Remote Inpatient Utilization Review Nurse
E2E Alignment Healthcare USA, LLC
Alignment Health is seeking an inpatient review nurse to join the remote utilization management team.
You will assist patients through the continuum of care in collaboration with the patient’s primary care physician, facility case manager, discharge planner and contracted ancillary service providers to ensure services are provided at the most appropriate, cost-effective level of care to meet medical needs while maintaining safety and quality.
#J-18808-Ljbffr- ...Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. You will assist patients through the continuum of care in collaboration with the patient’s primary care physician, facility case manager, discharge planner and contracted...Remote work
$65k - $78k
...development. Your Role In Our Mission Review admissions, procedures, services, and... ...systems. Assist in training new nurses, provide feedback, and stay updated on clinical... ...~ Active RN license. ~3+ years of inpatient clinical experience. ~1+ year in prior...Remote workFull timeWork at officeWork from homeFlexible hours- ...TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective... ...services. Responsibilities include preauthorization, inpatient and continued stay reviews, and presenting complex cases...Remote work
- Description: Nurses – are you looking for a change... ...Work-life balance. ~ Remote setting ROLE... ...This individual will utilize clinical knowledge and... ...outpatient treatment or inpatient confinement. This individual... ...to a second level reviewer. This individual interfaces...Remote workTemporary workMonday to FridayFlexible hours
$41 - $45.5 per hour
...Direct Government Clients Role: Nurse Case Management Senior Analyst Location: Remote (within plan states: IL, TX,... ...assessments, health education, and utilization management. Key... ...concurrent, and retrospective reviews for inpatient, rehab, referrals, and select...Remote job- ...great opportunity for a local remote position. There is no... ...commercial, behavioral health, inpatient, etc.) PRN (at minimum, two... ...hospitalized patients ~2 years of Utilization Review (UR) experience reviewing... ...Education ~ Nursing Diploma/Associate's - Nursing...Remote workFull timeReliefLocal areaMonday to FridayFlexible hoursShift work
$35 - $45.94 per hour
...Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About... ...Utilization Review. Work Location: This is a remote position, open to candidates who... ...Previous experience conducting concurrent or inpatient reviews for a managed care plan This...Remote workHourly payFull timeFor contractorsWork from homeRelocationHome officeWeekend work- ...Currently seeking a Utilization Management RN . Please... ...below: Position is remote - candidate must reside... ...PA license or a Nurse Licensure Compact to include... ...medical record review to determine medical necessity... ...medical necessity for inpatient admissions, continued...Remote workImmediate startDay shift
$95k - $107.5k
...Full-time Description Title: Nurse Reviewer, Utilization Management Job Type: Full-time... ...per week in Brighton, MA office; 1 day remote FLSA Status: Exempt About Us... ...Discharge Coordination Perform inpatient concurrent review, monitor length of...Remote workFull timeLocal area- ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness... ...an active Maine RN license and at least 3 years of inpatient clinical experience. Additional benefits include...Remote workFlexible hours
- ...Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization... ...Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS criteria. Conduct...Remote workFull timeTemporary workSummer workWork at officeFlexible hours
- ...Utilization Review Nurse Location: [City, State / Remote] Employment Type: Full-Time Experience: 2-5+ Years Job Summary We are seeking a detail... ...Responsibilities Perform utilization reviews for inpatient, outpatient, observation, and post-acute care...Remote workFull timeSecond jobWork at office
- ...for performing Workers' Compensation utilization review, which includes prospective, concurrent... ...retrospective utilization management, including inpatient services, outpatient services,... ..., Associate, bachelor's degree in nursing, or Master's level (or higher) degree...Remote workLong distance
$77.08k - $119.47k
...66.00 Responsible for Utilization Management, Quality Screening... ...Registered nurse with a New York State... ...applicable to utilization review process. Excellent written... .... Understanding of Inpatient versus Outpatient surgery... ...cannot be done from a remote location. Other...Remote workShift work$55 per hour
...Akkodis is hiring a Concurrent Review Nurse to support our client in the... ...Healthcare space. Location: Remote (must be based in California... ...concurrent reviews of inpatient activities. This role is responsible... ...in case management, utilization management, or discharge planning...Remote workFull timeContract workTemporary workLocal area- ...Utilization Review Nurse This position has a remote option for those living close and will be able to come into the hospital as needed. The Utilization... ...MCG/Centers for Medicare and Medicaid Services "CMS" Inpatient List). They effectively and efficiently manage a...Remote workFull time
- ...Management Location: 100% Remote Schedule: M-F 9:00am to... ...Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management... ...IL State Registered Nursing (RN) license in good...Remote workContract work
$40 - $50 per hour
Utilization review Registered Nurse ( Post service Medical Review 3) Working Shift - (08:00 AM - 05:00 PM) Remote in California 6+ Months Summary: The Facility Compliance Review team reviews... ...managed care experience including inpatient claims or concurrent review...Remote workContract workWork at officeLocal areaShift work- ...Centene is seeking a Nursing professional to perform concurrent reviews from a home-based setting, ensuring appropriate care levels and discharge planning... ...with Medical Affairs and educating providers on utilization processes. Schedule is Mon-Fri, 8am-5pm Central with...Remote work
- ...Centene Corporation is seeking a Remote Utilization Review RN to perform concurrent reviews and ensure medically necessary care for members. The role requires a CA RN license and acute care experience, with a Monday–Friday schedule and occasional weekend/holiday rotation...Remote workMonday to Friday
- ...who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage... ...~ Employee Referral Bonus Program JOB SUMMARY The Utilization Review Nurse is to assess the medical necessity and quality of healthcare...Remote workFull timeTemporary workLocal area
$110k - $150k
...Inpatient Hospital Medicine Full-time inpatient position Rotating... ...from the medical record, reviews outside medical records, communicates... ...Physician Assistant or Nurse Practitioner program required... ..., regional office and remote employees. Health Savings Accounts...Remote workFull timePart timeWork experience placementWork at officeLocal areaNight shiftRotating shiftDay shift- ...one day in Newark NJ rest of role will be remote This position is responsible for... ...Responsibilities: 1. Conducts on-site reviews at participating provider offices to assess... ...industry. 2. Requires License Practical Nurse License or an active New Jersey Registered...Remote work
- ...Institute is seeking an Advanced Practice Provider (APP) to join our inpatient cancer team at Geisinger Medical Center (GMC) in Danville, PA.... ...'s Degree-Physician Assistant (Required), Master's Degree-Nurse Practitioner (Required) About Geisinger OUR PURPOSE & VALUES...Full timePart timeShift workNight shift
$112.32k - $180.24k
...Nurse Practitioner Or Physician Assistant, Inpatient Medicine | Boston Childrens Hospital Pediatrics-Dept of Pediatrics Part-Time Regular, Temporary... ...Job Posting Category: Advanced Practice Provider Remote Eligibility: Onsite Only Children's Hospital BostonRemote workDaily paidTemporary workPart timeWork at office- ...developing, dynamic and collaborative Inpatient Transplant Nephrology team... ...pancreas transplant. As a Nurse Practitioner (NP) or... ...the early post-operative and remote post-transplant phase. Provide... ...The complete interview will be reviewed by a Mayo Clinic staff member...Remote workFull timeFlexible hoursNight shiftRotating shiftWeekend workDay shift
- ...Registered Nurse Inpatient Rehab PRN As the nation's largest private employer of Registered... ...into the Rio Grande Valley with our three remote ERs in McAllen/Mission, Edinburg, and... ...! Our Talent Acquisition team is reviewing applications for our Registered Nurse Inpatient...Remote workTemporary workReliefLocal areaFlexible hoursShift work
- ...PURPOSE AND SCOPE: The Inpatient Services Charge Nurse is an additional “responsibility” assigned to the Inpatient... ...efficient patient scheduling and staff utilization in accordance with the TAP scheduling tool. Maintain and review the daily TAP tool for all hospitals/...Full timeLocal area
$31 - $52 per hour
...PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including...Hourly payFull timeWork experience placementImmediate startNight shiftWeekend work- ...PURPOSE AND SCOPE: The professional registered nurse Inpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from CAP 1. This position is accountable...Full timeNight shiftWeekend work
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