Remote Utilization Management Review Nurse
yourcommission
- Remote job
yourcommission in Bellaire, Texas is seeking a Utilization Management Review Nurse (UMRN) to evaluate medical services and ensure appropriate care levels. Candidates must have a Bachelor’s degree in Nursing and be a Registered Nurse licensed in Texas. This role involves collaborating with healthcare teams and payers, participating in quality improvement, and comes with flexible work hours including telecommute options. Experience in Case Management is preferred. #J-18808-Ljbffr yourcommission
- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
$1,600 - $1,800 per week
...NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications... ...Utilization Management, Utilization Review, or Case Management ~• Preferred...Remote workContract workImmediate startMonday to Friday$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly Position Type Full... ...time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review...Remote workHourly payFull timeWork at officeRelocation packageShift work- A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...Remote workContract work
- ...Currently seeking a Utilization Management RN . Please see details and qualifications... ...below: Position is remote - candidate must reside in... ...have an active PA license or a Nurse Licensure Compact to include... ...through medical record review to determine medical necessity...Remote workImmediate startDay shift
$85k - $105.34k
...Utilization Review Nurse Remote; Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. Employment... ...: Full‑Time, Exempt. Position Purpose The Utilization Management Nurse evaluates clinical service requests to ensure...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday- ...Utilization Review Registered Nurse Excel. Empower. Advance. Shine. Belong. Explore. Flourish. Champion.... ...Hopkins Health Plans (JHHP) is the managed care and health services business of... ...~ Work-life balance - This is a remote role! Candidates in the following approved...Remote workLocal areaMonday to Friday
- Case Management Society of America (CMSA) ® is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, Texas. The role involves evaluating the appropriateness of medical services while collaborating with healthcare professionals to enhance patient outcomes. The...Remote jobFlexible hours
- 340B Health is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, Texas. This role involves technical and administrative work to ensure efficient utilization of medical services while promoting quality care. The UMRN collaborates with various teams to achieve...Remote jobFlexible hoursWeekend work
- ...Utilization Review Registered Nurse (UR RN) The Utilization Review Registered Nurse (UR RN) is a key contributor... ...patient outcomes and resource management. This role demands a solid clinical... ...required for facility based staff; optional for remote staff. Nexus Health SystemsRemote workWork at office
- ...COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) to conduct utilization management reviews. This full-time role supports high-quality care delivery... ...3 years of relevant experience. The position is remote, allowing work from any location in the U.S., and...Remote workFull time
$65k - $75k
Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate healthcare service utilization. The role requires clinical expertise and collaboration with providers to make high-quality care...Remote job- ...Registered Nurse - Utilization Review (Nursing) Location: Aurora, CO. Location: Colorado Military Health System – Buckley AFB and Peterson AFB. Labor Category: Registered Nurse – Utilization Management. Current POP ends 11/30/25. TO POP ends 11/30/27. This assignment...Remote workContract workWork from homeMonday to FridayNight shift
- Description: Nurses – are you looking for a change?... ...leader in personalized managed health care, focused on... ...Work-life balance. ~ Remote setting ROLE DESCRIPTION... ...This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces...Remote workTemporary workWork at officeMonday to FridayFlexible hours
- ...Utilization Management Review Nurse (UMRN) The Utilization Management Review Nurse (UMRN) performs technical and administrative work required to evaluate the necessity, appropriateness, and efficiency of the utilization of medical services procedures and facilities....Remote workWork experience placementWork at officeFlexible hoursWeekend work
- ...is a global, innovative Total Talent management firm dedicated to accelerating meaningful... ...is a Field work contract role for a Utilization Review Nurse. The Utilization Review Nurse will be... ...Ability to work independently and remotely Experience in a healthcare or clinical...Remote workContract work
- ...healthcare services. From preventative care to managing chronic conditions, we’re dedicated to... ...at Umpqua Health. Position Title Utilization Review Nurse Department Umpqua Health Job Status... ...00pm (Pacific Standard Time) Location Remote position Salary Wage Band 20: $85,990...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hours
- ...Position Summary Job Family: 08 Nursing Ambulatory/Admin - Office for 3 months, then remote/hybrid Must have 3-5 year in a hospital setting doing utilization management. This job will require the... ...submission for Physician Advisor review Care coordination that includes...Remote workWork at officeLocal area
$40.12 - $62.19 per hour
...Utilization Review Nurse RN - NE ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Part-time - Weekends - Weekend shifts - 8:00am-4:30pm ~RN OTHER ~95496 ~$40.12-$62.19 Experience based ~Posted: Yesterday Apply Now Save...Part timeShift workWeekend work- ...great opportunity for a local remote position. Schedule PRN... ...: ~2 years of staff nurse experience performing care for... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing... ...and resources to help you manage your physical, emotional,...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
$78k - $92k
...TalentLNX LLC is seeking a Utilization Review Nurse for a remote position focusing on evaluating medical necessity of inpatient and outpatient services. Ideal for experienced RNs aiming to utilize their clinical expertise without direct patient care. The role involves...Remote work- ...A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines... ...accurate documentation. The position offers options for remote work, health insurance, and other competitive benefits. #J-...Remote workFull time
- ...Summary: This position has a remote option for those living close and will be able... ...into the hospital as needed. The Utilization Review Nurse is responsible for determining the... ...List). They effectively and efficiently manage a diverse workload in a fast-paced, rapidly...Remote workFull time
- ...faculty or staff position, please review this tip sheet ( . The Case Manager RN (U) coordinates the overall interdisciplinary... ...days. Enter Ancillary notes utilizing the templates for care... ...consumption. Utilize Case Manager nurse driven protocols to facilitate...Remote workFull timeTemporary workWorldwide
- ...(Days) Overview: Sentara Health Plansis hiring an Utilization Review Nurse/RN- Remote in Virginia Status: Full-time,permanent position (40... ...responsibilities: RN Clinician responsible for utilization management services within the scope of licensure. Conducts...Remote workPermanent employmentFull timeTemporary workShift work
$30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective... ...of stay while supporting the goals of the Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$30.64 - $45.8 per hour
...CA Utilization Review Nurse I The Utilization Review Nurse gathers demographic and clinical information on prospective... ...of stay while supporting the goals of the Case Management department and of CorVel. This is a remote position. Essential Functions &...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$63k - $65k
...PURPOSE OF THE ROLE To utilize evidence-based tools... ...experience to assist in the management of complex medical... ...‑being of others in a remote work environment.... ...consulting with the client, nursing staff and claims... ...utilization management reviews. Maintain client’s privacy...Remote workWork experience placementFlexible hours- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role... ...and substantial experience in utilization review or case management. Strong communication skills and flexibility are essential...Remote workContract work
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