Remote Utilization Review Nurse
$78k - $88kGainwell Technologies
- Remote job
Gainwell Technologies is seeking a skilled Utilization Review Nurse to perform prior authorization across prospective, concurrent, and retrospective reviews for medical necessity, documenting findings and ensuring policy compliance. This home-based role supports providers, uses InterQual/MCG criteria, requires 3+ years inpatient experience and an active RN license in the U.S. Core hours 8:00 AM–6:00 PM ET; occasional travel up to 10%; salary range $78,000–$88,000 with benefits. #J-18808-Ljbffr Gainwell Technologies
$78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage... ...Employee Referral Bonus Program JOB SUMMARY: The Utilization Review Nurse is to assess the medical necessity and quality of healthcare...Remote workFull timeTemporary workLocal area
$90k - $107k
Mass General Brigham Health Plan Holding Company, Inc. is seeking a Remote UM Nurse to support network adequacy review and authorization activities for members in ACO, HMO, and EPO products. The role requires clinical knowledge to review prior authorization requests, assess...Remote job- CorVel Corporation is seeking a Utilization Review Nurse to gather demographic and clinical information for prospective, concurrent, and retrospective... ...of stay in line with Case Management goals. This is a remote position with responsibilities including data collection,...Remote job
- Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance...Remote job
$30 - $34 per hour
Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS - UM This is a fully remote position. Description Astrana Health is looking for an experienced...Remote jobHourly payMonday to Friday- ...Overview We are seeking an experienced Utilization Management (UM) Registered Nurse to support outpatient utilization review and prior authorization activities for a leading... .... Ability to work independently in a remote environment. Comfortable using multiple...Remote workContract work
$35 - $45.94 per hour
...Utilization Review Nurse Remote Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as...Remote workHourly payFull timeWork from homeHome officeWeekend work- ...Utilization Review Nurse We are seeking a detail-oriented and experienced Utilization Review Nurse to evaluate the medical necessity, appropriateness... ...care organization, or utilization management department. Remote, hybrid, or on-site opportunities depending on employer....Remote 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 Review Nurse, you'll play an important role in helping us offer customized, self-funded insurance options to our clients...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
- ...Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse . The Utilization Review Nurse is responsible for utilization... ...-free environment. For positions that are available as remote work, Sentara Health employs associates in the following...Remote workTemporary workShift work
- ...clients. Job Summary Our client is seeking a skilled Utilization Review Nurse to join their team. This role involves analyzing billing... ...Requirements Schedule: Monday to Friday, 8am-5pm. Fully remote position. Benefits ~ Paid Sick Leave (Medix...Remote workMinimum wageTemporary workWork at officeLocal areaMonday to Friday
$41 per hour
...Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract for about 9 months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria...Remote workContract work$30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and... ...the Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications U.... ...in Utilization Management, Utilization Review, or Case Management Preferred...Remote workContract workImmediate startMonday to Friday- Currently seeking a Utilization Management RN . Please see details and... ...qualifications below: Position is remote - candidate must reside in PA... ...an active PA license or a Nurse Licensure Compact to include... ...clinical judgment to review medical records, validate care...Remote workImmediate startWeekend workDay shift
- Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract... ...Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to join our team. This...Remote workFull timeContract work
$1,966 per week
...among the first 25 applicants Nurses - are you looking for a... ...Holidays Work-life balance. Remote/hybrid setting (once trained)... ...DESCRIPTION: This individual will utilize clinical knowledge and communication... ...decision to a second level reviewer. This individual interfaces...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential for Extension... ...for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct...Remote workContract work
$35 - $43 per hour
...pay range $35.00/hr - $43.00/hr Job Title Clinical Review Nurse - Concurrent Review Location: Remote (California only - must reside in CA or hold an active... ...Review Nurse - Concurrent Review will perform utilization management functions to ensure members receive the right...Remote work- ...Resources Management Location: 100% Remote Schedule: M-F 9:00am to 5:30... ...Summary Works with the Utilization Management team primarily... ...medical necessity/utilization review and other utilization management... ...IL State Registered Nursing (RN) license in good standing...Remote workContract work
$30.64 - $45.8 per hour
...Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective... ...of the Case Management department and of CorVel. This is a remote position. Essential Functions & Responsibilities:...Remote workHourly payFull timeWork at officeLocal areaFlexible hours$35 - $45 per hour
Base pay range $35.00/hr - $45.00/hr Direct message the job poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating resources and services to meet patients’ needs while ensuring compliance with federal,...Remote workContract workWeekend work$34 - $40 per hour
...with your recruiter to learn more. Base pay range $34.00/hr - $40.00/hr Remote (Compact Licensure Required) - Open to LPN's & RN's About the Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based...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
$55 per hour
...from Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare space. Location: Remote (must be based in California) Employment type... ...setting. Preferred: Experience in case management, utilization management, or discharge planning. Experience...Remote workFull timeContract workTemporary workLocal area- ## Utilization Review NurseApplyremote type: Hybridlocations: 1301 6th Ave W - BRADENTON, FLposted... ...is seeking a **Utilization Review Nurse, LPN** to evaluate treatment requests and... ...per week in the office and three days remote. Candidates must also have flexibility...Remote workWork at officeImmediate startFlexible hours2 days per week
$30 - $38 per hour
A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote jobHourly payPart time- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr Medix™Remote job
- A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and collaborating with teams to meet...Remote jobContract work
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