Remote Utilization Review Nurse for Care Coordination
Martin's Point Health Care Inc.
- Remote job
Martin's Point Health Care Inc. is looking for a Utilization Review Nurse in New York. This role requires a strong background in clinical nursing and utilization management to ensure quality, cost‑efficient medical outcomes. Responsibilities include reviewing prior authorization requests, collaborating with healthcare providers, and participating in quality initiatives. Candidates must have a Compact RN License and at least 3 years of clinical nursing experience. #J-18808-Ljbffr Martin's Point Health Care Inc.
$35.5 - $53.25 per hour
...Management Group: Charlotte - Utilization Management. Schedule:... ...plan of care. Ensures essential information... ...and concurrent reviews. Applies clinical guidelines... ...needed to facilitate care coordination. Refers pertinent... ...accredited School of Nursing required. Bachelor\'s...Remote jobContract workPart timeWork at officeDay shift- ...Illinois is seeking an experienced Registered Nurse for a clinical role focusing on utilization review and care coordination. The ideal candidate will have 5+ years in healthcare... ...proficient in Microsoft 365. This role offers remote work and a comprehensive benefits package...Remote work
- ...leading healthcare provider is looking for an experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license...Remote workWork from home
- ...A leading healthcare analytics firm is seeking a Registered Nurse for a remote role focused on utilization review and clinical determinations. The position requires strong communication skills, 5+ years of varied healthcare experience, and an active RN license in Illinois...Remote work
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
$38 - $40 per hour
A healthcare provider is looking for a Registered Nurse (RN) for a remote position in Texas. The RN will be responsible for various review activities and care coordination in the insurance or managed care sector. Candidates must have a valid RN license in Texas and at least...Remote workHourly payContract work- ...Hospital is seeking a Case Manager responsible for coordinating patient care and ensuring proper utilization of resources. The role involves managing... ...of acute care experience and a Registered Nurse license. This is a remote position with a Tuesday to Saturday schedule...Remote workLocal area
- ...Overview Title: Clinical Review Nurse – Prior Authorization... ...Location: Fully Remote (PST Time Zone - WA/... ...Authorization Review to join our Utilization Management team. In... ..., providers, and care management teams to... ...authorized care Coordinates as appropriate with healthcare...Remote workContract work
$35 - $43 per hour
.../hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must... ...Concurrent Review will perform utilization management functions to... ...receive the right care at the right time. This... ...to ensure timely coordination between care levels and...Remote work$35 - $40 per hour
...5.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’... ...effective, and compliant delivery of home health care. This role monitors admissions,...Remote workContract workFlexible hoursWeekend work$38 - $40 per hour
...REMOTE - Candidates must be based in Texas:... ...insurance or managed care industry using medically... ..., concurrent review activities; discharge care coordination for determining efficiency... ...regarding utilization management requirements... ...) ~ Registered Nurse (RN) with a valid,...Remote workHourly payContract workWork at office$34 - $40 per hour
...range $34.00/hr - $40.00/hr Remote (Compact Licensure Required)... ...Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based health... ...services. In this role, you will coordinate and review patient...Remote workFull time- ...Job Title: Utilization Review Nurse Duration : 6 +Months contract + (Possibilities... ...Extension) Location: 100% Remote (Illinois, Texas, Montana,... ...compliance guidelines. Coordinate with Medical Directors when... ...degree in nursing or health-care related field preferred Minimum...Remote workContract workWork at officeLocal areaFlexible hoursShift work
- ...Advanced Health Coordinated Care Organization is hiring a part-time remote Utilization Review Nurse. The ideal candidate will be a licensed RN with experience in acute care and utilization review. Responsibilities include reviewing prior authorizations, ensuring quality...Remote workPart time
$73.86k - $96.02k
...Utilization Review Registered Nurse, Case Management Baptist Health is the region's largest not-for-profit... ...and 200 outpatient centers, urgent care facilities and physician practices across... ...financial resource utilization. Coordinates with healthcare team for optimal/...Remote workLocal area$33.6 - $51.39 per hour
...Categories: Case Coordination Job Status: PRN... ...opportunity for a local remote position. There is no... ...experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing... ...Requirements Education ~ Nursing Diploma/Associate's -...Remote workHourly payFull timeWork experience placementReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work- ...Summary: This position has a remote option for those living... ...as needed. The Utilization Review Nurse is responsible for determining... ...clinical appropriateness of care provided to patients and ensuring... ...identifiable needs for coordination of the beneficiary's member...Remote workFull time
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE)... ...timely, accurate, and compliant care decisions in accordance... ...processes. Assist with coordination of peer reviews and communication... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to Friday$64.17k - $96.26k
...medical management. The Utilization Management Nurse and the Personal... ...facilitating quality health care through the most cost... ...provides utilization review/pre-certification on... ...plans of care; coordinate services; educate members... ...functions. ~ Remote Work Environment...Remote workLocal areaRelocation packageFlexible hoursWeekend work- ...Responsibilities: Reviews documentation and evaluates... ...Potential Quality of Care issues based on... ...Medicare). Independently coordinates the clinical... ...an RN ~ Registered Nurse in state of residence... ...have prior authorization utilization experience ~ Experience...Remote work
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor... ...cost-effective patient care. Working collaboratively within... ...medical necessity, and coordinates with healthcare providers... ...required for facility based staff; optional for remote staff.Remote workWork at office
- ...Utilization Review Nurse (RN) Neuropsychiatric Hospitals is looking for a Utilization Review Nurse (RN) to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring... ...multiple hospitals both remotely and traveling onsite to...Remote workWork at office
- ...Utilization Review Nurse Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people... ...concurrent review, establishes discharge plans, coordinates transitions of care to lower/higher levels of care...Remote workWork at office
$35.29 - $47.37 per hour
...and their work-life balance Remote work options and Flexible... ...the Quadruple Aim of health care reform: member engagement and... ...hiring a Part-time REMOTE Utilization Review Nurse . If you are a licensed... ...managed care principles in the coordination of care. Prepares any case...Remote workHourly payPart timeCurrently hiringWork at officeLocal areaWork from homeMonday to FridayFlexible hours- ...organization; we’re a community-driven Coordinated Care Organization (CCO) committed to... ...difference at Umpqua Health. Position Title Utilization Review Nurse Department Umpqua Health Job Status... ...pm (Pacific Standard Time) Location Remote position Salary Wage Band 20: $85,99...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hours
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview... ...of in person and remote considered) GENERAL SUMMARY... ...ensures safe transitions of care. GIBSON AREA HOSPITAL &... ...RESPONSIBILITIES Coordinate and facilitate patient progression...Remote workHourly payFull timeWork at officeRelocation packageShift work$85k - $105.34k
...Utilization Review Nurse Remote Ability to travel on-site to 3031 NE Stephens St., Roseburg OR, 97457, as needed for business operations.... ...than a healthcare organization—we're a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday$49.14 per hour
Dignity Health is seeking a Utilization Review Nurse to supervise clinical decision-making and ensure resource utilization compliance. Responsibilities... ...utilization review principles, and liaising with care coordinators and physicians. Ideal candidates will have a nursing...Remote jobHourly pay$77.91k
E2E Alignment Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position involves reviewing inpatient admissions, coordinating care, and ensuring quality and cost-effective patient outcomes. The ideal candidate...Remote job$41 - $45.5 per hour
...Government Clients Role: Nurse Case Management... ...Location: Remote (within plan states... ...planning, implementing, coordinating, monitoring, and... ..., high-quality care and supports members... ...health education, and utilization management. Key... ...and retrospective reviews for inpatient,...Remote job
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