Remote Clinical Review Nurse — Acute Care & Discharge Pro
Centene
- Remote job
Centene seeks a Clinical Review Nurse for concurrent reviews to evaluate care and support discharge planning. Ideal for those with acute rehab, SNF, or LTC experience. Remote option with Arizona residency requirements. Responsibilities include reviewing acuity, coordinating with Medical Directors, documenting findings, and educating providers on utilization processes to ensure quality care. Competitive benefits and flexible scheduling offered. #J-18808-Ljbffr Centene
- ...Job Title: Clinical Review Nurse - Concurrent Review Location:Remote- Nationally but must have Compact... ...reviewing the type of care being delivered, evaluating... ..., and contributing to discharge planning according to care... ...for: ICU, Med-surge, Acute Care experience...Remote workShift work
- ...Location: 100% Remote, Source candidates... ...accurate, and clinically appropriate authorization reviews while... ...for appropriate care and setting to... ...length of stay, and discharge planning of member... ...Accredited School of Nursing or Bachelor's... .... 2 years of acute care experience...Remote workHourly payShift workWeekend work
- ...Position Title : Clinical Review Nurse - Concurrent Review Work Location : Remote - Central, Mountain or Pacific... ..., time-sensitive discharges, and cases approaching... ...clinical status, level of care, functional needs,... ...templated formats. ~ Post-acute coordination: Evaluate...Remote workTemporary work
$27.02 - $48.55 per hour
...Performs concurrent reviews, including... ...reviewing the type of care being delivered... ...to discharge planning according... ...necessity based on clinical policies and... ...Accredited School of Nursing or Bachelor’s... .... 2+ years of acute care experience... ...to work with remote, hybrid, field...Remote workHourly payFull timePart timeWork at officeFlexible hoursWeekend work$41.5 per hour
...Job Title: Clinical Medical Review Nurse Location: Baltimore,... ...Hybrid - onsite and remote Hours: 40.0 hours... ...~3 years acute clinical experience,... ...previous case management, discharge planning, or utilization... ..., disability, family care or medical leave status...Remote workHourly payContract workZero hours contractWork at officeLocal area- About This Role The Clinical Review Nurse-Concurrent Review performs... ...appropriateness of care delivered. This role is... ...Highlights Location: Remote, OK Schedule: Full Time... ...concurrent review findings and discharge plans in health... ...: 2+ years of acute care experience required...Remote workFull timeWork at officeMonday to FridayFlexible hoursWeekend work
$38.91 - $60.31 per hour
...Department: SRSS Clinical Education Work Schedule... ...not offer a hybrid or remote option "This is... ...Education Resource Nurse (CERN) position with the... ...shift per week in an Acute Care unit at MHC or MHN for... ...of living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workPart timeLocal areaFlexible hoursShift workNight shift$27.02 - $48.55 per hour
...appropriate level of care in accordance with national... ...flexibility to work remotely from their home... ...Missouri. This team performs clinical reviews for medical and... ...member’s transfer or discharge plans to ensure a timely... ...Accredited School of Nursing or Bachelor’s degree in...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hours$2,300 per month
...The Clinical Review Nurse (RN) supports the organization’s care management function by conducting clinical reviews, ensuring... ...outcomes for members. This is a remote role open to candidates residing... ...3+ years of clinical experience(acute care, utilization review, or...Remote workWork at office- ...and appropriate level of care in accordance with... ...an Accredited School of Nursing or Bachelor's degree in... ...related experience. Clinical knowledge and ability... ...necessity and clinical reviews of authorization... ...a member's transfer or discharge plans to ensure a timely...Remote work
$44 per hour
...Clinical Review Nurse - Prior Authorization Various, NV Clinical Review Nurse... ...On-site Location: Fully Remote – Prefer Candidates reside... ...service and appropriate level of care in accordance with national... ...for a member’s transfer or discharge plans to ensure a timely...Remote workPermanent employmentContract workLive inShift work$34.22 - $48.38 per hour
...Surgery & Surgical Oncology Acute Care unit at UNC Medical... ...malignancy through clinical excellence, medical education... ..., occasional remote cardiac telemetry, early... ...Provides competent clinical nursing care consistent with... ...at high risk for discharge planning. # Leadership...Remote workHourly payFull timeFlexible hours$38 - $44 per hour
...Remote Prior Authorization Registered Nurse We are seeking experienced Registered... ...role, you will review outpatient authorization... ...necessity, apply clinical guidelines, and... ...appropriate access to care. You will work collaboratively... ...' transfer or discharge plans to ensure a...Remote jobContract workTemporary work- ...agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance... ...involves evaluating patient care cases and ensuring requested services... ...review and significant clinical experience in an acute setting. Strong written and verbal...Remote work
- Care New England, a fully integrated... ...is seeking a Nurse Practitioner or... ...provides 24/7 clinical oversight of a... ...paramedicine, and remote patient monitoring... ...treatment of acute and acute-on-... ...#Provide early post-discharge and high-risk... ...case reviews and quality improvement...Remote workFull time
$37.45 - $57.29 per hour
...The Registered Nurse (RN) is a professional... ...and evaluating care of patients. The staff... ...- Participate in clinical team conferences.... ...experience in an acute care setting. Failure... ...If applying for a remote or hybrid role,... ...HiredScore assists in reviewing applications, all...Remote workHourly payFull timeRelocation packageShift workNight shiftWeekend workAfternoon shift$150 per hour
...Telehealth Nurse Practitioner – Remote Acute Care (Work From Home – Nationwide) Join to apply for the Telehealth... ..., and the support of a responsive clinical team. This position is ideal for... ...treat acute & primary care conditions Review labs, prior records, and risk...Remote workWork from home$150 per hour
...Work From Home Nurse Practitioner (Remote Acute Visits, $210/hr) Join to apply for the... ...hr A nationwide virtual care group is expanding its... ...fast-paced visits, strong clinical autonomy, and the flexibility... ...primary care conditions Review labs and clinical records when...Remote workWork from homeFlexible hours$38.66 - $58.32 per hour
...Utilization Review RN, you will... ...concurrent, and post-discharge reviews,... ...like PRO and Joint Commission... ...payers, and Care Coordinators-... ...in applying clinical guidelines will... ...position is open to remote/out of state... ...'s Degree in Nursing Minimum... ...(2) years of acute hospital...Remote work- ...Company LLC is seeking a licensed nurse to perform concurrent reviews for Ambetter members in Georgia. This fully remote role follows a Monday-Friday... ...medically necessary care decisions. The position requires... ...education and 2+ years acute care experience; knowledge of...Remote jobMonday to Friday
$45.31 - $67.01 per hour
...Job Description: The Nurse Clinical Leader provides leadership... ...employee performance reviews. The Nurse Clinical... ...implementing and evaluating the care of patients. The RN... ...on admission, discharge, and transfer to ensure... ...expectations. If applying for a remote or hybrid role, this...Remote workHourly payFull timeShift work- ...5 months Work Location: Primarily Remote (Hybrid focus for candidates residing... ...leading healthcare organization as a Clinical Medical Review Nurse supporting the annual HEDIS retrospective... ...organizational compliance and high standards of care. Key Responsibilities: Conduct...Remote workContract workWork at officeLocal area
- ...Description Provides support for clinical member services review assessment processes.... ...integrated delivery of care across the continuum. Contributes... ...experience in hospital acute care, inpatient review,... ...experience. Registered Nurse (RN). License must be active...Remote jobWork at office
$30.37 - $59.21 per hour
...SummaryProvides support for clinical member services review assessment processes.... ...through integrated delivery of care across the continuum. Contributes... ...experience in hospital acute care, inpatient review,... ...and experience. • Registered Nurse (RN). License must be active...Remote workHourly payWork experience placementWork at office- ...A healthcare organization is seeking a Clinical Review Nurse – Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews, collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates...Remote workWork at office
- ...Job Title: Clinical Review Nurse - Concurrent Review - J00933 Address: Various, IL 99999 Job Description... ...cases to assess appropriateness of care. Collaborate with healthcare providers... ...through Monday, 10:00 AM – 6:30 PM CST Remote or on-site flexible working environment...Remote workFull timeFlexible hours
- ...Position Title: Clinical Review Nurse - Prior Authorization Work Location: Remote - PST and CST (No CA and NY candidates please) Assignment Duration: 12 Months... ...necessity of service and appropriate level of care in accordance with national standards, contractual...Remote workFlexible hoursShift work
$33.5 - $45 per hour
...inpatient and SNF Concurrent review and discharge planning experience.... ...and facilitate care for members who require... ...manager is a licensed nurse (RN or LVN). A care manager... ...Review and process clinical information in... ...through 3 to 5 years of acute nursing practice. Requires...Hourly pay- ...join our talented Team. Job Title: Clinical Medical Review Nurse. Location: Owings Mills, MD.... ...systems. Identify trends, gaps in care, and opportunities for improved health... ...professionalism and a collaborative mindset. Remote work environment with minimal physical...Remote work
- ...CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct... ...local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the...Remote workPermanent employmentWork at officeLocal area
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