from home
- ...BetterHelp is seeking experienced mental health therapists to provide remote therapy sessions. Therapists can earn up to 33% more per session with insurance... ...and can enjoy a flexible schedule while working from home. Ideal candidates should have 3+ years of counseling...Remote workWork from homeFlexible hours
- ...conditions. Reports to the Health Plan Manager of Utilization Management. This position... ...1. Current Registered Nurse license issued by the state... ...1. Medical Management for Medicare and/or Medicaid populations... ...implements care management review processes (Prior Authorization...Remote workCasual workWork at officeShift work
$73k - $75k
...Utilization Review Nurse By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for... ...life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits...Remote workWork at officeFlexible hours- ...Prolific is seeking Mental Health Professionals to train and evaluate AI models. You’ll start with a quick test to assess suitability... ...a Domain Expert participant, paid to work on AI tasks from home. You'll review AI-generated psychology prompts, analyze and edit psychology...Remote workWork from home
$41.9k - $56.6k
...caring community The Community Health Worker (CHW) 1 serves as a... ...socioeconomic barriers and evaluate the home environment Assess member... ....Travel: While this is a remote position, occasional travel to... ...of life for people with Medicare and Medicaid, families, individuals...Remote workWork from homeFull timeTemporary workApprenticeshipWork at officeHome officeMonday to Friday- ...To support a mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-certifications for secondary clinical review, and analyze clinical records to ensure timely and compliant care determinations...Remote workFull time
- ...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
$150 - $180 per hour
...Prolific in Virginia Beach is seeking Mental Health Professionals to train and evaluate AI models. The role involves reviewing AI responses to psychological scenarios and completing... ...Network to influence future AI innovations and work flexibly from home. #J-18808-Ljbffr...Remote workWork from home- ..., based in Columbus, Ohio, is seeking Mental Health Professionals to train and evaluate AI models. This role involves reviewing AI-generated responses, completing psychology... ...allowing professionals to influence the future of AI while working from home. #J-18808-Ljbffr...Remote workWork from homeFlexible hours
$8 - $65 per hour
...Prolific seeks Mental Health Professionals in Jacksonville to participate in training AI... ...$65/hr for tasks, which can be completed remotely. Candidates will analyze AI-generated data... ...AI development from the comfort of their homes, with flexible working hours. #J-18808-Ljbffr...Remote workWork from homeFlexible hours$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley... ...Peterson AFB, Colorado Military Health System Compensation: $1,600... ...no holidays, no telehealth/remote work Minimum Qualifications... ...Management, Utilization Review, or Case Management Preferred...Remote workContract workImmediate startMonday to Friday$65k - $88.6k
...caring community The Utilization Management Behavioral Health Professional 2... ...Registered Nurse (RN) in Indiana... ...with utilization review process Previous... ...Information Work at Home Requirements: To... ...While this is a remote position,... ...for people with Medicare and Medicaid, families...Remote workWork from homeFull timeTemporary workApprenticeshipPrivate practiceWork at officeHome office$70 - $100 per hour
...Psychiatric Mental Health Nurse Practitioner (PMHNP) Fort Defiance, Arizona We are a clinician-led, patient-centered, collaborative... ...patient cases or clinical topics. Clinical work is performed from home, days and hours are per the clinician's choosing (this includes...Remote workWork from homeHourly payDay shiftAfternoon shift- ...Consult and coordinate with health care team members to... ...of individuals' home or work environments to... ...as required. Observe nurses and visit patients to ensure... ...ENVIRONMENT Primary or Remote office and occasional... ...further information, please review the Know Your Rights...Remote workWork from homeWork at office
$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- ...Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization... ...services and facilities under the provisions of applicable health benefit plans to ensure quality and cost-effective patient...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
$65k - $135k
...Company Description Health Insurance with Sherri is committed to helping individuals and... ...Insurance with Sherri is seeking a full-time Remote Health Insurance Specialist to support... ...What You Can Expect Work from home or anywhere with a reliable internet connection...Remote workWork from homeFull time- ...Group is seeking a Behavioral Health Care Advocate to join our remote team. This role conducts telephonic clinical reviews with Providers to ensure... ...required. You will work from a home office with a Monday-Friday... ...across commercial, Medicaid and Medicare #J-18808-LjbffrRemote workWork from homeHome officeMonday to Friday
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