Remote Utilization RN: Case Review & Patient Education
Spectrum Healthcare Resources
- Remote job
Spectrum Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN) to work entirely from home in a fully remote role. The nurse will review cases, educate patients on appropriate care, and manage health care costs for dependents of active duty and eligible retirees. The position is remote, with a Monday–Friday schedule of 8 hours per day, requiring an RN with a Bachelor's degree, state licensure, and CPUR/CCM certification. #J-18808-Ljbffr Spectrum Healthcare Resources
- Northwestern Medicine is seeking a remote RN Case Manager (PT) to support Utilization Review at Catherine Gratz Griffin Lake Forest Hospital. This... ...transfers, document CMS-compliant reviews, and educate staff to optimize patient outcomes while maintaining quality and...Remote jobShift workWeekend workWeekday work
- University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care. You...Remote jobFull time
$40.5 - $64.8 per hour
...mentorship programs, educational support and student loan... ...**This is a remote casual position supporting Utilization Review at Catherine Gratz Griffin... ...or 6p to 6a. ** The Case Manager, RN (PT)reflects the mission... ...individualized treatment plans for patients, in collaboration with...Remote workHourly payTemporary workWork experience placementCasual workLocal areaRelocation packageFlexible hoursRotating shiftWeekend workWeekday work- ...Overview As a patient-focused organization, University... ...care, research and education. Success in this... ...Applies approved utilization criteria to monitor appropriateness... ...and continued stay review. Communication to... .../provider and case manager/discharge planner...Remote workWork at officeShift workNight shiftRotating shift
- ...Utilization Review NurseThis position has a remote option for those living close and will be able... ...appropriateness of care provided to patients and ensuring proper... ....Identify and present cases of possible quality of... ...needed.Job Requirements:Education/SkillsGraduate of an...Remote workFull time
- ...assessments of prospective patients. Ensures... ...appropriate clinical review of all applicable... ...stated in system utilization management plan. Oversees... ...This role will be remote BUT regular... ...preferred Education ~ Graduation... ...Epic and escalating cases for status change...Remote workReliefWeekend work3 days per week
- ...Registered Nurse (RN)... ...seeing a Michigan RN Utilization Manager. This is a 100% remote position in Michigan... ...and retrospective review of inpatient, outpatient... .... EDUCATION AND EXPERIENCE:... ...Certification in Case Management preferred... ...on patient transfer to in-network...Remote workContract workLocal areaFlexible hours
- A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...documentation, and collaborating with teams to meet patient needs. Candidates must possess a nursing license and have experience...Remote jobContract work
- ...Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time,... ...: Standard business hours Patient Volume: N/A Job Requirements: Active RN license with Multi-State/Compact... ...appropriate level of care Review cases for Physician Advisor...Remote jobFull timeMonday to Friday
$47.2 - $63.45 per hour
...hospital offers a broad array of education and outreach programs that... ...resource management of all patients that are admitted to the facility... ...admission and concurrent review of the medical record for the... ...least one year experience in case management, discharge planning...Full timePart timeWork experience placementLocal areaShift workAfternoon shift$7.5k
...LPN Licensed Practical Nurse - Utilization Mgmt Reviewer - Case Management - Full Time Cortland, NY, United... ...ọcertification for reimbursement of patient care services. The responsibilities... ...and spreadsheets) desirable Education/License Current LPN licensure or eligibility...Full timeWork at officeRelocation packageShift work- ...Responsible for the review of medical records... ...Coordination staff utilizing evidence-based guidelines... ...Collaborates with Patient Access to establish... .... Job Requirements Remote. Must reside within... ...Masters degree in Case Management or... ...experience. California RN license. AHA BLS...Remote work
$65k - $75k
Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization... .... The ideal candidate will hold an active RN license with relevant experience. The position offers...Remote job- ...Description Job Description The utilization review and management (UM)... ...closely with medical staff, case managers, and other healthcare... ...initiatives to enhance patient care outcomes and operational... ...This is an in-office, no remote work capability position...Remote workWork at office
- ...Remote Utilization Review Registered Nurse (UR RN) Nexus Health Systems is seeking an experienced... ...role in ensuring patients receive medically necessary... ...in utilization review, case management, or behavioral... ...development and continuing education opportunities ~ A collaborative...Remote jobWork at office
- ...Griffin Lake Forest Hospital is seeking a Part-Time Case Manager, RN to support Utilization Review remotely. This casual role provides staffing coverage with... ...within a hospital setting. The position emphasizes patient care coordination, discharge planning, and collaboration...Remote jobPart timeCasual workFlexible hoursShift workWeekend workWeekday work
- Registered Nurse (RN) - Utilization Review Job Description Job Shift... ...coordination to help patients achieve optimal... ...negotiation with a payer on a case-by-case basis. This... ...Tenet policy; and Education provided to payers, physicians... ...Campus (Remote) #J-18808-Ljbffr Oracle...Remote workFull timeWork at officeFlexible hoursShift work
$51.43 - $79.84 per hour
...Description - This is a remote role. You MUST live in the... .... Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong... ..., medical necessity and patient status determination. This... ...certification upon hire. 1 year of Case Management experience....Remote workDaily paidLive inShift workDay shift$84.56k - $126.84k
...Regular Job Overview The Utilization Review RN participates as a... ...will be primarily remote but there may be occasions... ...conjunction with the Case Managers regarding... ...information provided by Patient Access regarding... ...Minimum Qualifications Education: Bachelor of Science...Remote workTemporary workPart timeLive inImmediate startRelocationRelocation packageShift workWeekend workAfternoon shift$11.41 per hour
...HealthPartners is hiring an RN Case Manager. This... ...to provide support to patients, their families, and... ...and social concerns; educate and empower patients... ...This is a primarily remote position that includes... ...of 3 years relevant utilization review, discharge planning,...Remote workHourly payFull timeLocal areaShift work- ...Patient Chart Reviewer In this position you will be reviewing patient charts... ...if pre-elective surgical cases should be boarded as inpatient... ...5pm with no weekends Education and Experience: RHIT,... ...experience preferred. Previous utilization management or case...Remote workFull timeMonday to Friday
$48.52 - $72.78 per hour
...RN Utilization Management Reviewer - Remote (OR, WA, AK) Join PeaceHealth in advancing compassionate... ...by helping ensure patients receive the right care at... ...and continuing education support ~ Robust wellness... ...appeal processes; refer cases for physician advisor review...Remote jobFull timeLocal areaDay shift- ...Registered Nurse for a temporary Utilization Management role. You will... ...are an active CA RN license and at least five years in patient care with UM/Case Management exposure; some education paths may substitute for... ...experience. Hybrid work and remote- interview options are...Remote workTemporary work
$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend work- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued stays,... ...experience (hospital-based) ~ Skilled experience with remote work Length of assignment: 13 weeks Shift / hours...Remote workShift workWeekend work
- ...Requirements: Responsible for the review of inpatient and... ...attending physician and the Case Management staff utilizing admission criteria... ...correct payer source for patient stay and the documentation... ...when indicated. Provides education and information for the patient...Full timeFor contractorsWork at officeLocal areaFlexible hoursShift workDay shift
- ...Utilization Review/Case Management RN Immediate need for a talented Utilization Review/Case Management RN... ...with the multidisciplinary teams. Educates other healthcare team members on... ...Collaborates with and provides information to patients, families, physicians, and staff...Contract workLocal areaImmediate startShift work
- American Traveler is hiring an RN Case Manager with a CA RN license and at least 3 years... ...pilot project focused on liver failure patients across ED, OBS, and inpatient units... ...coordination, discharge planning, and utilization review Familiarity with CMS and The Joint Commission...Daily paidTemporary workCasual workLocal areaDay shift
- ...providing skilled nursing care, case management, and hospice care... .... Daily tasks include patient assessments, medication administration... ...: Experience in Utilization Review or case management roles.... ...to work independently in remote settings. Must be able...Remote workFlexible hours
$1,600 - $1,800 per week
...Registered Nurse – Utilization Management... ...holidays, no telehealth/remote work Minimum... ...(required) Education: BSN License... ...and unrestricted RN license Certifications... ...in direct patient care • 12... ...Management, Utilization Review, or Case Management...Remote workContract workImmediate startMonday to Friday
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