Remote Utilization Review Nurse
$85.99k - $105.34kUmpqua Health
A community-focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical service requests, conducting prior authorization reviews, and collaborating with interdisciplinary teams. Applicants should have an active RN license and at least five years of direct patient care experience. The position offers a competitive salary from $85,990 to $105,344, along with a generous benefits package including healthcare and 401k options. #J-18808-Ljbffr
$75k
...HealthHelp is looking for a Registered Nurse to perform inpatient utilization reviews, ensure compliance with medical necessity criteria, and actively engage... ...offers a flexible schedule and the possibility of remote work, with a base salary starting at $75,000 annually...Remote workFlexible hours$65k - $78k
...company that values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and...Remote workFull timeContract workWork at officeWork from homeFlexible hours$30 - $34 per hour
...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS - UM This is a fully remote position. Description Astrana Health is looking for an experienced...Remote workHourly payMonday to Friday$38 - $40 per hour
...REMOTE - Candidates must be based in Texas: Austin area - Travis... ...performing initial, concurrent review activities; discharge care... ...Provides information regarding utilization management requirements and operational... ...(Required) ~ Registered Nurse (RN) with a valid, current,...Remote workHourly payContract workWork at office$47.06k - $70.24k
...A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting findings, and communicating with claims examiners. Candidates must have a current RN license and at least...Remote work- ...yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees with...Remote workWork at office
- ...Utilization Review Nurse (RN) Neuropsychiatric Hospitals is looking for a Utilization Review Nurse (RN) to coordinate patients' services across... ...teams. This position will support multiple hospitals both remotely and traveling onsite to the hospitals. Location: REMOTE-...Remote workWork at office
$35 - $45.94 per hour
...Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About The Role You will perform frequent case reviews... ...Supervisor, Utilization Review. Work Location This is a remote position, open to candidates who reside in: Arizona;...Remote workHourly payFull timeWork from homeHome office- ...Resources Management Location: 100% Remote Schedule: M-F 9:00am to 5:30... ...teams Summary Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization management... ...unrestricted IL State Registered Nursing (RN) license in good standing...Remote workContract work
- ...This is a great opportunity for a local remote position. There is no communication... ...care for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital admissions... .... Minimum Requirements Education Nursing Diploma/Associate's Nursing Experience...Remote workFull timeReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
- ...the first 25 applicants This is full-time remote, but candidates must reside in IL or TX... ...for performing accurate and timely medical review of claims suspended for medical necessity... ...and prioritization skills. Registered Nurse (RN) with unrestricted license in state ....Remote workFull timeContract work
- ...Overview Title: Clinical Review Nurse – Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential... ...for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct...Remote workContract work
$35 - $43 per hour
...pay range $35.00/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA or hold an active... ...Review Nurse – Concurrent Review will perform utilization management functions to ensure members receive the right...Remote work- ...A leading healthcare solutions company seeks a skilled Utilization Review Nurse to conduct vital reviews for medical necessity and appropriateness. The ideal candidate will have an active RN license, 3+ years of inpatient clinical experience, and strong written communication...Remote workWork from homeFlexible hours
$55 per hour
...from Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare space. Location: Remote (must be based in California) Employment type... ...setting. Preferred: Experience in case management, utilization management, or discharge planning. Experience...Remote workFull timeContract workTemporary workLocal area$34 - $40 per hour
...with your recruiter to learn more. Base pay range $34.00/hr - $40.00/hr Remote (Compact Licensure Required) - Open to LPN's & RN's About the Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based...Remote workFull time- ...Currently seeking a Utilization Management RN . Please see details and... ...qualifications below: Position is remote - candidate must reside in... ...an active PA license or a Nurse Licensure Compact to include... ...conditions through medical record review to determine medical...Remote workImmediate startDay shift
$35 - $45 per hour
...Base pay range $35.00/hr - $45.00/hr Direct message the job poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating resources and services to meet patients’ needs while ensuring compliance with federal,...Remote workContract workWeekend work- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
$30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in‑patient admissions and... ...of the Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES Identifies...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Utilization Review Nurse Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide... .... Role: Utilization Review Nurse Location: Baltimore MD(Remote) Type: Contract Job Description: We are seeking an...Remote workContract work
- ...Nurses Are you looking for a change? Want to work no nights,... ...Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained)... ...: This individual will utilize clinical knowledge and... ...defer decision to a second level reviewer. This individual interfaces with...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
- ...Registered Nurse Bill rate max is ***/hour remote within one of our plan states, IL, TX, NM, OK, MT or TN.... ...use of resources. Medical necessity reviews may include: drugs and biologics,... ...effective and sufficient support of all Utilization Management activities to include...Remote workWork at officeLocal areaFlexible hoursShift work
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay Range: $35.... ...paced environment. Comfortable working independently in a remote or office-based setting. Working Conditions: May...Remote workWeekly payContract workWork at officeMonday to Friday- ...responsible for coordinating patient care and ensuring proper utilization of resources. The role involves managing medical... ...least two years of acute care experience and a Registered Nurse license. This is a remote position with a Tuesday to Saturday schedule and requires...Remote workLocal area
$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$38 - $40 per hour
A healthcare provider is looking for a Registered Nurse (RN) for a remote position in Texas. The RN will be responsible for various review activities and care coordination in the insurance or managed care sector. Candidates must have a valid RN license in Texas and at...Remote workHourly payContract work- ...A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...Remote workContract work
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the delivery of appropriate, efficient, and cost-effective... ...preferred. • Basic Life Support (BLS) certification as required for facility based staff; optional for remote staff.Remote workWork at office
- ...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
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