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
- ...Nurses Are you looking for a change? Want... ...able to work from home 50% of the time... ...*Must have Mental Health and/or Substance Abuse... ...life balance. ~ Remote setting... ...This individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces...Remote workWork from homeTemporary workWork at officeMonday to FridayFlexible hours
- 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
- ...Summary: This position has a remote option for those living... ...as needed. The Utilization Review Nurse is responsible for determining... ...(InterQual/MCG/Centers for Medicare and Medicaid Services "CMS"... ...with other members of the health care team to ensure the above...Remote workFull time
- ...Join a stable work from home team. This is a great... ...for a local remote position. Schedule... ...commercial, behavioral health, inpatient, etc). Requirements... ...: ~2 years of staff nurse experience performing... .... ~2 years of utilization review (UR) experience reviewing...Remote workWork from homeReliefLocal areaMonday to FridayFlexible hoursShift work
$35.29 - $47.37 per hour
...a career at Advanced Health! We are searching for... ...-life balance ~ Remote work options and Flexible... ...a Part-time REMOTE Utilization Review Nurse . If you are a... ...Experience administering OHP, Medicare benefits or... ...within a remote work from home environment. Travel...Remote workWork from homeHourly payPart timeCurrently hiringWork at officeLocal areaMonday to FridayFlexible hours$85k - $105.34k
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed... ...TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a... ...with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday$17 - $25 per hour
...title Leadership Roles- Licensed Health Insurance- Medicare - Work from Home About Sagility Sagility... ...experience. Your recruiter will review the details based on qualifications... ...maintaining focus and productivity in a remote work environment ~ Ability...Remote workWork from homeWeekly payMonday to Friday$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- ...insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers'... ...documentation. The position offers flexibility with work-from-home options, competitive benefits, and a supportive office environment...Remote workWork from homeFull timeWork at office
- ...spouses. The RN Intern will engage in clinical reviews, support decision-making for healthcare... ...in Kentucky and two years of behavioral health experience. Candidates should possess... ...software, with the opportunity to work from home in a supportive environment. #J-18808-...Remote workWork from homeInternship
- ...provider in Louisiana is seeking a Registered Nurse to manage patient care and scheduling. The role includes participation in health education, monitoring patients, and... ...involves both office work and occasional patient home visits, emphasizing the need for strong communication...Remote workWork from homeWork at office
- ...is seeking an intern for the Utilization Management Behavioral Health Registered Nurse role. This position supports... ...and focuses on clinical review, communication with providers... ...behavioral health. The internship is remote, requiring a conducive home work environment and offers...Remote workWork from homeInternshipWeekday work
- ...Fonemed is seeking a Virtual Care Registered Nurse for a work-from-home role, helping to triage and support callers through the Newfoundland and... ...years of clinical experience, with strong skills in mental health and crisis intervention being an asset. This position requires...Remote workWork from homeFlexible hours
- ...Boost Home Healthcare in Chicago is seeking a Clinical Manager who is a Registered Nurse (RN) to oversee home health services. The role involves direct clinical supervision, staff evaluations, and ensuring quality care for homebound patients. Candidates must have a passion...Remote workWork from homeFlexible hours
$90 - $127 per hour
...Remote Licensed Mental Health Therapist (LMHT) Wage: Between $90-$127 an hour Are you a Licensed Mental Health Therapist looking to launch a private... ...in-person or remotely via telehealth while working from home. We accept the following licenses on a state-by-state basis...Remote workWork from homePrivate practiceFlexible hours$50k - $70k
...specializing in the distribution of Medicare Advantage, Medicare Supplement... ...Sales Agents at our Work From Home site. We provide full-time... ...Sales Agent typically holds Health and/or Medicare Supplement insurance... ...assurance requirements Utilizes client and/or company-provided...Remote workWork from homeHourly payFull timeWork at officeMonday to Friday$95k - $105k
...Full Time Clinical Manager - Home Health Compensation - $95,000 to $10... ...000 Hybrid (Field / Office / Remote) Immediate Opening Recruiting... ..., including a 4.0 out of 5.0 Medicare STAR quality rating. We are looking... ...(CoPs) Supervise nurses, therapists, and home health...Remote workWork from homeFull timeWork at officeImmediate startFlexible hours- ...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
- ...A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with... ...accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits. #J-18808-Ljbffr...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... ...(i.e., URAC, NCQA) and health insurance legislation. Awareness... ...Requirements: # Registered Nurse (RN) with unrestricted license...Remote workContract 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- ...tuition assistance, 403(b), remote work United States,... ...: Johns Hopkins Health Plans, Hanover, MD 21076 Category: Nursing Schedule: Day Shift... ...0 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns... ..., JHHP is the place to call home. #J-18808-LjbffrRemote workFull timeMonday to FridayDay shift
$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- ...staff position, please review this tip sheet ( . The... ...Enter Ancillary notes utilizing the templates for care... ...Utilize Case Manager nurse driven protocols to facilitate... ...Provide all required Medicare documents to the... ...UHealth-University of Miami Health System, South Florida's...Remote workFull timeTemporary workWorldwide
$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- ...Consult and coordinate with health care team members to... ...of individuals' home or work environments to... ...as required. • Observe nurses and visit patients to ensure... ...ENVIRONMENT Primary or Remote office and occasional patient... ...information, please review the Know Your Rights...Remote workWork from homeWork at office
$1,600 - $1,800 per week
...NOW HIRING: Registered Nurse - Utilization Management Location: Buckley... ...Peterson AFB, Colorado Military Health System Compensation:... ...no holidays, no telehealth/remote work Minimum... ...Utilization Management, Utilization Review, or Case Management ~•...Remote workContract workImmediate startMonday to Friday$85k - $105.34k
...Umpqua-Health seeks a Utilization Review Nurse to evaluate clinical service requests and ensure quality care. This role includes conducting prior authorizations, collaborating with healthcare teams, and ensuring compliance with regulations. The ideal candidate will have...Remote work- ...Martin's Point Health Care Inc. is looking for a Utilization Review Nurse in New York. This role requires a strong background in clinical nursing and utilization management to ensure quality, cost‑efficient medical outcomes. Responsibilities include reviewing prior authorization...Remote work
- ...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
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