Remote Inpatient Utilization Review Nurse (RN)
WNS Global Services
- Remote job
WNS HealthHelp is seeking a registered nurse to perform concurrent inpatient utilization review using InterQual criteria, supporting medical necessity decisions across hospital settings. You will collaborate with physicians and care teams to obtain clinical information and communicate rationale for level-of-care determinations. The role requires acute care and utilization management experience, strong documentation skills, and the ability to operate independently in a remote, US-based #J-18808-Ljbffr WNS Global Services
- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will collaborate with the patient’s physician, facility... ...at the right level. Requirements include a CA LVN/RN license, minimum 3 years in case management, experience...Remote work
$38 - $40 per hour
...Title: RN -- Review Analyst Location: Remote Duration: 12 months with possible extension Pay... ...concurrent, and retrospective utilization reviews for inpatient, outpatient, ambulatory, and ancillary... .... - Bachelor's degree in Nursing or a related field preferred....Remote workHourly payWork at officeMonday to FridayShift work- Medix Staffing Solutions, Inc. is seeking an experienced California RN or LVN with strong Utilization Management and inpatient review experience for a 100% remote role focused on inpatient clinical review, UM, and discharge planning. You will apply MCG criteria and Medicare...Remote job
- ...Registered Nurse (RN)- Seidman Oncology Inpatient Units University Hospitals Seidman Cancer Center is an integral part of the National Cancer Institute... ...Regular - Shift Variable Job Type: Standard Job Level: Professional Travel: No Remote Work : No University HospitalsRemote workHourly payFull timeRelocation packageShift 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...Remote job
$60.2k - $107.4k
...About This Role As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of health services by assessing and... ...initial and concurrent review of inpatient cases applying... ...Education: Active, unrestricted RN license in state of residence...Remote workPermanent employmentFull timeDay shift$7.5k
...currently hiring a Registered Nurse to join the Inpatient Rehabilitation Nursing... ...Description:The Registered Nursing (RN) is responsible to perform... ..., evaluation, resource utilization, and environmental health)... ...that are available as remote work, Sentara Health employs...Remote workHourly payFull timeTemporary workCurrently hiringRelocation packageShift workNight shift$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- ...experienced Pediatric Inpatient Nurses (RNs) to help train and... ...Key Responsibilities Review and evaluate AI-... ...Qualifications Active RN license (U.S., outside... ...quality improvement, utilization review, CDI, or clinical... ...contractor. This is a fully remote role that can be...Remote workContract workFor contractors
$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$60.2k - $107.4k
...Inpatient Care Management NurseOptum is a global... ...Care Management Nurse, you will be responsible... ...ensuring proper utilization of our health... ...flexibility to work remotely from the Pacific,... ...initial and concurrent review of inpatient cases... ..., unrestricted RN license in state...Remote workMinimum wageFull timeWork experience placementLocal area$89.54k - $136.47k
...Integrated Care Manager/Registered Nurse (RN) for Inpatient and Outpatient Clinical Appeals- Remote in Virginia! Status: Full-... ...and commercial insurance Review clinical denials (non-billing related... .../knowledge in Rev Cycle, Utilization Review (UR) and Case Management...Remote workPermanent employmentFull timeTemporary workShift work$60.2k - $107.4k
About This Role As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of health services by assessing and... ...initial and concurrent review of inpatient cases applying... ...Education: Active, unrestricted RN license in state of MO Experience...Remote jobFull timeDay shift$44.14 - $109.51 per hour
...Description At Dana-Farber Cancer Institute, nursing is a profession of innovation, compassion... ...clinical collaboration, you’ll deliver inpatient oncology care at Mount Auburn Hospital,... ...hospital. The Registered Nurse (RN) at Dana-Farber Cancer Institute provides...Full timeShift workNight shiftRotating shift- 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
$41 - $45.5 per hour
...Government Clients Role: Nurse Case Management Senior... ...Analyst Location: Remote (within plan states:... ...Active, unrestricted RN License Must have... ...health education, and utilization management. Key... ...concurrent, and retrospective reviews for inpatient, rehab, referrals, and...Remote work- ...Physicians, patient/family, nursing, utilization review and other members of the... ...Licensed to practice as an RN in Georgia.Educational Requirements... ...responsibility of inpatient or post-hospitalization services... ...weekend rotation, and remote coverage.Working at NGHS means...Remote workAll shiftsShift workDay shift
$38.96 per hour
...people want to work here. Scheduled Weekly Hours: 30 Registered Nurse (RN) - Inpatient Behavioral Health Location: Main Campus, La Crosse, WI... ...more than 500,000 residents throughout 22 counties. Select Remote/Hybrid Eligible under More search to see our remote-eligible...Remote workLocal areaWork from homeShift workNight shiftWeekend work$41.5 per hour
...Summary Geisinger is proud to offer an Inpatient RN up to $24,000 hiring incentive for... ...plans, organizes, performs, and evaluates nursing activities to meet the needs of the... ...unit-based decision-making regarding the utilization of evidence- based practice. Actively...Full timeTemporary workPart timeFlexible hoursShift workNight shiftWeekend workAfternoon shift- ...A leading healthcare provider in Florida is seeking a Nurse (LPN/RN) to join their team. This role involves performing assessments, initiating... ...a valid Florida RN/LPN license and have experience in an inpatient psychiatric unit preferred. The position offers a vibrant...Flexible hours
$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- Leave Your Mark is seeking a Registered Nurse for Utilization Review to support a Michigan health plan client from a home-based setting. The role focuses on prospective, concurrent, and retrospective reviews to determine medical necessity, level of care, and length of...Remote jobWork from home
- ...Greenbrier Valley Medical Center - 1320 Maplewood Ave, Ronceverte, WV 24970 Purpose and Scope The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and...Immediate startWorldwideNight shiftWeekend work
- ...provides the lodging, paid mileage and meals if over 50 miles from home location. PURPOSE AND SCOPE The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2...Night shiftWeekend work
$31.49 - $42.51 per hour
...Registered Nurse (RN) Rehabilitation - Nights Schedule : 3 12-hour shifts 6:30 PM - 6:30 AM Hourly Range: $31.49 - $42.51 Your... ...of those we serve. More about our team Our beautiful inpatient rehabilitation unit (IPR)is a 10-bed unit with nurses typically...Hourly payTemporary workPart timeReliefRelocationShift workNight shift$89.54k - $136.47k
...Hospital is hiring an Inpatient Case Manager, Inpatient... ...Manager, Registered Nurse Hours: 8:00 - 4:30... .... Promotes effective utilization and monitoring of health... .... Education RN-Associate's Degree OR... ...that are available as remote work, Sentara Health...Remote workFull timeTemporary workShift work- ...Registered Nurse (RN) Inpatient Rehabilitation Job Type: Full-time | 3x12 Hour Shifts | Nights $10,000 to $20,000 Commitment-Incentive Bonus Your experience matters Frye Regional Medical Center is part of Lifepoint Health , a diversified healthcare delivery...Full timeTemporary workPart timeRelocationShift workNight shiftWeekend work
$36.15 - $59.95 per hour
...Registered Nurse (RN) In the Inpatient Rehab Unit at Mount Sinai Rehabilitation Hospital, the Registered Nurse (RN) provides inpatient care for adult patients recovering from injuries, surgeries, or chronic conditions requiring intensive therapy. What You Will Do:...Hourly payDaily paidLocal areaWork from homeRotating shift- ...Job Description Registered Nurse (RN) Inpatient Rehab Shift: Nights, PRN Your Experience Matters Highpoint Health - Sumner is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment...Full timeTemporary workPart timeReliefLocal areaShift workNight shift
- ...Acute Inpatient Registered Nurse - RN - DialysisLocation: Columbus, IN area.Employer type: Dialysis.What the work involves:Performs all essential functions under the direction of the Supervisor and with the guidance from the Educator, Preceptor, or in collaboration with...
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