Remote RN Care Review Clinician
Molina Healthcare of Illinois
Molina Healthcare in Arizona seeks a talented Registered Nurse to assess and coordinate healthcare services for members. The position emphasizes hospital acute care and prior authorization in a remote capacity. Ideal candidates should possess strong organizational and communication skills, and have at least 2 years of relevant experience. The role involves teamwork with multidisciplinary professionals to ensure compliance and quality outcomes. Offering a competitive hourly pay, this is a great opportunity under a reputable health organization. #J-18808-Ljbffr
$36 - $38 per hour
...using the platform. The Lead RN Reviewer in Service Operations position... ...oversight and direction to clinicians Assist in addressing any case... ...years in healthcare, managed care, or insurance-related roles 1... ...leadership style suited for a remote, fast-paced environment Please...Remote workHourly payFlexible hours- ...Provides support for clinical member services review assessment processes. Responsible for... ...desired outcomes through integrated delivery of care across the continuum. Contributes to... ...education and experience. • Registered Nurse (RN). License must be active and unrestricted...Remote workWork at office
$26.41 - $51.49 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...desired outcomes through integrated delivery of care across the continuum. Contributes to... ...education and experience. Registered Nurse (RN). License must be active and unrestricted...Remote workHourly payWork experience placementWork at office$26.41 - $51.49 per hour
...coordinate an integrated delivery of care across the continuum,... ...seeking a candidate with an Arizona RN licensure. The ideal candidate... ...during our interview process. Remote position, must reside in... ...procedures. Conducts inpatient reviews to determine financial responsibility...Remote workHourly payWork experience placementWork at officeMonday to FridayWeekend work$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX... ...and will include 80% travel. Remote role. Will require a driver... ...and need for services for care plan development. Monitor... ...principles placing our clients’ and clinicians’ best interests first with...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$26.41 - $51.49 per hour
Molina Healthcare is seeking an RN with at least 2 years of experience in hospital acute care for a remote role supporting the Arizona State Plan. Key responsibilities include assessing inpatient services, analyzing clinical requests, and collaborating with healthcare...Remote workHourly pay- ...Molina Healthcare is seeking a Remote Registered Nurse to support their Arizona state Plan. This role involves... ...with multidisciplinary teams to ensure quality care and compliance. Candidates must possess an active Arizona RN license and have at least 2 years of acute care...Remote workMonday to Friday
$26.41 - $51.49 per hour
Molina Healthcare is seeking a Registered Nurse for a remote position supporting Arizona state plans. This role involves assessing... ...have at least 2 years of relevant experience in acute care and a valid Arizona RN licensure. Strong communication and organizational skills...Remote workHourly pay$26.41 - $51.49 per hour
...to support their Arizona state Plan. This remote position involves assessing inpatient services... ...teams. Candidates need a valid Arizona RN license and a minimum of two years’ experience in related fields, such as managed care or hospital settings. Strong communication...Remote workHourly payWork at office- ...Administration, Inc. is seeking an RN Clinician to provide utilization management services in a remote role from Virginia. The ideal... ...license and over 3 years of acute care experience. Responsibilities include prior authorization reviews, care coordination, and managing...Remote work
$90k - $100k
...to better health, unburden clinicians, align incentives and engage... ...disrupting the business of health care, transforming it from... ...guidance. We are looking for a RN Concurrent Review . If you are passionate... ...offers either a hybrid or fully remote work arrangement. Candidates...Remote workWork at office3 days per week- ...Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Flexible Weekend Dayshift - Remote in VA and NC! Status: Full-... ...clinician is responsible for review of clinical information... ...Addiction Medicine (ASAM) levels of care) and utilization management...Remote workPermanent employmentFull timeTemporary workFlexible hoursShift workWeekend workDay shift
$43.5 per hour
...committed to providing comprehensive care coordination services to our... ...), all other work is remote. Pay Hours: Monday - Friday 8... ...experienced LTSS Service Coordinator—RN Clinician to join our team. In this... ...and performance is reviewed regularly. Qualifications Registered...Remote workContract workTemporary workMonday to Friday$28.94 - $51.83 per hour
...Clinical Review Clinician Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with... ...s degree (or higher) ~ Active and unrestricted RN license OR LPN in the state of residence ~2+...Remote workHourly payMinimum wageFull timeTemporary workWork experience placementLocal area$34.98 - $62.52 per hour
...of Position Registered Nurse Clinician Primary Care Triage (Fully Remote) Do you have the aptitude to work... ..., as directed. Maintains and reviews patient records, charts, and other... ...Licenses and Certifications RN - Registered Nurse - State Licensure...Remote workWork experience placementWork at office$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...contact and will include 80% travel. Remote role. Will require a driver’s license.... ...system, and need for services for care plan development. Monitor delivery...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$28.37 - $36 per hour
...Acentra Health is looking for a Clinical Reviewer - RN - PRN (Remote U.S.) to join our growing team.... ...medical necessity and appropriateness of care; assess if the medical record... ...team of experienced and caring leaders, clinicians, pioneering technologists, and industry...Remote workContract workWork experience placementReliefWork at officeLocal areaMonday to FridayFlexible hours- ...Job Title: Care Review Clinician I Location: 100% Remote Duration: 3 Months+ (temp to hire) Schedule: Wednesday - Sunday 8 - 5 pm PST Pay Range... ...of Experience: Active, unrestricted California RN or LVN license required. Minimum of 3 years of clinical...Remote workTemporary work
$77k - $80k
...Quality Reviewer BAYADA Home Health Care has an immediate opening for a Full Time Quality Reviewer with OASIS certification to work remotely. RN's with certifications will be considered for this role... ...edit recommendations to each clinician to promote OASIS accuracy....Remote workFull timeWork at officeLocal areaImmediate start- ...Utilization Review Clinician, Advocate, Remote We are an equal employment opportunity employer. All qualified applicants will receive consideration... ...Review Clinician/Advocate provides telephonic care review and authorization determinations for psychiatric,...Remote workDaily paid
- ...P3 Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts... .... This role offers hybrid or fully remote arrangements, with major responsibilities... ...transforming healthcare from sickness care to wellness guidance. #J-18808-Ljbffr...Remote work
- ...CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote work
- ...organization is searching for Clinical Utilization Review Nurses (RN) based in Alabama. This full-time, remote position involves assessing the medical necessity and... ...guidelines, and ensuring compliance with quality care. The organization values work-life balance and provides...Remote workFull time
- ...Partners in Henderson, NV is seeking an RN Concurrent Review to ensure compliance with the Medical... ...Program. The role may be hybrid or fully remote, with competitive hourly rates based on... ..., including working in managed care settings, and will promote the mission...Remote workHourly pay
- ...Care Review Clinician Integrated Resources, Inc., is led by a seasoned team with combined decades... ...Job Description The positions are remote, but the home office is located in Springdale... ...Active, unrestricted State Nursing (RN, LVN, LPN) license in good standing....Remote workHome office
- ...Job Title : Hybrid Review & Evaluation RN Location: Harrisburg Pennsylvania 17101 (2 days onsite, 3 days WFH) Training may be onsite! Some travel... ..., quality, quantity, adequacy, and compensability of care and services Examine medical records and supporting documentation...Remote workHourly payWeekly payFull timeTemporary workWork from homeMonday to Friday
- ...A leading healthcare organization is seeking a remote RN to ensure appropriate administration of hospital resources and quality care. Responsibilities include reviewing patient care levels and utilizing Interqual Criteria for inpatient hospitalizations. The ideal candidate...Remote work
- ...Memorial Hospital, Inc. is seeking a full-time RN UR Specialist in Albany, GA. Responsibilities include... ...and certifications for Utilization Review, ensuring compliance with regulations while supporting patient care. Candidates should possess an Associate Degree in...Remote workFull time
- ...regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical services based on necessity and promoting quality care outcomes. The candidate must have a Bachelor's in Nursing and hold a...Remote workFlexible hours
- ...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 in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
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