Remote RN Care Review Clinician
$26.41 - $51.49 per hourMolina Healthcare of Illinois
- Remote job
Molina Healthcare is seeking a Registered Nurse to support their Arizona state Plan. This remote position involves assessing inpatient services, analyzing clinical requests, and working with multidisciplinary teams. Candidates need a valid Arizona RN license and a minimum of two years’ experience in related fields, such as managed care or hospital settings. Strong communication skills and proficiency in Microsoft Office are required. The hourly pay ranges from $26.41 to $51.49, varying by experience and location. #J-18808-Ljbffr Molina Healthcare
$26.41 - $51.49 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...desired outcomes through integrated delivery of care across the continuum. Contributes to... ...education and experience. • Registered Nurse (RN). License must be active and unrestricted...Remote workHourly payWork experience placementWork at office$26.41 - $51.49 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...desired outcomes through integrated delivery of care across the continuum. Contributes to... ...education and experience. Registered Nurse (RN). License must be active and unrestricted...Remote workHourly payWork experience placementWork at office$26.41 - $51.49 per hour
...coordinate an integrated delivery of care across the continuum,... ...seeking a candidate with an Arizona RN licensure. The ideal candidate... ...our interview process. **Remote position, must reside in Arizona... .... + Conducts inpatient reviews to determine financial responsibility...Remote workHourly payWork experience placementWork at officeMonday to FridayWeekend work$26.41 - $51.49 per hour
Molina Healthcare is seeking an RN with at least 2 years of experience in hospital acute care for a remote role supporting the Arizona State Plan. Key responsibilities include assessing inpatient services, analyzing clinical requests, and collaborating with healthcare...Remote workHourly pay$26.41 - $51.49 per hour
Molina Healthcare is seeking a Registered Nurse for a remote position supporting Arizona state plans. This role involves assessing... ...have at least 2 years of relevant experience in acute care and a valid Arizona RN licensure. Strong communication and organizational skills...Remote workHourly pay- ...Providence Health & Services is seeking an RN Utilization Review professional to work remotely for per diem shifts in Mission Hills, California. This role will conduct utilization reviews for Southern CA ministries, requiring a strong clinical background and knowledge...Remote workDaily paidShift work
$27.02 - $48.55 per hour
...fresh perspective on workplace flexibility. Remote Role: Seeking an RN with background in hospital based adult and pediatric care, familiar with current rules and regulations... ...in CA. Position Purpose: Performs clinical reviews needed to resolve and process appeals by reviewing...Remote workHourly payFull timePart timeWork at officeFlexible hours- ...Registered Nurse to assess and coordinate healthcare services for members. The position emphasizes hospital acute care and prior authorization in a remote capacity. Ideal candidates should possess strong organizational and communication skills, and have at least 2 years...Remote jobHourly pay
$79.75k - $127.59k
...members to develop a plan of care for assigned patients. Ensures... ...updates and maintains list. Reviews reservation forms and the log... ...communication strategies to keep clinicians and staff informed of changes... ...NH eligibility Job Details Remote: Fully Remote Area of...Remote workDaily paidTemporary workWork at officeRotating shift- Molina Healthcare is seeking a Remote Registered Nurse to support their Arizona state Plan. This role involves... ...with multidisciplinary teams to ensure quality care and compliance. Candidates must possess an active Arizona RN license and have at least 2 years of acute care...Remote jobMonday to Friday
$90k - $100k
...to better health, unburden clinicians, align incentives and engage... ...disrupting the business of health care, transforming it from... ...We are looking for a RN Concurrent Review . If you are passionate about... ...offers either a hybrid or fully remote work arrangement. Candidates...Remote workWork at office3 days per week$2,109 per week
...Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa... .... We believe outstanding patient care begins with clinicians who feel supported, respected,... .... **Exciting Opportunity for a Remote Utilization Review Registered Nurse...Remote workZero hours contractFlexible hoursShift workWeekend workDay shift- UnitedHealth Group is seeking a Clinical Review Clinician in Minneapolis, Minnesota. This role requires an Associate's degree, an active RN or LPN license, and clinical experience in an acute care setting. Responsibilities include conducting forensic reviews and maintaining...Remote jobFlexible hours
$28.94 - $51.83 per hour
...Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with... ...s degree (or higher) ~ Active and unrestricted RN license OR LPN in the state of residence ~2+...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$34.98 - $62.52 per hour
...of Position Registered Nurse Clinician Primary Care Triage (Fully Remote) Do you have the aptitude to work... ..., as directed. Maintains and reviews patient records, charts, and other... ...Licenses and Certifications RN - Registered Nurse - State Licensure...Remote workWork experience placementWork at office- ...Group is looking for a Secondary Review Nurse in Indiana. This role requires a current RN license and involves evaluating clinical... ...Services. The position offers remote work flexibility and responsibilities include collaborating with care managers and processing prior...Remote workWork from home
$36 - $38 per hour
...Lead RN Reviewer Cohere's Service Operations team is responsible for... ...oversight and direction to clinicians Assist in addressing any case... ...years in healthcare, managed care, or insurance-related roles... ...leadership style suited for a remote, fast-paced environment...Remote workHourly payFlexible hours$43.5 per hour
...committed to providing comprehensive care coordination services to our... ...), all other work is remote. Pay: Hours: Monday - Friday... ...experienced LTSS Service Coordinator - RN Clinician to join our team. In this... ...and performance is reviewed regularly. Qualifications Registered...Remote workContract workTemporary workMonday to Friday- ...CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote work
- ...The role involves conducting reviews and evaluations for members needing... .... This position requires an RN or LVN certification and at... ...experience. The job is primarily remote but may require occasional... ...communication skills and experience in managed care. #J-18808-Ljbffr...Remote workWork at office
- ...healthcare organization is seeking a registered nurse for a remote position focused on utilization review. Candidates should have 2 years of experience in a... ...medical necessity. Responsibilities include assessing care levels and ensuring efficient use of healthcare...Remote work
- ...Santa Barbara Cottage Hospital is seeking an RN for Utilization Review, a Per Diem position working remote 8-hour day shifts. This role includes conducting clinical... ...in remote utilization review or as an acute care case manager is also required. Join us to make a difference...Remote workDaily paidDay shift
$60.2k - $107.4k
...Group is seeking a Concurrent Review Case Manager to monitor and document... ...a nursing degree and active RN license in Texas, along with... ...significant experience and managed care knowledge. This position offers the flexibility to work remotely from anywhere within the U.S.,...Remote work- ...COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare... ..., alongside a minimum of 3 years of direct patient care experience. The role involves applying Medicaid program...Remote workFull time
$45 - $50 per hour
...Utilization Management Nurse – Medicare Remote | California RN Required | Must sit in CA We’re... ...medically appropriate, cost‑effective care while supporting safe and timely discharge... ..., and retrospective utilization reviews for Medicare members Apply evidence‑...Remote workContract workTemporary workWork from home- ...Management Behavioral Health Registered Nurse (RN) Internship for transitioning military... .... This role involves conducting clinical reviews, communicating with healthcare providers,... ...internship emphasizes support for the managed care industry, while providing essential...Remote workInternship
- ...Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including... ...Licenses in Oregon and Washington. This role encompasses care coordination and discharge planning, along with various...Remote work
$60.2k - $107.4k
...Corporation is looking for a Concurrent Review Case Manager to manage telephonic monitoring... ...identification of patients' continuing care needs and works closely with Medical Management... .... Enjoy the flexibility to work remotely from anywhere in the U.S., with a salary...Remote work- ...A leading healthcare organization is seeking a remote RN to ensure appropriate administration of hospital resources and quality care. Responsibilities include reviewing patient care levels and utilizing Interqual Criteria for inpatient hospitalizations. The ideal candidate...Remote work
$75k
...Cottage Hospital is seeking a qualified RN for concurrent inpatient utilization review. The candidate will regularly... ...clinical nursing experience in an acute care setting, and candidates must hold a... ...RN license. The position offers a remote work option along with a...Remote work
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