Remote Clinical Utilization Review Nurse (AL)
Anacalifornia
- Remote job
Comagine Health is seeking a Clinical Utilization Review Nurse (RN) for a remote, full-time role based primarily in Alabama. You will assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews, ensuring compliance with clinical criteria, policies, and Alabama contract requirements. Qualified candidates hold a BA/BS in Nursing, current Alabama RN licensure, and at least three years of direct patient care experience. #J-18808-Ljbffr Anacalifornia
- ...looking for motivated individuals who want to be part of our mission and join our team! As a Utilization Review Nurse, you will utilize your critical thinking skills, clinical expertise and judgement along with established medical criteria to perform first level...Remote jobLocal area
$78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges... ...necessity and appropriateness of services, following clinical criteria, coverage policies, and contract guidelines. This...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...term care facilities. In partnership with nursing home operators, these Medicare... ...Bonus Program JOB SUMMARY: The Utilization Review Nurse is to assess the medical necessity... ...Utilization Management (UM) Nurse is to provide clinical support to the Clinical Services...Remote workFull timeTemporary workLocal area
- CorVel Corporation is seeking a Utilization Review Nurse to gather demographic and clinical information for prospective, concurrent, and retrospective reviews of... ...in line with Case Management goals. This is a remote position with responsibilities including data collection...Remote job
$90k - $107k
...General Brigham Health Plan Holding Company, Inc. is seeking a Remote UM Nurse to support network adequacy review and authorization activities for members in ACO, HMO, and EPO products. The role requires clinical knowledge to review prior authorization requests, assess...Remote job- Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance...Remote job
$30 - $34 per hour
Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 -... ...Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services...Remote jobHourly payMonday to Friday$130k - $155k
...Description Job Description Nurse Practitioner / Physician Assistant - Clinical Research - Peoria, AZ Overview... ...Conduct appropriate medical and safety reviews for research participants based... ...documentation. Prefer a remote or hybrid position. Would rather...Remote workWork from homeRelocation packageMonday to ThursdayWeekday work$35 - $45.94 per hour
...Utilization Review Nurse Remote Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role... ...and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care...Remote workHourly payFull timeWork from homeHome officeWeekend work- ...are seeking an experienced Utilization Management (UM) Registered Nurse to support outpatient utilization review and prior authorization activities... ..., and outpatient clinical review. This role is responsible... ...to work independently in a remote environment. Comfortable...Remote workContract work
- ...Utilization Review Nurse We are seeking a detail-oriented and experienced Utilization Review Nurse... ...Utilization Review Nurse will perform clinical reviews, ensure compliance with payer... ...or utilization management department. Remote, hybrid, or on-site opportunities depending...Remote workWork at office
- ...Plans Community Care is looking to hire a Utilization Review Nurse . The Utilization Review Nurse is... ...criteria (CMS, state, medical policy, clinical criteria). Facilitates accreditation... ...For positions that are available as remote work, Sentara Health employs associates...Remote workTemporary workShift work
$130k - $155k
...Job Description Job Description Nurse Practitioner / Physician Assistant (Clinic Advanced) - Tucson, AZ Overview... ...evaluations and pretreatment reviews, establish diagnoses, build and adjust... ...care position. Prefer a fully remote or hybrid clinical role. Have little...Remote workFull timeTemporary workRelocationMonday to ThursdayWeekday work$30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment... ...Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$130k - $155k
...Job Description Job Description Nurse Practitioner / Physician Assistant (Clinic Advanced) - Peoria, AZ Overview... ...evaluations and pretreatment reviews, establish diagnoses, build and adjust... ...care position. Prefer a fully remote or hybrid clinical role. Have little...Remote workFull timeTemporary workRelocationMonday to ThursdayWeekday work$91.77k - $108.52k
Psychiatric Mental Health Nurse Practitioner In Montgomery, AL Montgomery Area Behavioral Health Practice Join... ...private practice. This role offers clinical autonomy, flexible scheduling, and... ...Flexible, onsite, round-and-go model with remote documentation Conduct psychiatric...Remote workFull timePrivate practiceLocal areaMonday to FridayFlexible hoursWeekend work3 days per week$125k - $145k
...Psychiatric Nurse Practitioner ( PMHNP-BC ) $125k - $145k/year Position Requirement... ...mental health care while supporting our clinical staff in all aspects of their work. Our clinicians... ...you need to treat OMH patients remotely from the comfort of your home. Our interview...Remote workFull timePart timeWork at officeLocal areaImmediate startWork from homeMonday to FridayFlexible hours- ...Opportunity: Gastro Health is seeking a full time clinic RN to join our care center in Alabaster, AL. This is a remote position. In this role, you will provide... ...continued growth, we are seeking a full-time Endoscopy Nurse Lead to join our endoscopy team in Fairfax ,...Remote workHourly payFull timeTemporary work
$41 per hour
...Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract... ...Registered Nurse (RN) with unrestricted license in state. 3 years clinical experience. Needs to be able to navigate MCG and...Remote workContract work- ...Summary The Registered Nurse Clinic III is responsible for providing... ...Clinic III will provide care utilizing established principles and... ...certification required. Staggered Remote Position This position... ...further information, please review the Know Your Rights notice...Remote workPart timeWork from home2 days per week1 day per week
- Location: Fully remote (PA RN License or Compact including PA Required), Must Reside... ...seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)... ...review. Key Responsibilities: Conduct clinical reviews to determine medical necessity...Remote workFull timeContract work
- Currently seeking a Utilization Management RN . Please see... ...below: Position is remote - candidate must reside... ...active PA license or a Nurse Licensure Compact to... ...RN , you will assess clinical information, apply evidence... ...clinical judgment to review medical records,...Remote workImmediate startWeekend workDay shift
- Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential for Extension... ...Nurse for Prior Authorization Review to join our Utilization Management team. In this role, you will...Remote workContract work
$30.64 - $45.8 per hour
...Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out... ...Management department and of CorVel. This is a remote position. Essential Functions &...Remote workHourly payFull timeWork at officeLocal areaFlexible hours$1,966 per week
...among the first 25 applicants Nurses - are you looking for a... ...Holidays Work-life balance. Remote/hybrid setting (once trained... ...DESCRIPTION: This individual will utilize clinical knowledge and communication... ...decision to a second level reviewer. This individual interfaces...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...Management Location: 100% Remote Schedule: M-F 9:00am... ...Assess and analyze clinical service requests (e.g.... ...Summary Works with the Utilization Management team... ...necessity/utilization review and other utilization... ...unrestricted IL State Registered Nursing (RN) license in good...Remote workContract work
$35 - $43 per hour
Base pay range $35.00/hr - $43.00/hr Job Title Clinical Review Nurse - Concurrent Review Location: Remote (California only - must reside in CA or hold an active... ...Review Nurse - Concurrent Review will perform utilization management functions to ensure members receive the...Remote work- ...Assistant | Surgery - Neurosurgery Location: Houston County, AL Employer: Opportunity Healthcare Pay: Competitive weekly... ...vs. outpatient work? primarily hospital based; may come to clinic when primary duties are done to help physicians or other APPs Schedule...Weekly payPermanent employmentFull timeLocumLocal areaImmediate startRelocationNight shiftWeekend work
$60 - $70 per hour
...schedule Position: RN Clinical Supervisor (Part-time, Remote/Flexible) Compensation:... ...are seeking a Registered Nurse to join our team. In this... ...• Conduct documentation review and chart audits. • Support... ...spinal cord injuries, ALS, TBI, stroke, or long-term...Remote workFull timePart timeWork at officeFlexible hoursShift work$35 - $45 per hour
Base pay range $35.00/hr - $45.00/hr Direct message the job poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating resources and services to meet patients’ needs while ensuring compliance with federal...Remote workContract workWeekend work
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