Remote RN Clinical Reviewer - Utilization & Data
$50 per hourGreenLife Healthcare Staffing
- Remote job
GreenLife Healthcare Staffing is looking for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting utilization reviews and ensuring healthcare documentation compliance for a respected non-profit organization. Candidates should have an active New York State RN license and 1-3 years of experience in acute care utilization review. Competitive benefits include paid vacation, sick leave, and 401k matching. #J-18808-Ljbffr GreenLife Healthcare Staffing
- ...program to identify a Clinical Quality Reviewer. This role focuses on... ...in clinical review, utilization management, or healthcare... ...a Registered Nurse (RN) or Licensed Clinical... ...to healthcare data analysis or reporting... ...environment Other Information Remote or onsite depending...Remote workDataWork at officeHome office
$28.37 - $36 per hour
...Summary Acentra Health is looking for a Clinical Reviewer - RN - PRN (Remote U.S.) to join our growing team.... ...correspondence. Abstract review‑related data/information accurately and promptly... ..., and adhering to HIPAA policies. Utilize proper telephone etiquette and judicious...Remote workDataContract workWork experience placementReliefWork at officeLocal areaMonday to FridayFlexible hours$62.7k - $100.4k
Job Summary Clinical Care Reviewer II is responsible for processing medical necessity... ...registered nursing (RN) degree program required Three... ...health experience preferred Utilization Management/Utilization Review... ...and Skills Proficient data entry skills and ability to...Remote jobDataWork at office$45 - $50 per hour
...looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...nursing programs with an active New York RN license. #J-18808-Ljbffr...Remote jobHourly pay$109.26k - $194.25k
...MultiCare Health System is seeking a Clinical Reviewer to join a dedicated team that... ...and communities. This remote role involves reviewing... ...ensure compliance with OASIS data entry for Home Health and provides... ...degree in Nursing, with a current RN license in Washington State....Remote workData$39 - $40 per hour
...The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract... ...W2 Location: Remote - but MUST reside... ...and utilization review. You will be responsible... ...services Use clinical expertise to assess... .... Message & data rates apply and message...Remote workDataDaily paidContract workMonday to FridayShift workWeekend work$70.72k - $126.88k
...on the leading edge of clinical breakthroughs for... ...Documentation Specialist (RN) supports the Agency's... ...This role performs HIM, utilization review (UR), and clinical... ...program through audits, data tracking, and identification... ...staff member. Limited remote work options....Remote workDataWork at office- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to... ...comprehensive reviews of clinical documentation, assesses medical... ...o Analyze utilization data to identify trends and... ...required for facility based staff; optional for remote staff.Remote workDataWork at office
- ...RN / Medical Reviewer / Remote Job Details Professional Discipline... ...Nurse Specialty : Utilization Review Employment... ...regarding benefits and clinical criteria and assess and monitor... ...etc.). Participate in data collection/input into...Remote workDataFull timeContract workLocal areaShift work
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 6... ...combination of in person and remote considered) GENERAL SUMMARY... ...a case-by-case basis with clinical staff. Demonstrates working... ...and transform words or data on a daily basis. Ability to...Remote workDataHourly payFull timeWork at officeRelocation packageShift work$47.69 - $94.06 per hour
...Job Summary The Utilization Review (UR) Nurse supports the Utilization Management (UM) program by... ...reviews, tracks, evaluates and reports data, and ensures that appropriate billing is... ...St. Peter Hospital Location: Remote, Olympia, WA (work site Providence St Peter...Remote workDataHourly payFull timeLocal areaShift workDay shift- Q-Centrix is seeking a Senior Clinical Data Specialist to join our team in Chicago, focusing on delivering quality solutions to healthcare partners... ...in MS Office, and hold active SCR certification along with RN credentials. We value critical thinkers who can thrive...Remote jobData
$51.43 - $79.84 per hour
...Description – This is a remote role. You MUST live in the... ...be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge... ...to ensure that appropriate data is tracked, evaluated and...Remote workDataDaily paidLive inShift workDay shift- ...Full-Time Remote RN Clinical Documentation Integrity Specialist Southwest Healthcare... ...concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute... ...to collect, trend and report data. Excellent organizational...Remote jobDataFull time
$30 - $38 per hour
...plans, and health systems with data-driven solutions that... ...Job Summary We are seeking Utilization Review Nurse RN to join our team on a part‑... ...program) required. 1+ year clinical experience required. Required... ...successfully perform in a remote healthcare environment. Ability...Remote workDataHourly payFull timePart timeWork at officeMonday to FridayWeekend work$50k
Department Overview The Clinical Documentation... ...concurrent and retrospective review of provider documentation... ...of patient records in a remote setting. The Registered... ...and nursing as needed. Utilizes software systems (... ...proficiency in abstracting and data entry into all...Remote workDataFull timePart time$72.59k - $119.77k
...Clinical Nurse Reviewer Quality Management Saint Peter's is among the... ...Collect clinical data on variables, including preoperative... ...secure, Web-based system. Utilize software applications for data... ...on-site with limited remote work hours as allowed based...Remote workDataFull timeWork experience placementShift work$85.7k - $128.54k
...opportunities for growth and innovation. Utilization Management Nurse Lead Responsibilities Reviews reporting to assign tasks to UM... ...operations, activities, data, program performance, issues or any... ..., valid, and unrestricted LVN or RN license in California (Non-Compact...Remote jobDataImmediate start- ...PRN Utilization Management RN Reviewer NE Join Cleveland Clinic Weston Hospital's team of caregivers that remain on the leading... ...information to payers, UM data collection and reporting, concurrent... ...weekend requirements. This remote role is limited to Florida, Ohio...Remote workDataFull timeReliefWork at officeWeekend work
- ...Currently seeking a Utilization Management RN . Please see details... ...below: Position is remote - candidate must reside... ...will evaluate members’ clinical conditions through medical record review to determine medical necessity... ...documentation and data integrity in care...Remote workDataImmediate startDay shift
- ...Excellus BCBS is hiring for a Utilization Management position... ...candidate will have clinical experience, strong communication... ..., and an active NYS RN license. The position... ...pre-service clinical reviews and collaborating with... ...and potential for remote work based on departmental...Remote work
$70k - $75k
...GUIDEHEALTH? Guidehealth is a data-powered, performance-... ...Guidehealth leverages remotely-embedded Healthguides™... ...Job Description The Utilization Management Registered... ...utilization review activities in compliance... ...and accurately document clinical information from...Remote workDataBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home- ...Guidehealth is a data‑powered, performance‑driven... ...Guidehealth leverages remotely‑embedded Healthguides™... ...We are seeking a Clinical Care Manager who is passionate... ...precise and timely Utilization Review. In this role, you... ...unrestricted Registered Nurse (RN) license in Illinois....Remote workDataBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
$125k - $201k
...Job Summary: Clinical Care Reviewer II is responsible for processing medical... ...accredited registered nursing (RN) degree program required... ...health experience preferred Utilization Management/Utilization... ...Knowledge and Skills: Proficient data entry skills and ability to...Remote jobDataHourly payWork at office- ...Utilization Review Nurse This position has a remote option for those living close and will be able... ...responsible for determining the clinical appropriateness of care... ..., and relays clinical data to insurance providers... ...or compact required RN license in state of employment...Remote workDataFull time
$40 per hour
...reside in TX Full time remote Candidates must be based in TX. RN working in the... ...initial, concurrent review activities; discharge... ...divisions. Collects clinical and non-clinical data. Verifies eligibility... ...information regarding utilization management requirements...Remote workDataFull timeContract workWork at office$68k - $71.03k
...Claims Clinical Documentation Reviewer Division of Fee for Service (DFSM) Job Location... ...Tasks include monitoring utilization, conducting prepayment... ...flexibility, autonomy, and trust. Remote work is available within... ...technology, computer data retrieval and input, including...Remote workDataFull timePart timeWork at officeLong distance$30.64 - $45.8 per hour
...CA Utilization Review Nurse I The Utilization Review Nurse... ...gathers demographic and clinical information on prospective... ...of CorVel. This is a remote position. Essential... .../customer Collects data and analyzes... ...of operation required; RN is required unless local...Remote workDataHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$50 per hour
...Overview RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr Position Overview Greenlife... ...setting. Must have 1-3 years of experience in acute care utilization review/ appeals background. Technical Skills:...Remote workHourly payFull timeWork at officeFlexible hours- .... The role requires a NYS RN license and 3+ years of clinical experience. Responsibilities include clinical reviews and collaboration with providers... ...candidates will have utilization management experience and... ...experience, and potential for remote work. #J-18808-Ljbffr...Remote work
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