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
$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
- ...and monitoring the utilization of behavioral... ...Medical Director for review. Refer to and work... ...responsible for pricing, coding, researching... ...to the functions. Expert and resource for escalations... ...and active NYS RN license required.... ...opportunity for remote work within all...Remote workFull timeContract workWork at office
$40 - $52 per hour
...Clinical Data Coordinator/OASIS Review VNA Health Group Remote Per Diem This position requires residency... ...Registered Nurse to join our Coding Review team as a Clinical Data Coordinator... ...Qualifications • Current NJ RN License required • BSN preferred...Remote workDaily paidWork experience placementWork at officeLocal area- ...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 workDaily paid
$44.57 - $60.44 per hour
...medical and surgical experts are among the best in... ...01 Lippincott Drive Remote Type: On‑Site Employment... ...Experience: Coding experience; Oasis experience. JNESO union... ...quality care and efficient utilization of agency resources.... ...Must have a valid NJ RN License. Approved...Remote workHourly payFull timeTemporary workPart timeWork experience placementLocal areaFlexible hoursShift workWeekend workDay shift- ...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
$1,923 - $2,018 per week
...Registered Nurse (RN) | Utilization Review Location: Fort Myers, FL Agency: GQR Healthcare Pay: $1,923 to $2,018 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$1,740 per week
...Registered Nurse (RN) | Utilization Review Location: Brooksville, FL Agency: GQR Healthcare Pay: $1,740 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Case Manager RN Job Location...Hourly payWeekly payFull timeContract workImmediate startShift work$1,740 per week
...Registered Nurse (RN) | Utilization Review Location: Brooksville, FL Agency: GQR Healthcare Pay: $1,740 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working with...Hourly payWeekly payFull timeContract workImmediate startShift work$30.64 - $45.8 per hour
...Utilization Review Nurse The Utilization Review Nurse gathers demographic... ...department and of CorVel. This is a remote position. Essential... ...knowledge of both CPT and ICD coding Ability to interface with... ...state of operation required; RN is required unless local state...Remote workHourly payFull 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$63k - $65k
...® Fortune Best Workplaces in Financial Services & Insurance RN Utilization Review As a nurse at Sedgwick, you can build a meaningful and rewarding... ...an impact on the health and well-being of others in a remote work environment. Enjoy flexibility and autonomy in your daily...Remote workFull timeWork experience placementLocal areaFlexible hours- ...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
$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
$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$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- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews,...Remote 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$26.41 - $51.49 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...education and experience. Registered Nurse (RN). License must be active and unrestricted...Remote workHourly payWork experience placementWork at office$26.41 - $51.49 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...education and experience. Registered Nurse (RN). License must be active and unrestricted...Remote workHourly payWork experience placementWork at office$26.41 - $43 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. Adheres to utilization management (UM) policies and procedures.... ...education and experience. Registered Nurse (RN). License must be active and unrestricted...Remote workHourly payWork experience placementWork at office- ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements Full time position. Hybrid (combination of in person and remote considered) General Summary The Utilization Review/Case Management Nurse is directly responsible...Remote workFull timeShift work
- ...you flourish and leaders who care about your success. The Utilization Review RN is responsible for the review of medical records for... ...as required within the market. This position is open to remote/out of state candidates residing in only these states:...Remote work
- ...Fully Remote Utilization Review Position Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard business... ...Patient Volume: N/A Job Requirements: Active RN license with Multi-State/Compact license required Minimum...Remote workFull timeMonday to Friday
- ...Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This full‑time position involves managing utilization reviews and ensuring compliance with clinical policies for quality...Remote workFull time
$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying medical...Remote workHourly pay$27.02 - $48.55 per hour
...About This Role The Utilization Review Clinician - ABA at Centene is responsible for reviewing... ...$27.02 - $48.55 per hour Location: Remote, FL Schedule: Full Time What You'll Do... ...Certified Behavior Analyst) - required, OR RN (Registered Nurse) - State Licensure...Remote workHourly payFull timeFlexible hours- " The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state statutes, regulations...Remote workWeekly payContract workWork at officeLocal area
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