Remote Utilization Review Nurse - Acute Care Expert
Insight Global
A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality policies. The ideal candidate has over 2 years of experience in utilization review and significant clinical experience in an acute setting. Strong written and verbal communication skills are essential. #J-18808-Ljbffr
- ...staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client... ...role involves evaluating patient care cases and ensuring requested services... ...clinical experience in an acute setting. Strong written and verbal...Remote work
$72.8k - $130k
...Coding Subject Matter Expert Optum Insight is improving... ...alignment between care providers and payers,... ...with prebill reviews, such as, HAC/PSIs. The... ...the flexibility to work remotely * from anywhere within... ...process standardization, utilization of best practices, work...Remote jobMinimum wageFull timeContract workWork experience placementLocal area- Description: Nurses – are you looking for a... ...personalized managed health care, focused on what’s... ...-life balance. ~ Remote setting ROLE... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces... ...of 3 years recent acute clinical practice...Remote workTemporary workWork at officeMonday to FridayFlexible hours
- ...a Friend Back Remote Work from Home Share... ...MD 21076 Category: Nursing Schedule: Day Shift... ...(JHHP) is the managed care and health services... ...- 5:00 PM As a Utilization Review Registered Nurse for Johns... ...' experience as an acute care RN ~1+ years' experience...Remote workFull timeLocal areaWork from homeMonday to FridayDay shift
$35 - $45.94 per hour
...Utilization Review Nurse Hi, we're Oscar. We're hiring a Utilization Review Nurse... ...records and speak with care providers regarding treatment... ...Work Location: This is a remote position, open to candidates... ...year clinical practice in an acute care setting, i.e., ER or hospital...Remote workHourly payWork from homeHome officeWeekend work- ...driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity... ...records to ensure timely and compliant care determinations. Key responsibilities Conduct... ...years of recent clinical experience in acute care, med-surg, ICU/ED, or similar...Remote workFull time
- ...Centene is seeking a Nursing professional to perform concurrent reviews from a home-based setting, ensuring appropriate care levels and discharge planning... ...experience, including acute care exposure. The role... ...educating providers on utilization processes. Schedule is...Remote work
- ...Centene Corporation is seeking a Remote Utilization Review RN to perform concurrent reviews and ensure medically necessary care for members. The role requires a CA RN license and acute care experience, with a Monday–Friday schedule and occasional weekend/holiday rotation...Remote workMonday to Friday
- ...Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2-5+ Years... ...-quality, cost-effective patient care.The ideal candidate is a licensed... ...outpatient, observation, and post-acute care services.Assess medical necessity...Remote workFull timeSecond jobWork at office
- ...Currently seeking a Utilization Management RN .... ...: Position is remote - candidate must reside... ...PA license or a Nurse Licensure Compact... .... ** Previous Acute Hospital Utilization... ...medical record review to determine medical... ...appropriate care settings. Report...Remote workImmediate startDay shift
$77.08k - $119.47k
...Department/Unit: Care Management/Social... ...Responsible for Utilization Management, Quality... ...1. Registered nurse with a New York State... ...in a high volume, acute care hospital preferred... ...to utilization review process. 8.... ...cannot be done from a remote location. Other...Remote workShift work$36 - $39 per hour
## Expert Coach IIApply: USA - Any Location (Remote): Full time: Posted Today: End Date... ...evolution of virtual care.**At Teladoc Health... ...experience, from acute and primary care to... ...appropriate coaching utilization and meet member... ...practice.o Seeks out and reviews research findings...Remote workBi-weekly payFull timePart timeWork experience placementVisa sponsorshipWork visa- ...Adult-Gero Acute Care NP Subject-Matter Expert - Contractor (Remote) Hours: 5–15 hours per week Location: Remote Type:... ...as an Adult-Gerontology Acute Care Nurse Practitioner. Contracted writers will write, edit, review and/or categorize nurse practitioner...Remote workHourly payContract workTemporary workFor contractors
$85 per hour
...Requirements Must be eligible to work in Remote Fluent proficiency in English (Written & Verbal) Reliable... ...Within 3 months ~80% Why this role At $85/hr, this Utilization Review Nurse / Managed Care Expert position compensates Healthcare expertise on its own...Remote workHourly payContract work- ...Remote role but will need to go to Newark, NJ to pick up equipment and orientation... ...: 1. Conducts on-site reviews at participating provider offices... ...business experience, preferably health care industry. 2. Requires License Practical Nurse License or an active New Jersey...Remote work
$55 - $65 per hour
...: Adult Inpatient Nurses (RN) Type: Contract... ...Location: Remote Role Responsibilities Review and evaluate AI-generated... .... Provide expert feedback on nursing... ...California) Recent adult acute care inpatient bedside... ...improvement, utilization review, CDI, or clinical...Remote workContract workSummer work$65k - $78k
...development. Your Role In Our Mission Review admissions, procedures, services, and... ...systems. Assist in training new nurses, provide feedback, and stay updated on clinical... ...when you bring together people who care deeply about making healthcare work better...Remote workFull timeWork at officeWork from homeFlexible hours$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley... ...no holidays, no telehealth/remote work Minimum Qualifications... ...experience in direct patient care • 12 consecutive months in Utilization... ...Management, Utilization Review, or Case Management...Remote workContract workImmediate startMonday to Friday$40 per hour
...Insurance Or Managed Care Industry Registered Nurse (RN) $40/hour - Contract for... ...reside in TX Full time remote Candidates must be based in... ...performing initial, concurrent review activities; discharge care... ...information regarding utilization management requirements...Remote workFull timeContract workWork at office- ...TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services. Responsibilities include preauthorization...Remote work
- ...Management Company LLC is seeking a qualified nurse reviewer to conduct concurrent inpatient and... ...necessity and appropriate level of care. The position involves documenting findings... ...include educating providers on utilization processes, sharing feedback with leadership...Remote work
- ...Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization... ...of healthcare services, procedures, and levels of care in accordance with established criteria, payer guidelines, and...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
- ...Overview Title: Clinical Review Nurse – Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident... ...Review to join our Utilization Management team. In this role,... ...medical directors, providers, and care management teams to support high...Remote workContract work
- ...Global is looking for a Utilization Review Registered Nurse to sit remotely with one of their large health... ...evaluating 3.5 patient care cases per hour (both... ...day to day, etc. Being an expert within the plan and benefit... ...clinical experience in an acute environment (not...Remote workHourly pay
- ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization... ...responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital...Remote workFull time
$150 per hour
...Telehealth Nurse Practitioner – Remote Acute Care (Work From Home – Nationwide) Join to apply for the Telehealth Nurse Practitioner – Remote Acute Care... ...messaging Diagnose and treat acute & primary care conditions Review labs, prior records, and risk factors when available...Remote workWork from home$33.6 - $51.4 per hour
...great opportunity for a local remote position. There is no communication... ...of RN experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital... ...Requirements Education ~ Nursing Diploma/Associate's - Nursing...Remote workHourly payFull timeWork experience placementReliefLocal areaMonday to FridayFlexible hoursShift work- ...Summary: The RN Integrated Care Coordinator (UM) provides... ...hours are required to address utilization review cases. Roles and... ...current, unrestricted Texas nursing license or Compact License.... ...Telecommuting Requirements This is a remote position. Our whole company...Remote workLive inFlexible hoursWeekday work
$150 per hour
...Work From Home Nurse Practitioner (Remote Acute Visits, $210/hr) Join to apply for the Work From Home Nurse... ...- $210.00/hr A nationwide virtual care group is expanding its telehealth... ...acute and primary care conditions Review labs and clinical records when available...Remote workWork from homeFlexible hours$10k
...Acute Care Cardiac (Main 7) Acute Care Cardiac (Main 7) is a 44 bed... ...a mix of experienced and new nurses who are committed to caring for... ...Staff Nurse, BSN, Expert is a Registered Nurse, a member... ...participates in the nursing peer review process. Promotes change that...Relocation packageNight shiftWeekend work
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