Remote Utilization Review Nurse I
CorVel Corporation
- Remote job
CorVel Corporation is seeking a Utilization Review Nurse to gather demographic and clinical information for prospective, concurrent, and retrospective reviews of in-patient admissions and outpatient treatment, certifying medical necessity and assigning length of stay in line with Case Management goals. This is a remote position with responsibilities including data collection, decision-making on certification/denial, documentation, stakeholder engagement, and adherence to safety programs. #J-18808-Ljbffr CorVel Corporation
$78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast...Remote workFull timeContract workWork at officeWork from homeFlexible hours$40.12 - $62.19 per hour
...Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate... ...information. This is a Full-time remote position. Responsibilities: The...Remote workFull time$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,...Remote work- ...who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage... ...Employee Referral Bonus Program JOB SUMMARY: The Utilization Review Nurse is to assess the medical necessity and quality of healthcare...Remote workFull timeTemporary workLocal area
- Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance...Remote job
$78k - $88k
Gainwell Technologies is seeking a skilled Utilization Review Nurse to perform prior authorization across prospective, concurrent, and retrospective reviews for medical necessity, documenting findings and ensuring policy compliance. This home-based role supports providers...Remote job$30 - $34 per hour
Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS - UM This is a fully remote position. Description Astrana Health is looking for an experienced...Remote jobHourly payMonday to Friday$35 - $45.94 per hour
...Utilization Review Nurse Remote Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as...Remote workHourly payFull timeWork from homeHome officeWeekend work- ...Overview We are seeking an experienced Utilization Management (UM) Registered Nurse to support outpatient utilization review and prior authorization activities for a leading... .... Ability to work independently in a remote environment. Comfortable using multiple...Remote workContract work
- ...experience and a valid NYS RN license. The position involves clinical reviews ensuring compliance with health standards. Applicants should... ...and proficiency with Microsoft Office. Opportunities for remote work may be available based on departmental needs. #J-18808-Ljbffr...Remote workWork at office
$66.83k - $111.38k
...qualifications, and experience.Norfolk, VAWork ShiftFirst (Days)Overview:Sentara Health Plansis hiring a Utilization Review Nurse/ RN for Imaging/Commercial- Remote!Status: Full-time,permanent position (40 hours)Standard working hours: 8am to 5pm EST, M-F. Weekend and holiday...Remote workPermanent employmentFull timeTemporary workWork from homeShift workDay shift- ...Summary Performs medical record review for severity of illness and... ...and Training: Nurse, Registered (RN) licensure... ...preferred. 2-5 years previous Utilization Review experience preferred.... ...Details: Days, Primarily remote; onsite orientation requirement...Remote workShift workWeekend work
$35 - $43 per hour
...range $35.00/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA or hold an... ...Clinical Review Nurse – Concurrent Review will perform utilization management functions to ensure members receive the...Remote work- ...Currently seeking a Utilization Management RN . Please see details... ...qualifications below: Position is remote - candidate must reside in... ...an active PA license or a Nurse Licensure Compact to include... ...conditions through medical record review to determine medical...Remote workImmediate startDay shift
- ...Management Location: 100% Remote Schedule: M-F 9:00am to 5... ...Summary Works with the Utilization Management team primarily responsible... ...necessity/utilization review and other utilization management... ...IL State Registered Nursing (RN) license in good standing...Remote workContract work
- ...levels possible. Job summary: Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and help ensure... ...position with two days per week in the office and three days remote. Candidates must also have flexibility to periodically work...Remote workWork at officeImmediate startFlexible hours2 days per week
- ...Utilization Review NurseWe are seeking a detail-oriented and experienced Utilization Review Nurse to evaluate the medical necessity, appropriateness, and efficiency of healthcare... ...organization, or utilization management department. Remote, hybrid, or on-site opportunities...Remote workWork at office
- ...weekend hours are required to address utilization review cases. Roles and Responsibilities... ...Must have a current, unrestricted Texas nursing license or Compact License. Please include... ...Telecommuting Requirements This is a remote position. Our whole company works...Remote workLive inFlexible hoursWeekday work
$35 - $43 per hour
...expertise into life-changing decisions, one review at a time? Why This Role Matters... ...applicable) ~ Graduate of an accredited nursing program (ADN or diploma required; BSN... ...med-surg, ICU/ED, or similar setting) ~ Utilization review/utilization management experience...Remote workHourly payImmediate startMonday to FridayFlexible hours- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-LjbffrRemote work
$34 - $40 per hour
...recruiter to learn more. Base pay range $34.00/hr - $40.00/hr Remote (Compact Licensure Required) - Open to LPN's & RN's About the Role Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-...Remote workFull time$30.64 - $45.8 per hour
...Utilization Review NurseThe Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions... ...Case Management department and of CorVel. This is a remote position.Essential Functions & Responsibilities:...Remote workFull timeWork at officeLocal areaFlexible hours- ...Utilization Review NurseSentara Health Plans Community Care is looking to hire a Utilization Review Nurse.The Utilization Review Nurse is responsible for utilization management services... ....For positions that are available as remote work, Sentara Health employs associates...Remote workTemporary work
- ...Utilization Review NurseThis position has a remote option for those living close and will be able to come into the hospital as needed.The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper...Remote workFull time
- ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness of services, utilizing clinical criteria and guidelines. Qualified candidates should have an active Maine...Remote workFlexible hours
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications U.... ...in Utilization Management, Utilization Review, or Case Management Preferred...Remote workContract workImmediate startMonday to Friday$65.48k - $96.89k
...Remote, USA Remote, GA Remote, MS Remote, NC Remote, TN Remote, AR Remote, FL Remote... ...automation, and workflow orchestration. As our Utilization Review Author (UR Author) - RN Required , you... ...in the completion of first-level nursing utilization review Ensure effective communication...Remote workFull timeLocal areaFlexible hoursWeekend workAfternoon shift$55 per hour
...from Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare space. Location: Remote (must be based in California) Employment type... ...setting. Preferred: Experience in case management, utilization management, or discharge planning. Experience...Remote workFull timeContract workTemporary workLocal area- A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and collaborating with teams to meet...Remote workContract work
$40 per hour
...Must reside in TX Full time remote Candidates must be based... ...performing initial, concurrent review activities; discharge care... ...Provides information regarding utilization management requirements and... ...and facilities. Registered Nurse (RN) with valid, current, unrestricted...Remote workFull timeContract workWork at office
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