Remote Utilization Review RN Case Management Expert
NeuroPsychiatric Hospitals
NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services across multiple hospitals. The role supports pastoral healthcare by reviewing patient documentation for compliance, planning discharges, and collaborating with teams for better outcomes. Located remotely with a preference for candidates in Indiana, Michigan, or Ohio, this position offers competitive pay, generous PTO, and a 401(k) plan. #J-18808-Ljbffr
Vacancy posted 23 hours ago
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Wenatchee, WA1 day ago - ...Concierge Home Care is seeking a Utilization Review Specialist (RN) for a remote opportunity. This position requires a Florida RN License, OASIS Certification, and Home Health Coding Certification. You will be responsible for reviewing home health clinical documentation...Remote workFlexible hoursWeekend workWeekday work
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Orange Beach, AL4 days ago$49.34 - $76.59 per hour
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Louisville, KY5 days ago - ...Huntsville Memorial Hospital is seeking a Utilization Review Nurse to provide clinical reviews of cases for medical necessity. In this role, you'll collaborate with... ...focus on quality assurance. This position requires an RN license in Texas and a minimum of 2 years of...
Huntsville Memorial Hospital
Huntsville, TX4 days ago - ...Huntsvillememorial is looking for a Utilization Review Nurse to provide clinical reviews based on medical necessity criteria for inpatient and... ...candidate will have a degree in professional nursing, a current Texas RN license, and at least 2 years of experience in Acute Care...
Huntsvillememorial
Huntsville, TX5 days ago - ...to care and appropriate utilization of resources, balanced... ...necessity. This position manages medical necessity... ...negotiation with a payer on a case by case basis. This... ...to Central Utilization Review LVN/LPN Case Manager and... ...thru Saturday schedule. Remote, but you must live...Remote workWork at office
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New York, NY3 days ago $2,210 per week
...in personalized managed health care,... ...-life balance. Remote/hybrid setting... ...individual will utilize clinical knowledge... ...a second level reviewer. This... ...interfaces with case managers and disease... ...not limited to RN, LMSW, LMHC. Successful... ...in a new way. Experts add insights...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hoursHines
Freeport, IL5 days ago$67.7k
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New York, NY3 days ago- ...are seeking an experienced Utilization Review Nurse to join our team in a... ...Nassau County (Hybrid: In Office/Remote) Schedule: Monday to Friday,... ...standards. Participate in case management and care coordination meetings. Qualifications Active RN license in the state of New...Remote workWork at officeMonday to FridayFlexible hours
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New York, NY5 days ago - ...Carolina is looking for a qualified applicant to perform medical reviews and support medical claims processing. The role involves... ...established clinical guidelines. Applicants must hold an active RN license and have at least two years of clinical experience. The...Remote workFull time
BlueCross BlueShield of South Carolina
Columbia, SC23 hours ago - Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and... ...years of experience in remote UR or acute hospital case management. A comprehensive benefits package, including healthcare...Remote jobPart time
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Menomonee Falls, WI7 hours ago$51.43 - $79.84 per hour
...Overview Description – This is a remote role. You MUST live in the... ...(WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical... ...certification upon hire. ~1 year of Case Management experience. Why...Remote workDaily paidLive inShift workDay shiftProvidence Swedish Medical Center
Seattle, WA5 days ago- ...ON BONUS: $5,000 FOR A 2 YEAR COMMITMENT** JOB TITLE: UTILIZATION REVIEW/CASE MANAGEMENT - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) HOURS... ...Full time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review...Remote workFull timeWork at officeRelocation packageShift work
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Gibson City, IL4 days ago - ...integrity through compliance management. Here, you’ll... ...traditional bedside setting to review and audit claims,... ...Registered Nurse (RN) license Strong... ...Experience in utilization review, case management, quality improvement... ...populations Remote work – enjoy the...Remote jobFull timeTemporary workWork at officeWork from home
HealthSkil
Harrisburg, PA1 day ago - ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to... ...patient outcomes and resource management. This role demands a... ...review meetings to discuss cases, discharge plans, and... ...required for facility based staff; optional for remote staff.Remote workWork at office
Nexus Health Systems
Houston, TX4 days ago $30 - $38 per hour
...Responsibilities Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑time... .... Identify and refer potential cases to case management, wellness, chronic disease and... ...skills to successfully perform in a remote healthcare environment. Ability to...Remote workHourly payFull timePart timeWork at officeMonday to FridayWeekend workSanta Barbara Cottage Hospital
New York, NY3 days ago- American Traveler is seeking an experienced RN Case Manager for an acute care hospital position in South Florida, requiring a minimum... ...Powerchart, CarePort (Allscripts), and Epic A separate remote Utilization Review (UR) team handles formal UR, while the in‑house case...Remote workLocal areaMonday to FridayShift workWeekend workDay shiftWeekday work
- ...Appworkshub is seeking a dedicated and detail-oriented Utilization Management Registered Nurse (UM RN) to join our remote healthcare team. In this role, you will conduct inpatient and outpatient utilization reviews, support transitions of care, and ensure compliance with...Remote work
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New York, NY3 days ago - A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care.... ...Arizona and substantial experience in utilization review or case management. Strong communication skills and flexibility are essential...Remote workContract work
IntePros
Phoenix, AZ5 days ago $50 per hour
...Drips.com is looking for an Appeals RN (Temporary) to handle grievances... ...skills and a strong background in utilization management. The position is remote and offers a salary of $50/hr. In this... ...position, you will be responsible for reviewing and processing appeals, performing...Remote workTemporary workDrips
New York, NY3 days ago- A healthcare staffing agency seeks a Utilization Management RN to evaluate clinical conditions through medical record reviews. The position is remote, requiring candidates to reside in PA, DE, or NJ. Key duties involve applying criteria for medical necessity, collaborating...Remote work
The Judge Group, LLC
New York, NY1 day ago $77.91k
...Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position involves reviewing... ...candidate will have a minimum of 3 years in case management and licensing as an LVN or RN in California. The role offers a pay range...Remote workE2E Alignment Healthcare USA, LLC
California, MO5 days ago- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare... ...or home health. This contract role offers a chance to manage healthcare quality efficiently while working remotely. #J-1...Remote workContract work
IntePros
New York, NY3 days ago - ...The Case Management Society of America (CMSA) ® is looking for a PRN Utilization Management Review Nurse in Bellaire, Texas. This position involves evaluating the necessity and efficiency... ...management, and must be licensed as an RN in Texas. Strong analytical and...Remote workReliefFlexible hours
Case Management Society of America Inc
United States4 days ago
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