Remote Inpatient Utilization Review Nurse
Alignment Health
Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. You will assist patients through the continuum of care, collaborating with the patient’s PCP, facility case manager, discharge planner, and contracted providers to ensure services are provided at the appropriate level of care while maintaining safety and quality. Responsibilities include reviewing inpatients, generating referrals, coordinating with care teams, and maintaining thorough
#J-18808-LjbffrVacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Inpatient Utilization Review Nurse in Clifton, TX vacancy
- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. The nurse will collaborate with the patient’s PCP, facility case manager, discharge planner, and contracted providers to ensure appropriate, cost-effective levels of care...Remote work
Alignment Healthcare
United States3 days ago - ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will assess inpatients and collaborate with physicians, case managers and facilities to ensure the most appropriate, cost-effective care level. Qualified candidates...Remote work
Alignment Health
United States2 days ago - Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. You will guide patients through the continuum of care, coordinating with physicians, case managers and service providers to ensure safe, cost-effective care aligned with...Remote job
- Alignment Health is seeking an experienced inpatient review nurse to join the remote utilization management team. You will review inpatients with complex medical needs and coordinate care across physicians, facilities, and community providers, ensuring appropriate and cost...Remote job
$65k - $78k
...development. Your Role In Our Mission Review admissions, procedures, services, and... ...systems. Assist in training new nurses, provide feedback, and stay updated on clinical... ...~ Active RN license. ~3+ years of inpatient clinical experience. ~1+ year in prior...Remote workFull timeWork at officeWork from homeFlexible hoursGainwell Technologies LLC
United States1 day ago$41 - $45.5 per hour
...Direct Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL, TX,... ...assessments, health education, and utilization management. Key... ...concurrent, and retrospective reviews for inpatient, rehab, referrals, and select...Remote job- ...Description: Nurses - are you looking for a change... ...-life balance. * Remote setting ROLE DESCRIPTION... ...This individual will utilize clinical knowledge and... ...treatment or inpatient confinement. This individual... ...decision to a second level reviewer. This individual...Remote workTemporary workMonday to FridayFlexible hours
Hines and Associates
Monroe Center, IL5 days ago - ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness... ...an active Maine RN license and at least 3 years of inpatient clinical experience. Additional benefits include...Remote workFlexible hours
kozmetickesluzby.vecnakraska.sk - Jobboard
Caribou, ME2 days ago - ...Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2-5+ Years Job Summary We are seeking a detail... ...Responsibilities Perform utilization reviews for inpatient, outpatient, observation, and post-acute care...Remote workFull timeSecond jobWork at office
Ova Technologies
Alpharetta, GA1 day ago $95k - $107.5k
...Full-time Description Title: Nurse Reviewer, Utilization Management Job Type: Full-time... ...per week in Brighton, MA office; 1 day remote FLSA Status: Exempt About Us... ...Discharge Coordination Perform inpatient concurrent review, monitor length of...Remote workFull timeLocal areaBrighton Marine Health Center
Brighton, MA1 day ago- ...Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization... ...Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS criteria. Conduct...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
Cobalt Benefits Group
United States1 day ago $77.08k - $119.47k
....00 Responsible for Utilization Management, Quality Screening... ...# Registered nurse with a New York State... ...applicable to utilization review process. #... ...# Understanding of Inpatient versus Outpatient surgery... ...cannot be done from a remote location. Other Requirements...Remote workFull timeShift workAlbany Medical Center
Albany, NY4 days ago- ...Job Description We’re Hiring: Utilization Review Nurse (RN) – 100% Remote \n Looking for your next opportunity in Utilization Review? If you’re an... ...) \n \n What You’ll Do \n \n Reviews current inpatient or ongoing treatment plans \n Checks medical records...Remote workContract workMonday to Friday
Medix™
West Virginia2 days ago - ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization... ...MCG/Centers for Medicare and Medicaid Services "CMS" Inpatient List). They effectively and efficiently manage a...Remote workFull time
CHRISTUS Health
Alamogordo, NM1 day ago $33.6 - $51.4 per hour
...great opportunity for a local remote position. There is no... ...commercial, behavioral health, inpatient, etc.) PRN (at minimum, two... ...hospitalized patients ~2 years of Utilization Review (UR) experience reviewing... ...Education ~ Nursing Diploma/Associate's - Nursing...Remote workHourly payFull timeWork experience placementReliefLocal areaMonday to FridayFlexible hoursShift workBJC HealthCare
Saint Louis, MO2 days ago- Currently seeking a Utilization Management RN . Please see... ...below: Position is remote - candidate must reside... ...active PA license or a Nurse Licensure Compact to... ...medical necessity for inpatient and outpatient services... ...clinical judgment to review medical records, validate...Remote workImmediate startWeekend workDay shift
- ...Management Location: 100% Remote Schedule: M-F 9:00am to... ...Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management... ...IL State Registered Nursing (RN) license in good...Remote workContract work
- # Utilization Review NurseFully Remote • Involuntary Remote - ALL STATES - Remote All States, CA 90802## OverviewSalary... ...Utilization Review Nurse**Please make sure to complete all the... ...retrospective utilization management, including inpatient services, outpatient services,...Remote workLong distance
- ...Institute is seeking an Advanced Practice Provider (APP) to join our inpatient cancer team at Geisinger Medical Center (GMC) in Danville, PA.... ...'s Degree-Physician Assistant (Required), Master's Degree-Nurse Practitioner (Required) About Geisinger OUR PURPOSE & VALUES...Full timePart timeShift workNight shift
Geisinger
Danville, PA19 days ago - ...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
American Health Plans
Franklin, TN16 hours ago - ...Remote role but will need to go to Newark, NJ to pick up equipment and orientation one day... ...Responsibilities: 1. Conducts on-site reviews at participating provider offices to assess... .... 2. Requires License Practical Nurse License or an active New Jersey Registered...Remote work
Winston Staffing
Newark, NJ2 days ago - ...developing, dynamic and collaborative Inpatient Transplant Nephrology team... ...pancreas transplant. As a Nurse Practitioner (NP) or... ...the early post-operative and remote post-transplant phase. Provide... ...The complete interview will be reviewed by a Mayo Clinic staff member...Remote workFull timeFlexible hoursNight shiftRotating shiftWeekend workDay shift
Mayo Clinic
Phoenix, AZ2 days ago - TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers’ compensation utilization review—prospective, concurrent, expedited, and retrospective reviews—to determine medical necessity and appropriateness...Remote job
- ...Institute is seeking an Advanced Practice Provider (APP) to join our inpatient cancer team at Geisinger Medical Center (GMC) in Danville, PA.... ...'s Degree-Physician Assistant (Required), Master's Degree-Nurse Practitioner (Required) About Geisinger OUR PURPOSE & VALUES...Full timePart timeShift workNight shift
Confidential
Danville, PA2 hours ago - ...Utilization Review Nurse Rising Medical Solutions has an opening for a Utilization Review Nurse, and we want to hear from you! We're a bill review and cost containment company - so what does that mean? Basically we are trying to fix a very broken healthcare system...Remote workFull time
Rising Medical Solutions
United States2 days ago - SaidGig seeks a pediatric inpatient nurse to help improve AI tools used in clinical settings by... ...documentation into structured feedback. You will review AI outputs, ensure accuracy against... ...strong written communication. This is a remote, hourly engagement with flexible...Remote jobHourly payFlexible hours
$37.45 - $57.29 per hour
...Description: The Registered Nurse (RN) is a professional... ...care of patients. The staff RN utilizes the nursing process by use of... ...response to interventions through review of achievement of goals, clinical... ...expectations. If applying for a remote or hybrid role, this includes...Remote workHourly payIntermountain Health
Grand Junction, CO2 hours ago$143.87k
...range of professionals, including doctors, nurses, business people, tech experts,... ...Brigham. Job Summary Cardiac Surgery PA inpatient position working 13-hour days, rotating days... ...Additional Job Details (if applicable) Remote Type Onsite Work Location 75 Francis...Remote workShift workNight shiftWeekend work- ...Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities... ...critical care and/or medical/surgical nursing At least 2 years utilization... ...Expectations Comfortable with remote work arrangements and virtual...Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
Netsmart
United States5 days ago - ...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 workContract work
IntePros
United States1 day ago
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