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
- ...Nurse with active licensure and minimum 3 years of clinical experience for a remote position. Candidates must have strong clinical... ...background clearance. This role involves reviewing medical records, identifying quality issues, and supporting quality improvement initiatives...Remote workQuality
- ...Health System, Inc. is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, TX. This... ...necessity and efficiency, ensuring quality care based on clinical guidelines. The UMRN will work closely... ...s in Nursing and being a licensed RN in Texas, alongside significant...Remote workQualityFlexible hours
$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- ...healthcare program to identify a Clinical Quality Reviewer. This role focuses on... ...experience in clinical review, utilization management, or healthcare... ...as a Registered Nurse (RN) or Licensed Clinical Social... ...environment Other Information Remote or onsite depending on...Remote workQualityWork at officeHome office
$50 per hour
...for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting utilization reviews and ensuring healthcare documentation... ...should have an active New York State RN license and 1-3 years of experience...Remote workHourly pay- ...Degree Manage Others No The Utilization Management (UM) Clinical Reviewer is responsible for... ...partners to promote high-quality patient outcomes, ensure... ...Tuesday - Saturday (fully remote) Key Responsibilities: Review... ...accredited nursing program (RN, LPN, or LVN), or...Remote jobQualityFull timeWork at officeLocal areaWeekend work
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience... ...review. Responsibilities include conducting clinical reviews, applying evidence-based criteria for...Remote workQuality
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX... ...and will include 80% travel. Remote role. Will require a driver... ...complaints and appeals. Licensed Clinical Social Worker/Registered... ...be an infectious agent of quality care wherever they go....Remote workQualityHourly payFull timeContract workImmediate startShift work3 days per week- ...healthcare organization is seeking a Utilization Management Registered Nurse to... ...and documentation. This remote position requires an RN license and over a year's clinical nursing experience.... ...care providers, and ensuring quality care for members. The role offers...Remote workQuality
- ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant... ...offers the flexibility of remote work while supporting professional...Remote workQuality
- ..., Inc. is seeking a self-motivated RN for the role of Utilization Review Nurse in a full-time, hybrid position... ...member needs and ensuring high-quality health care services. Key qualifications... ...Medicaid/Medicare regulations and clinical guidelines, along with inpatient...Remote workQualityFull time
- ...BJC HealthCare (New) is seeking a remote RN with Utilization Review experience. This role involves evaluating... ...of hospital resources to ensure quality patient care. Candidates must have 2... ...candidates will be analytical and have strong clinical skills. #J-18808-Ljbffr...Remote workQuality
- ...Humana is offering a remote internship for a Utilization Management Behavioral Health Registered Nurse (RN) Intern. This role supports the... ...Medicaid team, focusing on clinical reviews and patient care.... ...reviews, documentation, and quality assurance. The position operates...Remote workQualityInternshipWork at officeWeekday work
- ...healthcare company is seeking a Utilization Management Registered Nurse to join their remote team. The successful candidate will utilize clinical nursing skills to... ...services, ensuring quality care for members. Candidates... ...Candidates must hold a compact RN license and possess over...Remote workQuality
- ...Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate... ...(LPN) or Registered Nurse (RN) with strong critical... ...position involves performing clinical reviews, assisting in quality improvement, and resolving...Remote workQuality
$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 workQualityWork at officeHome office- ...Healthcare LLC is seeking a Lead Utilization Management Nurse, responsible for reviewing inpatient service... ...UM Nurses. This fully remote position demands strong... ...valid California LVN or RN license. The role includes... ...with participation in quality assurance. Join a passionate...Remote workQuality
- ...Q-Centrix is seeking a Senior Clinical Data Specialist to join our team in Chicago, focusing on delivering quality solutions to healthcare partners. This position involves analyzing... ...and hold active SCR certification along with RN credentials. We value critical thinkers who...Remote workQuality
- ...organization that has engaged in health care quality consulting and quality improvement... ...and patient outcomes. Our talented remote workforce spans the country and plays... ...Position Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team...Remote workQualityContract work
$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 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- ...Health is seeking a Supervisor of Utilization Management (UM). This remote position requires overseeing the Pre... ...leadership will be essential in promoting quality patient care. The ideal candidate... ...in Utilization Management, strong clinical knowledge, and excellent...Remote jobQuality
- ...hospital resources while providing quality care. Candidates must have 2 years of experience in nursing and utilization review, along with an active RN license in Missouri or Illinois. The... ...position offers flexibility with potential remote work, requiring two shifts per pay...Remote jobQualityReliefShift work
- TEEMA Solutions Group is looking for a Clinical Quality Reviewer to support a large-scale federal healthcare... ...ideal candidate will have an active RN or LCSW license, at least 3 years of... ...skills. This role offers flexibility with remote or onsite work options, depending on...Remote jobQuality
$51.43 - $79.84 per hour
...Description – This is a remote role. You MUST live in the... ...considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge... ...by expanding access to quality health care for all....Remote workQualityDaily paidLive inShift workDay shift$60.2k - $107.4k
...removing barriers to quality care. The work you do... ...together. The Senior Clinical Administrative Nurse is... ...the flexibility to work remotely * from anywhere within... ...emergency department utilization and alternative levels... ...Current and unrestricted RN compact license...Remote workQualityMinimum wageFull timeWork experience placementLocal areaWeekday work$30 - $38 per hour
...Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑... ...Ability to meet productivity, quality, and turnaround times daily... ...program) required. 1+ year clinical experience required.... ...successfully perform in a remote healthcare environment. Ability...Remote workQualityHourly payFull timePart timeWork at officeMonday to FridayWeekend work- ...Epidemiologists is seeking a Clinical Review Supervisor to provide... ...of clinical staff conducting utilization review activities. This fully remote position requires an RN license and relevant experience... ...management. The role focuses on quality oversight and staff...Remote jobQuality
- Comagine-Health is hiring a Clinical Reviewer based in Washington DC. This full-time remote/hybrid position will assess the medical necessity and quality of healthcare services. Ideal candidates have... ...clinical experience and an active RN license. The role involves...Remote jobQualityFull time
$45 - $45.5 per hour
...Senior Analyst Location: REMOTE Duration: 5-6 Months (... ...treatment plan. Utilizes clinical skills to assess, plan... ...that cost effective, quality care is maintained. Provides... ..., and retrospective reviews for inpatient acute care... ...junior team members. RN and current...Remote workQualityContract workImmediate startMonday to FridayAfternoon shift
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