Remote Utilization Management Nurse RN - Case Review Expert
$59.5k - $116.6kkozmetickesluzby.vecnakraska.sk - Jobboard
UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience.
The successful candidate will work primarily during weekends and engage in utilization management tasks. Comprehensive benefits and competitive salary ranging from $59,500 to $116,600 annually are offered, along with opportunities for career growth.
#J-18808-Ljbffr$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend work$1,759.5 per week
...Travel RN - Case Management/Utilization Review American Traveler Austin, Texas, United States Position ID: P-756324 Position status: On Hold... ...pay) Description American Traveler is hiring a remote Utilization Management RN with a TX or compact license...Remote workWeekly payWork experience placementLocal areaShift work$2,147 per week
...Travel RN - Case Management/Utilization Review American Traveler Somerville, Massachusetts, United States Position ID: P-762577 Position status... ...pay) Description American Traveler is hiring a remote RN for Utilization Management requiring an active MA RN...Remote workWeekly payLocal areaMonday to FridayShift work- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote work
- ...Registered Nurse: Review and EvaluationAre you a registered nurse ready... ...through compliance management. Here, you'll champion the... ...unrestricted Registered Nurse (RN) licenseStrong clinical background... ...recordsExperience in utilization review, case management, quality improvement...Remote workWork from home
- ...you a registered nurse ready to take your... ...compliance management. Here, you'll champion... ...bedside setting to review and audit claims,... ...Nurse (RN) license Strong... ...Experience in utilization review, case management, quality... ...vulnerable populations Remote work - enjoy the...Remote workFull timeTemporary workWork at officeWork from home
- ...Job Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding admissions, case management, discharge planning and utilization review.Responsibilities:• Reviews admissions and service requests within...Remote work
- ...TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective,... ...inpatient and continued stay reviews, and presenting complex cases for Medical Director review, while staying compliant...Remote work
- ...Friend Back Remote Work from Home... ...1076 Category: Nursing Schedule: Day... ...Plans (JHHP) is the managed care and health... ...5:00 PM As a Utilization Review Registered Nurse for... ...Registered Nurse (RN) license in Maryland... .... In cases where the range is...Remote workFull timeLocal areaWork from homeMonday to FridayDay shift
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson... ...holidays, no telehealth/remote work Minimum... ...active, and unrestricted RN license Certifications... ...Utilization Management, Utilization Review, or Case Management Preferred...Remote workContract workImmediate startMonday to Friday- ...Centene Management Company LLC is seeking a qualified nurse reviewer to conduct concurrent inpatient and pediatric/adult case reviews to validate medical necessity and appropriate level of... ...Responsibilities include educating providers on utilization processes, sharing feedback with...Remote work
$65k - $75k
Gainwell Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews remotely in the United States. Responsibilities include reviewing medical... ...5+ years of clinical experience, and 2+ years in utilization review or claims auditing. This full-time position...Remote workFull time- ...Currently seeking a Utilization Management RN . Please see details... ...below: Position is remote - candidate must... ...active PA license or a Nurse Licensure Compact to... ...through medical record review to determine medical... ...when needed. Refer cases that do not meet criteria...Remote workImmediate startDay shift
$2,150 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description... ...experience (hospital-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT – 13 weeks SHIFT /...Remote workTemporary workZero hours contractImmediate startShift workNight shiftWeekend work- ...Utilization Review Nurse This position has a remote option for those living close and will be able... ...effectively and efficiently manage a diverse workload in a... ...Identify and present cases of possible quality of care... ...or compact required RN license in state of employment...Remote workFull time
- ...Description Job Description The utilization review and management (UM) component program... ...with medical staff, case managers, and other healthcare... ...Qualifications ~ Registered nurse with active, unincumbered... ...This is an in-office, no remote work capability position...Remote workWork at office
$77.08k - $119.47k
...Department/Unit: Care Management/Social Work... ...Responsible for Utilization Management, Quality... ...1. Registered nurse with a New York State... ...Recent experience in case management,... ...applicable to utilization review process. 8.... ...cannot be done from a remote location. Other...Remote workShift work$45 - $51 per hour
...: Position Details Position: RN Utilization Management / Utilization Review Setting: 100% Remote Schedule: 5x8-hour days Hours: 8:00... ...retrospective reviews. Collaborate with physicians, Case Management, and multidisciplinary teams...Remote workHourly payWeekend work- ...America is seeking a Triage Telephonic Nurse Case Manager to evaluate workers' compensation injury... ...case management intervention. This remote role supports early clinical decision-making... ...assignment of services. You will review details, provide clinical guidance to claims...Remote work
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board... ...performing detailed reviews of medical cases while ensuring high standards of patient care....Remote workFull timeWork from home
$25k
...Description To Apply for this Job Click Here Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - Up to $25K SIGN ON BONUS Location:... ...needs, and perform necessary follow-up. Applies the nursing process and critical thinking skills to oversee...Permanent employmentWork at officeRelocation package- ...healthcare solutions company seeks an LPN Case Manager to join its Utilization Management team in Columbus, OH.... ...involves performing utilization review activities and conducting member visits... ...in Ohio and have substantial nursing experience, particularly in home care...
- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...review or home health. This contract role offers a chance to manage healthcare quality efficiently while working remotely. #J...Remote workContract work
- ...States is seeking an Inpatient Utilization Management Clinician to evaluate... ...across care teams. This fully remote, full-time role requires an active RN license, nursing degree, and experience with InterQual... ...management to ensure timely reviews, document outcomes, and...Remote workFull time
- ...timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions,... ...preferred Bachelor's degree in nursing (BSN) from an accredited... ...Certification in case management, pharmacy, rehabilitation...Remote workFull timeWork experience placement
$80k - $120k
...Clinical Expert, Care Team Operations (RN) Remote Thesis is building... ...operations and care management activities for... ...and versatile nurse to join Thesis... ...a broad-scope "utility player" role... ...operations workflows: Review prior... ...identifying edge cases, and providing...Remote work$70k - $75k
...Utilization Management Registered Nurse (RN) - Remote The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state regulations... ...and Peer Reviewer(s) on cases requiring further review of:...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home$72.8k - $130k
...occasional opportunity for remote work based on... ...needs. As a Sr Utilization Management Nurse in the Springfield MA... ...discuss care details, reviewing clinical information... ...Optum, UHC, or UBH (e.g. Case Managers, Field Care... ...a Registered Nurse (RN) with a current, active...Remote workMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$2,158.8 per week
...Ref. 65547807 RN - Utilization Review $2,158.80 per week... ...assignment in Fort Myers, FL. This remote position requires expertise in utilization management, making it an excellent opportunity for experienced nurses to work in a flexible virtual environment...Remote workWeekly payWork experience placementMonday to FridayFlexible hoursShift workWeekend work- A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management... ...discharge planning. Candidates must have an active RN license in New Jersey, strong analytical skills, and...Remote workContract work
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