Remote Oncology Utilization Review Case Manager (Non-RN)
University of Miami
University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care. You will manage a caseload, communicate with clinicians and patients, and help minimize delays and denials. Qualifications include a bachelor’s degree and at least 2 years of relevant experience; oncology experience is preferred. #J-18808-Ljbffr
- ...University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization... ...bachelor’s degree and at least 2 years of relevant experience; oncology experience is preferred. #J-18808-LjbffrRemote workFull time
- ...Description Join our team as a remote (Oklahoma City) full time days and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK. Get to Know Your... ...-owned vehicle OR personal vehicle (non INTEGRIS-owned) and therefore must have a...Remote workFull timeWork at officeWeekend work
- ...CorVel Corporation is seeking a Utilization Review Case Manager for a fully remote role in the United States. The position requires current nursing licensure and 4+ years of clinical experience with preferred exposure to utilization review. Responsibilities include...Remote work
- ...OU Health is seeking a Case Manager, RN - Utilization Review (PRN) to evaluate medical necessity and appropriate care, securing authorizations and coordinating with payors, patients, and interdisciplinary teams. This role emphasizes HIPAA compliance and strong communication...Remote workRelief
- ...CorVel is seeking a Utilization Review Case Manager to gather demographic and clinical data for in-patient and outpatient reviews, certify... ...supporting the Case Management department’s goals. This remote role requires RN licensure and 4+ years of clinical experience. The...Remote work
- ...Utilization Case Manager (Remote)The purpose of the Utilization Case Manager (Remote) position is to complete ongoing reviews for clinical utilization and identifying the need for continued authorization. The Utilization Case Manager coordinates with the Nurse Case Manager...Remote workWorldwide
- ...the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The purpose of the Utilization Case Manager (Remote) position is to complete ongoing reviews for clinical utilization and identifying the need for continued...Remote workFull timeTemporary workWorldwide
- ...seeking a Registered Nurse Case Manager for a 13-week assignment in... ...Austin, TX. This role focuses on utilization review, discharge planning, and... ...care UM experience and a TX RN license. Proficiency with InterQual... ...insurers is a plus. Remote work experience is noted. #J...Remote jobWork experience placement
- 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...Remote job
$72.5k - $90.6k
...Are you a licensed RN who is interested in... ...joining Quartz as a Utilization Management Registered Nurse (RN) Case Manager. This role is responsible for review of prior authorization... ...-person, hybrid, or remote available... ...access to high-speed, non-satellite Internet to...Remote workFor contractorsMonday to Friday- ...Registered Nurse Non-Certified Case ManagerThe Registered Nurse Non-Certified Case Manager works with physicians and multidisciplinary team members to develop a... ...of 2 years of nursing experience MUST HAVE UTILIZATION REVIEW EXPERIENCEPreferred Bachelor's Degree in Nursing...Shift workDay shift
- ...Utilization Review / Case Manager (RN)Chicago, Illinois Reports To: Clinical Director, Behavioral Health Services Term: Permanent, Full-timeThe Utilization... ...with accurate data collection and assignment.Perform non-acute profiling, collect data on avoidable days, and refer...Permanent employment
$72.5k - $90.6k
...Quartz is seeking a Utilization Management RN Case Manager to review prior authorization requests, coordinate transitions, and collaborate with physicians... ...no weekends or holidays, with in-person, hybrid, or remote options and a pay range of $72,500–$90,600. Wisconsin...Remote workMonday to Friday- ...The University of Miami is seeking a remote Utilization Case Manager to conduct ongoing reviews for continued authorization and coordinate with the healthcare team to ensure optimal patient outcomes. This is a full-time staff position with a focus on timely authorization...Remote workFull time
- ...placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most... ...rewarding career! Job Description Are you an experienced RN Case Manager / Utilization Review Nurse looking for a new opportunity with a prestigious healthcare...Full timePrivate practiceWork at officeMonday to Friday
$63.73k - $95.26k
...The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent... ...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$63.1k - $94.65k
...enabled revenue cycle management solutions for health systems... ...have current compact RN license, or be willing... ...Information: Our Utilization Review team provides coverage... ...regarding non-coverage of benefits... ...Required: This is a remote role which requires access...Remote workTemporary workPart timeWork at officeLocal areaFlexible hoursShift work- Position: Oncology Registered Nurse (RN) Case Manager Location: Jeffersonville, IN... ...support for other non-program needs such... ...triage, Call Center Utilization Management, Call Center... ...Exceptions will be reviewed on a case-by-case... ...50% in office, 50% remote). To qualify for a...Remote workTemporary workWork at officeImmediate startHome officeMonday to FridayFlexible hoursShift work
- ...PRN RN CASE MANAGER – UTILIZATION REVIEWNorthwest Florida Community Hospital (NFCH) is seeking a qualified and motivated PRN Registered Nurse (... ...our Med-Surg department. This position is responsible for reviewing patient admissions and continued stays, coordinating patient...Relief
- ...RN BLS Case Managers, Utilization ReviewA Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states... ...Therapy and Nursing.Case Management, Utilization Review ExperienceRegistered RN, BLS• Ability to multi-task while...
- ...accommodation or an alternative application process. Manager of Case Management and Utilization Review (RN) Full Time Exec/Senior Off/Mgrs Littleton, NH, US... ...and Utilization Review FLSA: Exempt Non-Exempt DEPARTMENT: Case Management...Full timeWork at office
- ...Utilization Review Case ManagerEmployment Type: Full timeShift: Day ShiftHours: Monday-Friday: Days; no holidaysAbout The JobThe Utilization Review Case Manager responsibilities include case screening, insurance approval, assurance of timely services, and facilitation...Local areaMonday to Friday
$77.91k - $116.86k
...only changing lives but saving them. Together.The Remote RN Case Manager SNP (must have RN License in California [Non-Compact]) is responsible for health care... ...and chronic care needs. Delivers care to members utilizing the nursing process and effectively interacts with...Remote workFull timeImmediate start- ...Heywood Hospital in Massachusetts is seeking a Care Coordinator to manage utilization reviews, care transitions, and payer communications within a multidisciplinary team. The role requires BSN preferred, InterQual and Meditech Expanse experience, and strong communication...
- ...LTSS department. RN will be responsible for providing case management services and evaluating... ...and concurrent review. Provides monthly... ...treatment setting by utilizing the applicable... ...and does not issue non-certifications. Facilitates... ...Info: *possible remote opportunity after...Remote workContract workMonday to FridayFlexible hours
- ...Ahhmgt is seeking a Case Management RN to lead the utilization review and resource management efforts across the facility. The role involves planning, coordinating, and administering activities that support quality and cost-efficient patient care. The incumbent will...
- ...Saint Agnes Medical Center in Fresno, CA, is seeking a Part-time RN to coordinate utilization review across the acute care continuum. The role involves discharge planning, utilization management, and care coordination with an interdisciplinary team to optimize hospital...Part timeNight shift
- ...Deborah Heart and Lung Center in Browns Mills, NJ is seeking an RN Case Manager for Utilization Review on-site. This role focuses on validating patient placement to the most appropriate level of care using criteria such as InterQual or MCG, securing timely authorizations...
- ...Netpace Inc. is seeking a motivated RN Case Manager to join our team in a contract role. Responsibilities include initial patient assessments... ...candidate holds an Active CA RN License, with strong Utilization Review and InterQual experience, supporting utilization...Contract workDay shift
$47.58 - $76.68 per hour
...California is hiring for a position that involves managing admissions and conducting patient reviews in accordance with established regulations. The... ...including a BSN. Experienced candidates in Utilization/Quality/Case Management will thrive in this supportive environment...Hourly pay
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