Remote Inpatient Utilization Review Nurse (RN)
WNS Global Services
WNS HealthHelp is seeking a registered nurse to perform concurrent inpatient utilization review using InterQual criteria, supporting medical necessity decisions across hospital settings. You will collaborate with physicians and care teams to obtain clinical information and communicate rationale for level-of-care determinations.
The role requires acute care and utilization management experience, strong documentation skills, and the ability to operate independently in a remote, US-based
#J-18808-Ljbffr- Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will collaborate with the patient’s physician, facility... ...at the right level. Requirements include a CA LVN/RN license, minimum 3 years in case management, experience...Remote job
- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will assess inpatient needs, collaborate with the patient... ...AM–5:00 PM Pacific Time. Candidates must have LVN or RN license and 3+ years in case management, plus...Remote workMonday to Friday
- ...Alignment Health is seeking an experienced inpatient review nurse to join our remote utilization management team. You will guide patients through the care continuum... ...a Pacific Time schedule. Candidates must hold LVN/RN licensure and pursue multi-state licensure as needed....Remote work
$66.83k - $111.38k
...ShiftFirst (Days)Overview:Sentara Health Plansis hiring a Utilization Review Nurse/ RN for Imaging/Commercial- Remote!Status: Full-time,permanent position (40 hours)... ...primary functions of prior authorization, inpatient review, concurrent review, retrospective review, medical...Remote workPermanent employmentFull timeTemporary workShift workDay shift- ...Medix Staffing Solutions, Inc. is seeking an experienced California RN or LVN with strong Utilization Management and inpatient review experience for a 100% remote role focused on inpatient clinical review, UM, and discharge planning. You will apply MCG criteria and...Remote work
- ...TRISTAR Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses on workers’ compensation utilization... ...The position requires a nursing degree and an active RN/LPN license, with CCM/CMCN/CPHUR/CPDM/CDMS...Remote work
- ...Registered Nurse (RN)- Seidman Oncology Inpatient UnitsUniversity Hospitals Seidman Cancer Center is an integral part of the National Cancer Institute... ...time Employee Status: Regular - Shift Variable Job Type: Standard Job Level: Professional Travel: No Remote Work : No...Remote workHourly payFull timeRelocation packageShift work
- ...experienced Pediatric Inpatient Nurses (RNs) to help train and... ...Key Responsibilities Review and evaluate AI-generated... ...Qualifications Active RN license (U.S., outside... ...quality improvement, utilization review, CDI, or... ...contractor. This is a fully remote role that can be...Remote workContract workFor contractors
$7.5k
...General Hiring Registered Nurse Sentara Norfolk... ...Registered Nurse to join the Inpatient Rehabilitation Nursing... ...Registered Nursing (RN) is responsible to perform... ..., evaluation, resource utilization, and environmental... ...that are available as remote work, Sentara Health employs...Remote workHourly payFull timeTemporary workCurrently hiringRelocation packageShift work$60.2k - $107.4k
...About This Role As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of health services by assessing and... ...initial and concurrent review of inpatient cases applying... ...Education: Active, unrestricted RN license in state of residence...Remote workPermanent employmentFull timeDay shift- ...NeueHealth seeks a Concurrent Utilization Review (UR) Nurse in California to perform real-time clinical reviews ensuring medical necessity and appropriate... ...complex cases and denials. The role requires an active CA RN license, 2–3 years of clinical nursing, and UR/case-...
$77.91k - $116.86k
...saving them. Together. Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review nurse, you... ...and maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact) Immediately upon...Remote workImmediate startMonday to Friday$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 workHourly payPart time$89.54k - $136.47k
...Sentara Albemarle Medical Center Hiring Inpatient Case Manager/ Registered Nurse (RN) for Emergency Dept (ED)Elizabeth... ...management.Promotes effective utilization and monitoring of health services,... ...positions that are available as remote work, Sentara Health employs associates...Remote workPermanent employmentFull timeTemporary workRelocation packageShift work$60.2k - $107.4k
...delivered. As an Inpatient Care Management Nurse, you will be responsible... ...for ensuring proper utilization of our health... ...flexibility to work remotely as you take on some... ...initial and concurrent review of inpatient cases applying... ..., unrestricted RN license in state of...Remote workMinimum wagePermanent employmentFull timeWork experience placementLocal area- Medix is seeking experienced Registered Nurses (RN) or Licensed Vocational Nurses (LVN) for a 100% remote Utilization Management role in inpatient acute care. Involves discharge planning, concurrent reviews, and post-acute coordination, with a California license required...Remote jobContract work
$20k
...Registered Nurse (RN) Inpatient Rehabilitation Job Type: Full-time | 3x12 Hour Shifts | Nights $10,000 to $20,000 Commitment-Incentive Bonus Your experience matters Frye Regional Medical Center is part of Lifepoint Health , a diversified healthcare delivery...Full timeTemporary workPart timeRelocationShift workNight shiftWeekend work$89.54k - $136.47k
...Inpatient Case Management Registered Nurse (RN)Location: Hampton, VAWork Shift: First (Days)Overview... .... Promotes effective utilization and monitoring of health... ..., EPIC, Utilization Review, Case ManagementWe provide... ...positions that are available as remote work, Sentara Health...Remote workFull timeWork from homeRelocation packageShift workDay shift$31.49 - $42.51 per hour
...Registered Nurse (RN) Rehabilitation - Nights $20,000 sign-on bonus Schedule : 3 12-hour shifts 6:30 PM - 6:30 AM Hourly Range... ...of those we serve. More about our team Our beautiful inpatient rehabilitation unit (IPR)is a 10-bed unit with nurses typically...Hourly payTemporary workPart timeReliefRelocationRelocation packageShift workNight shift- ...Hospital Address: \n 1513 Race St, Philadelphia, PA 19102 \n \n \n PURPOSE AND SCOPE: \n The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria...Night shiftWeekend work
- ...Clinical Documentation Integrity (CDI) Specialist (RN) to support inpatient documentation improvement initiatives in a fully remote environment. The role requires working... ...documentation. Responsibilities include reviewing new inpatient cases, daily follow-ups for accuracy...Remote work
$44.14 - $109.51 per hour
...Description \n At Dana-Farber Cancer Institute, nursing is a profession of innovation, compassion... ...clinical collaboration, you’ll deliver inpatient oncology care at Mount Auburn Hospital,... ....\n \n \n The Registered Nurse (RN) at Dana-Farber Cancer Institute provides...Full timeShift workNight shiftRotating shift- ...Leave Your Mark is seeking a Registered Nurse for Utilization Review to support a Michigan health plan client from a home-based setting. The role focuses on prospective, concurrent, and retrospective reviews to determine medical necessity, level of care, and length of...Remote workWork from home
- ...colleagues in their positions. Join our Team as a(an) Clinical Nurse Coordinator RN Inpatient Oncology and access programs to assist with every stage of... ...RN Inpatient Oncology opening. Our team will promptly review your application. Highly qualified candidates will be...Hourly payFull timeTemporary workPart timeFlexible hoursShift work
$60 - $70 per hour
...OpenTrain AI, Inc. is seeking an Inpatient Clinical Documentation Reviewer (Registered Nurse) to review inpatient clinical documentation... ...for accuracy and safety. This remote contractor role offers hourly pay... ...inpatient bedside experience and RN licensure. You will annotate...Remote workHourly payFor contractors- ...micro1 is recruiting Registered Nurses to contribute clinical expertise for training... ...AI models. You will annotate and review inpatient documentation, ensuring accuracy and... ...for safety and clinical relevance. Remote, US-based RN candidates preferred for inpatient workloads...Remote workFor contractors
$33 - $37 per hour
...A national healthcare staffing firm seeks an experienced RN Utilization Review Nurse in Troy, MI. Responsibilities include utilization review for Medicaid and Medicare, managing authorization processes, and collaborating with healthcare teams to ensure quality care. Ideal...Hourly payMonday to Friday- 100% Remote | Contract-to-Hire | Monday-Friday 8-5pm | California... ...experienced Registered Nurses (RN) or Licensed Vocational Nurses... ...a strong background in Inpatient Utilization Management to join a growing... ...discharge planning, and concurrent review in a fast-paced, metrics-...Remote workContract workWork at officeMonday to Friday
- ...AMN Healthcare seeks a Remote Inpatient CDI to review high-acuity records and collaborate with coding, Case Management and Quality teams. You will educate... ...treatment and diagnoses. Prerequisites include RN license with CCDS/CDIP/CCS/RHIA/RHIT credentials preferred,...Remote work
- ...Trinity Health Corp. in Michigan is hiring an RN Intake Coordinator to act as the clinical gatekeeper for admissions to the Inpatient Psychiatric Medical Unit. The role... ...admission process, conducts clinical assessments, reviews referrals, and ensures timely admission...Remote workNight shift
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