Remote RN Clinical Reviewer - Utilization & Quality
$45 - $50 per hourkozmetickesluzby.vecnakraska.sk - Jobboard
- 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
- 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
- ...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
- ...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 placement- ...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
$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 time- ...is seeking a Registered Nurse for a remote-capable role focused on utilization and case management. This fully... ...role emphasizes medical necessity reviews, discharge planning, and collaboration with clinical teams to balance quality care with cost efficiency. Expect strong...Remote jobQuality
- ...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
- HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost-effective, high-quality care. This role ensures medical necessity across... ...collaboration with physicians and care teams. Remote work is available after training. #J-18...Remote jobQuality
- ...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
- ...Health is seeking an experienced Utilization Management (UM) Nurse Consultant for a 100% remote, full-time role available to... .... The role involves reviewing clinical documentation, collaborating with... ...providers, and supporting high-quality, cost-effective care with strong...Remote jobQualityFull time
$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$65k - $85k
...Utilization Review Specialist (RN) - Remote $65K-$85K | OASIS & Coding Certified | Florida RN License Required... ...'ll Do Review home health clinical documentation for accuracy and compliance... ...and field clinicians Support quality assurance and regulatory...Remote workQualityMonday to FridayWeekday work- ...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
- ...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
- Northwestern Medicine is seeking a remote RN Case Manager (PT) to support Utilization Review at Catherine Gratz Griffin Lake Forest Hospital. This role provides... ...staff to optimize patient outcomes while maintaining quality and regulatory standards. #J-18808-Ljbffr...Remote jobQualityShift workWeekend workWeekday work
- ...Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees... ...week. This role will be remote BUT regular meetings/trainings... ...orders, and reporting quality issues. Reviews concurrently...Remote workQualityReliefShift workWeekend work3 days per week
- ...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
$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 home$75.3k - $135.4k
...million members as a clinical professional on... ...Authorization, Concurrent Review, and/or... ...day activities of utilization management team.... ...performance, compliance, quality, and efficiency... ...Certification: RN - Registered Nurse... ...approach to work with remote, hybrid, field or...Remote workQualityFull timePart timeWork at officeFlexible hours$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- ...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
$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- ...that patients receive high-quality care while efficiently utilizing medical resources. Job... ...inspire your best work. Reviews patient medical records,... ...allocation. Utilizes exceptional clinical knowledge, excellent... ...Certifications: ~ Registered Nurse (RN) licensure in the state of...Remote jobQualityFull timeWork experience placement
- ...subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews... ...decisions and supports utilization review across multiple services. The position is remote, full-time, with standard hours... ...associate degree, and 2+ years of clinical RN experience required. #J-1...Remote jobFull time
- ...have access to the high-quality health care they need... ...Behavioral Health Utilization Manager will perform concurrent... ...and discharge reviews on assigned patients.... ...recognized evidenced based clinical criteria, approved... ...systems Work Schedule: Remote Other Requirements:...Remote workQualityContract workWork experience placement
$39 - $40 per hour
...at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract... ...W2 Location: Remote - but MUST reside in... ...and utilization review. You will be responsible... ...receive high-quality, cost-effective treatment... ...services Use clinical expertise to assess...Remote workQualityDaily paidContract workMonday to FridayShift workWeekend work$2,210 per week
...dollars while ensuring quality care through effective... ...Work-life balance. Remote/hybrid setting (once trained... ...This individual will utilize clinical knowledge and... ...decision to a second level reviewer. This individual interfaces... ...but is not limited to RN, LMSW, LMHC....Remote workQualityFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours
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