Remote Utilization Review RN - Hospital Care Expert
BJC HealthCare
Saint Louis, MO
- Remote job
BJC HealthCare in Missouri is seeking an experienced RN for a remote Utilization Review role supporting hospital units nationwide. The position requires patient-care experience in hospitalized settings and UR background, with no patient communication required. Responsibilities include applying Interqual criteria to determine level of care and ensuring appropriate utilization. Applicants must have MO or IL RN licenses and reliable high-speed internet. #J-18808-Ljbffr BJC HealthCare
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review RN - Hospital Care Expert in Saint Louis, MO vacancy
$85 per hour
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United States5 days ago- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote work
Insight Global
Raleigh, NC2 days ago $63.1k - $94.65k
...steps. Our partner is looking for a Utilization Review RN based in the United States.... ...supporting the financial integrity of hospital operations. In this part-time, remote role, you will apply your... ...patient admissions, and ensure care aligns with established clinical...Remote workTemporary workPart timeWork at officeWork from homeFlexible hoursShift workAfternoon shift- ...invites a Nurse to support admissions and reviews at USC Verdugo Hills Hospital. The role involves concurrent and... ...requirements. Candidates must hold a California RN license ( BSN preferred) and BCLS certification; prior Utilization/Quality/Case Management experience in...Suggested
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...is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in... ...and medical necessity of hospital admissions, continued stays... ...~ Skilled experience with remote work LENGTH OF... ...organizations provide quality patient care that continually evolves...Remote workTemporary workZero hours contractImmediate startShift workNight shiftWeekend workAMN Healthcare Revenue Cycle
Fort Myers, FL14 days ago$2,038 per week
...seeking a travel nurse RN Case Management for a... ...a Registered Nurse - Utilization Review for a Travel contract.... ...Myers, FL Setting: Hospital Pay Range: 1949.97... ...literate; experience working remote; degree accreditation... ...ensuring appropriate care and documentation....Remote workPermanent employmentContract workZero hours contractReliefLocal areaShift workRotating shiftVyTalent Solutions
Fort Myers, FL21 days ago$63k - $94k
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New York, NY3 days ago$44.7 per hour
...The Utilization Review (UR) RN evaluates the medical necessity appropriateness and... ...to support safe efficient care transitions and optimize reimbursement... ...guidelines from MCG Hospital case management experience... ...union covered position Remote Work : No...Remote workHourly payPart timeShift workNight shiftWeekend workAfternoon shiftKittitas Valley Healthcare
Washington DC14 days ago- Florida PACE Centers, Inc. is seeking a Utilization RN to conduct prospective, concurrent, and retrospective reviews ensuring medical necessity and appropriate level of care across the continuum. The role collaborates with hospital UR/Case Management, IDT, and community...Remote job
$63.1k - $94.65k
...health systems, including hospitals and affiliated... ...have current compact RN license, or be willing... ...nurses with experience caring for neonatal, infant,... ...Schedule Information: Our Utilization Review team provides coverage... ...Abilities Required: This is a remote role which requires...Remote workTemporary workWork at officeLocal areaFlexible hoursShift workEnsemble Health Partners
New York, NY1 day ago- Medix is seeking a Remote Utilization Review Registered Nurse (UR RN) to bridge clinical care and hospital operations from a remote setting. Join a team optimizing patient care while safeguarding revenue integrity, with a compressed 4-day week, remote flexibility, and lucrative...Remote jobFlexible hoursShift work
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Miami Jewish Health
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Evry Healthcare Inc.
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...Utilization Review RN - Remote. This position is Per Diem and will work 8-hour, Day shifts. Provide prospective... ...of patient-focused, whole-person care built on understanding, commitment,... ...environment or working as an acute hospital case manager. Preferred...Remote workDaily paidMinimum wageLocal areaShift workDay shift$35 - $45.94 per hour
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- ...experienced nursing professionals to review medical records and ensure... ..., including physicians and Care Coordination staff, to support... ...Candidates must have a valid California RN license and at least two years... ...field. The position offers remote work with emphasis on critical...Remote work
Santa Barbara Cottage Hospital
United States2 days ago - ...BJC HealthCare is seeking a registered nurse to join a remote Utilization Review team. The role supports multiple hospital units with no patient communication, and it is designed for local remote work with weekend rotation. Responsibilities include applying Interqual criteria...Remote workLocal areaWeekend work
BJC HealthCare
Brooklyn, NY1 day ago - ...Currently seeking a Utilization Management RN . Please see details... ...below: Position is remote - candidate must... ...** Previous Acute Hospital Utilization Management... ...through medical record review to determine medical... ...to ensure appropriate care settings. Report utilization...Remote workImmediate startDay shift
The Judge Group, LLC
New York, NY1 day ago $34 - $47 per hour
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Defiance, OH16 days ago- ...Responsible for utilization review work for emergency admissions... ...and unrestricted RN license At least... ...clinical experience in acute care setting in emergency... ...experience within the hospital setting Bachelor's... ...Comfortable with remote work arrangements and...Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
Netsmart
United States1 day ago $30 - $38 per hour
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Hines
Rockford, IL4 days ago $45 - $51 per hour
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California2 days ago- Molina Healthcare is seeking an experienced utilization review nurse in Arizona to review documentation... ...necessity and appropriate level of care. The role involves applying MCG/InterQual... ...clinical nursing experience with UR, active RN license, ICD-10/CPT/HCPCS knowledge, and...
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BJC HealthCare
Saint Louis, MO5 days ago - ...Job Description ***REMOTE - Candidates must be... ...DESCRIPTION: RN working in the insurance or managed care industry using medically... ..., concurrent review activities; discharge... ...information regarding utilization management... ...Physician's office, Hospital/Surgical setting, or...Remote workContract workWork at office
Bracane Co
Plano, TXa month ago
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