Remote Concurrent-Review Nurse | Utilization & Discharge
Actalent
- Remote job
Actalent is seeking a Concurrent Review Nurse to conduct concurrent reviews, evaluate medical necessity, and contribute to discharge planning. The role emphasizes collaboration with Medical Affairs, documentation in TruCare systems, and education of providers on utilization processes. The position is remote and contract-to-hire, based in Texas and supporting Medicare/Medicaid utilization management in various care settings. #J-18808-Ljbffr Actalent
$38 - $42 per hour
...Job Description Job Title: Concurrent Review Nurse Job Description The... ...necessity, and contributing to discharge planning according to established... ...systems according to utilization management policies. Work... ...Workplace Type This is a fully remote position. Application...Remote jobContract workTemporary work$38 - $42 per hour
...Concurrent Review Nurse The Concurrent Review Nurse plays a vital role in... ...necessity, and contributing to discharge planning according to... ...management systems according to utilization management policies.... ...Workplace Type This is a fully remote position. Application...Remote jobContract workTemporary work$38 - $42 per hour
Job Description The Concurrent Review Nurse plays a vital role in ensuring that... ..., and contributing to discharge planning according to established... ...systems according to utilization management policies. Work... ...Workplace Type This is a fully remote position. Application Deadline...Remote jobContract workTemporary work- Centene is seeking a Nursing professional to perform concurrent reviews from a home-based setting, ensuring appropriate care levels and discharge planning. Requires an Iowa license (or compact... ...and educating providers on utilization processes. Schedule is Mon-Fri, 8...Remote job
$40 per hour
...Care Industry Registered Nurse (RN) $40/hour - Contract... ...in TX Full time remote Candidates must be based... ...for performing initial, concurrent review activities; discharge care coordination for determining... ...information regarding utilization management requirements and...Remote workFull timeContract workWork at office- ...variance, to ensure timely discharges, and to refer members... ...Plan Manager of Utilization Management. This position... ...1. Current Registered Nurse license issued by the... ...implements care management review processes (Prior... ...Authorization, Predetermination, Concurrent Reviews, Retrospective...Remote workCasual workWork at officeShift work
- ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the... ...performing a variety of pre-admission, concurrent, and retrospective UM related... ...to address post-hospital discharge services, redirection to in-network...Remote workFull time
$55 per hour
...Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in... ...Healthcare space. Location: Remote (must be based in California... ...of care determinations, and discharge planning. Escalate non-... ...Experience in case management, utilization management, or discharge...Remote workFull timeContract workTemporary workLocal area$1,966 per week
...first 25 applicants Nurses - are you looking... ...-life balance. Remote/hybrid setting (once... ...This individual will utilize clinical knowledge... ...to a second level reviewer. This individual... ...needs, implements discharge planning and/or... ...precertification and concurrent review within the...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...Collaborating with the Medical Director, the full-time Registered Nurse Utilization Review will manage care variance reduction, ensure timely discharges, and refer members to appropriate resources while working remotely. Key responsibilities Assist in building and implementing...Remote workFull time
- Overview Title: Clinical Review Nurse - Prior Authorization... ...Location: Fully Remote (PST Time Zone - WA/OR... ...Authorization Review to join our Utilization Management team. In... ..., you will conduct concurrent and prior... ...reviews, ensure timely discharges, and collaborate with...Remote workContract work
- ...Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior... ...Admission Criteria Care coordination Concurrent Review Continued Stay Reviews Determine... ...Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/...Remote work
$27.02 - $48.55 per hour
...Position Purpose: Performs concurrent reviews, including... ...and contributing to discharge planning according to... ...This role is fully remote/work from home. The role... ...experience. RN compact nursing licensure is preferred... ...systems according to utilization management policies and...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursWeekend work- ...Position Summary: Reviews assigned cases applying... ...observation, admission, concurrent, discharge and retrospective... ...:00 PM - 7:30 AM ~ Remote What You Will Do... ...Perform all aspects of utilization review to ensure the... ...Bachelor of Science in Nursing (BSN) Current State...Remote workFull timeLocal areaNight shift
- ...required to address utilization review cases. Roles and Responsibilities... ...prior authorization, concurrent, and retrospective... ...management, discharge planning, care coordination... ..., unrestricted Texas nursing license or Compact... ...This is a remote position. Our whole company...Remote workLive inFlexible hoursWeekday work
- ...As an on-site Hospital Utilization Management (UM) Nurse, you are the primary link... ...compliance. Unlike remote roles, this position relies... ...admission and concurrent medical record reviews to ensure patients are... ...Documentation and Post Discharge * Completes chart notes...Remote workImmediate startShift work
- ...glance Location: Remote Department: Ascension... ...Insurance - Utilization Review Schedule: Day Shift... ...Conduct prospective, concurrent, and retrospective medical... .... Strategic Discharge Coordination: Evaluate... ...Registration: ~ Registered Nurse obtained prior to...Remote workReliefLocal areaDay shift
- ...Description: This is a remote position but will need... ...Conduct clinical reviews of patient records to... ...Collaborate with physicians, nursing staff, and... ...appropriate resource utilization and care planning Review... ...Facilitate timely discharges, transfers, and recertifications...Remote workFull timePart timeWork at officeLocal areaShift workRotating shiftDay shift
- Position Purpose Performs concurrent reviews, including... ...and contributing to discharge planning according to... ...positions available, remote/work from home. The work... ...certification is a plus. Compact nursing licensure is... ...systems according to utilization management policies and...Remote workFull timePart timeWork at officeWork from homeMonday to FridayFlexible hours
$31.94 - $43.92 per hour
...Perform medical + psychosocial assessments Create and manage discharge plans Coordinate with MDs, nurses, and social workers Lead care planning discussions Utilization Management Review medical necessity & admission status Ensure correct level of care...Relocation packageShift workWeekend workAfternoon shift- ...Refer a Friend Back Remote Work from Home Share This... ..., MD 21076 Category: Nursing Schedule: Day Shift... ...8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins... ...involved Initiate discharge planning of members What...Remote workFull timeLocal areaWork from homeMonday to FridayDay shift
$42 per hour
...Ascension Texas Utilization Management Department (Fully Remote) Provides health care services regarding... ..., case management, discharge planning and utilization review. Reviews admissions and service... ...assigned unit for prospective, concurrent and retrospective medical...Remote job- About This Role The Clinical Review Nurse-Concurrent Review performs concurrent reviews... ...a strong understanding of utilization management processes. Highlights Location: Remote, OK Schedule: Full Time,... ...concurrent review findings and discharge plans in health management systems...Remote workFull timeWork at officeMonday to FridayFlexible hoursWeekend work
- ...To support a centralized Utilization Management department, the full-time Utilization Review Nurse will conduct timely utilization... ...regulatory requirements while working remotely. Key responsibilities:... ...appropriate patient progression and discharge planning Required...Remote workFull time
- ...on authorization and concurrent review. Provides monthly telephonic... ...treatment setting by utilizing the applicable... ...proactive planning for discharge planning. Facilitates... ...Info: *possible remote opportunity after training... ...Requires an AS/BS in Nursing At least 2 years of...Remote workContract workMonday to FridayFlexible hours
- Registered Nurse (RN) - Utilization Review Job Description Job Shift:Days Job Type:Full Time The individual... ...for services from payers. Managing concurrent disputes. Collaborating with payers,... ...Thop Transmountain Campus (Remote) #J-18808-Ljbffr Oracle CorporationRemote workFull timeWork at officeFlexible hoursShift work
- Location: Partially Remote, with onsite coverage required... ...Hospital Department: Utilization Management Schedule:... ...appropriate care by reviewing admissions and service... ...build safe, effective discharge plans that set... ...Registration: Registered Nurse credentialed from the...Remote workFull timeLocal areaMonday to FridayWeekend workDay shift
- .... Job Summary The Utilization RN is responsible... ...conducting prospective, concurrent, and retrospective clinical reviews to determine... .... The Utilization Nurse communicates authorization... ...stay, and discharge reviews for inpatient... ...Work Conditions Remote role with reliable...Remote workFull timePart timeWork at officeLocal areaWeekend workAfternoon shift
$40.12 - $62.19 per hour
...EVERY Saturday and Sunday role Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical,... ...Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are...Weekend work- ...Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization... .... Responsibilities Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Concurrent-Review Nurse | Utilization & Discharge. Be the first to apply!




