Remote Clinical Review Nurse I — Flexible, Impactful
Elevance Health
- Remote job
Elevance Health is seeking a Clinical Review Nurse I to work virtually full-time with required in-person training sessions. You will review claims to determine if benefits apply, using medical policy and criteria. The role requires an active RN license and at least 1 year of clinical experience, with residency and hybrid/virtual work considerations. Primary duties include assessing necessity and reasonableness of items in a claim and rendering medical determinations, with opportunities for #J-18808-Ljbffr Elevance Health
- ...Position Title: Clinical Review Nurse - Prior Authorization Work Location: Remote - PST and CST (No CA and NY candidates please... ...Specifically, this role will impact the member and provider... ...qualities to look for: Team player, flexible ~ Top 3 must-have hard skills...Remote workFlexible hoursShift work
- ...Accredited School of Nursing or Bachelor's degree in... ...related experience. Clinical knowledge and ability... ...necessity and clinical reviews of authorization... ...Specifically, this role will impact the member and... ...look for: Team player, flexible ~ Top 3 must-have hard...Remote workFlexible hours
$27.02 - $48.55 per hour
...DetailsApplicants for this role have the flexibility to work remotely from their home anywhere... .... This team performs clinical reviews for medical and behavioral... ...an Accredited School of Nursing or Bachelor's degree in... ...you do here makes that impact real every day.You'll take...Remote workFlexible hoursFull timePart timeWork at officeWork from homeMonday to Friday$27.02 - $48.55 per hour
...Business Area: Clinical & Care Management... ...Performs concurrent reviews, including determining... ...position is fully remote/work from home,... ...ideally hold a compact nursing licensure.... ...do here makes that impact real every day. You... ...plus holidays, and a flexible approach to work...Remote workFlexible hoursHourly payFull timePart timeWork at officeMonday to Friday$27.02 - $48.55 per hour
About This Role The Clinical Review Nurse performs concurrent reviews to assess... ...to discharge planning. This remote position is ideal for those... ...Paid time off plus holidays Flexible work schedules About Centene... ...healthier lives, making a real impact every day through meaningful...Remote workFlexible hoursHourly payFull timeDay shift- ...Summary: Work Mode: 100% Remote - MS (candidates can... ...medical necessity reviews of inpatient admissions... ...stays. Apply clinical criteria and guidelines... ...determinations within nursing scope. Identify discharge... .../Organized Flexible and Results oriented...Remote workFlexible hoursHourly payShift workWeekend work
- ...Position Title: Clinical Review Nurse - Concurrent Review Work Location: Remote-MS CST Assignment Duration: 3 Months Contract to Hire Work Schedule: 8... ...Disqualifiers: LPN Additional qualities to look for: Flexible, Results oriented ~ Top 3 must-have hard...Remote workFlexible hoursContract workWeekend work
- Elevance Health is seeking a Clinical Review Nurse I to review and make medical determinations on claims to ensure members receive the benefits described in their plans in a flexible, virtual environment. The role emphasizes assessing the necessity and reasonableness of...Remote jobFlexible hours
- ...Description: Manager of Clinical Utilization Management... ...Type: Hybrid (85% remote, 15% onsite in Northridge... ...tasks, performance reviews, and any necessary disciplinary... ...accredited Registered Nursing Program; RN preferred.... ...and be adaptable to flexible work hours....Remote workFlexible hoursPermanent employmentFull timeTemporary work
$60k
Registered Nurse Clinical Reviewer / AIMS - Remote (#25347) Location: Remote (Jericho, NY) Employment Type... ...review who is detail-oriented, flexible, and capable of working independently... ...supportive non-profit environment. Impactful Work: Contribute to a mission-driven...Remote workFlexible hoursHourly payFull timeTemporary workPrivate practiceMonday to Friday- ...Infection Control Registered Nurse/Preventionist. The... ...pay and potential for remote work day available). Job... ...the development, review, and implementation of... ...Healthcare and Day Care Flexible Spending Accounts Immediate... ...form will not negatively impact you in any way,...Remote workFlexible hoursContract workFor contractorsH1bWork at officeImmediate startWork visa
- ...is recruiting PMHNPs to provide telepsychiatry across the United States with full clinical autonomy and strong support from psychiatrists via consults and peer reviews. We offer flexible schedules, home-based telehealth, comprehensive administrative support, credentialing...Remote jobFlexible hoursWeekly payWork from home
- ...Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract... ...ways while enjoying the flexibility of a remote work... ...Opportunity to make a meaningful impact on healthcare quality and patient...Remote workFull timeContract workLocal areaWork from homeHome office
- ...dedicated Psychiatric Mental Health Nurse Practitioners (PMHNP) for a remote opportunity. This role allows... ...to make a significant impact while enjoying flexible schedules and full autonomy in... ...license and possess exceptional clinical skills. Full back-office support...Remote jobFlexible hours
- ...across the United States who value evidence-based psychiatry, clinical autonomy, and strong collaboration with psychiatrists through consults and peer case reviews. We offer full-time and part-time roles with flexible scheduling, comprehensive administrative support, and...Remote jobFlexible hoursFull timePart time
$36.49 - $41.49 per hour
...Job Overview: The Clinical Medical Review Nurse handles day to day review of professional... ...policies. Assesses and communicates impact of information on medical policy.... ...and written communication skills. Remote EMR access experience is essential....Remote workWork at office- ...Clinical Review Nurse I Clinical Review Nurse I Virtual: This role enables associates to work... ...training sessions, providing maximum flexibility and autonomy. This approach promotes productivity... ...carries. How you will make an impact ~ Assesses the necessity and...Remote workFull timeTemporary workWork at officeLocal areaDay shift1 day per week
$60 - $70 per hour
...on the cutting edge of clinical AI, on your own... ...them need registered nurses who can create realistic... ...realistic, difficult clinical review scenarios, judge... ...This is that work, done remotely around your current job... ...Fully remote, fully flexible, no minimum shift, no...Remote jobFlexible hoursHourly payPart timeFor contractors$71k - $102k
Now hiring: Remote PMHNP: Flexible Hours, Growth & Impact in Remote at Thriveworks. Job type: Full-Time. Review the complete description and requirements... ...Mental Health Nurse Practitioner in New Hampshire... ...per year based on 15-20 clinical hours weekly while enabling...Remote workFlexible hoursFull timeImmediate start- ...About This Role The Clinical Review Nurse I is responsible for reviewing and making medical... ...role is ideal for individuals seeking a flexible, virtual work environment while contributing... ...who are passionate about making an impact on their members and communities. #J...Flexible hoursFull timeTemporary work
- Centene is seeking a Clinical Review Nurse for a remote role supporting members in Pennsylvania. The candidate will perform concurrent reviews, assess... ...with competitive pay and benefits, and the chance to impact patient care across the network. RN licensure and acute care...Remote jobFull timeShift workDay shift
$78k - $99.2k
...Senior Nurse Reviewer Make a meaningful impact on healthcare quality and claims accuracy by applying your clinical expertise to complex medical reviews.... ...training, and feedback. This remote opportunity combines... ...development and a flexible work environment. Accountabilities...Remote workFlexible hoursFull timeWork from home- Psychiatric Nurse Practitioner - Maryland Founded in 2020, Lavender... ...and like-minded folks works remotely from across the United States... ...and you can truly have an impact creating high-quality, user-centric... ...nurses and are seeking the flexibility and autonomy of private...Remote jobFlexible hours16 hoursFull timeContract workPart timePrivate practiceWork at officeMonday to FridayWeekend work
$68k
...Clinical Research Nurse, Clinical Trials Office, Clinical Operations... ...drivers through high-impact, cutting-edge research... ...a Glance ~ Up to 5 remote days per month upon successful... ...Richmond with the flexibility to work hybrid 5 days/month post-review, 3-6 months training...Remote workFlexible hoursFull timeTemporary workWork at officeLocal area- ...entertainment company is looking for a Junior QA Review Assistant to test mobile apps and provide insights. This remote role allows you to explore the user experience... ...great opportunity for tech enthusiasts who want to impact mobile gaming while working from home. Ideal...Remote jobFlexible hoursWork from home
- ...experience to provide senior-level review and sign-off on QoE reports.... ...Location: US Based - Fully Remote Your Mission: Day to Day... ...SBA-focused QoE practice Flexible recurring work without a full-... ...you grow, innovate, and make an impact. If you’re looking for...Remote workFlexible hoursHourly payFull time
- ...Quality Review Specialist The Quality Review Specialist will... ...opportunities, risk gaps that are impacting quality that should be... ...network may be eligible for a flexible work arrangement. We're combining... ..., and do their best work. Remote roles will also have the opportunity...Remote workFlexible hoursWork at officeWork from home
$142.71k - $172.93k
...values inclusion wellbeing flexibility and comprehensive... ...Position Summary The Clinical Nurse Consultant (CNC) is a... ...; and provides high impact patient safety and management... ...and policies. #LI-Remote We hire for skills... ...programs are reviewed on an ongoing basis and...Remote workFlexible hoursHourly payFull timeContract workSummer workLive inLocal areaShift workNight shiftWeekend work- ...About MMRO Managed Medical Review Organization (MMRO) is an... ...Associate Medical Director, and Clinical Staff. Contribute ideas... ...Why Partner with MMRO Flexible, remote contract opportunity. Set... ...physician reviewers and make an impact through clinical excellence...Remote workFlexible hoursFull timeContract work
$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to... ...still making a massive impact on patient care? We are... ...a vital bridge between clinical care and hospital operations... ...4-day work week, remote flexibility, and highly lucrative shift...Remote workFlexible hoursWork at office10 hours per weekShift workWeekend workAfternoon shift3 days per week
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