Remote Utilization Review Nurse - Care Outcomes Advocate
Martins Point Health Care
Martin's Point Health Care is looking for a Utilization Review Nurse, responsible for ensuring quality medical outcomes through effective authorization processes. With 3+ years of nursing experience, the candidate will utilize evidence-based criteria and collaborate with healthcare providers. Key responsibilities include reviewing prior authorizations, managing claims disputes, and mentoring new staff. This role requires an understanding of regulatory guidelines and excellent communication skills. Join us in transforming healthcare in Maine! #J-18808-Ljbffr
- ...the United States is hiring for a Concurrent Review Nurse responsible for performing utilization management activities remotely. The role involves conducting concurrent reviews... ...professionals to ensure appropriate patient care. The ideal candidate will be a registered...Remote work
- ...case management services focusing on quality care and positive outcomes. Responsibilities include developing... ...policies. Ideal candidates will hold a Registered Nurse license and have prior clinical care experience. This remote role is a great opportunity to make a positive...Remote work
- ...A healthcare startup is looking for an LPN/LVN Healthcare Advocate to work remotely with Medicare patients. In this role, you'll guide patients... ...Responsibilities include building trusting relationships, creating care plans, and providing comprehensive support. This is a 1099...Remote workContract workFlexible hours
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions... ...that offers a chance to make a direct impact on patient outcomes. #J-18808-LjbffrRemote workContract work
$75k
...looking for a Registered Nurse to perform inpatient utilization reviews, ensure compliance with medical... ...teams to improve patient outcomes. This role requires a... ..., two years of acute care experience, and familiarity... ...schedule and the possibility of remote work, with a base salary...Remote workFlexible hours- ...a Friend Back Remote Work from Home Share... ...MD 21076 Category: Nursing Schedule: Day Shift... ...(JHHP) is the managed care and health services... ...- 5:00 PM As a Utilization Review Registered Nurse for Johns... ...and better health outcomes for our members and the...Remote workFull timeWork from homeMonday to FridayDay shift
$77.91k
...Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position involves... ...inpatient admissions, coordinating care, and ensuring quality and cost-effective patient outcomes. The ideal candidate will have a minimum...Remote work$35 - $40 per hour
...$40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating... ...delivery of home health care. This role monitors admissions,... ...while promoting positive patient outcomes. Responsibilities Review and...Remote workContract workFlexible hoursWeekend work- ...Martin's Point Health Care Inc. is looking for a Utilization Review Nurse in New York. This role requires a strong background in clinical nursing and utilization... ...to ensure quality, cost‑efficient medical outcomes. Responsibilities include reviewing prior authorization...Remote work
$41 - $45.5 per hour
...Government Clients Role: Nurse Case Management... ...Analyst Location: Remote (within plan... ...effective, high-quality care and supports... ...health education, and utilization management. Key... ...support positive health outcomes. Conduct... ...and retrospective reviews for inpatient, rehab...Remote work- ...Management Location: 100% Remote Schedule: M-F 9:00... ...Works with the Utilization Management team... .../utilization review and other utilization... ...members with the right care at the right place... ...to ensure optimum outcomes, cost... ...State Registered Nursing (RN) license in good...Remote workContract work
$73.86k - $96.02k
...Utilization Review Registered Nurse, Case Management Baptist Health is the region's largest not-for-profit... ...and 200 outpatient centers, urgent care facilities and physician practices across... ...team for optimal/efficient patient outcomes, while decreasing length of stay (...Remote workLocal area$35 - $43 per hour
...0/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must... ...Concurrent Review will perform utilization management functions to... ...receive the right care at the right time. This... ...ensure quality healthcare outcomes while supporting cost-effective...Remote work$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview... ...of in person and remote considered) GENERAL SUMMARY... ...ensures safe transitions of care. GIBSON AREA HOSPITAL &... ...to achieve desired outcomes and organizational goals while...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...Position Summary The Utilization Review Nurse works as responsible for ensuring the receipt of high quality, cost efficient medical outcomes for enrollees with a need for inpatient/outpatient... ...discharge plans, coordinates transitions of care to lower/higher levels of care,...Remote workWork at office
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key... ...-effective patient care. Working collaboratively... ...optimal patient outcomes and resource management... ...barriers. o Advocate for patients by ensuring... ...based staff; optional for remote staff.Remote workWork at office
$27.02 - $48.55 per hour
...focusing on improving health outcomes by identifying and closing care gaps. This role... ...coordination. Serve as a member advocate by helping individuals... ...Social Work, Public Health, Nursing, or related field; or... ...flexible approach to work with remote, hybrid, field or office...Remote workHourly payFull timePart timeSeasonal workH1bWork at officeLocal areaWork from homeFlexible hours- ...Utilization Review Nurse (RN) Neuropsychiatric Hospitals is looking for a Utilization... ...across the continuum of care by promoting effective... ...multiple hospitals both remotely and traveling onsite to the... ...to support positive patient outcomes and reduce unnecessary length...Remote workWork at office
$30 - $38 per hour
...solutions, and comprehensive care navigation together in one... ...while actually improving health outcomes. Together, our team is on a... ...Job Summary We are seeking Utilization Review Nurse RN to join our team on a... ...to successfully perform in a remote healthcare environment. Ability...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend work$34 - $40 per hour
...pay range $34.00/hr - $40.00/hr Remote (Compact Licensure Required) -... ...is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based health services... ...Monitor patient progress and outcomes while ensuring compliance with...Remote workFull time- ...Client Advocate Location: Sandy Springs, GA Employment Type : Full-Time ONSITE Serenity... ...hospitality, or any environment where quality and outcomes were both non-negotiable, this role will... ...them to take the next step Listen carefully, ask the right questions, and document...Full timeImmediate startShift work
$22 per hour
...legacy of Harvard Pilgrim Health Care and Tufts Health Plan to... ...and equal healthcare access and outcomes, regardless of background; it’... ...Supervisor, the Member Services Advocate provides exceptional customer... ...training and working in a virtual/remote setting. Skill Requirements...Remote workWork experience placementWork at officeWork from home$21 per hour
...legacy of Harvard Pilgrim Health Care and Tufts Health Plan to... ...and equal healthcare access and outcomes, regardless of background; it’... ...Supervisor, the Member Services Advocate provides exceptional customer... ...training and working in a virtual/remote setting.Skill...Remote workWork experience placementWork at officeWork from home$60.2k - $107.4k
...Behavioral Health Advocate Optum is a... ...that delivers care, aided by technology... ...improve health outcomes by connecting... ...spent working remotely at home.... ...Responsibilities: Utilize advanced... ...standing meetings to review performance,... ...OR a Registered Nurse (RN/BSN or MSN)...Remote workMinimum wageFull timeWork experience placementLive inLocal areaWork from homeMonday to Friday$19 per hour
...need. As a *Community Care Advocate*, you will handle incoming... ...as food, housing, utility assistance, and more.... ...conversations toward helpful outcomes. *Key... ...* Full transition to remote work after training (equipment... ...that your application may be reviewed using AI tools.Remote workContract workTemporary workLocal areaWork from homeFlexible hoursShift work- ...A confidential managed care organization in Chicago is seeking an... ...experienced Appeals Pharmacist to review and process medication... ...clinical documentation, determining outcomes, and collaborating with... ...benefits, and potential for hybrid or remote work. #J-18808-Ljbffr...Remote work
$60.2k - $107.4k
...Behavioral Health Care Advocate (Lucas County, OH) Optum is a global... ...directly improve health outcomes by connecting people with the... ...condition education, medication reviews, and connections to... ...coordination of benefits and utilization of multiple groups and resources...Remote workMinimum wageFull timeWork experience placementLocal area- ...Care Advocate (Shift: 8-5p MST) United States TailorCare is transforming the experience... ...evidence-based approach to improving patient outcomes for joint, back, and muscle conditions.... ...lives of those in pain. TailorCare is a remote-first company with our corporate office...Remote workHourly payWork at officeShift work
- ...Patient Advocate/Pharm Tech - 88535 Northern Light Pharmacy |US:ME... ...high-quality patient-centered care. As a Patient Advocate your primary... ...Maintain compliance with NLH Remote Worker Policy: Remote Work (17... ...high standards for their own outcomes and seizes opportunities to...Remote workPart timeFlexible hours
- ...leading provider of outcomes-driven care for individuals and communities... ...a combination of remote days and visits to... .... The CHW-Patient Advocate will work as an extension... ...physicians and/or a nurse care manager.... ...visits with patients. Utilize motivational interviewing...Remote work
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