Remote Utilization Review RN | OASIS & Coding Expert (FL)
$65k - $85kSanta Barbara Cottage Hospital
Santa Barbara Cottage Hospital is seeking a Utilization Review Specialist (RN) for a remote position, specifically for candidates based in Florida. The ideal candidate will possess a valid Florida RN License and certifications in OASIS and coding. The role involves thorough reviews of home health documentation, ensuring compliance and accuracy, while collaborating with clinical teams. This position offers a salary range of $65,000 to $85,000, full benefits package, and opportunities for quarterly bonuses, further enhancing career growth. #J-18808-Ljbffr
- Jobtailor is hiring for a remote OASIS QA coder with an RN license and Medicare PDGM knowledge. You will review and validate OASIS assessments, code diagnoses per CMS guidelines, and ensure compliance. Strong attention to detail and ability to work independently are essential...Remote job
$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend work- 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...Remote work
- ...- 301 Lippincott Drive Remote Type: On-Site Employment... .... Preferred Experience: Coding experience; Oasis experience. JNESO union... ...quality care and efficient utilization of agency resources. Position... ...Must have a valid NJ RN License. Approved licenses...Remote workPart timeWork experience placementShift workWeekend workDay shift
$44.57 - $60.44 per hour
...Lippincott - 301 Lippincott Drive Remote Type: On-Site Employment... .... Preferred Experience: Coding experience; Oasis experience. JNESO union... ...quality care and efficient utilization of agency resources.... ...Qualifications Must have a valid NJ RN License. Approved licenses...Remote workHourly payFull timeTemporary workPart timeWork experience placementLocal areaFlexible hoursShift workWeekend workDay shift$40 - $52 per hour
...Description Clinical Data Coordinator/OASIS Review VNA Health Group Remote Per Diem This position... ...experienced Registered Nurse to join our Coding Review team as a Clinical Data... ...initiatives Qualifications • Current NJ RN License required • BSN preferred...Remote workDaily paidWork experience placementWork at officeLocal area- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity... ...Required Qualifications: ~ FL/compact RN license ~ BLS ~ CCM/CMCN... ...hospital-based) ~ Skilled experience with remote work Length of Assignment: 13...Remote workShift workWeekend work
- ...Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior... ...CPT (Current Procedural Terminology) coding and billing Medical Necessity Utilize... ...National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/...Remote work
- Appworkshub is seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our remote healthcare team. In this role, you will conduct inpatient and outpatient utilization reviews, support transitions of care, and ensure compliance with...Remote job
- A healthcare staffing agency seeks a Utilization Management RN to evaluate clinical conditions through medical record reviews. The position is remote, requiring candidates to reside in PA, DE, or NJ. Key duties involve applying criteria for medical necessity, collaborating...Remote job
- Santa Barbara Cottage Hospital is seeking a Per Diem RN for Utilization Management Review. This role offers the flexibility of remote work and requires a valid MA Registered Nurse State License. The successful candidate will participate in ensuring quality patient care...Remote jobDaily paid
- ...Job Details POSITION SUMMARY - RN Utilization Review POSITION DUTIES - Review... ...MINIMUM REQUIRED QUALIFICATIONS - ~ FL/compact RN license ~ BLS ~ CCM/... ...-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT - 1...Remote workTemporary workShift workWeekend work
$1,829 - $1,924 per week
...Registered Nurse (RN) | Utilization Review Location: Largo, FL Agency: GQR Healthcare Pay: $1,829 to $1,924 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working...Hourly payWeekly payFull timeContract workImmediate startShift work$1,829 - $1,924 per week
...Registered Nurse (RN) | Utilization Review Location: Largo, FL Agency: GQR Healthcare Pay: $1,829 to $1,924 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Case Management...Hourly payWeekly payFull timeContract workImmediate startShift work$1,693 per week
...Registered Nurse (RN) | Utilization Review Location: Fort Walton Beach, FL Agency: GQR Healthcare Pay: $1,693 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Case Manager RN Job...Hourly payWeekly payFull timeContract workImmediate startShift work$30.64 - $45.8 per hour
...CA Utilization Review Nurse I The Utilization Review Nurse gathers demographic... ...and of CorVel. This is a remote position. Essential Functions... ...of both CPT and ICD coding Ability to interface with... ...state of operation required; RN is required unless local state...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on... ...and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS... ...of both CPT and ICD coding Ability to interface with... ...state of operation required; RN is required unless local state...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...seeking a clinical professional for a fully remote role focused on medical management. The position requires an active New York State RN licensure and involves analyzing... ...with healthcare providers, conduct clinical reviews, and ensure that members receive the appropriate...Remote workFlexible hours
$23.76 - $51.49 per hour
...Molina Healthcare is seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This role involves analyzing... ...hourly pay range between $23.76 and $51.49 and requires adherence to utilization management policies. #J-18808-LjbffrRemote workHourly pay- ...providing telephonic and e-referral case review and authorization of services utilizing established mental health and... ...This position is full-time, fully remote (work from home) and requires some... ...State of Michigan clinical license (RN, LMSW, LP, LPC, or LLP) required....Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...analytical guidance across segments. This role requires reviewing Medicare/Medicaid documentation, ensuring accuracy in MDS coding, and training staff on reimbursement processes.... ...and MDS experience. This is a full-time remote position in Wisconsin offering competitive pay...Remote workFull time
- ...Boston is looking for an Inpatient Utilization Management Clinician to... ...discharge planning. This fully remote role offers a competitive salary... ...candidate will have an active RN license, a bachelor's degree... ...least 2 years of utilization review experience. Join WellSense in...Remote work
- ...oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant experience in healthcare... ...providers. This position offers the flexibility of remote work while supporting professional growth and a...Remote work
$2,250 per week
...Healthcare Nursing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort... ...REQUIRED QUALIFICATIONS – ~ FL/compact RN license ~ BLS ~ CCM/... ...hospital-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT –...Remote workTemporary workLocal areaImmediate startShift workNight shiftWeekend work$1,949.74 per month
...Nurse Specialty Utilization Review Job ID 17979666... ...Title Utilization Review RN Weekly Pay $1949.7... ...Job Description Remote Utilization Review RN responsible... ...City Eureka State CA Zip Code 95501Remote workWeekly payShift work$65 per hour
...Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8) | 08:00 - 16:30PAY DETAILS (72 HOURS / 2 WEEKS)...Remote workLocal areaImmediate startMonday to FridayShift workWeekend work$2,210 per week
...Holidays Work-life balance. Remote/hybrid setting (once... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...but is not limited to RN, LMSW, LMHC. Successful... ...knowledge in a new way. Experts add insights directly into...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours$45 - $55 per hour
...is looking for a Quality Assurance Registered Nurse (RN) for a remote position focused on reviewing OASIS assessments and ensuring compliance with Medicare... ...experience and a strong knowledge of OASIS and ICD-10 coding. This role includes responsibilities such as analyzing...Remote workHourly payFull timePart timeFlexible hours$30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart time- ...Health is seeking a Quality Assurance Registered Nurse (QA RN) for a remote position across Texas. This role involves ensuring... ...to field clinicians. Key responsibilities include reviewing OASIS assessments, coding diagnoses, and maintaining high quality standards. The...Remote work
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