Remote Utilization Review Nurse: Medicare & Home Health
Medix
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 healthcare teams. Qualifications include an accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr
- ...A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
- ...Utilization Review NurseThis position has a remote option for those living close and will be able... ....The Utilization Review Nurse is responsible for determining... .../MCG/Centers for Medicare and Medicaid Services "CMS... ...with other members of the health care team to ensure the...Remote workFull time
$78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some... ...What you should expect in this role Home-based role available to applicants... ...401(k) employer match, comprehensive health benefits, and educational assistance....Remote workWork from homeFull timeContract workWork at officeFlexible hours- ...Working remotely in a 100% inbound-only capacity, the Licensed Health Insurance Agent will educate Medicare beneficiaries on Advantage, Supplement, and Part D plans, guiding them through... ...CRMs and VOIP Self-starter mindset with the ability to work independently from home...Remote workWork from home
$1,966 per week
...first 25 applicants Nurses - are you looking... ...able to work from home 50% of the time... ...personalized managed health care, focused on... ...Work-life balance. Remote/hybrid setting (once... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces...Remote workWork from homeFull timeTemporary workPart timeWork at officeMonday to FridayFlexible hours- ...and creative outpatient mental health private practice that provides... ...PAID SICK TIME ~ WORK FROM HOME AND IN-PERSON (if desired) ~... ...CA fully licensed Psychiatric Nurse Practitioner (PMHNP) to join our... ...offering flexibility for both remote telehealth services and 2-3...Remote workWork from homeFull timePrivate practice
$20 per hour
A healthcare transformation company is seeking Licensed Health Insurance Agents for a remote role. In this position, you will provide consultative support... .... Join us to make a meaningful impact while enjoying flexible work-from-home conditions. #J-18808-Ljbffr View MoreiconsRemote jobWork from homeHourly payFlexible hours$75k - $120k
...Licensed Health Insurance Agent Are you a licensed agent ready... ...? If so, become our full-time remote Licensed Health Insurance Agent... ...should apply for this work-from-home position if you live in one of... ...fastest-growing health and Medicare agencies in the U.S. Following...Remote workWork from homeBase plus commissionFull timeLive in$18 per hour
...Medicare Sales Agent Join the Connexion Point Team! Connexion Point is looking for... ...~ Continuing education credits ~ Remote/work-from-home Schedule Training runs Monday through... ...re Looking For Required: Active Health or Health & Life license Minimum 1...Remote workWork from homeHourly payLocal areaHome officeMonday to Friday1 day per week- A healthcare recruitment company is seeking a remote Psychiatric Mental Health Nurse Practitioner (PMHNP) to provide comprehensive patient care. The position... ...teams. This role allows you to work from home while making a significant impact on patients' lives. #J...Remote workWork from homeFlexible hours
$185.25k - $308.75k
...there must be robust health outcomes data to... ...receive expedited review, or orphan product... ...hybrid, blending remote and in-office work... ...Applied experience in utilizing evidence for the... ...the Centers for Medicare and Medicaid Services... ...Upper Providence; Home Worker - CAN;...Remote workWork from homeFull timeWork at officeLocal area$20 per hour
...Job title Licensed Health Insurance Agents - Medicare About Sagility Sagility combines industry... ...Agents to join our growing remote Medicare sales team. Whether you... ...What You Will Need to Work from Home Before your first day, you’ll need...Remote workWork from homeHourly payWeekly paySeasonal workLocal area$21 per hour
...Job title Licensed Health Insurance Agent – Medicare | Remote About Sagility Sagility combines industry-leading technology and transformation... ...make important healthcare decisions; all from home. We are actively hiring for upcoming opportunities...Remote workWork from homeHourly payWeekly paySeasonal workLocal areaImmediate start$90k - $107k
...Mass General Brigham Health Plan Holding Company, Inc. is seeking a Remote UM Nurse to support network adequacy review and authorization activities for members in ACO, HMO, and EPO products. The role requires clinical knowledge to review prior authorization requests, assess...Remote work- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting... ...a hospital setting (experience in health plans or medical groups is not... ...organizations. Strong knowledge of Medicare regulations and associated utilization...Remote work
$125k
...Work From Home Nurse Practitioner – Telehealth Women’s Health | $125K+ 2 days ago Be among the first 25 applicants This range is provided by NPHire. Your actual... ...care for patients across the U.S. This fully remote position offers flexibility, autonomy, and competitive...Remote workWork from homeFull time- ...Comagine Health is seeking a remote clinical reviewer to evaluate medical necessity for behavioral health services across a national footprint. The role requires applying evidence-based criteria, managing high-volume reviews, and documenting outcomes within the EMR. You...Remote workFull time
$41 per hour
...Remote position, however, candidates must reside in the State of TX... ...performing accurate and timely medical review of claims suspended for... ....e., URAC, NCQA standards and health insurance legislation. #... ...prioritization skills. # Registered Nurse (RN) with unrestricted license...Remote workContract work$120 per hour
...Overview Join our network of remote Psychiatric Mental Health Nurse Practitioners (PMHNPs) and enjoy the freedom and flexibility of working from home. Benefits Guaranteed Pay: You are fully compensated for cancellations and no-shows Set Your Schedule: You...Remote workWork from home- ...Overview Home Health Visits with Growth Potential Job Summary:... ...includes opportunities to offer Remote Therapeutic Monitoring (RTM)... ...care while adhering to Medicare and Medicaid standards. Responsibilities... ...services such as: RTM Utilize RTM technology to monitor and...Remote workWork from homeFull timePart time
- ...Consult and coordinate with health care team members to... ...of individuals' home or work environments to... ...condition as required. Observe nurses and visit patients to... ...ENVIRONMENT Primary or Remote office and occasional... ...further information, please review the Know Your Rights...Remote workWork from homeWork at office
$41 - $45.5 per hour
...Direct Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL, TX,... ...clinical assessments, health education, and utilization management. Key Responsibilities... ...concurrent, and retrospective reviews for inpatient, rehab, referrals...Remote work$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization ManagementLocation: Buckley AFB... ...Peterson AFB, Colorado Military Health System Compensation: $1,600... ...no holidays, no telehealth/remote workMinimum QualificationsU.... ...Utilization Management, Utilization Review, or Case ManagementPreferred...Remote workContract workImmediate startMonday to Friday- ...Management Location: 100% Remote Schedule: M-F 9:00am... ...Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization... ...unrestricted IL State Registered Nursing (RN) license in good... ...Contract Job function Health Care Provider...Remote workContract work
$35 - $43 per hour
...hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in... ...– Concurrent Review will perform utilization management functions to ensure... ...plans, and medical determinations in health management systems. Educate...Remote work- ...Work From Home Licensed Health Insurance AgentWe are seeking motivated, licensed Work from Home... ...Enrollment Period (AEP). In this 100% remote outbound sales role, you will connect... ...their unique needs—primarily focusing on Medicare Advantage (MA) products. Duration: Temporary...Remote workWork from homeTemporary work
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential... ...Comfortable working independently in a remote or office-based setting. Working... ...records. Our range of benefits may include health care and 401(k) savings plans. For individuals...Remote workWeekly payContract workWork at officeMonday to Friday- ...Consult and coordinate with health care team members to... ...of individuals' home or work environments to... ...condition as required.Observe nurses and visit patients to... ...ENVIRONMENTPrimary or Remote office and occasional patient... ...information, please review the Know Your Rights...Remote workWork from homeWork at office
$30.64 - $45.8 per hour
...Utilization Review NurseThe Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent... ...and of CorVel. This is a remote position.Essential Functions & Responsibilities... ..., Vision, Long Term Disability, Health Savings Account, Flexible...Remote workMinimum wageFull timeWork at officeLocal areaFlexible hours$8 - $65 per hour
...Prolific seeks Mental Health Professionals in Jacksonville to participate in training AI... ...$65/hr for tasks, which can be completed remotely. Candidates will analyze AI-generated data... ...AI development from the comfort of their homes, with flexible working hours. #J-18808-Ljbffr...Remote workWork from homeFlexible hours
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