Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote RN Utilization Review Specialist (PT)

Trinity Health

Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and discharge planning in collaboration with physicians and care teams. Ideal candidates hold an RN license, with a BSN preferred, and have at least 2 years of acute care experience.

#J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote RN Utilization Review Specialist (PT) in Mishawaka, IN vacancy
  •  ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant...  ...team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization... 
    Remote work
    Work at office

    HealthHelp

    United States
    5 days ago
  • $69.39k - $88.61k

     ...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management...  ...a Bachelor’s degree in a related field, an active RN/Social Work/Clinical Counselor license, and 2+ years of... 
    Remote work
    Full time

    Cincinnati Children's

    United States
    3 days ago
  •  ...Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges. Qualifications include RN... 
    Remote work

    Cleveland Clinic

    United States
    2 days ago
  •  ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure... 
    Remote work
    Work at office

    CCF

    New York, NY
    1 day ago
  • $65k - $85k

     ...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with... 
    Remote work
    Monday to Friday
    Weekend work
    Weekday work

    Concierge Home Care

    United States
    1 day ago
  • HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The ideal candidate has an RN license... 
    Remote job

    NurseRemotely

    New York, NY
    3 days ago
  • HonorHealth is seeking an Utilization Review RN Specialist to review and monitor the utilization of health care services, ensuring medical necessity and appropriate levels of care. You will coordinate reviews for Medicare, AHCCCS, self-pay, and others from admission onward... 
    Remote job

    HonorHealth

    Phoenix, AZ
    19 hours ago
  •  ...seeking experienced nursing professionals to review medical records and ensure appropriate...  .... Candidates must have a valid California RN license and at least two years of clinical...  ...degree in a related field. The position offers remote work with emphasis on critical thinking... 
    Remote work

    Santa Barbara Cottage Hospital

    United States
    1 day ago
  •  ...workers' compensation, the full-time Utilization Review Nurse will assess medical necessity, analyze...  ...among all parties involved, working remotely during standard business hours. Key...  ...chiropractic, or related medical program (RN, DC, PT, DPT, LVN, OT, or LAc) Valid state-... 
    Remote work
    PTS card
    Full time

    Virtual Vocations Inc

    United States
    1 day ago
  • **This is a casual position supporting Utilization Review at Catherine Gratz Griffin Lake Forest...  ...to 6p or 6p to 6a. ** The Case Manager RN (PT) reflects the mission vision and values...  ...Registered Nurse at NM may be eligible.   Remote Work : No Employment Type :... 
    Remote work
    PTS card
    Part time
    Casual work
    Local area
    Relocation package
    Rotating shift
    Weekend work
    Weekday work

    Northwestern Memorial Healthcare

    Lake Forest, CA
    10 days ago
  •  ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical...  ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical... 
    Remote work
    Contract work
    Work from home

    Mass Digital Health

    Quincy, MA
    4 days ago
  •  ...CVS Health Corporation seeks an experienced Registered Nurse (RN) to support 24/7 Utilization Management operations. You will review cases, assess medical necessity, coordinate care, and ensure members receive appropriate, high-quality healthcare services. Join a dynamic... 
    Remote work
    Work from home

    CVS Health

    United States
    3 days ago
  •  ...Logan Health is hiring a Utilization Management Specialist to join the UM team. The role focuses on reviewing admissions, validating documentation and determining appropriate...  ...proficiency, with a four-day work week and remote options for Montana residents. #J-18808-Ljbffr
    Remote work

    Logan Health

    Helena, MT
    1 hour ago
  •  ...Odyssey House is looking for a Full-Time Utilization Review Specialist. Summary: Odyssey House's Mission is "Empowering people to heal and build better...  ...accrual after 1 year) EXTRA time off and gift packages for PT and FT staff that stay more than 90 days! Sabbatical... 
    PTS card
    Full time
    Contract work
    Temporary work
    Casual work
    Local area
    Immediate start
    Flexible hours
    Shift work

    Odyssey House

    New York, NY
    5 days ago
  •  ...Utilization Review (UR) Specialist Location: Open to candidates near Wyomissing PA & Chadds Ford PA (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday - Friday Overview Diversified Treatment Alternative Centers (DTAC) is seeking a detail-oriented... 
    Remote work
    Full time
    Monday to Friday
    Flexible hours

    Diversified Treatment Alternative Centers

    Wyomissing, PA
    3 days ago
  •  ...advanced care to our neighbors throughout the region. Organization Utilization Management Job Summary Facilitates optimal reimbursement...  ...status is ordered. Conducts initial admission based on utilization review medical necessity criteria. Refers cases for secondary review... 
    Remote work
    Temporary work
    Work experience placement
    Live out
    Flexible hours

    Vanderbilt University Medical Center

    New York, NY
    1 day ago
  •  ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining insurance authorizations, communicating with managed care organizations, and collaborating with clinical teams.... 
    Remote work
    Part time
    Weekend work

    Recovery Unplugged

    United States
    5 days ago
  •  ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant communications with insurance payers. You will support patient access by securing initial and continued... 
    Remote work

    The Florida House

    United States
    1 day ago
  •  ...and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support medical necessity criteria while working remotely. Key responsibilities Verify insurance benefits, eligibility,... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    2 days ago
  •  ...Cincinnati Children's is seeking a Utilization Review professional to perform admission and continued stay reviews...  ...certification for inpatient stays. The role requires RN licensure with relevant experience and works remotely in the United States. The position includes... 
    Remote work

    CO00 Children's Hospital Medical Center

    United States
    2 hours ago
  • $24 - $26 per hour

     ...Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-Friday, 9 AM-5 PM ET | $24-$26/hour About the Role Principles Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage insurance authorizations for adolescent... 
    Remote work
    Full time
    Monday to Friday

    Principles Recovery Center

    United States
    4 days ago
  •  ...excellence. Who We're Looking For We are seeking an experienced specialist who is passionate about making a difference in the lives of...  ...Health or related field required preferred. 2-3 years of utilization review experience in behavioral health, addiction treatment, or managed... 
    Remote work
    Daily paid
    Full time

    The Florida House

    United States
    1 day ago
  • $30 - $45 per hour

     ...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long...  ...along with experience in Epic EHR and Utilization Review. The selected candidate will perform...  ...program metrics. This position is remote and offers a pay range of $30-$45 per... 
    Remote work
    Hourly pay
    Contract work

    Pyramid Consulting

    Long Beach, CA
    4 days ago
  • McLaren Health Care is seeking a Registered Nurse to join the Utilization Management team. The role focuses on determining appropriate patient...  ...with admitting physicians and care teams, conduct concurrent reviews, and support discharge planning while maintaining compliance... 
    Remote job

    McLaren Health Care

    Mount Clemens, MI
    1 day ago
  • Spectrum Billing Solutions is seeking an ABA Utilization Review Specialist to review clinical data and obtain authorized services for ABA and related treatments. This role offers either remote work or a home-office hybrid setup, with collaboration across clinical staff... 
    Remote job
    Work from home
    Home office

    Spectrum Billing Solutions

    New York, NY
    1 day ago
  •  ...A leading healthcare staffing firm is seeking a Utilization Review RN in Syracuse, NY. The role involves conducting utilization management activities, certification reviews, and collaborating with healthcare providers. Candidates must have an RN License in NY and at least... 
    Monday to Friday

    HealthCare Support

    Syracuse, NY
    1 day ago
  •  ...Kent County Cmh Authority is seeking a Utilization Review Specialist to perform reviews for I/DD, mental health, and SUD services. You will assess...  ...appropriate intensity settings. The role is full-time and remote with occasional local travel within the Kent County area.... 
    Remote work
    Full time
    Local area

    Kent County CMH Authority

    United States
    21 hours ago
  •  ...Minnesota Adult & Teen Challenge in Minneapolis is seeking a Utilization Review Coordinator to obtain and maintain insurance authorizations for...  ...and DHS requirements. Training is provided; initial in-person in Minneapolis with remote work thereafter. #J-18808-Ljbffr... 
    Remote work

    MnAdultTeenChallenge

    Minneapolis, MN
    1 day ago
  •  ...The Utilization Review Specialist (RN) at Munson Healthcare will ensure appropriate utilization across the continuum of care, evaluating admissions, continued stays, and transitions to meet regulatory and payer guidelines. This role collaborates with physicians, case managers... 
    Weekend work
    Afternoon shift

    Munson Healthcare

    Traverse City, MI
    1 day ago
  •  ...Onvida Health is seeking an RN Utilization Review Specialist to perform prospective and concurrent medical record reviews to determine medical necessity and appropriate level of care in line with CMS regulations and payer requirements. You will communicate with payers... 
    Night shift

    Onvida Health

    Yuma, AZ
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote RN Utilization Review Specialist (PT). Be the first to apply!