Remote Concurrent Review RN: Utilization & Care Coordination
$69.38k - $92.28kMVP Health Care
- Remote job
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. Ideal candidates are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent communication skills. The position offers competitive compensation between $69,383 and $92,279, and is ideal for detail-oriented professionals passionate about patient care. #J-18808-Ljbffr MVP Health Care
- ...Medical Center. Please review the following... ...Organization: Utilization Review Location/s:... ...Jackson Job Title: RN - Utilization Reviewer - Coordinated Care - PT - Remote Job Summary: Accountable... ...prospective, concurrent, retrospective, and denial...Remote workPart timeWork experience placementCasual workSeasonal workShift work
- ...Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-driven... .... This role offers hybrid or fully remote arrangements, with major... ...transforming healthcare from sickness care to wellness guidance. #J-18808-Ljbffr...Remote job
- Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including... ...in Oregon and Washington. This role encompasses care coordination and discharge planning, along with various compliance...Remote job
- ...The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines... ...membership on a pre-service, concurrent and post-service basis. This...Remote workWork at officeLocal areaWork from homeHome officeMonday to Friday
- ...Utilization Management Position Provide health care services regarding admissions, case management... ...planning and utilization review. Review... ...unit for prospective, concurrent and retrospective medical... ...appeals. Assess and coordinate discharge planning needs...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 jobHourly pay
$69.38k - $92.28k
...the Future of Health Care At MVP Health Care... ...As a Professional Concurrent Review RN, you'll have the opportunity... ...to expand into utilization management, this position... ..., and care coordination strategies. With opportunities... ...be: Location: Remote Pay Transparency...Remote workContract work$75k
...Houston, Texas, is looking for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing license... ..., dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a supportive...Remote jobMonday to Friday- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key... ...-effective patient care. Working collaboratively... ...necessity, and coordinates with healthcare providers... ...o Conduct concurrent and retrospective reviews... ...based staff; optional for remote staff....Remote workWork at office
- ...effective resource coordination to help patients achieve... ...health, access to care and appropriate utilization of resources,... ...Central Utilization Review LVN/LPN Case Manager... ...from payers Managing concurrent disputes... ...Saturday schedule. Remote, but you must live...Remote workWork at office
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson... ...of in person and remote considered) GENERAL... ...safe transitions of care. GIBSON AREA HOSPITAL... ...Coordinate and facilitate patient... ...program. Provides concurrent reviews of all admissions...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...responsible for conducting utilization review/medical management for all... ...Functions Performs prospective, concurrent or retrospective... ...appropriateness of quality of care based on contract, state, or... ...criteria to peer reviewer. Coordinates and participates in peer-to...Remote workContract workLocal area
$45.9 - $71.4 per hour
Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical... ...include prior authorization, concurrent hospital and skilled nursing review... ...of claims and other data, care coordination and discharge planning. Location...Remote jobHourly payLocal area$90k - $100k
...the business of health care, transforming it from... ...We are looking for a RN Concurrent Review . If you are... ...Health Partners regarding Utilization Review, inclusive of... ...or telephonically to coordinate care Educate providers... ...either a hybrid or fully remote work arrangement....Remote workWork at office3 days per week$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... ...telephonic contact Authorize and coordinate referral for services....Remote workHourly payFull timeContract workImmediate startShift work3 days per week$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... ...telephonic contact Authorize and coordinate referral for services....Remote workHourly payFull timeContract workImmediate startShift work3 days per week$74.29k - $111.43k
...Concurrent Utilization Review Nurse, RN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that... ...all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers...Work at office$73.86k - $96.02k
...reflect our commitment to caring for our people, so they can... ...position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team for... ...non-leadership role as an RN. However, they are required...Local area- ...Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that... ...thinking. Reviews include admission, concurrent and post discharge for appropriate... .... Collaborates with facility RN Care Coordinators to ensure progression...
$40 per hour
...in TX Full time remote Candidates must... ...based in TX. RN working in the insurance or managed care industry using medically... ...initial, concurrent review activities; discharge care coordination for determining efficiency... ...regarding utilization management requirements...Remote workFull timeContract workWork at office- 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... ...in quality initiatives. Candidates must have a Compact RN License and at least 3 years of clinical nursing...Remote job
- ...Utilization Review Coordinator Fully Remote MBH Remote Worker - Phoenix, AZ 85024 Overview Position Type Full... ...Bachelors Degree Category Health Care Description This is where... ...Services. You will conduct pre-certs, concurrent and extended reviews. You will...Remote workFull timeLocal area
$74.29k - $111.43k
Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for conducting... ...to members under a managed care health plan. The role... ...admission and continued stays, coordinating with healthcare providers,... ...Education - Registered Nurse (RN) with an active,...Work at office- ...minimal supervision, reviews and screens the appropriateness... ...of services, the utilization of hospital resources... ...quality of patient care rendered. Combines clinical... ...exposure caused by concurrent and retrospective... ...issues. Facilitate and coordinate involvement of medical...Full timeShift work
- Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time Hybrid Job... ...for performing prospective, concurrent, and post‑discharge utilization reviews... ...progression through the episode of care. This position also assists with discharge...Full timeLocal areaShift work
$70k - $80k
...by delivering exceptional care, utilizing state-of-the-art facilities... ...impact! Title: Utilization Review Coordinator Reports to: Senior... ...Department/Location: Remote, but only considering candidates... ...presentations. Coordinate all concurrent insurance reviews with...Remote workFull timePart time- ...We are seeking an experienced Utilization Review Nurse to join our team in a hybrid... ...County (Hybrid: In Office/Remote) Schedule: Monday to Friday, 8... ...Participate in case management and care coordination meetings. Qualifications Active RN license in the state of New...Remote workWork at officeMonday to FridayFlexible hours
- ...RN Utilization Review - Remote Position This position will work full-time, 8-hour day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct... ...-focused, whole-person care built on understanding, commitment...Remote jobFull timeLocal areaDay shift
- 100% remote position in any state except, NY, CA, HI, or AK... ...For Performing Discharge Care Coordination And Review Activities For Determining... ...Guidelines, Conducting Initial And Concurrent Review, Prepare Reports On... ...Information Regarding Utilization Management Requirements...Remote workContract work
- ...Title: Clinical Review Nurse - Prior... ...Location: Fully Remote (PST Time Zone... ...Review to join our Utilization Management team... ...will conduct concurrent and prior... ...providers, and care management teams... ...authorized care Coordinates as appropriate... ...Qualifications Active RN license (WA;...Remote workContract work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Concurrent Review RN: Utilization & Care Coordination. Be the first to apply!



