Remote Utilization Review RN - Care Coordinator
Evry Healthcare Inc.
- Remote job
Evry Health is seeking an RN Integrated Care Coordinator (UM) to provide comprehensive care coordination and drive quality outcomes across the care continuum. The role requires posting to physicians and working with members, providers, and facilities to ensure high-quality care in a remote environment, with rotating weekend utilization review coverage. The candidate should have 1–2 years in utilization management, 3–5 years clinical experience, and a current Texas nursing license along with #J-18808-Ljbffr Evry Healthcare Inc.
$29 per hour
...Job Description Job Description Utilization Review Care Coordinator (RN) Location: San Antonio, TX Pay Rate: Starting at $29.00/hour Schedule: Monday-Friday | 8:00 AM-5:00 PM Dean's Professional Services is seeking an experienced and detail-oriented...SuggestedMonday to Friday- ...WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies. Requires active nursing license...Remote workWork at office
- The Utilization Review (UR) Care Coordinator in the Care Management Department will be responsible for ensuring the appropriate use of healthcare resources... ...in Nursing Certification/Licensure Registered Nurse (RN) Required Skills Minimum of 3 years of clinical...Suggested
- ...Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN... ...from home in a fully remote role. The nurse will review cases, educate patients on appropriate care, and manage health care costs... ...hours per day, requiring an RN with a Bachelor's degree, state...Remote jobWork from homeMonday to Friday
- HealthHelp - A WNS Company is seeking a nurse (RN/LPN) to perform utilization reviews, collaborate with clients, and ensure timely, compliant case evaluations. The role is remote with training and standard hours. The successful candidate will hold an active RN or LPN/LVN...Remote job
- Comagine Health in Alabama is seeking Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective utilization reviews. This is a full-time remote role supporting Alabama contracts. You will...Remote jobFull time
$65 per hour
...RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30)... ...No Locals accepted? No. Pending License accepted: No Fully Remote Position RTO Restrictions: Please include all RTO at the time...Remote workHourly payLocal areaImmediate startMonday to FridayShift workWeekend work- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews,...Remote work
- University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior... ...authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care. You will...Remote jobFull time
- ...Fully Remote Utilization Review Position Setting: Fully Remote – Utilization Review Schedule: Full... ...N/A Job Requirements: Active RN license with Multi-State/Compact license... ...of clinical nursing experience (acute care/hospital preferred) Strong understanding...Remote workFull timeMonday to Friday
- ...HealthHelp is seeking a remote Utilization Review clinician (RN/LPN/LVN) to support medical necessity determinations across client programs. You will review cases, coordinate with providers, and ensure timely decisions in line with policy and regulatory requirements....Remote workWork at office
$2,000 per month
RN - Utilization Review - Travel Gross Pay (weekly): $2000.0 Taxable Pay (weekly): 2000.0 Non-taxable Pay (weekly): 0.0 Shift: Type - 8hr Days, Schedule - No schedule available Location: Fort Myers, FL Scheduled Hours: 40 Protouch StaffingRemote jobWeekly payShift work- Optum is seeking a Utilization Review Nurse, RN to perform inpatient utilization management, applying evidence-based guidelines and medical... ...Management, and familiarity with Medicare/Medicaid guidelines, MCg/InterQual, and care coordination processes. #J-18808-Ljbffr NHSHPRemote job
- ...Registered Nurse to perform clinical reviews for authorization requests... ...standardized criteria and coordinate with physician peers when... ...multidisciplinary team focused on member care within a managed care... ..., including acute care and utilization management experience. #J-18...Remote job
- Optum is seeking a Utilization Review Nurse (RN) to perform inpatient utilization management, applying evidence... ...judgment, documentation in the care management system, and collaboration with... ...Monday-Friday schedule with potential remote work for those in PST or MST and...Remote jobMonday to FridayWeekend work
- ...POSITION SUMMARY - RN Utilization Review POSITION DUTIES -... ...stays, and services, while coordinating with providers and payers to... ...~ Skilled experience with remote work LENGTH OF ASSIGNMENT... ...organizations provide quality patient care that continually evolves to...Remote workTemporary workShift workWeekend work
$30 - $34 per hour
...A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...Remote workHourly pay- University of Maryland Medical System seeks a Utilization Review Nurse for weekend shifts in Towson, MD. The role bridges care teams and insurers, ensuring medical... ...and nursing credentials. Training is partly remote with onsite start as needed. #J-18808-Ljbffr...Remote jobShift workWeekend work
- Sentara Health Plans is seeking an experienced Utilization Review Nurse (RN) for Imaging/Commercial with remote work eligibility. The role covers prior authorization, inpatient and concurrent review, and coordination of care across benefits and contracts. A Virginia-...Remote jobFlexible hoursWeekend work
- HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost-effective, high-quality care. This role ensures medical necessity across Medicare... ...with physicians and care teams. Remote work is available after training. #J-1...Remote job
$30 - $38 per hour
A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote jobHourly payPart time- ...Case Manager, RN- Utilization Review Under the general supervision of the... ...most appropriate level of care based on nationally recognized... ...with physicians, Care Coordinators, Resource Center Associates... ...interdisciplinary collaboration in a remote or hybrid work environment....Remote workFull timeMonday to FridayShift work
- ...Description Quick Job Details: Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday... ...Hours Job Requirements: Active RN license with Multi-State/Compact... ...eligible Minimum 3 years of acute care/hospital RN experience Strong understanding...Remote workFull timeMonday to Friday
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical... ...clinical nursing expertise, care management experience, and... ...to handle confidential PHI while coordinating with medical directors and other...Remote job
- ...Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and... .... Join a multidisciplinary team, coordinate with care teams, oversee CMS and payer...Remote job
$45 - $50 per hour
...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... ...nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby....Remote jobHourly pay- ...Utilization Review And Management (Um) Component Program The utilization... ...at the appropriate level of care, while supporting regulatory... ...necessity of treatments and coordinate care effectively # Data Analysis... ...This is an in-office, no remote work capability position...Remote workWork at office
- Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective...Remote jobFull timeContract work
- ...BlueShield South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and... ...guidelines. The role documents decisions and supports utilization review across multiple services. The position is remote, full-time, with standard hours 8:00 AM-5:00...Remote jobFull time
- Registered Nurse (RN) - Utilization Review Job Description Job Shift:Days Job Type... ...effective resource coordination to help patients achieve optimal health, access to care, and appropriate utilization... ...Thop Transmountain Campus (Remote) #J-18808-Ljbffr Oracle CorporationRemote workFull timeWork at officeFlexible hoursShift work
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