Remote Utilization Review Nurse for Care Coordination
Martins Point Health Care
Martin's Point Health Care Inc. is looking for a Utilization Review Nurse in New York. This role requires a strong background in clinical nursing and utilization management to ensure quality, cost‑efficient medical outcomes. Responsibilities include reviewing prior authorization requests, collaborating with healthcare providers, and participating in quality initiatives. Candidates must have a Compact RN License and at least 3 years of clinical nursing experience. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse for Care Coordination in New York, NY vacancy
- ...Illinois is seeking an experienced Registered Nurse for a clinical role focusing on utilization review and care coordination. The ideal candidate will have 5+ years in healthcare... ...proficient in Microsoft 365. This role offers remote work and a comprehensive benefits package...Remote work
Guidehealth
Rockford, IL2 days ago - ...leading healthcare provider is looking for an experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license...Remote workWork from home
Guidehealth
Peoria, IL2 days ago - ...A leading healthcare analytics firm is seeking a Registered Nurse for a remote role focused on utilization review and clinical determinations. The position requires strong communication skills, 5+ years of varied healthcare experience, and an active RN license in Illinois...Remote work
Guidehealth
Chicago, IL2 days ago - A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
IntePros
Phoenix, AZ2 days ago $38 - $40 per hour
A healthcare provider is looking for a Registered Nurse (RN) for a remote position in Texas. The RN will be responsible for various review activities and care coordination in the insurance or managed care sector. Candidates must have a valid RN license in Texas and at least...Remote workHourly payContract workMadea Home Care Services
Plano, TX4 days ago$49.14 per hour
...Dignity Health is seeking a Utilization Review Nurse to supervise clinical decision-making and ensure resource utilization compliance. Responsibilities... ...utilization review principles, and liaising with care coordinators and physicians. Ideal candidates will have a nursing...Remote workHourly payDignity Health
Chandler, AZ2 days ago$1,966 per week
...first 25 applicants Nurses – are you looking... ...managed health care, focused on what's... ...Work-life balance. Remote/hybrid setting (once... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces... ...Nurse RN Clinical Coordinator - Neurosurgery...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hoursHines
Rockford, IL1 day ago$35 - $40 per hour
...5.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’... ...effective, and compliant delivery of home health care. This role monitors admissions,...Remote workContract workFlexible hoursWeekend workIntePros
Phoenix, AZ2 days ago$77.91k
...E2E Alignment Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position involves reviewing inpatient admissions, coordinating care, and ensuring quality and cost-effective patient outcomes. The ideal candidate...Remote workE2E Alignment Healthcare USA, LLC
California, MO1 day ago$38 - $40 per hour
...REMOTE - Candidates must be based in Texas:... ...insurance or managed care industry using medically... ..., concurrent review activities; discharge care coordination for determining efficiency... ...regarding utilization management requirements... ...) ~ Registered Nurse (RN) with a valid,...Remote workHourly payContract workWork at officeMadea Home Care Services
Plano, TX4 days ago- ...Hospital is seeking a Case Manager responsible for coordinating patient care and ensuring proper utilization of resources. The role involves managing... ...of acute care experience and a Registered Nurse license. This is a remote position with a Tuesday to Saturday schedule...Remote workLocal area
Santa Barbara Cottage Hospital
New York, NY5 days ago - ...Advanced Health Coordinated Care Organization is hiring a part-time remote Utilization Review Nurse. The ideal candidate will be a licensed RN with experience in acute care and utilization review. Responsibilities include reviewing prior authorizations, ensuring quality...Remote workPart time
Advanced Health Coordinated Care Organization
Oregon, WI4 days ago $41 - $45.5 per hour
...Government Clients Role: Nurse Case Management... ...Analyst Location: Remote (within plan... ...planning, implementing, coordinating, monitoring, and... ..., high-quality care and supports members... ...education, and utilization management. Key Responsibilities... ...and retrospective reviews for inpatient,...Remote workMindlance
Wausau, WI2 days ago- ...Overview Title: Clinical Review Nurse – Prior Authorization... ...Location: Fully Remote (PST Time Zone - WA/... ...Authorization Review to join our Utilization Management team. In... ..., providers, and care management teams to... ...authorized care Coordinates as appropriate with healthcare...Remote workContract work
SPECTRAFORCE
Washington DC5 days ago $33.6 - $51.39 per hour
...Categories: Case Coordination Job Status: PRN... ...opportunity for a local remote position. There is no... ...experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing... ...Requirements Education ~ Nursing Diploma/Associate's -...Remote workHourly payFull timeWork experience placementReliefLocal areaWork from homeMonday to FridayFlexible hoursShift workBJC HealthCare
Saint Louis, MO3 days ago$35 - $43 per hour
.../hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must... ...Concurrent Review will perform utilization management functions to... ...receive the right care at the right time. This... ...to ensure timely coordination between care levels and...Remote workIMCS Group
New York, NY5 days ago$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment... ..., accurate, and compliant care decisions in accordance... ...processes. Assist with coordination of peer reviews and communication... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to FridayNeier Inc
Sacramento, CA2 days ago$73.86k - $96.02k
...Utilization Review Registered Nurse, Case Management Baptist Health is the region's largest not-for-profit... ...and 200 outpatient centers, urgent care facilities and physician practices across... ...financial resource utilization. Coordinates with healthcare team for optimal/...Remote workLocal areaBaptist Health
Boca Raton, FL2 days ago- ...rate ***/hour remote within IL, TX, TN,... ...MT Registered Nurse responsible for collaborating... ...Medical necessity reviews may include: drugs... ...support of all Utilization Management... ...compliance guidelines. • Coordinate with Medical... ...nursing or health-care related field...Remote workWork at officeLocal areaFlexible hoursShift work
Mindlance
Albuquerque, NM3 days ago $32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview... ...of in person and remote considered) GENERAL SUMMARY... ...ensures safe transitions of care. GIBSON AREA HOSPITAL &... ...RESPONSIBILITIES Coordinate and facilitate patient progression...Remote workHourly payFull timeWork at officeRelocation packageShift workGibson Area Hospital
Gibson City, IL6 days ago- ...Responsibilities: Reviews documentation and evaluates... ...Potential Quality of Care issues based on... ...Medicare). Independently coordinates the clinical... ...an RN ~ Registered Nurse in state of residence... ...have prior authorization utilization experience ~ Experience...Remote work
Varite
United States4 days ago - ...Position Summary The Utilization Review Nurse works as responsible for ensuring the receipt of high quality, cost efficient medical... ...inpatient concurrent review, establishes discharge plans, coordinates transitions of care to lower/higher levels of care, makes referrals for...Remote workWork at office
Martins Point Health Care
Portland, ME5 days ago $35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE)... ...timely, accurate, and compliant care decisions in accordance... ...processes. Assist with coordination of peer reviews and communication... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to FridayCanon Recruiting Group
Sacramento, CA4 days ago- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor... ...cost-effective patient care. Working collaboratively within... ...medical necessity, and coordinates with healthcare providers... ...required for facility based staff; optional for remote staff.Remote workWork at office
Nexus Health Systems
Houston, TX6 days ago $64.17k - $96.26k
...medical management. The Utilization Management Nurse and the Personal... ...facilitating quality health care through the most cost... ...provides utilization review/pre-certification on... ...plans of care; coordinate services; educate members... ...functions. ~ Remote Work Environment...Remote workLocal areaRelocation packageFlexible hoursWeekend workConifer Care Continuum
Frisco, TX5 days ago- ...Utilization Review Nurse (RN) Neuropsychiatric Hospitals is looking for a Utilization Review Nurse (RN) to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring... ...multiple hospitals both remotely and traveling onsite to...Remote workWork at office
NeuroPsychiatric Hospitals
United States4 days ago $35.29 - $47.37 per hour
...and their work-life balance Remote work options and Flexible... ...the Quadruple Aim of health care reform: member engagement and... ...hiring a Part-time REMOTE Utilization Review Nurse . If you are a licensed... ...managed care principles in the coordination of care. Prepares any case...Remote workHourly payPart timeCurrently hiringWork at officeLocal areaWork from homeMonday to FridayFlexible hoursDOCS Management Services
Coos Bay, OR4 days ago$34 - $40 per hour
...range $34.00/hr - $40.00/hr Remote (Compact Licensure Required)... ...Medix is seeking an experienced Utilization Review Nurse to support our mission of improving patient care through home-based health... ...services. In this role, you will coordinate and review patient...Remote workFull timeMedix
New York, NY4 days ago- ...organization; we’re a community-driven Coordinated Care Organization (CCO) committed to... ...difference at Umpqua Health. Position Title Utilization Review Nurse Department Umpqua Health Job Status... ...pm (Pacific Standard Time) Location Remote position Salary Wage Band 20: $85,99...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hours
Umpqua Health
Roseburg, OR2 days ago $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... ...than a healthcare organization—we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving the health...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayUmpqua Health
United States5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Nurse for Care Coordination. Be the first to apply!
Related searches
- utilization review nurse New York, NY
- remote utilization review nurse part time New York, NY
- remote utilization review nurse New York, NY
- remote education consultant New York, NY
- remote nonprofit New York, NY
- remote financial analyst New York, NY
- remote virtual assistant New York, NY
- junior ux designer remote New York, NY
- remote real estate New York, NY
- remote design intern New York, NY