Remote Utilization Review Nurse (LPN/RN) — Florida
Elevance Health (Anthem)
- Remote job
Elevance Health seeks a Medical Management Clinician Associate in Florida. The role supports virtual work with in-person training sessions, requiring residence in Florida and compliance with hybrid/virtual work policies. License and licensure in-state are required, with multi-state licensure if serving multiple states. The position emphasizes clinical reviews, framework-based decision-making, and collaboration with Medical Directors. #J-18808-Ljbffr Elevance Health (Anthem)
$33 - $46 per hour
ExamWorks is seeking a Utilization Review Nurse Auditor to join our team. This fully remote role requires RN/LPN/LVN licensure and strong medical terminology, anatomy, and physiology knowledge to review care for medical necessity according to evidence-based guidelines....Remote jobHourly payMonday to Friday- ...current Arkansas licensure as a RN. Preferably experienced in the... ...with the Medical Staff, review organizations, administration... ...Must be able to apply current nursing knowledge to determine appropriate... ...control system to assure effective utilization of hospital facilities and...SuggestedWork at office
$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 workHourly payPart time$30 - $35 per hour
...environment for our patients and nurses. Atlantic Care Services is... .... Requirements of the LPN (License Practical Nurse) or RN (Registered Nurse) Active State of Florida Licensed Practical Nurse license... ...Atlantic Care Services: Remote and Simplified Hiring Process...Remote workHourly payFull timePart timeReliefCurrently hiringWork at officeFlexible hoursShift work$63k - $73k
...balance. Here, there’s no limit to what you can achieve. Utilization Review Nurse (RN) As a nurse at Sedgwick, you can build a meaningful and rewarding... ...an impact on the health and well-being of others in a remote work environment. Enjoy flexibility and autonomy in your...Remote workWork experience placementLocal areaFlexible hours- Astrana Health is seeking a CA-licensed Utilization Review Nurse to support the Health Services Department. You will review outpatient services... ...and refer cases to Medical Directors as needed. This is a remote role for CA-licensed RNs/LVNs, with candidates living in California...Remote jobCasual workWork at office
$38 - $40 per hour
...Title: RN -- Review Analyst Location: Remote Duration: 12 months with possible extension Pay Range:... ...prospective, concurrent, and retrospective utilization reviews for inpatient, outpatient... ...skills . - Bachelor's degree in Nursing or a related field preferred....Remote workHourly payWork at officeMonday to FridayShift work- ...Vision insurance Home Health Care Nurse (LPN/RN) Job Description Atlantic Care Services... ...1-on-1 home health services throughout Florida. We offer the best in industry pay and benefits... ...BLS Atlantic Care Services: Remote and Simplified Hiring Process Direct...Remote workFull timePart timeReliefCurrently hiringFlexible hoursShift work
- TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers’ compensation utilization... ...The position requires a nursing degree and an active RN/LPN license, with CCM/CMCN/CPHUR/CPDM/CDMS certifications...Remote job
- American Consultants is seeking a travel nurse RN Case Manager, Utilization Review for a placement in Torrance, California. The role requires a Registered... .... This travel opportunity is based in Torrance with remote work noted as 100% remote in the posting. Housing and travel...Remote jobShift work
$15k
...BONUSES - FULL TIME RN $15,000 and FULL TIME LPN $7,500! NIGHTS WEEK... ...is to provide direct nursing care to the patients... ...control procedures. Review care plans to ensure... ...communicate with local staff, remote staff, and outside... .... #J-18808-Ljbffr Ventura Services FloridaRemote workFull timeLocal areaShift workNight shiftWeekend work$15k
...BONUSES - FULL TIME RN $15,000 and FULL TIME LPN $7,500! The following... ...is to provide direct nursing care to the residents... ...control procedures. Review care plans to ensure... ...communicate with local staff, remote staff, and outside... ...#J-18808-Ljbffr Ventura Services FloridaRemote workFull timeLocal areaShift workNight shiftWeekend workAfternoon shift- ...Clinical Coordinator - LPN or RN role at Paradigm 2 days... ...seeking a full-time remote Clinical Coordinator (LPN... ...research, review, analyze and prepare medical... ...with the State Board of Nursing. Work Comp Case Management... ...Lab - St. Petersburg, Florida Nurse Practitioner or...Remote workFull timePart timeFor contractorsReliefLive inLocal areaMonday to FridayFlexible hoursWeekend work
- ...Family Pillars Homecare Nursing Opportunity Family Pillars Homecare is hiring in Clewiston, Florida and the surrounding areas. Nurse Responsibilities: Perform... ...Insurance). Job Requirements: MUST HAVE VALID RN OR LPN FLORIDA NURSING LICENSE OR COMPACT LICENSE....Shift workNight shiftDay shift
- ...LLC is seeking dedicated RNs to provide skilled nursing care to patients in their homes on a per diem basis in Florida. The role includes intermittent visits, private duty... ...plan coordination. Must hold a valid Florida RN license and BLS, with up-to-date Florida CEUs, recent...Daily paidFlexible hoursShift work
$37.1 - $55.65 per hour
...Living Center Department: 3073090 NURSING HOME - FS SNF Job Description:... ...for qualifying positions RN ($37.10-$55.65 based on experience... ...regulatory or accrediting agencies. LPN ($25.22-$37.83 based on... ...months of hire. FTE: 0.3 Possible Remote/Hybrid Option: Shift Rotation:...Remote workPart timeLocal areaRelocationFlexible hoursShift workNight shiftWeekend work- ...Wound Care Nurse (RN or LPN)Location: Middleton Oaks Health and RehabilitationJob Type: Full time 7am - 3pm (Must be able to work on call)... ...better outcomes for older adults. From telemedicine services and remote health monitoring to advanced diagnostic tools and customized...Remote workFull timeLocal areaShift workNight shiftDay shiftAfternoon shift
- ..., Rehabilitation Therapy and Nursing. Job Description This... ...performing medical record reviews and data extraction for the HEDIS... .... Must have an active RN or LPN license. The new contract... ...which candidate must attend and remote other days. Riya Khem...Remote workContract workWork from home
- ...Find your calling at Mercy! Position Details: Primary Care Nurse RN or LPN Mercy Clinic Primary Care - Quailbrook (OKC) Monday-Friday, 40 hours per week *This is a hybrid remote position. The person hired for this role will complete at least 90 days of full-time, in-person...Remote workFull timeMonday to Friday2 days per week3 days per week
- ...Position Title: RN/LPN Job Location: Culbertson, MT, 59218 Remote/ Onsite: Onsite Job Type: Contract Duration: 13 Weeks Shift... ...Certifications: General Certifications(PALS,BLS/BCLS,ACLS); Nursing Certifications(TNCC) Requirements:...Remote workContract workShift workNight shift
$60k - $90k
A virtual healthcare company is seeking a compassionate RN or LPN to provide nursing care to mental health patients in a telemedicine setting across various states. This is a full-time position with a pay range of $60,000 - $90,000 and benefits including medical, dental...Remote workFull time- PEOple Premier, Inc. busca un Administrador de Casos (RN) hybride/remoto en Florida. El/la candidato/a debe ser Enfermero/a Registrado/a con licencia en Florida y, preferredmente, licencia de compacto, con al menos 3 años de experiencia clínica en adultos. El rol incluye...Remote job
- ...complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include... ...have experience in clinical practice and knowledge of Utilization Review Guidelines. The position offers a competitive salary...Remote work
$42.34 - $50.81 per hour
TRU Community Care is seeking a Phone Triage RN to support afterhours triage by handling... ...calls from patients and coordinating with visit nurses for patient needs. The role is mostly remote; you must reside in Colorado, Florida, or Georgia. A minimum of one year RN...Remote jobHourly payReliefShift work$32.13 - $48.2 per hour
...care under a primary nursing model, maintaining accountability... ...patients. Utilize best practices and... ...Registered Nurse (RN): Holds full accountability... ...plans. Supervises LPN and nursing assistant... ...with RN review as appropriate. Remote Type Salary Range:...Remote workRelocation packageShift work- CVS Health is seeking an Utilization Management Nurse Consultant who must reside in Florida. This remote, full-time role reviews clinical information to ensure appropriate care, applies... ...The position requires an active Florida RN license and at least 3 years of...Remote jobFull time
- ...Rehabilitation Therapy, and Nursing. Job Description This position... ...performing medical record reviews and data extraction for the... ..., along with an active RN or LPN license. The selected nurses... ...meetings are mandatory, with remote work on other days. Additional...Remote workWork at officeWork from home
$5,000 per month
...Employment Status: Part-Time Is Remote Position: No PayRate Interval: Hourly Shift... ...and Benefits*: ~ Licensed Practical Nurse position, Weekend Warrior, 7am-7pm, Geriatric... ...Requirements: Current state LPN/LVN or RN License if required by State Previous...Remote workHourly payPart timeShift workWeekend work- Concierge Home Care is seeking an experienced Utilization Review Specialist (RN) to join our remote home health team. This Florida-based role requires OASIS and coding certifications and supports QA and regulatory compliance. You'll review clinical documentation, audit...Remote jobMonday to FridayWeekend work
$89.54k - $136.47k
...Overview Sentara Health is hiring a Remote Utilization Review Registered Nurse. Candidates must reside in the State... .... Education N-3 Years RN- Diploma (required) BSN (preferred... ...following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana...Remote workFull timeTemporary workShift work
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