Remote Inpatient Utilization Review Nurse
Alignment Health
Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will assess inpatients and collaborate with physicians, case managers and facilities to ensure the most appropriate, cost-effective care level. Qualified candidates will hold an active LVN or RN license, have at least 3 years in case management, and experience with Milliman Care Guidelines. This is a remote role with nationwide licensure options and Pacific Time availability. #J-18808-Ljbffr
Vacancy posted 5 days ago
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United, PA3 days ago - ...Utilization Review NurseWe are seeking a detail-oriented and experienced Utilization Review Nurse to evaluate the medical necessity, appropriateness... ...utilization reviews for inpatient, outpatient, observation,... ...utilization management department.Remote, hybrid, or on-site...Remote workWork at office
Ova Technologies
Alpharetta, GA2 days ago - ...Currently seeking a Utilization Management RN . Please... ...below: Position is remote - candidate must reside... ...PA license or a Nurse Licensure Compact to include... ...medical record review to determine medical necessity... ...medical necessity for inpatient admissions, continued...Remote workImmediate startDay shift
The Judge Group, LLC
New York, NY4 days ago - ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness... ...an active Maine RN license and at least 3 years of inpatient clinical experience. Additional benefits include...Remote workFlexible hours
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Caribou, ME1 day ago - ...Utilization Management And Quality Screening Position Responsible... ...While performing utilization review identifies areas for clinical... ...Qualifications: • Registered nurse with a New York State current... ...utilize. • Understanding of Inpatient versus Outpatient surgery and...Remote work
Albany Medical Center
United States1 day ago $95k - $107.5k
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Brighton, MA5 days ago$50 - $55 per hour
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Phoenix, AZ4 days ago - ...who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage... ...company matchEmployee Referral Bonus ProgramJOB SUMMARYThe Utilization Review Nurse is to assess the medical necessity and quality of healthcare...Remote workFull timeTemporary workLocal area
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Franklin, TN5 days ago - ...who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage... ...company match Employee Referral Bonus Program JOB SUMMARY The Utilization Review Nurse is to assess the medical necessity and quality of healthcare...Remote workFull timeTemporary workLocal area
American Health Plans Inc.
Franklin, TN1 day ago - ...Institute is seeking an Advanced Practice Provider (APP) to join our inpatient cancer team at Geisinger Medical Center (GMC) in Danville, PA.... ...'s Degree-Physician Assistant (Required), Master's Degree-Nurse Practitioner (Required) About Geisinger OUR PURPOSE & VALUES...Full timePart timeShift workNight shift
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Mcallen, TX5 hours ago - ...About the Unit We are a 64 bed Inpatient Rehab Unit that sees a variety of patients who need... ...hours of therapy across the 7-day week. Nursing continues the interventions practiced by... ...observation, either in person or via remote video monitoring, to maximize his/her safety...Remote workPart timeShift workNight shiftWeekend work
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Newark, NJ1 day ago $1,500 per month
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Farmington Hills, MI3 days ago- ...Utilization Review Nurse Rising Medical Solutions has an opening for a Utilization Review Nurse, and we want to hear from you! We're a bill review and cost containment company - so what does that mean? Basically we are trying to fix a very broken healthcare system...Remote workFull time
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United States4 days ago - ...first 25 applicants This is full-time remote, but candidates must reside in IL or TX... ...performing accurate and timely medical review of claims suspended for medical necessity... ...and prioritization skills. ~ Registered Nurse (RN) with unrestricted license in state...Remote workFull timeContract work
Innovative Systems Group
Richardson, TX3 days ago $20k
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Carlisle, PA9 days ago
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