Remote RN Clinical Reviewer - Utilization & Quality
$45 - $50 per hourkozmetickesluzby.vecnakraska.sk - Jobboard
New York, NY
- Remote job
Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies. With a competitive pay of $45 - $50 per hour and benefits including paid vacation and health insurance, this position offers a great work-life balance. Candidates must be graduates of accredited nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby.vecnakraska.sk - Jobboard
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote RN Clinical Reviewer - Utilization & Quality in New York, NY vacancy
- Comagine Health is seeking a Clinical Utilization Review Nurse (RN) licensed in Alabama to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position supports compliant, cost-effective care aligned...Remote jobQualityFull timeContract work
- Enlyte is seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs... ...treatment referrals. The role requires clinical judgment to ensure medical... ...industry regulations and best practices to improve review quality. #J-18808-LjbffrRemote workQualityWork from home
Genex Services, LLC
New York, NY2 days ago - ...Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit... ...that has engaged in health care quality consulting and quality improvement... ...and patient outcomes. Our talented remote workforce spans the country and plays...Remote workQualityFull timeContract work
Comagine
United States2 days ago - ...the first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management Location:Oregon or bordering... ...Collaborate with supervisors on quality assurance and continuous improvement... ...) Clinical Program Coordinator RN *Remote* Clinical Program Coordinator RN *...Remote workQualityContract work
$88k - $93k
Profile Remote work opportunities are available in the following... ...apply. Job Summary The Utilization Management Clinical Review nurse reviews and makes... ...Required: Active, unrestricted RN license U.S. Citizen... ...policyFlag potential quality issues and complaints to Clinical...Remote workQualityContract workTemporary workInterim roleWork at officeLocal areaShift work$100k
...Salary $100,000 Remote Job Job Description... ...remote position. The Utilization Management (UM) Nurse... ...responsible for conducting clinical reviews and assessing the medical... ...cost-effective, high-quality care for members... ...unrestricted Registered Nurse (RN) license in the...Remote workQualityContract workWork experience placementYour IT & Corporate Recruiter
United States1 day ago- ...Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time,... ...Job Requirements: Active RN license with Multi-State/Compact... ...Minimum 3 years of clinical nursing experience (acute care... ...financial data to identify quality improvement opportunities...Remote workQualityFull timeMonday to Friday
HealthPlus Staffing
Fort Lauderdale, FLa month ago - ...RN / Medical Reviewer / Remote Job Details Professional Discipline... ...Nurse Specialty : Utilization Review Employment... ...regarding benefits and clinical criteria and assess and monitor... ...Services, Subrogation, Quality of care Referrals, etc.)....Remote workQualityFull timeContract workLocal areaShift work
InGenesis
United States4 days ago $50k
...Department Overview The Clinical Documentation... ...concurrent and retrospective review of provider documentation... ...to ensure high quality documentation that supports... ...of patient records in a remote setting. The Registered... ...nursing as needed. Utilizes software systems (including...Remote workQualityFull timePart timeOregon Health & Science University
New York, NY3 days ago- ...Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday... ...Requirements: Active RN license with Multi-State/Compact... ...reimbursement, and clinical documentation improvement... ...financial data to identify quality improvement opportunities...Remote workQualityFull timeMonday to Friday
HealthPlus Staffing
Fort Lauderdale, FL15 days ago - ...Healthcare seeks an experienced RN to support Arizona Plan clinical member services review processes. The role... ...and experience with utilization management, prior... ...and outpatient settings. Remote position, must reside in... ...contribute to cost-effective, quality member care through...Remote jobQuality
- Comagine Health is seeking Clinical Utilization Review Nurses (RN) based in Alabama to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time remote role supports compliant, cost-effective care under Alabama...Remote jobQualityFull timeContract work
- ...Description Job Description Remote Utilization Review Registered Nurse (UR RN) Location: Remote (Texas RN License... ...medically necessary, high-quality care while promoting appropriate... ...InterQual (or similar), to support clinical decision-making and payer compliance...Remote workQualityFull timeWork at office
Nexus Health Systems Ltd
Houston, TX9 days ago - CorVel Corporation is looking for a Utilization Review Supervisor RN to direct operations in Rancho... ...-to-day operations, ensuring quality service, and handling HR matters. This remote position requires strong communication skills, clinical experience, and the ability to...Remote jobQuality
$65k - $85k
...Utilization Review Specialist (RN) – Remote At Concierge Home Care, we are growing and looking for an experienced... ...'ll Do Review home health clinical documentation for accuracy and... ..., and field clinicians Support quality assurance and regulatory compliance...Remote workQualityMonday to FridayWeekday workConcierge Home Care
Jacksonville, FL5 days ago$85k - $92k
TEEMA Solutions Group is seeking a Clinical Quality Reviewer to support a federal healthcare program. This... .... Candidates must have a valid RN or LCSW license with at least three years... ...clinical experience. The position may be remote or onsite based on business requirements...Remote jobQualityWork at officeHome office- ...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... ...reviews, assisting in quality improvement, and providing information...Remote jobQuality
- ...Description Job Description The utilization review and management (UM)... ...facilities are medically necessary, clinically appropriate, evidence-based,... ...our commitment to quality, safety, and excellence in healthcare... ...This is an in-office, no remote work capability position...Remote workQualityWork at office
MedTrust LLC
Oklahoma City, OK5 days ago $39 - $40 per hour
...The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract... ...W2 Location: Remote - but MUST reside... ...and utilization review. You will be responsible... ...receive high-quality, cost-effective treatment... ...services Use clinical expertise to assess...Remote workQualityDaily paidContract workTemporary workMonday to FridayShift workWeekend workThe Judge Group
Chicago, IL1 day ago$63k - $65k
...RN Utilization Review By joining Sedgwick, you'll be part of something truly... ...in a nontraditional clinical setting. Apply your RN... ...and well-being of others in a remote work environment. Enjoy flexibility... ...review services to maximize quality care and cost-effective...Remote workQualityWork experience placementLocal areaFlexible hoursSedgwick
United States3 days ago- Ensemble is seeking Virtual Utilization Review Specialists to join our remote team. You will evaluate medical necessity... ...clearance teams to ensure high-quality patient care and appropriate utilization... .... Must hold an unrestricted RN or LPN license and have 3+ years of...Remote jobQuality
- ...Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees... ...first week. This role will be remote BUT regular meetings/trainings... ...admission orders, and reporting quality issues. Reviews...Remote workQualityReliefWeekend work3 days per week
Children's Healthcare of Atlanta
United States5 days ago $92.3k - $120k
...Registered Nurse (RN), Home Health Utilization Management Remote - USA At Clover Health, we... ...committed to providing high-quality, affordable, and easy-to... ...care journey, combining clinical expertise with data-... ...Responsibilities Review Home Health prior authorization...Remote workQualityWork at officeLocal areaFlexible hoursClover Health
United States1 day ago$70k - $75k
...Guidehealth leverages remotely-embedded Healthguides™... ...partners to deliver high-quality healthcare focused on... ...Description The Utilization Management Registered... ...performing utilization review activities in... ...and accurately document clinical information from medical...Remote workQualityBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
Chicago, ILa month ago$75.3k - $135.4k
...Clinical Professional Opportunity You could... ..., Concurrent Review, and/or Retrospective... ...day activities of utilization management team.... ...performance, compliance, quality, and efficiency... ...preferred. RN - Registered Nurse... ...approach to work with remote, hybrid, field or...Remote workQualityFull timePart timeWork at officeFlexible hoursCentene Corporation
United States4 days ago- Job Title Utilization Review/Case Management - Nurse Department Case Management (Quality) Hours & Shift Requirements Full time position.... ...combination of in person and remote considered) General Summary... ...on a case-by-case basis with clinical staff. Demonstrates working...Remote workQualityFull timeShift work
- Clover Health is hiring a Registered Nurse (RN) for Home Health Utilization Management. This remote role supports CMS-guided reviews, medical necessity determinations, and... ...continuous improvement, while delivering high-quality outcomes for members in a remote environment...Remote jobQuality
$36.67 - $53.17 per hour
Job Description The Clinical Documentation Integrity... ...CDI) is responsible for utilizing independent clinical... ...the integrity, overall quality, accuracy, and completeness... ...through extensive reviews of the medical record,... ...$36.67-$53.17/hourly #J-18808-Ljbffr Remote JobsRemote workQualityHourly payFull timeWork at officeImmediate startMonday to Friday- ...currently seeking a highly motivated RN Clinical Appeals & Utilization Review for an opportunity in Columbus ,... ...& Utilization Review Location: Remote – Ohio; Columbus area preferred... ...policies, and applicable regulatory and quality standards, including NCQA...Remote jobQualityTemporary workWork at officeMonday to FridayShift work
BCForward
Columbus, OH5 days ago $35 - $37 per hour
...The Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay Rate: $... ...responsible for completing quality audits of physician case reviews, supporting the clinical aspects of the review... ...whether practicing or not. Utilization Review experience is helpful...Remote jobQualityPermanent employmentFull timeTemporary workMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Clinical Reviewer - Utilization & Quality. Be the first to apply!
