Remote Utilization Management Review Nurse
340B Health
340B Health is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, Texas. This role involves technical and administrative work to ensure efficient utilization of medical services while promoting quality care. The UMRN collaborates with various teams to achieve holistic outcomes for patients. The ideal candidate must have a Bachelor's degree in Nursing, an RN license in Texas, and extensive experience in clinical settings. Weekend and holiday availability, as well as flexible working hours, are essential. #J-18808-Ljbffr
- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
- ...yourcommission in Bellaire, Texas is seeking a Utilization Management Review Nurse (UMRN) to evaluate medical services and ensure appropriate care levels. Candidates must have a Bachelor’s degree in Nursing and be a Registered Nurse licensed in Texas. This role involves...Remote workFlexible hours
- ...Blue Cross and Blue Shield of Kansas City is looking for a Clinical Review Nurse to utilize clinical expertise in managing healthcare services efficiently. Candidates must have at least 3 years of direct patient care experience and an Associate degree in nursing, along...Remote work
$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications... ...Utilization Management, Utilization Review, or Case Management Preferred Certifications...Remote workContract workImmediate startMonday to Friday- ...Case Management Society of America (CMSA) ® is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, Texas. The role involves evaluating the appropriateness of medical services while collaborating with healthcare professionals to enhance patient outcomes. The...Remote workFlexible hours
- ...Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance...Remote 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, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...Remote workContract work
- ...tuition assistance, 403(b), remote work United States, Maryland... ..., MD 21076 Category: Nursing Schedule: Day Shift Employment... ...8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns... ...to use your clinical, managed care, utilization review, and...Remote workFull timeMonday to FridayDay shift
- ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements Full time position. Hybrid (combination of in person and remote considered) General Summary The Utilization Review/Case Management Nurse is directly responsible...Remote workFull timeShift work
- ...delivery of such care; achieved via managing the cost of care while... ...Functions Applies approved utilization criteria to monitor... ...levels of care and continued stay review. Communication to third-... ...with payer as determined by nursing judgment and/or collaboration...Remote workWork at officeShift workNight shiftRotating shift
$85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations... ...healthier community. POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure medically...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly Position Type Full... ...time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...Utilization Management Nurse Review patient medical records to determine the medical necessity and appropriateness of admissions, continued stays,... ...highly preferred. Comfortable working independently in a remote environment and proficient with computer systems....Remote workMonday to FridayShift workDay shift
$40 per hour
...reside in TX Full time remote Candidates must be... ...working in the insurance or managed care industry using... ...performing initial, concurrent review activities; discharge... ...information regarding utilization management requirements... ...facilities. Registered Nurse (RN) with valid,...Remote jobFull timeContract workWork at office$30 - $34 per hour
...healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in... ...and have experience in outpatient utilization management. Responsibilities include approving or denying medical...Remote workHourly pay$34.73 - $45.15 per hour
...Performs medical record review for severity of illness... ...organized and efficient time management skills Education and Training: Nurse, Registered (RN)... ...preferred. 2-5 years previous Utilization Review experience... ...Details: Days, Primarily remote; onsite orientation requirement...Remote workFull timePart timeWork experience placementFlexible hoursShift workWeekend work- ...Registered Nurse - Utilization Review (Nursing) Location: Aurora, CO. Location: Colorado Military Health System – Buckley AFB and Peterson AFB. Labor Category: Registered Nurse – Utilization Management. Current POP ends 11/30/25. TO POP ends 11/30/27. This assignment...Remote workContract workWork from homeMonday to FridayNight shift
$1,966 per week
...the first 25 applicants Nurses – are you looking for a... ...leader in personalized managed health care, focused on... ...Work-life balance. Remote/hybrid setting (once trained... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...is a global, innovative Total Talent management firm dedicated to accelerating meaningful... ...is a Field work contract role for a Utilization Review Nurse. The Utilization Review Nurse will be... ...Ability to work independently and remotely Experience in a healthcare or clinical...Remote workContract work
- ...Job Summary The Utilization Management Review Nurse (UMRN) performs technical and administrative work required to evaluate the necessity, appropriateness, and efficiency of the utilization of medical services, procedures, and facilities. This role supports the health system...Remote workWork experience placementWork at officeFlexible hoursWeekend work
- ...healthcare services. From preventative care to managing chronic conditions, we’re dedicated to... ...at Umpqua Health. Position Title Utilization Review Nurse Department Umpqua Health Job Status... ...00pm (Pacific Standard Time) Location Remote position Salary Wage Band 20: $85,990...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hours
$41 per hour
...Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract... ...months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria to validate...Remote workContract work$40.12 - $62.19 per hour
...Utilization Review Nurse RN - NE ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Part-time - Weekends - Weekend shifts - 8:00am-4:30pm ~RN OTHER ~95496 ~$40.12-$62.19 Experience based ~Posted: Yesterday Apply Now Save...Part timeShift workWeekend work- ...Job Summary: The Utilization Review RN is responsible for utilization review, discharge... ...through assuring daily plan is executed, and management of transitions and post-hospital care.... ...post hire. ~ Registered Nurse License (Virginia) within 6 months of hire...Work from home
$85.99k - $105.34k
A community-focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical service requests, conducting prior authorization reviews, and collaborating with interdisciplinary teams. Applicants...Remote workFull time- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role... ...and substantial experience in utilization review or case management. Strong communication skills and flexibility are essential...Remote workContract work
- ...A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines... ...accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits. #J-...Remote workFull time
$78k - $88k
...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews... ...determinations. Document findings and rationale in medical management systems. Assist in training new nurses, provide feedback,...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...great opportunity for a local remote position. Schedule PRN... ...: ~2 years of staff nurse experience performing care for... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing... ...and resources to help you manage your physical, emotional,...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
- ...Overview Title: Clinical Review Nurse – Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential... ...Prior Authorization Review to join our Utilization Management team. In this role, you will conduct...Remote workContract work
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