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
$50 per hour
Greenlife Healthcare Staffing is seeking a qualified nurse to perform utilization reviews and clinical data collection in New York. The ideal candidate will have an active New York State RN license and 1-3 years of experience in acute care. This role offers competitive...Remote jobDataHourly pay$85k - $92k
...Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ... ..., unrestricted license: RN Minimum 3+ years clinical experience (med/surg and/... ...) Clinical Quality / Utilization Review / Case Review experience Experience... ...clinical criteria tools Data analysis / reporting...Remote workDataHourly payDay shift$88.85k
...Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017... ...recognition or remediation. This position performs data mining and analysis and creates reports on audit findings...DataFull time$39 - $40 per hour
...Registered Nurse (RN)Type: 6-Month Contract W2Location: Remote - but MUST reside in... ...: We are seeking a Utilization Management RN to join... ...and utilization review. You will be responsible... ...servicesUse clinical expertise to assess... ...purposes. Message & data rates apply and message...Remote workDataDaily paidContract workMonday to FridayShift workWeekend work$88.85k
...purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates,... ...admission and concurrent review, and collaborates with onsite... ...collection and transfer of data (medical records) and referral... ...5 years of varied RN clinical experience in an acute hospital...Data$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration... ...medically appropriate services and define clinical criteria for decision making. The... ...retrospective review of claims and other data, care coordination and discharge...Remote workDataHourly payLocal area- ...Registered Nurse with active licensure and minimum 3 years of clinical experience for a remote position. Candidates must have strong clinical... ...eligible for DoD background clearance. This role involves reviewing medical records, identifying quality issues, and supporting...Remote 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
- ...possible extension) *Note: Candidates can be remote but must have an active unrestricted Massachusetts RN License Job Summary The Clinical Reviewer, Precertification RN, is a licensed... ...of the Precertification / Outpatient Utilization Management (UM) team and works under...Remote workContract workWork at officeWork from home
$2,109 per week
...Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Santa Rosa... ...smarter. **Exciting Opportunity for a Remote Utilization Review Registered Nurse!*... ...- Work within Epic, focusing on data abstraction and quality assessments with...Remote workDataZero hours contractFlexible hoursShift workWeekend workDay shift- ...OverviewDescription – 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... ...to ensure that appropriate data is tracked, evaluated and reported...Remote workDataDaily paidLive inShift 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
$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$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Gibson City, IL 60936 Overview... ...of in person and remote considered) GENERAL SUMMARY... ...on a case-by-case basis with clinical staff. Demonstrates working... ...enter and transform words or data on a daily basis. Ability to...Remote workDataHourly payFull timeWork at officeRelocation packageShift work$45.9 - $71.4 per hour
...Description Utilization Review RN - Remote The RN Care Coord-Qual Med Mgmt will provide administration... ...appropriate services and define clinical criteria for decision making. This includes... ...review of claims and other data, as well as care coordination and discharge...Remote workDataMinimum wageFull timeLocal areaShift work- Responsibilities Providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of... ...risk of mortality. Fully remote position; provides cross... ..., trend and report data. Excellent organizational...Remote jobData
$60.2k - $107.4k
...Utilization Management RN Coder Optum is a global organization that delivers care... ...care, pharmacy benefits, data and resources they need to feel... ...accurately and efficiently review and extract pertinent case... ...fluency of encoders, coding clinics, ICD-9 and 10 guidelines, CM...Remote workDataMinimum wageFull timeWork experience placementLocal area$72.8k - $130k
...Sr Utilization Management Nurse Optum Insight is improving... ...the flow of health data and information to... ...occasional opportunity for remote work based on business... ...discuss care details, reviewing clinical information for... ...be a Registered Nurse (RN) with a current, active...Remote workDataMinimum wageFull timeWork experience placementCasual workLive inWork at officeLocal area$85k - $89k
Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI,... ...with contract requirements for clinical quality management (CQM) to... ...prepares summaries for further review and analysis. Supports activities... ...1 year experience with data analysis and reporting Experience...Remote workDataContract workTemporary workWork at officeLocal area$50 per hour
...the Job Registered Nurse Clinical Reviewer / AIMS - Remote (#25299A) Location: Remote.... ...remote position involves conducting utilization reviews and quality study data collection, ensuring compliance... ...: Active New York State RN license. Experience: Must have...Remote workDataHourly payFull 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- 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
$38 - $40 per hour
...REMOTE - Candidates must be based in Texas: Austin... .../Collin Counties RN working in the insurance... ...initial, concurrent review activities; discharge... .... Collects clinical and non-clinical data. Verifies eligibility... ...information regarding utilization management requirements...Remote workDataHourly payContract workWork at office- ...Currently seeking a Utilization Management RN . Please see details and... ...qualifications below: Position is remote - candidate must... ...evaluate members’ clinical conditions through medical record review to determine medical... ...accurate documentation and data integrity in care...Remote workDataImmediate startDay shift
- ...LOCATION Remote – This is a home based, virtual... ...of DRG coding and clinical documentation. The... ...claims by reviewing medical records and... ...codes and MS-DRGs. Utilizing evidence-based criteria... ...statistical data. The reviewer must... ...and unrestricted RN License in the State...Remote workDataLive inWork from homeMonday to Friday
- ...Clinical Quality Reviewer Ensures compliance with the contract, and program requirements for Clinical... ...for potential quality, safety, and utilization issues by using organizational,... ...Management ~1 year experience with data analysis and reporting ~ Experience...Remote workDataContract workInterim role
- ...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
- ...Job Summary: The Utilization Management Policy Initiatives Nurse RN II, under the purview the... ...for managing, reviewing, updating and creating Healthcare Services clinical policies, guidelines, protocols... ...making resources, using data on clinical polices and authorizations...Remote workData
$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$58k - $78k
...Surgical Clinical Reviewer Req #: 0000238249 Category: Surgical... ...collect and submit reliable data to the ACS NSQIP, This is... ...Full time days Fully remote in New Jersey. Essential... ...Program through the effective utilization of the hospital medical...Remote workDataFull timeTemporary workWork experience placementLocal areaFlexible hoursShift work
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