RN Utilization Review — Night Shift (Payer & Care Throughput)
100 LCMC Health
LCMC Health in Louisiana seeks an RN for Utilization Review to support patient throughput, facilitate physician communication, and determine medical necessity in alignment with CMS and payer guidelines. You will document workflows in EPIC, identify barriers in treatment plans, coordinate care to prevent payer denials, and perform timely status conversions while adhering to regulatory requirements. The shift is nights, with weekend coverage. #J-18808-Ljbffr 100 LCMC Health
- LCMC Health is seeking an RN Utilization Review nurse in Louisiana to support patient throughput and coordinate care with physicians and payers. You will perform care reviews, determine medical... ...-quality patient outcomes. Evening shifts and 12-hour schedules are available....SuggestedAfternoon shift
$35 - $45 per hour
...IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical... ...across teams to optimize care, drive cost‑effective resource... ...communications with providers and payer plans. Collaborate with... ...professional nursing program (RN, LPN, or LVN). Minimum of two...SuggestedContract workRemote workWeekend work$65.48k - $96.89k
R1 RCM Inc. is seeking an RN Utilization Review Author to join the Physician Advisory Team, performing first-level admission and continued stay reviews using InterQual and MCG to determine appropriate care levels. The role requires an active RN license, a Bachelor’s Degree...SuggestedFlexible hoursAfternoon shift$34 - $40 per hour
...Licensure Required) - Open to LPN's & RN's About the Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based health services... ..., and collaborate with providers, payers, and internal teams to deliver...SuggestedFull timeRemote work$55 - $58 per hour
...$55/hr - $58/hr NIGHT SHIFT, 7PM-7:30AM, EOW IS... ...competent quality care based on nursing theory... ..., Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration.... ...command protocol. 9. Utilizes institutional... ...Facilitates patient throughput on shift basis....Night shiftHourly payDaily paidLocal areaShift workWeekend work- University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior... ...and retrospective utilization, coordinating with the care team for timely and appropriate care. You will manage a caseload...Remote jobFull time
- Utilization Review Rn Job type: Travel Profession: RN Specialty: Utilization Review State: NY INFOJINI
- Brighton Health Plan Solutions seeks an experienced Utilization Management Nurse (LPN) to perform medical necessity and benefit reviews remotely. You will work within UM processes,... ...Office, and 2+ years in UM within managed care. Prior experience in various reviews and...Remote jobWork at office
$65 per hour
...Title: Registered Nurse (RN) - Case Management... ...Performance) Schedule Shift: 9:00 AM - 5:30 PM Days... ...will coordinate patient care, manage resources, and ensure appropriate utilization of healthcare services while... ...planning. Conduct utilization review to ensure appropriate...Hourly payWeekly payLocal areaShift work$35 - $43 per hour
...- $43.00/hr Job Title Clinical Review Nurse - Concurrent Review Location... ...in CA or hold an active CA RN license) Duration: 12 months (with... ...Concurrent Review will perform utilization management functions to ensure members receive the right care at the right time. This role...Remote work- A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include processing authorization requests, ensuring compliance with Medicare guidelines, and collaborating with...Remote job
- Currently seeking a Utilization Management RN . Please see details and qualifications... ...area (PA, DE, NJ) M-F, day shift Start: ASAP Must provide... ...through medical record review to determine medical necessity... ...physicians to ensure appropriate care settings. Report...Immediate startRemote workDay shift
- Location: Fully remote (PA RN License or Compact including PA Required), Must Reside... ...seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to... ...medical necessity and appropriateness of care Apply evidence-based criteria to assess...Full timeContract workRemote work
$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 jobHourly payPart time- ...Duration: 9 weeks Shift: Nights Hours per Shift: 11... ...telemetry and critical care nursing License: Client... ...and institutional review processes. Collaborates... ...of command protocol. Utilizes institutional information... .... Facilitates patient throughput. Contributes to the...Night shiftTemporary workLocumLocal areaShift work
$87 per hour
...RN - Med Surg Shift: 7PM - 7:30AM, EOW Night Med surg experience required Travel... ...competent quality care based on nursing... ...Rounding, Medication Review, Discharge Wrap Up,... ...protocol. Utilizes institutional information... ...patient throughput on shift basis....Night shiftHourly payDaily paidContract workLocal areaShift work$81.1k - $117.47k
...Great opportunity for any RN, nursing background -... ...• No weekends/holidays/night shifts • 24 days of PTO, 29... ...position coordinates with Care Management Team (CMT)... ...and or eligibility by utilizing clinical expertise and... ...changing conditions. Reviews previous nursing assessments...Night shiftDaily paidTemporary workWork experience placementLocal areaRelocation package$45 - $50 per hour
...for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby....Remote jobHourly pay- ...people's lives. Work Shift Day (United States... ...Summary: Fulltime Night Shift 7p-7a for... ...Star CMS scores The RN Clinical Charge Nurse... ...safe delivery of care. The Charge Nurse is... ...expertise and utilizes this expertise to support... .../Length of Stay Review. Round with Physicians...Night shiftFull timeShift work
- RN Full-Time Night Shift (7pm - 7 am) | Waypoint Recovery Center | Cameron, South... ...for providing nursing care to clients. Supervising care... ...appropriately; transcribes and reviews provider’s orders ensuring... ...medications, per ordered ,utilizing at least two client identifiers...Night shiftHourly payFull timeReliefCurrently hiringAll shiftsShift workRotating shiftWeekend work
$66k - $106k
...analysis, investigation, and medical review to detect, prevent, deter,... ...data model output, and utilize a variety of tools to detect situations... ...Federal, State and Managed Care Organization (MCO) regulations... ...may be eligible for overtime, shift differential, and a...Night shiftContract workRemote workShift work$41.41 per hour
...Wyoming Valley (GWV) | Shift: Rotation (United... ...Graduate Inpatient RN position with up to... ...for evening, night, and weekend shifts... ...availability: Advanced Acute Care Units - Surgical... ...Princeton NCLEX Review Questions (online,... ...decision‑making regarding utilization of evidence‑based...Night shiftHourly payTemporary workRelocation packageShift workWeekend workAfternoon shift- ...Capacity Management RN - Hopewell - Full-... ...progressive, quality patient care with significant... ...Overview****SHIFT: 6:00pm-6:30am (rotating... ....* Ensures throughput on units and compliance... ...care areas. Reviews blocked and closed... ...communicate effectively and utilize effective conflict...Night shiftFull timeTemporary workPart timeWork at officeFlexible hoursShift work
$108k
...to apply for the RN Clinical Manager role... ...a part of our caring community and help... ...Receives case referrals. Reviews available patient... ...of third-party payers. Ensures final... ...recommendations by Utilization Review staff. Upon... ...Full Time Fellowship Nights- MICU Clinical...Night shiftFull timeTemporary workApprenticeshipWork at officeImmediate startRelocation packageFlexible hoursAfternoon shift- ...RN Case Manager RN Case Manager 2 years Day (... ...Evening (3pm to 11.30pm) and Night shifts (11pm to 7.30 am) A.... ...and provide nursing care as indicated: 1. Weekly... ...semi-annual drug regimen reviews(IRA), pressure ulcer... ...individual's needs: 1. Utilizes and keeps current medical...Night shiftContract workAfternoon shift
- ...in people's lives. Work Shift Night (United States of... ...Charge Registered Nurse (RN) - Cardiac Telemetry/ Congestive... ...continuously reliable care to high-risk cardiac... ...clinical expertise and utilizes this expertise to... ....e., unit rounds, case reviews, peer review, etc.); just...Night shiftFull timeShift work
- ...RN/Case Manager Mount Sinai Morningside Case Management (ED) FT Nights The Case Manager (CM) will be responsible... ...of the plan of care; ensure that the plan... ...quality and resource utilization. Assignment will be by... ...are not limited to: Reviews all new admissions to...Night shiftTraineeshipLocal area
$34 - $35 per hour
Utilization Management - Clinical Nurse - Work from Home! Utilization Management... ...telephonic and concurrent review of hospitalizations and... ...facilitate appropriate continuity of care Meet regulatory timelines for... ...reviews Qualifications RN license in an eNLC (Enhanced Nurse...Night shiftFull timeWork at officeRemote workWork from home$99.84k - $114.4k
...for a Registered Nurse (RN) to join the team at our... ...providing a high standard of care for patients of all ages... ...(Required) Shift availability: Day Shift (Preferred) Night Shift (Preferred) Overnight... ...supportive services. We utilize advanced technology and evidence...Night shiftDaily paidFull timePart timeLocal areaRelocationShift workDay shift$42.63 - $60.9 per hour
...to provide patient-centered care in a medical-surgical setting... ...This contract position requires night shifts and is located onsite. The... ...interdisciplinary teams, utilizing electronic health record systems... ...preferred Qualifications Active RN License BLS and ACLS...Night shiftContract work
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