Remote Utilization Review Case Manager I (RN)
CorVel Corporation
- Remote job
CorVel Corporation is seeking a Utilization Review Case Manager for a remote role. The ideal candidate holds an RN license and has 4+ years of clinical experience with utilization review, CPT/ICD coding knowledge, and strong communication skills. Responsibilities include data collection, decision-making on certification, and collaboration with claims staff and stakeholders. Applicants should be adept at working in a high-volume environment, maintaining meticulous documentation, and adhering to #J-18808-Ljbffr CorVel Corporation
$31.94 - $43.92 per hour
...psychosocial assessments Create and manage discharge plans... ...care planning discussions Utilization Management Review medical necessity & admission... ...Option 1: 3+ years recent Case Management (acute care) OR Option 2: 3+ years RN in: Med/Surg Telemetry...SuggestedRelocation packageShift workWeekend workAfternoon shift$15k
...Up to $5,000 Clinical Ladder Program RN I to RN IV (each tier has its own wage scale) New Grads... ...and Nurse Practitioner. Job Summary The Case Manager / Utilization Review Nurse (RN) is responsible for coordinating patient care...SuggestedHourly payFull timeTemporary workWork at officeRelocation package$65 per hour
...RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical Center, Syracuse, NY Employment Type: Full-time Hourly Rate: $65/hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing...SuggestedHourly payFull timePrivate practiceMonday to FridayDay shift$32 - $48 per hour
...Utilization Review Specialist RN Full-Time | Case Management | Gateway Regional Medical Center | Granite City, Illinois Gateway Regional Medical Center is hiring a Utilization Review Specialist Registered Nurse (RN) to join our Case Management team. This role is ideal...SuggestedFull timeWeekend workWeekday work- ...Description The Case Manager / Utilization Review Nurse (RN) is responsible for coordinating patient care progression, discharge planning, and utilization review activities. This integrated role ensures appropriate levels of care, regulatory compliance, efficient resource...SuggestedWork at office
$30.64 - $45.8 per hour
...Job Description Job Description The Utilization Review Case Manager gathers demographic and clinical... ...department and of CorVel. This is a remote position ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...in the state of operation required; RN is required unless local state...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$25k
...Job Description Job Description To Apply for this Job Click Here Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - Up to $25K SIGN ON BONUS Location: Farmington, NM **Onsite- In person Schedule: Days Responsibilities: Meets expectations...Permanent employmentWork at officeRelocation package$50 - $85 per hour
...Case Manager Utilization Review RN Under the general direction of the Director of Behavioral Health, the Case Manager Utilization Review RN provides clinically based case management and utilization review services to support the delivery of high-quality, cost-effective...Full timeTemporary workPart time- ...Utilization Review / Case Manager (RN) Chicago, Illinois Reports To: Clinical Director, Behavioral Health Services Term: Permanent, Full-time The Utilization Review/Case Manager facilitates appropriate use of hospital resources by ensuring that patients meet acute...Permanent employmentFull time
- ...CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically... ..., 5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an Associate degree (BSN...Remote workWork from homeMonday to FridayWeekend work
$48 per hour
Gateway Regional Medical Center is looking for a Utilization Review Specialist RN to join our Case Management team in Granite City, Illinois. This full-time role is ideal for nurses eager to transition into a more analytical and administrative position, focused on service...Full time- ...Allegheny Health Network seeks an RN Utilization Review professional to obtain pre-certifications, coordinate authorizations and manage denials for a seamless patient care continuum... ...levels of care and timely approvals. This remote role requires PA RN licensure (or multi-...Remote work
- ...seeking a Pre-Authorization Registered Nurse for a remote, full-time role based in Virginia. The RN will review prior authorization requests, determine... ...appropriate care settings, and educate providers on utilization and management processes. Requirements include an active...Remote workFull time
- ...States is seeking an Inpatient Utilization Management Clinician to evaluate inpatient... ...planning across care teams. This fully remote, full-time role requires an active RN license, nursing degree, and... ...management to ensure timely reviews, document outcomes, and maintain...Remote workFull time
- ...BJC HealthCare is seeking a registered nurse to join a remote Utilization Review team. The role supports multiple hospital units with no patient communication, and it is designed for local remote work with weekend rotation. Responsibilities include applying Interqual criteria...Remote workLocal areaWeekend work
- ...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 workWork at office
- ...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 workWork at office
- ...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
- ...Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning,... ...work experience preferred Certification in case management, pharmacy, rehabilitation...Remote workFull timeWork experience placement
$63.1k - $94.65k
...of a partner company, which manages all applications and next steps... ...partner is looking for a Utilization Review RN based in the United States.... ...operations. In this part-time, remote role, you will apply your... ...clinical indicators. Refer cases to physician advisors when necessary...Remote workTemporary workPart timeWork at officeWork from homeFlexible hoursShift workAfternoon shift- ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding admissions, case management, discharge planning and utilization review.Responsibilities:• Reviews admissions and service requests within...Remote work
- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity... ...BLS ~ CCM/CMCN ~2-5 years utilization management experience (hospital-based) ~ Skilled experience with remote work Length of assignment: 13 weeks...Remote workShift workWeekend work
- ...support a mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-... ...determinations Analyze clinical documentation for completeness and manage a caseload based on urgency and member impact Required...Remote workFull time
- ...Job Title: RN Utilization Review City: Torrance State: CA Job Type: Travel Discipline: RN Speciality: Utilization Review Facility Setting: Short Term Actut Care (STAC) Accepting Locals per Radius Rule?: Yes Contract Length: 13 weeks Shifts...Remote workContract workTemporary workLocal areaShift work
- ...Remote Utilization Review Specialist In this remote role, you will conduct utilization reviews, ensuring that patient care meets the necessary... ...with healthcare teams for optimal patient outcomes while managing documentation and compliance with regulatory requirements....Remote workWeekly pay
- ...Overview This remote position in Utilization Management requires a Registered Nurse with 2 years of experience. Responsibilities include working with providers, managing reviews, and utilizing EMR systems. The role follows a Monday through Friday schedule with...Remote workWeekly payMonday to FridayWeekend 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- ...Description Job Description The utilization review and management (UM) component program ensures that external... ...: Work closely with medical staff, case managers, and other healthcare... ...for lunch This is an in-office, no remote work capability position Travel...Remote workWork at office
$63.1k - $94.65k
...Registered Nurse to perform hospital utilization reviews, assess medical necessity, and... ...levels of care. This remote role partners with physicians, care managers, insurance carriers, and revenue... ...Skills: Current unrestricted RN license required; RN compact license...Remote workTemporary workWork at officeLocal areaShift workAfternoon shift$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the bedside while still making a massive impact... ...timely physician advisor referrals. Denial Management & Appeals: Coordinate the Peer-to-Peer (P2P) process...Remote workWork at office10 hours per weekFlexible hoursShift workWeekend workAfternoon shift3 days per week
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