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
$28.37 - $36 per hour
...technology, services, and clinical expertise. Our mission is to... ...is looking for a Clinical Reviewer - RN - PRN (Remote U.S.) to join our growing team... ...Abstract review-related data/information accurately and... ...adhering to HIPAA policies. Utilize proper telephone etiquette...Remote workDataContract workWork experience placementReliefWork at officeLocal areaMonday to FridayFlexible hours- ...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
- ...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
- 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
- ...Summary The Director of Utilization Management (UM) is responsible... ...as a key liaison between clinical and financial operations, ensuring... ...practices. Experience in data analysis, KPI tracking, and... ...services to streamline utilization review and enhance hospital...Remote workDataShift workDay shift
- ...Communities Together. This is a remote position in which we... ...: Health plan utilization management... ...structure and policy. Data analysis to include reporting... ...Current unencumbered Oregon RN License required within... .... One (1) year clinical nursing experience plus...Remote workData
- ...Healthcare is seeking a Full-Time Remote RN Clinical Documentation Integrity... ...concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care... ...to collect, trend and report data. Excellent organizational skills...Remote jobDataFull time
- ...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
$35 - $37 per hour
...Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay Rate... ...audits of physician case reviews, supporting the clinical aspects of the review... ...whether practicing or not. Utilization Review experience is... ...Teams, Outlook, and some data entry in Excel. Experience...Remote jobDataPermanent employmentFull timeTemporary workMonday to Friday$39 - $40 per hour
...at The Judge Group Utilization Management Registered Nurse (RN) Type: 6-Month Contract... ...W2 Location: Remote - but MUST reside in... ...and utilization review. You will be responsible... ...services Use clinical expertise to assess... ...purposes. Message & data rates apply and message...Remote workDataDaily paidContract workMonday to FridayShift workWeekend work- ...outcomes. Our talented remote workforce spans the... ...employee is an active RN and based in Alabama. The Supervisor, Clinical Review plays a critical role in... ...clinical staff who conduct utilization review and/or specialty... ...to interpret clinical data, identify trends, and implement...Remote workDataContract work
$44.64 - $71.24 per hour
...Summary Performs utilization review in accordance with all state... ...Final Rule etc. Utilizes clinical information located in the patient... ...patient care processes, and data analysis. Excellent verbal... ...performed in a hybrid setting with remote work as well as in an office...Remote workDataHourly payFull timeContract workWork at officeFlexible hoursShift work- ...outcomes. Our talented remote workforce spans the... ...the Role: Lead Clinical Reviewer DC Medicaid Contract... ...analyze complex clinical data to identify trends, improve... ...field. Active RN licensure. Minimum... ...Clinical Reviewer Lead utilizes strong clinical knowledge...Remote workDataContract work
$68.27k - $100.4k
...months Department : Utilization Management. Hybrid Remote, Onsite training... ...Management Analyst RN to join our team. The... ...admissions, conducting reviews, and ensuring that... ...enhancing your clinical expertise and critical... ...Revenue Recovery. Compile data and statistics for...Remote workDataImmediate startMonday to FridayShift workWeekend work$51.43 - $79.84 per hour
Overview Description - This is a remote role. You MUST live in the... ...considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with... ...to ensure that appropriate data is tracked, evaluated and reported...Remote workDataDaily paidLive inShift workDay shift$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
## Utilization Management Nurse, Lead (Inpatient | Remote | Must have California LVN / RN License)Applyremote type: Fully Remotelocations... ...is responsible for reviewing requests for... ...of UM Nurses with clinical decision-making... ...operations, activities, data, program...Remote jobDataImmediate startMonday to Friday- Harris Health System, Inc. is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, TX. This... ...efficiency, ensuring quality care based on clinical guidelines. The UMRN will work closely... ...’s in Nursing and being a licensed RN in Texas, alongside significant experience...Remote jobFlexible hours
$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$185 per hour
...that unifies intake, clinical documentation, coding,... ...automatically extracting key data from referrals to... ...Active, unrestricted RN license in your state... ...home-health QA/OASIS review, utilization review, or clinical documentation... ...environment and remote collaboration tools....Remote workDataContract workReliefShift workWeekend work$30.64 - $45.8 per hour
...CA Utilization Review Nurse I Job Category: Case Management This is a remote position. Description The Utilization... ...demographic and clinical information on prospective... ...customer Collects data and analyzes... ...operation required; RN is required unless local...Remote workDataHourly payWork at officeLocal area- ...Clinical Reviewer - Pasrr Under the general supervision of... ...relevant information into data system applications in... ...Qualifications ~ RN, LPN or social worker... ...to understand and utilize resources for problem... ...responsibilities. Remote position which requires...Remote workDataWork experience placementWeekend work
- Universal Health Services, Inc. is seeking a Full-Time Remote RN Clinical Documentation Integrity Specialist to improve clinical documentation... .... This role is critical in ensuring accurate patient data for reimbursement and quality reporting. Candidates must have...Remote jobDataFull time
$80k - $90k
...Clinical Documentation Specialist The Clinical Documentation... ...for the quality review of all OASIS documents... ...the region. This is a remote position. Work schedule... ...Reviews of all OASIS data items and ensures accuracy... ...Experience as an RN. Required - 1 year demonstrated...Remote workDataFlexible hoursShift work- ...Utilization Review Nurse Join Martin's Point Health Care - an innovative,... ...policies as well as specified clinical guidelines/ criteria to guide... ...review and analysis of population data and metrics to inform... ...clinical nursing experience as an RN, preferably in a hospital...Remote workDataWork at office
- ...classified as hybrid, onsite or remote. While the majority of... ...years of experience in clinical field of practice,... ...Compact (NLC) as an RN, OR an active, current,... ...gather, input and maintain data records in multiple... ...Knowledge of managed care, utilization management, and quality...Remote workDataFull timeContract workWork experience placementWork at office1 day per week
- Clinical Documentation Improvement Specialist-RN- Remote The Clinical Documentation Improvement (CDI) Specialist Registered... ...integrity, and quality of patient data and to drive improvement in... ...Responsibilities Completes initial reviews of patient records within 24-48 hours...Remote jobDataWork at office
$60 per hour
...CD RN (Clinical Documentation Specialist)-Level 2 The Clinical Documentation Specialist (... ...this time frame - EST Location: 100% Remote (EST hours) Payrate- $60 hourly Responsibilities... ...and proficiency in abstraction and data entry into all the database systems used...Remote workDataHourly payWork at officeLocal areaShift work- ...Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in... ...improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our...Remote workFull timeContract work
- Currently seeking a Utilization Management RN . Please see details and... ...below: Position is remote - candidate must reside... ...RN , you will assess clinical information, apply... ...clinical judgment to review medical records, validate... ...documentation and data integrity in care management...Remote workDataImmediate startWeekend workDay shift
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