Remote Concurrent Review Nurse - Utilization & Care
Axelon Services Corporation
New York, NY
- Remote job
Axelon Services Corporation is seeking a Nursing professional for a 6-month remote role focused on concurrent reviews and utilization management. The candidate will assess member health, determine appropriate care levels, and collaborate with Medical Affairs to support quality of care. The position requires an RN or LPN license, a nursing degree, and at least 2 years of related and acute care experience. Candidates should be familiar with Medicare/Medicaid regulations and be prepared for #J-18808-Ljbffr Axelon Services Corporation
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Concurrent Review Nurse - Utilization & Care in New York, NY vacancy
$54.1k - $155.54k
...by passionate colleagues who care deeply, innovate with purpose,... ...additional licenses as needed. Utilizes clinical skills to coordinate,... ...Managed care/utilization review experience Acute care/critical... ...Education AA Nursing Required BSN Preferred Anticipated...Remote workHourly payFull timeTemporary workLocal areaWork from homeRotating shift- Clinical Review Nurse - Concurrent Review TX All On-site Share on Job Description Location: 100% Remote - TX: RN only with TX license SHIFT: Tuesday... ..., reviewing the type of care being delivered, evaluating... ...management systems according to utilization management policies and...Remote jobContract workWork from homeShift work
$78.56k - $110.91k
...glance** **Location:** Remote **Facility:**... ...Services **Department:** Utilization Management **... ...in this role** + Reviews admissions and... ...for prospective, concurrent and retrospective... ...(s): + Registered Nurse credentialed from... ...support, spiritual care and stress management...Remote workFull timeLocal areaAscension
Austin, TX2 days ago$75k
...Nurse, Concurrent ReviewMAJOR RESPONSIBILITIESPerforms concurrent inpatient utilization review using InterQual criteria to determine if the request... ...reviewsContinued stay reviewsTransitional care reviews (Skilled Nursing... ...Date: TBD Location: 100% remote Equipment: Provided (mini...Remote workWork at officeLocal areaMonday to FridayFlexible hoursShift workWNS
Houston, TX1 day ago$96k - $140k
...to change. This is a remote position. Must reside... ...onsite and/or telephonic concurrent review of inpatient... ...ensuring that member care is rendered at the most... ...Graduation from an accredited nursing school. At least three... ...in case management, utilization management or...Remote workFull timeContract workLocal areaVisa sponsorshipFlexible hours$45 - $51 per hour
Job Details Setting: 100% Remote Hours: 8:00 AM 4:30 PM or... ...Details Position: RN Utilization Management / Utilization Review Setting: 100% Remote Schedule... ...years of acute hospital Care Management/Utilization Management... ...Responsibilities Perform concurrent utilization reviews for...Remote workHourly payWeekend work$26 - $56 per hour
About This Role The Utilization Management Nurse Consultant (RN) - Concurrent Review position is ideal for experienced RNs with a background in acute care and utilization management. This role focuses... ...Pay: $26 - $56/hour Location: Remote, LA Schedule: Full-time What You...Remote workFull time- ...Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical... ...expertise to ensure medically necessary care across the continuum. This role... ...inpatient nursing, and 2+ years in utilization management or discharge planning,...Remote workWork from homeMonday to FridayWeekend work
CVS Health
Jackson, MS4 days ago - ...A healthcare organization is seeking a Clinical Review Nurse – Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews, collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates...Remote workWork at office
IMCS Group
United States22 hours ago $1,966 per week
...first 25 applicants Nurses – are you looking... ...managed health care, focused on what's... ...Work-life balance. Remote/hybrid setting (once... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces... ...and concurrent review within the...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hoursHines
Rockford, IL2 days ago$1,949.74 per month
...Offering Nursing Profession... ...Specialty Utilization Review Job ID 1797... ...Job Description Remote Utilization Review RN responsible for concurrent reviews, medical necessity... ...guidelines in an acute care setting. Client...Remote workWeekly payShift workProvidence Health and Services
Eureka, CA4 days ago- ...Management Location: 100% Remote Schedule: M-F 9:00... ...Works with the Utilization Management team... .../utilization review and other utilization... ...members with the right care at the right place... ...and/or concurrent review. Assesses services... ...State Registered Nursing (RN) license in good...Remote workContract work
Integrated Resources
Springfield, IL4 days ago - ...Overview Title: Clinical Review Nurse – Prior Authorization... ...Location: Fully Remote (PST Time Zone - WA/... ...Authorization Review to join our Utilization Management team. In... ..., you will conduct concurrent and prior... ...directors, providers, and care management teams to support...Remote workContract work
SPECTRAFORCE
Washington DC1 day ago $40 per hour
...Insurance Or Managed Care Industry Registered Nurse (RN) $40/hour - Contract for... ...in TX Full time remote Candidates must be based... ...for performing initial, concurrent review activities; discharge care... ...Provides information regarding utilization management requirements and...Remote workFull timeContract workWork at officeHireOps Staffing LLC
Dallas, TX2 days ago- ...of integrated health care plans and related services... ...on authorization and concurrent review. Provides monthly... ...treatment setting by utilizing the applicable medical... ...Additional Info: *possible remote opportunity after... ...Requires an AS/BS in Nursing At least 2 years of...Remote workContract workMonday to FridayFlexible hours
HealthCare Support
New York, NY2 days ago - ...DescriptionJob DescriptionLocation: Fully remote. Candidates must be able to work... ...is seeking an experienced Concurrent Review Registered Nurse (RN) to join its Utilization Management team. In this role,... ...planning, and transitions of care while collaborating with physicians...Remote workWork at officeImmediate start
Impresiv Health
Henderson, NV1 day ago $2,221 - $2,374 per week
Join to apply for the Registered Nurse Concurrent Utilization Review role at Tucson Medical Center 1 day ago Be among the first 25 applicants Join to... ...admission criteria (medical necessity/patient status/level of care) utilizing InterQual criteria and documenting the review...Full timePart time$41 - $45.5 per hour
...Government Clients Role: Nurse Case Management... ...Location: Remote (within plan states:... ...effective, high-quality care and supports members... ...health education, and utilization management. Key... ...Conduct prospective, concurrent, and retrospective reviews for inpatient, rehab...Remote workMindlance
Austin, TX1 day ago$35 - $43 per hour
...0/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA... ...Nurse – Concurrent Review will perform utilization management functions to ensure members receive the right care at the right time. This role focuses...Remote workIMCS Group
New York, NY1 day ago$89.54k - $136.47k
...Remote Utilization Review Registered Nurse Sentara Health is hiring a Remote Utilization Review Registered Nurse... ...of Virginia. As an integrated care manager, specializing in Utilization... ...reviews both initial and concurrent continued stay review. Reviews for...Remote workFull timeShift workSentara Healthcare
Norfolk, VA2 days ago- ...Job Title: Clinical Review Nurse - Concurrent Review - J00933 Address: Various... ...level and setting of care. Evaluate inpatient services... ...including acuity levels, resource utilization, length of stay, and... ...Friday, 8:00 AM-5:00 PM EST Remote: 100% Remote Hours: Full-time...Remote workFull timeMonday to FridayWeekend work
A-Line Staffing Solutions
North Charleston, SC3 days ago - ...Job TitleThis is a remote position but will need onsite... ...to our mission: caring for every person who needs... ...DoConduct clinical reviews of patient records to... ...complianceCollaborate with physicians, nursing staff, and... ...appropriate resource utilization and care...Remote workFull timePart timeWork at officeLocal areaShift workDay shift
Trinity Health Grand Haven
Mishawaka, IN4 days ago - ...is seeking a highly motivated Utilization Review RN to join our team. The role involves prospective, concurrent and retrospective reviews to... ...necessity and appropriate level of care across inpatient and... ...settings. The position supports remote work in the US, requires an unrestricted...Remote jobContract work
$89.54k - $136.47k
...Overview Sentara Health is hiring a Remote Utilization Review Registered Nurse. Candidates must reside in the... ...Job Description As an integrated care manager, specializing in Utilization... ...reviews both initial and concurrent continued stay review. Reviews for...Remote workFull timeTemporary workShift workSentara Hospitals
Virginia Beach, VA4 days ago- ...Full-Time Location: Fully Remote Facility: Ascension Saint... ...Hospital Department: Utilization Management Schedule: Day-... ...Advocate for appropriate care by reviewing admissions and service requests... ...Registration: ~ Registered Nurse credentialed from the...Remote workFull timeLocal areaMonday to FridayWeekend workDay shift
Ascension
Baltimore, MD3 days ago - ...Work Mode: 100% Remote, Source candidates from EST preferred... ...: Perform concurrent reviews of members for appropriate care and setting to determine... ...management systems according to utilization management policies and... ...an Accredited School of Nursing or Bachelor’s degree in...Remote workWeekend work
Axelon
New York, NY2 days ago - HealthEdge is seeking a motivated Utilization Review RN to perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary... ...ensure medical necessity and appropriate level of care. The role involves coordinating care across the...Remote jobContract work
- Centene is seeking a remote Utilization Review Nurse to perform concurrent reviews, determine appropriate levels of care, and support discharge planning for inpatient services. You will collaborate with Medical Affairs and care teams to ensure medically necessary care across...Remote jobMonday to Friday
- ...Company is seeking an experienced Utilization Review Nurse for a fully remote role across all states. The job focuses... ...utilization review—prospective, concurrent, expedited, and retrospective reviews... ...necessity and appropriateness of care. The position requires a nursing degree...Remote job
- ...HealthHelp (A Capgemini Company) is seeking a licensed registered nurse to perform concurrent inpatient utilization reviews from a remote setting. You will collaborate with attending physicians and care teams to determine medical necessity and appropriate level of care...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Concurrent Review Nurse - Utilization & Care. Be the first to apply!
Related searches
- graphic design remote New York, NY
- remote scrum master New York, NY
- remote document review New York, NY
- remote recruiter New York, NY
- remote infrastructure engineer New York, NY
- genetic counselor remote New York, NY
- remote appointment scheduler New York, NY
- junior angular developer remote New York, NY
- remote video game New York, NY
- global remote customer service jobs New York, NY