Remote RN: Concurrent Review & Care Coordination
Registered Nurse
- Remote job
Kelsey-Seybold Clinic, part of the Optum family, invites you to explore a Concurrent Review Case Manager role. This telephonic position supports inpatient reviews and discharge planning, with remote work allowed nationwide. The clinic emphasizes coordinated, high-quality patient care across 40+ Houston-area locations. Qualified candidates will hold an RN license (TX RN) or TX LCSW, with 5+ years nursing or 3+ years medical social work in case management. #J-18808-Ljbffr Registered Nurse
$60.2k - $107.4k
...nation's leading health care organizations and... ...recognized for delivering coordinated and accountable care.... ...Growing together. The Concurrent Review Case Manager is... ...the flexibility to work remotely * from anywhere within... ...degree in Social Work TX RN license or TX LCSW license...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- Sentara Health Plans is seeking a Utilization Review Nurse/ RN for Medicaid to work remotely. The role includes pre-certification, inpatient and concurrent reviews, and care coordination across the patient care continuum, with weekend and holiday coverage requirements....Remote jobWeekend work
- Spectraforce Technologies is seeking a Clinical Review Nurse for concurrent review. This remote role supports US-based operations, requiring a nursing credential... ...emphasizes denial review, NCQA standards, and coordinated communication with agencies and teams. The candidate...Remote job
- ...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 will manage...Remote jobFull time
- MES Solutions is seeking a self-driven Registered Nurse (RN) to join our remote team as a Clinical Quality Assurance Coordinator. You will ensure peer review reports meet the highest quality and regulatory requirements while aligning with client agreements. This 100% remote...Remote jobMonday to Friday
- ...Ridge is HIRING MDS Coordinator Flexible Schedule... ...This is not a remote role, onsite is required... ...of high-quality care and exceptional... ...MDS Coordinator - RN is responsible for... ...assessment tool and for reviewing care plans and... ...center. *Conduct concurrent MDS reviews to assure...Remote workFull timeTemporary workPart timeImmediate startFlexible hours
- ...a 342-bed, acute care, nonprofit hospital... ...Responsible for the review of medical records... ...and the Care Coordination staff utilizing evidence... ...with the Concurrent Denial RNs to determine... ...Job Requirements Remote. Must reside within... ...experience. California RN license. AHA BLS...Remote work
- ...join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment... ...policies. Join a multidisciplinary team, coordinate with care teams, oversee CMS and payer regulations,...Remote job
- A healthcare organization is seeking a Clinical Review Nurse - Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews, collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates...Remote jobWork at office
- UnitedHealth Group, via OptumCare, seeks a Concurrent Review Case Manager to monitor and document care, compare it with guidelines, and... ...planning. The role emphasizes coordination with medical leadership and multiple care teams. Remote work from anywhere in the U.S. is offered...Remote jobWork at office
- Registered Nurse (RN) - Utilization Review Job Description Job Shift... ...effective resource coordination to help patients... ...optimal health, access to care, and appropriate... ...from payers. Managing concurrent disputes.... ...Transmountain Campus (Remote) #J-18808-Ljbffr Oracle...Remote workFull timeWork at officeFlexible hoursShift work
- Performs care coordination services for assigned recipients who are eligible for home health services... .../validate UR or forward to 2nd level reviewer. Provides first level utilization... ...Review Urgent/ Non-urgent, Concurrent Review and Retrospective Review. Completes...Remote jobContract work
$84.56k - $126.84k
...Overview The Utilization Review RN participates as a... ...position will be primarily remote but there may be... ...Assesses the continuity of care in conjunction with... ...appropriate payors. 3. Coordinates with other members of... ...utilization. 4. Conducts concurrent admission and...Remote workTemporary workPart timeLive inImmediate startRelocationRelocation packageShift workWeekend workAfternoon shift$27.02 - $48.55 per hour
About This Role The Clinical Review Nurse performs concurrent reviews to determine... ...nurses with experience in acute care and a strong understanding... ...$48.55 per hour Location: Remote, NY Schedule: Full-time, Monday... ...State Registered Nurse (RN) licensure strongly preferred...Remote workHourly payFull timeMonday to FridayFlexible hours- ...is responsible for coordinating, integrating, and... ...Medical Director for review. Refer to and work... ...pre-service, concurrent and post-service clinical... ..., and efficient care delivery processes... ...and active NYS RN license required.... ...be opportunity for remote work within all jobs...Remote workContract workWork at office
$26.5 - $47.59 per hour
Clinical Review Nurse - Concurrent Review Be among the first 25 applicants and get... ...perspective on workplace flexibility. Remote-US position. Must work... ...Time. Registered Nurse (RN) with utilization management... ...concurrent review, and acute care experience strongly...Remote workHourly payWork at officeFlexible hours$41.71 - $105.65 per hour
...RN Care Coordinator (Case Manager) BWH Care Continuum The RN Care Coordinator (RNCC... ...; ability to compile data from concurrent and retrospective medical record review to determine clinical... ...Shift: 40hr variable rotation Remote type: Onsite Work location: 4...Remote workHourly payWork at officeFlexible hoursShift workRotating shift- Moda Health is seeking a dedicated care coordination professional to ensure timely, appropriate care for members. You will interact with members... ...develop and monitor treatment plans and manage utilization reviews. The role is a full-time, work-from-home position offering...Remote jobFull timeWork from home
$72k - $81k
...a Registered Nurse Case Manager to manage an individual caseload remotely, coordinating services, reviewing treatment plans for medical necessity, and maintaining active communication with the health care team. This home-based role emphasizes URAC-aligned certification...Remote jobWork from home- ...oriented Registered Nurse (RN) to join a specialized... ...traditional bedside care and take on a position... ...will be responsible for reviewing and evaluating critical... ...technology to support remote and hybrid work functions... ...waivers, and care coordination processes is highly valuable...Remote workWork from home
$30 per hour
...Job Description Are you an experienced RN Concurrent Review looking for a new opportunity with a... ...continued stay requests for appropriate care and setting, following guidelines and... ...electronically, telephonically, or onsite to coordinate member care Educate providers on...Hourly payPrivate practice- Make an Impact Where Clinical Excellence Meets Care Coordination Are you a clinically strong RN who thrives in a dynamic healthcare environment and enjoys... ...of care? P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive...
$90k - $100k
Make an Impact Where Clinical Excellence Meets Care Coordination Are you a clinically strong RN who thrives in a dynamic healthcare environment and enjoys... ...of care? P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive...Work at officeLocal areaMonday to Friday3 days per week- ## Utilization Review RN II, Care Coordination, Full-Time, DaysApplylocations: Greenbrae, CAtime type: Full timeposted on: Posted 2 Days Agojob... ...Review Nurse is responsible for completion of admission, concurrent and retrospective reviews for designated health plans. This...Full timeWork at officeLocal areaShift work
- MarinHealth is seeking a Utilization Review Nurse II to perform admission, concurrent and retrospective reviews for... ...BSN preferred, 3+ years of acute care experience, and experience with case... ...you will assess clinical stability, coordinate transfers for continued care, and...
- Highmark Health is seeking a RN Care Coordinator to manage care transitions and coordinate with the care team. This hybrid, full-time role requires... ...will obtain necessary pre-certifications, drive utilization review, and support compliant care planning. #J-18808-Ljbffr...Remote jobFull time
$23.76 - $51.49 per hour
...JOB DESCRIPTION This RN will act as a Care Review Clinician and provide clinical review support for Medicare inpatient utilization management... .... Partners with providers, case management, and care coordination teams to facilitate appropriate care delivery, support...Remote workHourly payWork experience placementWork at officeShift work- Johns Hopkins Health Plans (JHHP) is seeking a Utilization Review Registered Nurse to assess care appropriateness, authorize services, and coordinate discharge planning for plan members. This remote role prioritizes candidates in MD, DC, VA, PA, DE, and FL with strong clinical...Remote job
- Comagine Health is seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time remote role supports compliant, cost-effective care under Alabama...Remote jobFull timeContract work
- As a Senior Review Coordinator, you will be responsible for conducting utilization... ...including prospective, concurrent and retrospective review for... ...appropriateness of quality of care based on contract, state, or... ...Skills and Experience Active RN license that is recognized in...Contract workCasual workWork at office
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