Remote RN Care Review Clinician
$26.41 - $51.49 per hourMolina Healthcare of Illinois
- Remote job
Molina Healthcare is seeking a Registered Nurse for a remote position supporting Arizona state plans. This role involves assessing inpatient services, analyzing clinical requests, and making referrals to ensure compliance and cost-effectiveness. Candidates should have at least 2 years of relevant experience in acute care and a valid Arizona RN licensure. Strong communication and organizational skills are essential. The position offers competitive pay between $26.41 and $51.49 hourly. #J-18808-Ljbffr Molina Healthcare
- ...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 jobWork 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 jobHourly 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... ...our interview process. Remote position, must reside in Arizona... ...procedures. Conducts inpatient reviews to determine financial...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- ...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
$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 jobHourly pay$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- 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 jobMonday to Friday
$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 jobHourly payWork at office- ...Registered Nurse Clinician Twin Cities Spine Center... ...family or other health care members to appropriately... ...collaborative discussions and review case findings of non-... ...preferred Active RN License... ...Minneapolis with rotation to remote clinics as business dictates...Remote workFull timeTemporary workWork at officeMonday to FridayFlexible hours
- ...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
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position... ...and communicate with medical teams to ensure appropriate care levels. Ideal candidates will have at least one year of utilization...Remote workContract workWork from home
- ...Cambia Health Solutions seeks an Appeals Clinician I to leverage clinical expertise in resolving appeals while... ...Bachelor's Degree in Nursing and possess a current RN license, alongside excellent skills in claim reviews and healthcare procedures. Join a dedicated team focused...Remote workWork from home
- ...Cambia Health Solutions is seeking an Appeals Clinician I to use clinical expertise in resolving... ...policies and guidelines through in-depth clinical reviews. Ideal candidates will have a Bachelor's Degree in Nursing and a current RN license in relevant states. This position...Remote workWork from homeFlexible hours
$40 per hour
...Clinical Documentation Reviewer & QA Consultant to support... ...ideal for a licensed clinician or healthcare... ...Active LPC, LCSW, LMFT, RN, PsyD, PhD, or other related... ...Adjustment, or Managed Care. Experience conducting... ...Flexible scheduling. Remote work opportunities available...Remote workHourly payFlexible hours- ...Cambia Health Solutions is looking for an Appeals Clinician I to join their Clinical Services team. This role focuses on ensuring compliance with medical policy through clinical appeal reviews. Ideal candidates will have a Bachelor's Degree in Nursing and essential clinical...Remote workWork from home
$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$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This hybrid role allows for independent work alongside collaboration with providers, focusing on enhancing health care delivery...Remote work- ...seeking a registered nurse for Clinical Review and QIDP responsibilities, working remotely from any U.S. location. The role requires an active RN license in Alabama, a BA/BS in Nursing,... ...at least three years of direct patient care experience. Responsibilities include...Remote jobWork from home
- Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market team,... ...working from home. You will be responsible for reviewing PA requests, ensuring compliance with... ...license and a minimum of two years in clinical care. The position offers flexible hours and...Remote jobWork from homeFlexible hours
- ...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
- ...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
- ...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
- ...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
- ...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
- ...Village Center for Care, Inc. is seeking a self-motivated RN for the role of Utilization Review Nurse in a full-time, hybrid position located in the New York Tri-State Area. The successful candidate will be responsible for assessing member needs and ensuring high-quality...Remote workFull time
- ...Registered Nurse to perform first-level reviews and assess patient treatment plans. The role... ...treatment, evaluating plans of care, and interacting with healthcare providers... ...package, work-life balance, and operates a remote/hybrid work setting after training. #J-18...Remote work
- COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare... ..., alongside a minimum of 3 years of direct patient care experience. The role involves applying Medicaid program...Remote workFull time
- ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality,... ...-centered care through Utilization Review. The role requires an active RN license in Illinois and significant... ...position offers the flexibility of remote work while supporting professional growth...Remote work
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