Remote RN Concurrent Review Specialist
CVS Health Corporation
CVS Health Corporation is seeking an experienced RN Concurrent Review Nurse for a remote, full-time role in Louisiana. You will review clinical information to determine medical necessity and coordinate care across the continuum.
The ideal candidate holds an active RN license in Louisiana, has 5+ years of inpatient nursing experience, and 2+ years in utilization management or related fields. BSN is preferred. This is a remote, full-time position with standard C.V.S. Health benefits.
#J-18808-Ljbffr- ...Cohere Health seeks an experienced RN Reviewer to perform prospective, concurrent, and retrospective reviews ensuring medical necessity and high-quality care... ..., Medicare, and Medicaid lines. The role is fully remote, requires strong communication, and entails 40 hours...Remote workFlexible hours
- ...CVS Health Corporation is seeking an RN Concurrent Review Nurse to work remotely from home in Louisiana with standard weekday hours. You will review clinical data to determine medical necessity, coordinate with providers, and support discharge planning and care management...Remote workWork from homeWeekday work
- ...seeking experienced nursing professionals to review medical records and ensure appropriate... .... Candidates must have a valid California RN license and at least two years of clinical... ...degree in a related field. The position offers remote work with emphasis on critical thinking...Remote work
- ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant... ...team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization...Remote workWork at office
$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with...Remote workMonday to FridayWeekend workWeekday work$43 - $47 per hour
...in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of... ...must possess an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a...Remote work- ...Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and discharge planning in collaboration...Remote workPart timeRelief
- ...VNA Health Group is seeking an experienced RN to join our Coding Review team as a Clinical Data Coordinator/OASIS Review. You will review OASIS... ...documentation excellence across the organization. This remote, per diem role requires NJ residency and an active NJ RN license...Remote workDaily paid
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote workContract workWork from home
- ...full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior... ...medical necessity criteria while working remotely. Key responsibilities Verify... ...authorizations, pre-certifications, and concurrent reviews Collaborate with clinical teams...Remote workFull time
- ...addiction and mental health issues, the full-time Remote Utilization Review Specialist will manage pre-authorizations and concurrent reviews, collaborating with case managers and... ...or equivalent with a state license (e.g., RN, LPN, LCSW, LMHC) preferred Minimum of three...Remote workFull time
$27.02 - $48.55 per hour
...Full time Position Purpose: Performs concurrent reviews, including determining member's overall... ...member. Key Details: This position is remote/work from home. Prefer applicants who... ...license and Michigan nursing licensure; RN preferred. The role will support Medicaid...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursWeekend work- ...Position Title: Clinical Review Nurse - Concurrent Review Work Location: Remote (EST preferred but will consider CST) Assignment Duration: 6 months Work... ...Nursing Preferred: Licensure Required: LPN/RN Preferred: Years of experience required: 2 - 4...Remote workWeekend work
- ...Job Title: Clinical Review Nurse - Concurrent Review Location:Remote- Nationally but must have Compact license if not in KY (ok with all time zones but must... ...: BSN Licensure Required: LPN Preferred: RN Years of experience required: 2-4 years of related...Remote workShift work
- ...Utilization Review (UR) Specialist Location: Open to candidates near Wyomissing PA & Chadds Ford PA (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday – Friday Diversified... ...Conduct initial, concurrent, and continued stay utilization reviews...Remote workFull timeMonday to FridayFlexible hours
- ...Position Title Clinical Review Nurse - Concurrent Review Work Location Remote (EST preferred but will consider CST) Assignment Duration 6 months... ...Nursing Preferred: Licensure Required: LPN/RN Preferred: Years of experience 2 - 4 years...Remote workWeekend work
$30 - $35 per hour
...Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $30-35/hour... ...of the Northpoint team, the Utilization Review Specialist is a licensed professional who is responsible... ...to third-party payers for initial and concurrent clinical review Review patient...Remote workFull timeTemporary workFor contractorsWork at officeMonday to Friday$26 - $56 per hour
...This Role The Utilization Management Nurse Consultant (RN) – Concurrent Review position is ideal for experienced RNs with a background in... ...coordination. Highlights Pay: $26 - $56/hour Location: Remote, LA Schedule: Full-time What You'll Do Perform...Remote workFull time$60k - $70k
...Full Time Office/Clerical Remote, Birmingham, AL, US Salary... ...are seeking a Utilization Review Specialist to add to our dynamic team!... ...admission, precertification, concurrent, continued-stay, step-down,... ...relevant certification, such as RN, LPN/LVN, LMSW, LPC, CADC,...Remote workFull timePart timeWork at office$26.01 - $56.14 per hour
...Utilization Management Nurse Consultant (RN) Concurrent Review Remote | Acute Inpatient Utilization Management | RN Opportunity Are you an experienced RN with a background in acute care and utilization management? Join our team and play a vital role in ensuring members...Remote workHourly payFull timeTemporary workWork experience placementWork at officeWork from home- ...Gateway Regional Medical Center, Inc. is seeking a full-time Utilization Review Specialist RN responsible for conducting admission and concurrent reviews to avoid payment denials, while managing appeals. This role requires collaboration with interdisciplinary teams to...Full time
- ...Position Title : Clinical Review Nurse - Concurrent Review Work Location : Remote - Central, Mountain or Pacific preferred Assignment Duration : 6 months... ...acquire a required state license Licensure Required: RN - State Licensure Preferred: Experience with...Remote workTemporary work
- ...About This Role The Clinical Review Nurse-Concurrent Review performs concurrent reviews to determine... ...management processes. Highlights Location: Remote, OK Schedule: Full Time, Monday-Friday... ...preferred Licenses & Certifications: RN (Registered Nurse) - State Licensure and...Remote workFull timeWork at officeMonday to FridayFlexible hoursWeekend work
$54.1k - $116.77k
...to simplify health care one person, one family and one community at a time. Utilization Management Nurse Consultant (RN) Remote | Concurrent Review | Utilization Management Are you an experienced RN with utilization management or prior authorization experience looking...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from home$38.5 - $61.6 per hour
...medicine. Description The RN Utilization Specialist reflects the mission, vision, and values... .... The RNUS through regular reviews and audits and collaboration with the... ...patients Facilitates utilization review concurrent with decisions on hospitalization and...Hourly payTemporary workFor contractorsWork experience placementCasual workWork at officeLocal areaRelocation packageFlexible hours- ...Utilization Management Department (Fully Remote)Job Summary:• Provides health care... ...management, discharge planning and utilization review.Responsibilities:• Reviews admissions... ...requests within assigned unit for prospective, concurrent and retrospective medical necessity and/...Remote work
$1,949.74 per month
...Specialty Utilization Review Job ID 17979666 Job Title Utilization Review RN Weekly Pay $1949.74... ...Week(s) Job Description Remote Utilization Review RN responsible for concurrent reviews, medical necessity determinations...Remote workWeekly payShift work- ...Comagine Health is seeking Clinical Utilization Review Nurses (RN) licensed in Alabama for a remote, full-time role. You will assess medical necessity and... ...quality of healthcare services through prospective, concurrent, and retrospective reviews to support compliant,...Remote workFull time
- ...seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license.... ...and knowledge of Utilization Review Guidelines. The position offers a competitive...Remote work
- ...CVS Health Corporation seeks an experienced Registered Nurse (RN) to support 24/7 Utilization Management operations. You will review cases, assess medical necessity, coordinate care, and ensure members receive appropriate, high-quality healthcare services. Join a dynamic...Remote workWork from home
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