Remote RN Review Analyst — Inpatient Precertification
Epitec
- Remote job
Epitec seeks a Registered Nurse Review Analyst to support inpatient precertification and utilization management in a fully remote environment. You will perform prospective, concurrent, and retrospective medical reviews to determine medical necessity, level of care, intensity of service, and length of stay for healthcare services. The ideal candidate has a strong clinical background, experience evaluating patient care needs, and the ability to collaborate with providers, facilities, and members #J-18808-Ljbffr Epitec
- ...Job Opportunity for Remote Nurse in Michigan This position is a remote role for nurses... ...are required: A valid Michigan RN License Utilization management experience... ...Experience completing post-acute reviews for inpatient rehab and skilled nursing facility settings...Remote work
- Alignment Health is seeking an experienced inpatient review nurse to join the remote utilization management team. You will review inpatients with complex medical needs and coordinate care across physicians, facilities, and community providers, ensuring appropriate and cost...Remote job
- UnitedHealth Group is seeking a SSBV Clinical Claims Review RN for a remote role nationwide. You will perform administrative reviews of inpatient hospital claims, document determinations, and ensure accurate use of screening criteria to support member care and cost management...Remote job
$77.91k - $116.86k
...but saving them. Together.Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review... ...and maintain an active, valid, and unrestricted LVN or RN license in California (Non-Compact) Immediately upon hire...Remote jobImmediate startMonday to Friday- ...Inpatient Precertification Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests...Suggested
- ...partner is looking for an Epic Inpatient Analyst based in the United States.... ...record (EHR) environment. In this remote role, you will focus on... ...technology. A nursing degree or RN background is preferred but... ...to ensure your application is reviewed quickly, objectively, and...Remote workFull timeWork at office
- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. The nurse will collaborate with the patient’s PCP,... ...maintaining safety and quality. The role requires a CA LVN/RN license, 3+ years in case management, and experience...Remote work
- ...Excel, and PowerPoint Preferred but not required RN degree Prior analyst experience working with inpatient order entry, provide documentation and/or... ...users Troubleshooting problems and questions Reviewing the status of projects and issues on an ongoing basis...Remote work
$64.63k - $84.45k
...Position Overview *Please note - while remote, we are only considering candidates in New... ...Pennsylvania, and Alabama* Hospital Coder Inpatient Senior Coder is an expert-level coding professional responsible for accurately reviewing and coding complex inpatient medical records...Remote workFull timeTemporary workPart timeLocal areaFlexible hours- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will assess inpatients and collaborate with physicians... .... Qualified candidates will hold an active LVN or RN license, have at least 3 years in case management, and...Remote work
$85 per hour
Epic Willow Inpatient AnalystPosition OverviewMichigan Medicine is seeking... ...Epic Willow Inpatient Analyst to support the Ann Arbor campus... ...experience supporting remote healthcare organizations.Top... ...that your application may be reviewed using AI tools.Job SummaryJob...Remote workContract workTemporary workImmediate start$68k - $70k
...REQUIREMENTS: Description Our Medical Review Nurse Analyst is responsible for conducting clinical... ...skills, and experience. We are open to remote work in the following approved states:... ...Bachelor's Degree in Nursing (BSN). Active RN license, applicable to state of...Remote workFor contractors$35.5 - $53.25 per hour
...Information: Desired Experience: Facility/Hospital Based Inpatient Coding experience Will Support: Reviews a variety of high-risk topics identified through... ...) such as RHIA or RHIT or CCS, or CCS-P, or CPC. Remote opportunity: Advocate Health may approve those who wish...Remote workDaily paidFull timeTemporary workPart timeWork at officeMonday to FridayFlexible hoursShift workDay shift- ...per day is required. This is a remote position. To be eligible to... ...are seeking a Coding Quality Analyst to:Assess the accuracy and completeness of the coding of inpatient cases by performing retrospective... ...and external secondary coding reviews.At UW Health, you will have:An...Remote workMonday to FridayFlexible hoursShift workWeekday work
- Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. You will guide patients through the continuum of care, coordinating with physicians, case managers and service providers to ensure safe, cost-effective care aligned with...Remote job
$67.31k - $80.81k
...patient care experience in an inpatient setting (i.e., inpatient... ...develops and verifies solutions; reviews clinical applications or programs... .... This employee will be an analyst on the Epic Inpatient team... ...applications. While this position is a remote position, analysts may be...Remote workFor contractorsLocal areaMonday to FridayShift workDay shift- ...seeking an experienced Utilization Analyst to validate the medical... ...collaborates with physicians, payers and inpatient case management to ensure... ...include initial and daily reviews, physician education on documentation... ...improvement opportunities. RN with CDIP/CCM desirable; 5+...
$104k - $190.01k
Location: Remote - Ohio Department: ITS Provider Opex Weekly... ...: As the IT Epic Pharmacy Analyst II, you participate in... ...ensure test scripts are created, reviewed, and updated to reflect proposed... ...Registered Pharmacist Inpatient Analyst will have Epic Willow...Remote workFull timeFlexible hoursShift work- ...Coding Quality Full time Facility/Hospital Based Inpatient Coding experience Reviews a variety of high-risk topics identified through Risk Mitigation... ...shift / 40 hours a week Coding credentials required. Remote opportunity: Research, interpret, and apply coding,...Remote workDaily paidFull timeTemporary workPart timeWork at officeMonday to FridayFlexible hoursShift workDay shift
$53.46k
...substance of complex appeal or retrospective review requests including pre-pay and post-... .... Location: This is a full-time, remote (40-hours/week) working an 8hr shift Monday... ...Certificate : An active, unrestricted RN license from the United States and in the...Remote workFull timeFor contractorsWork experience placementLocal areaMonday to FridayShift work- Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina... ...of complex appeal or retrospective review requests including pre-pay and post-... ...0am-5:00pm EST and will be fully remote in South Carolina or Georgia. What You...Remote workFull timeFor contractorsWork experience placementCurrently hiringWork at officeLocal areaMonday to Friday
- ...Dane Street, LLC is hiring a Peer / Record Review Quality Analyst responsible for managing medical file reviews and ensuring client standards are met. The ideal candidate must have strong communication skills, an educational background in healthcare or business, and...Remote workWork from home
- ...BJC HealthCare is seeking a registered nurse to join a remote Utilization Review team. The role supports multiple hospital units with no patient... ...educating providers on resource use. Two to five years of inpatient nursing experience and UR experience are required; EPIC...Remote workLocal areaWeekend work
- ...HealthEdge Software, Inc. seeks an experienced Utilization Review RN to perform prospective, concurrent and retrospective reviews across inpatient and outpatient services, ensuring medical necessity and appropriate levels of care. The role includes coordinating care...Remote work
$63.1k - $94.65k
...Our partner is looking for a Utilization Review RN based in the United States. Join a... ...hospital operations. In this part-time, remote role, you will apply your clinical expertise... ...reviews: Conduct clinical reviews of inpatient admissions, observation stays, and...Remote workTemporary workPart timeWork at officeWork from homeFlexible hoursShift workAfternoon shift- ...Utilization Management Department (Fully Remote)Job Summary:• Provides health care... ...management, discharge planning and utilization review.Responsibilities:• Reviews admissions... ...coding, medical records/documentation, precertification, reimbursement and claim denials/...Remote work
- ...Certified Epic Willow Anlayst Work Type: 100% remote Work Duration: 1 Year Contract TOP... ...Epic Willow Certification • Epic Willow Inpatient Build & Configuration (4+ years) •... ...skilled and experienced Epic Willow Inpatient Analyst to join our Healthcare IT team. This...Remote workContract work
$63.1k - $94.65k
...*Must have current compact RN license, or be willing to obtain... ...Information: Our Utilization Review team provides coverage seven... ...offsite location Provides inpatient and observation (if indicated)... ...Abilities Required: This is a remote role which requires access to...Remote workTemporary workPart timeWork at officeLocal areaFlexible hoursShift work- ...Knowledge Services is currently seeking a Third-Party Review (TPR) Analyst to serve as a key quality assurance partner within Knowledge... ...projects ~ Customer service oriented ~ Ability to work remote and independently ~ Ability to multi-task ~ Personal organization...Remote workWork at officeLocal area
- ...* Work-life balance. * Remote setting ROLE DESCRIPTION:... ...for outpatient treatment or inpatient confinement. This individual... ...decision to a second level reviewer. This individual interfaces... ...assertiveness in completion of precertification and concurrent review within...Remote workTemporary workMonday to FridayFlexible hours
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