Remote Utilization Review Nurse
$78k - $88kGainwell Technologies
Gainwell Technologies is seeking a skilled Utilization Review Nurse to perform prior authorization across prospective, concurrent, and retrospective reviews for medical necessity, documenting findings and ensuring policy compliance. This home-based role supports providers, uses InterQual/MCG criteria, requires 3+ years inpatient experience and an active RN license in the U.S. Core hours 8:00 AM–6:00 PM ET; occasional travel up to 10%; salary range $78,000–$88,000 with benefits. #J-18808-Ljbffr
Vacancy posted 1 day ago
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United States4 days ago- ...Utilization Review NurseAmerican Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional... ...reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage...Remote workFull timeTemporary workLocal area
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Franklin, TN4 days ago - ...Job TitleThis position is fully remote, however, you must reside in the State of Texas. The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness...Remote workContract work
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Sacramento, CA1 day ago - ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Minimum of 3 years acute medical Care...Remote work
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Fort Myers, FL3 days ago $41 per hour
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United States5 days ago- ...Telenett is seeking a Remote Utilization Review Nurse to review medical records from a home office and determine medical necessity and care appropriateness. You will work with providers to develop compliant care plans and ensure high-quality, cost-efficient services for...Remote workHome office
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Texas City, TX5 days ago $29 - $52 per hour
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Atlanta, GA1 day ago$30 - $34 per hour
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Springfield, IL1 day ago $35 - $43 per hour
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New York, NY3 days ago- ...Description\n American Traveler is seeking a travel nurse RN Float Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida.Job Description... ...: 3\n Description\n American Traveler is hiring a remote Utilization Review RN with Provider-side experience...Remote workWork experience placementZero hours contractMonday to FridayShift workWeekend workDay shift
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Fort Myers, FL8 hours ago $35 - $45 per hour
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Sacramento, CA1 day ago- ...: Sentara Health Plans Community Care is looking to hire a Utilization Review Nurse. The Utilization Review Nurse is responsible for utilization... ...-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states...Remote workTemporary workShift work
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Brooklyn, NY5 days ago $34 - $40 per hour
...with your recruiter to learn more. Base pay range $34.00/hr - $40.00/hr Remote (Compact 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...Remote workFull timeMedix
New York, NY2 days ago$30.64 - $45.8 per hour
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IntePros
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Umpqua Health
United States2 days ago $61.05k - $98.33k
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Fort Worth, TX4 days ago- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
Medix
New York, NY3 days ago $35 - $40 per hour
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Phoenix, AZ5 days ago
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