Remote RN - Utilization Review & Care Coordination
$47.37 per hourLanceSoft Inc
Lancesoft is seeking a Care Review Clinician for a remote 3-month assignment. You will work with the Utilization Management team to review inpatient cases, authorize care, and ensure compliance with state and federal regulations. The role requires an active RN/LPN/LVN license and 2–4 years of clinical experience. Strong InterQual knowledge, problem-solving, and communication skills are essential. Schedule is 8–5 PST, on a W2 hourly rate of $47.37. #J-18808-Ljbffr
- ...Longmont United Hospital in Colorado is seeking an Utilization Review RN to review medical records and confirm admission status and continued... ...with Concurrent Denial RNs, Patient Access, and Care Coordinators to verify payer sources and obtain inpatient authorization...Remote work
$47.37 per hour
...Lancesoft is seeking a Care Review Clinician for a remote 3-month assignment. You will work with the Utilization Management team to review inpatient cases, authorize care, and ensure... ...regulations. The role requires an active RN/LPN/LVN license and 2–4 years of clinical...Remote workHourly pay- ...USA Scope The Medical Review Coordinator will perform her/his duties... ...clinical record for review by the utilization review specialist. Review... ...and focusing on quality care and improved outcomes,... ...Utilization Review Coordinator LPN (Remote) Support Job Utilization...Remote workFull timeTemporary workWork at office
- ...Software, Inc. is seeking a highly motivated Utilization Review RN to join our team. The RN will... ...length of stay, and level of care, including appeals initiated by providers... ...Responsibilities include authorizing services, coordinating discharge planning, and documenting...Remote workContract work
- ...Health is recruiting for an RN Concurrent Review Nurse in a remote capacity, focusing on... ...ensure medically necessary care across the continuum. The... ...with providers, coordinate discharge planning, and participate... ...referrals to optimize utilization and outcomes. #J-18808-Ljbffr...Remote work
- ...LifeBridge Health's Sinai Hospital Utilization Review team is seeking a remote, full-time RN to conduct initial, concurrent and retrospective chart reviews... ...and fully covered by insurance. You will coordinate with Care Managers, payors, and external reviewers to minimize...Remote workFull time
- ...Humana Inc. seeks a Utilization Management Registered Nurse to interpret and support coordination, documentation and communication of medical services and benefit... ...Solutions UM team focused on post-acute care services. You will review cases using established criteria,...Remote work
- ...University 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...Remote workFull time
- ...seeking a Registered Nurse for Utilization Management to assess and coordinate care for members. You will review clinical information, apply... ...resources. Requires an active RN license, ADN (BSN preferred),... ...adult acute/critical care. Remote work within the U.S. #J-18808...Remote work
- ...HealthEdge seeks a motivated Utilization Review RN to perform prospective, concurrent, and retrospective... ...medical necessity and appropriate care levels. The role includes discharge planning, care coordination, and appeals support, with remote work across the US. RN licensure is...Remote workContract work
- ...seeking a Medicare Precertification Utilization Management Nurse Consultant (RN) to join our remote team on weekends after training. You will review clinical information to support... ...and collaborate with providers to coordinate care, ensuring members receive appropriate...Remote workWork at officeWeekend work
- ...Cook Children's Health Care System is seeking a Registered Nurse Utilization Management/Episodic Case Manager (UM/ECM - RN) Reviewer to coordinate the efficient utilization of health care resources for CCHP members and ensure timely, quality care throughout the continuum...Remote work
$47.03 - $63.48 per hour
...possible in healthcare. The RN, Senior Utilization Review Quality will play an... ...management denials. Coordinate with service line leaders and... ...nursing experience in an acute care environment required... ...client experiences This is a remote position; however, candidates...Remote workTemporary workWork at officeLocal area$63.1k - $94.65k
...have current compact RN license, or be willing... ...Schedule Information: Our Utilization Review team provides coverage... ...utilization of health care resources and assists... ...Denial Management Coordinates the P2P process with... ...: This is a remote role which requires access...Remote workTemporary workPart timeWork at officeLocal areaFlexible hoursShift work- ...Summary and Responsibilities As our Utilization Review RN, you will meticulously review medical... ...stakeholders—physicians, payers, and Care Coordinators—regarding review outcomes. Your... ...status. This position is open to remote/out of state candidates residing in only...Remote work
- ...Position Description Position Title: Utilization Review Nurse Position Code: RN-6027 Department: Case... ...Responsible for conducting and coordinating medical necessity reviews for all... ...guidelines for determining level of care. Assures medical documentation accurately...Remote workWork at officeFlexible hours
- ...is seeking an Episodic Care Manager to join the Commercial Clinical Utilization Management team. The role reviews medical necessity and coordinates care across members... ...Requirements include an RN with 3 years of experience... ...collaboration and remote options. #J-18808-Ljbffr...Remote workFlexible hours
- ...integrated health care plans and related... ...LTSS department. RN will be responsible... ...authorization and concurrent review. Provides monthly... ...setting by utilizing the applicable... ...providers for care coordination. Works with medical... ...Additional Info: *possible remote opportunity after...Remote workContract workMonday to FridayFlexible hours
- ...Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerBethel,... ...of public health programs.Coordinates with other healthcare providers... ...IV/central line care, fall precautions, age-specific... ...housing provided in a remote area with shared common spaces...Remote workWeekly payWork experience placementDay shift
- HonorHealth is seeking an Utilization Review RN Specialist to review and monitor the utilization of health care services, ensuring medical necessity and appropriate levels of care. You will coordinate reviews for Medicare, AHCCCS, self-pay, and others from admission onward...Remote job
- ...Partners is seeking a Virtual Utilization Review Specialist to join our remote team. You will perform medical... ...necessity reviews, manage denials, and coordinate with FCC and care management to optimize patient... ...candidates hold a current RN license, have at least 1 year in...Remote job
$2,150 per week
...is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in... ..., and services, while coordinating with providers and payers... ...~ Skilled experience with remote work LENGTH OF ASSIGNMENT... ...provide quality patient care that continually evolves to...Remote workTemporary workZero hours contractImmediate startShift workNight shiftWeekend work- ...Central (2pm to 11pm Eastern). The Utilization Review Clinician is responsible for... ...to help prevent acute care readmissions. In this role, you... ...applying clinical expertise, you’ll coordinate care with facilities and... ...or therapy experience Active RN, OT, or PT license Preferred...Remote workFull timeWork experience placementWork at officeWorldwideMonday to FridayShift work
- Alignment Health is seeking an experienced inpatient review nurse to join the remote utilization management team. You will review inpatients with complex medical needs and coordinate care across physicians, facilities, and community providers, ensuring appropriate and...Remote job
$63.1k - $94.65k
...Nurse to perform hospital utilization reviews, assess medical necessity,... ...support appropriate levels of care. This remote role partners with... ...business day of admission. Coordinate Level-of-Care Decisions: Facilitate... ...: Current unrestricted RN license required; RN...Remote workTemporary workWork at officeLocal areaShift workAfternoon shift$1,759.5 per week
...Travel RN - Case Management/Utilization Review American Traveler Austin, Texas, United... ...RN for a fully remote role requiring TX or compact... ...licensure and 2 years of acute care UM experience. Details... ...denial/appeal issues Coordinates discharge planning needs...Remote workWeekly payLocal areaShift work$2,627 per week
...Travel RN - Case Management/Utilization Review - Case Management American Traveler Dalton, Georgia, United... ...Candidates who have been remote for the past 6 months must have recent... ...Information Responsibilities include care coordination, discharge planning, needs...Remote workWeekly payPermanent employmentShift workWeekend workDay shift$3,268 per week
...Travel RN - Case Management/Utilization Review - Case Management American Traveler San Francisco, California... ...with 2 days onsite and 3 days remote per week Day shift schedule, 5x... ...review, discharge planning, and care coordination Familiarity with InterQual criteria...Remote workWeekly payContract workLocal areaShift workDay shift3 days per week- ...an experienced Registered Nurse (RN) to join our Utilization Review team in a remote capacity. This role is responsible... ...necessity, reviewing levels of care, supporting denial prevention and... ...expertise in utilization review, care coordination, and healthcare resource...Remote workTemporary workWork at office10 hours per weekShift workWeekend workDay shiftAfternoon shift
- ...Description Join our team as a remote (Oklahoma City) full time days and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma... ...resources. Recommends and coordinates timely transfers to appropriate levels of care as indicated by clinical...Remote workFull timeWork at officeWeekend work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN - Utilization Review & Care Coordination. Be the first to apply!


