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
- Lynn Rodens is seeking a skilled Clinical Reviewer/Nurse for a remote role aligned with AZ hours. The position requires active RN license, U.S. citizenship, 3+ years in med/surg and... ...healthcare systems. This role focuses on quality review, PQIs, and collaborating with...Remote jobQuality
$85k - $92k
...Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (... ...Active, unrestricted license: RN Minimum 3+ years clinical experience (med/surg and/or... ...QUALIFICATIONS (HIGHLY DESIRED) Clinical Quality / Utilization Review / Case Review experience...Remote workQualityHourly payDay shift- ...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
- ...is seeking an experienced RN for utilization review work. The role involves reviewing... ...records, identifying quality and utilization issues, and... ...writing skills and 3+ years of clinical experience in med/surg or... ...eligibility. Position is remote with AZ hours (typically first...Remote jobQualityDay shift
- ...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
- ...currently looking for a Utilization Management (UM) Clinical Reviewer to join our growing team... ...partners to promote high-quality patient outcomes, ensure... ...700, Phoenix, AZ 85016 Remote Qualifications: Education... ...accredited nursing program (RN, LPN, or LVN), or...Remote jobQualityFull timeWork at officeLocal areaWork from homeShift workWeekend work
- IPRO in Jericho, NY is seeking a Clinical Reviewer (RN) to handle the full spectrum of utilization and quality reviews. This full-time, in-office role requires an NY RN license, with RI licensure preferred and a strong background in acute care utilization review. The position...QualityFull timeWork at office
- ...Job Title: Utilization Management Registered Nurse (UM RN) – SNF / MLTC Location: Remote (Must reside in NY, NJ, or... ..., you will evaluate clinical documentation, assess... ...conducting utilization reviews within a SNF, health... ...determinations. Quality & Appeals: Identify...Remote workQualityFull timeMonday to Friday
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to remotely review authorizations and assess medical necessity across multiple... ...-based reviews and timely decisions that support quality care and member outcomes. The role requires 3+...Remote workQuality
$109.01k - $177.82k
## Clinical Documentation Specialist RNApply: Remote, USA: Full time: Posted Today: JR77945**Join a team that shares... ...for improving the overall quality and completeness of clinical documentation... ...in a hospital setting* Utilization review and/or clinical documentation specialist...Remote workQualityFull timeContract workLocal areaShift work- ...Utilization Management RN (Part-Time, Remote) Position Overview Under the direction... ...RN performs telephonic review of hospital admissions and... ...supports efficient, high-quality utilization of healthcare... ...of stay using established clinical criteria Direct care...Remote workQualityPart timeMonday 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
$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities... ...for an experienced Utilization Review Specialist (RN) to join our remote home health... ...’ll Do Review home health clinical documentation for accuracy... ...field clinicians Support quality assurance and regulatory...Remote workQualityMonday to FridayWeekend workWeekday work$53 - $59 per hour
## Clinical Documentation SpecialistApplylocations: 160... ...Documentation Specialists will review the documentation and... ...safety indicators/quality, hospital acquired... ...Environmental Demands: Remote with occasional onsite... ...processes/outcomes. 4. Utilizes resources to maintain and...Remote workQualityHome officeShift work- ...Responsibilities As our Utilization Review RN, you will meticulously review... ...and proficiency in applying clinical guidelines will be key to your... ...'s commitment to quality care and fiscal responsibility... ...This position is open to remote/out of state candidates residing...Remote workQuality
$72.8k - $130k
...occasional opportunity for remote work based on business needs. As a Sr Utilization Management Nurse in... ..., and promoting quality patient care. Responsibilities... ...discuss care details, reviewing clinical information for... ...be a Registered Nurse (RN) with a current, active...Remote workQualityMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$121.12k - $197.58k
Clinical Documentation Specialist RN page is loaded## Clinical Documentation Specialist RNlocations: Remote, USAtime type: Full timeposted on: Posted Todayjob... ...improving the overall quality and completeness of... ...a hospital setting* Utilization review and/or clinical...Remote workQualityContract workLocal areaShift work- ...Corporation is seeking an experienced Utilization Management Nurse Consultant (RN) for remote work. You will review prior authorization requests,... ...medical necessity, and apply clinical criteria to support timely,... ...teams is essential to ensure quality outcomes. The role requires...Remote jobQuality
$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the... ...will act as a vital bridge between clinical care and hospital operations, ensuring... ...rates. Revenue Integrity & Quality: Accurately manage ConnectCare...Remote workQualityWork at office10 hours per weekFlexible hoursShift workWeekend workAfternoon shift3 days per week$63.1k - $94.65k
...Nurse to perform hospital utilization reviews, assess medical... ...levels of care. This remote role partners with physicians... ...teams to promote quality outcomes, prevent denials... ...) using approved clinical criteria, whether working... ...Current unrestricted RN license required; RN compact...Remote workQualityTemporary workWork at officeLocal areaShift workAfternoon shift- ...POSITION SUMMARY - RN Utilization Review POSITION DUTIES -... ...payers to ensure compliance with clinical guidelines, regulatory requirements... ...~ Skilled experience with remote work LENGTH OF... ...healthcare organizations provide quality patient care that...Remote workQualityTemporary workShift workWeekend work
$88.85k
...Utilization Management Clinical Quality Nurse Reviewer RN II Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income...Quality$26 - $28 per hour
...hr Job Description The Clinical Quality Assurance Coordinator is... ...Perform quality assurance review of peer review reports, correspondences... ...Qualifications MUST HAVE Utilization Management experience... ...Workplace Type This is a fully remote position. Application...Remote workQualityContract workTemporary workWork from home$63.1k - $94.65k
...steps. Our partner is looking for a Utilization Review RN based in the United States.... ...hospital operations. In this part-time, remote role, you will apply your clinical expertise to evaluate medical... ...denials. You will also contribute to quality improvement initiatives,...Remote workQualityTemporary workPart timeWork at officeWork from homeFlexible hoursShift workAfternoon shift- Guidehealth, a fully remote healthcare company, is seeking a Utilization Management Registered Nurse to perform reviews, apply medical necessity criteria, and document findings in... ...AI integration into daily workflows and high-quality care. #J-18808-Ljbffr GuidehealthRemote jobQuality
$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote ~ Full-time WHO IS GUIDEHEALTH?... ...partners to deliver high-quality healthcare focused on outcomes... ...performing utilization review activities in compliance... ...and accurately document clinical information from medical...Remote workQualityBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$45 - $50 per hour
...passionate about delivering quality patient care and... ...is seeking experienced Utilization Management RNs to play a vital role in reviewing prior authorization requests... ...within a dynamic, remote environment where your... ...outcomes and streamline clinical operations. Compensation...Remote workQualityContract workWork at office- ...Behavioral Health Utilization Manager Behavioral Health... ...and discharge reviews on assigned patients.... ...recognized evidenced based clinical criteria, approved medical... ...metrics and quality standards for cases reviewed... ...systems Work Schedule: Remote Other Requirements: Able...Remote workQualityContract workWork experience placement
$2,150 per week
...is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in... ...to ensure compliance with clinical guidelines, regulatory... ...~ Skilled experience with remote work LENGTH OF ASSIGNMENT... ...organizations provide quality patient care that continually...Remote workQualityTemporary workZero hours contractImmediate startShift workNight shiftWeekend work- ...is seeking a Registered Nurse Utilization Management/Episodic Case Manager (UM/ECM - RN) Reviewer to coordinate the efficient utilization... ...members and ensure timely, quality care throughout the continuum.... ...Team Lead, you will assess clinical information, determine medical...Remote jobQuality
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