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 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse for Care Coordination in New York, NY vacancy
$85k - $105.34k
...Umpqua-Health seeks a Utilization Review Nurse to evaluate clinical service requests and ensure quality care. This role includes conducting prior authorizations, collaborating with healthcare teams, and ensuring compliance with regulations. The ideal candidate will have...Remote workUmpqua Health
New York, NY2 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, AZ3 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$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, AZ3 days ago$69.89k - $106.91k
...Categories: Case Coordination Job Status: Full-Time... ...opportunity for a local remote position. There is no... ...experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing... ...Education ~ Nursing Diploma/Associate's -...Remote workHourly payFull timeWork experience placementLocal areaWork from homeMonday to FridayFlexible hoursShift workBJC HealthCare
Saint Louis, MO4 days ago- ...Summary: This position has a remote option for those living... ...as needed. The Utilization Review Nurse is responsible for determining... ...clinical appropriateness of care provided to patients and ensuring... ...identifiable needs for coordination of the beneficiary's member...Remote workFull time
CHRISTUS Health
Alamogordo, NM15 hours ago $40 per hour
...in TX Full time remote Candidates must... ...insurance or managed care industry using... ...initial, concurrent review activities; discharge care coordination for determining efficiency... ...regarding utilization management requirements... ...facilities. Registered Nurse (RN) with valid,...Remote workFull timeContract workWork at officeHireOps Staffing LLC
United States2 days ago- ...Utilization Review Nurse Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people... ...concurrent review, establishes discharge plans, coordinates transitions of care to lower/higher levels of care...Remote workWork at office
Martins Point Health Care
Portland, ME3 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$85k - $105.34k
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT... ...a healthcare organization—we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayUmpqua Health
Roseburg, OR2 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, NY1 day 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, TX6 days ago$35.29 - $47.37 per hour
...their work-life balance ~ Remote work options and Flexible... ...the Quadruple Aim of health care reform: member engagement... ...hiring a Part-time REMOTE Utilization Review Nurse . If you are a licensed nurse... ...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, OR15 hours 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, NY15 hours ago- ...remote position in any state except, NY, CA, HI, or AK max bill rate: ***/hour... ...Responsible For Performing Discharge Care Coordination And Review Activities For Determining Efficiency... ...Cases, And Provide Information Regarding Utilization Management Requirements And...Remote workContract work
Mindlance
Albuquerque, NM4 days ago - ...staff position, please review this tip sheet ( . The Case Manager RN (U) coordinates the overall interdisciplinary plan of care for patients, from admission... ...Enter Ancillary notes utilizing the templates for care... ...Utilize Case Manager nurse driven protocols to facilitate...Remote workFull timeTemporary workWorldwide
University of Miami
United States4 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, IL2 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, TX7 days ago - ...Responsibilities: • Reviews documentation and evaluates... ...Potential Quality of Care issues based on... ...Medicare). • Independently coordinates the clinical... ...experience • Registered Nurse in state of residence... ...have prior authorization utilization experience • Able to...Remote work
Varite
United States15 hours ago - Currently seeking a Utilization Management RN .... ...below: Position is remote - candidate must reside... ...PA license or a Nurse Licensure Compact to... ...clinical judgment to review medical records, validate care plans, and... ...providers, support care coordination, ensure regulatory...Remote workImmediate startWeekend workDay shift
- Overview Title: Clinical Review Nurse - Prior Authorization... ...Location: Fully Remote (PST Time Zone - WA/OR... ...Authorization Review to join our Utilization Management team. In... ..., providers, and care management teams to support... ...authorized care Coordinates as appropriate with healthcare...Remote workContract work
- A health system in Maryland is seeking a Utilization Review Nurse RN to conduct chart reviews and coordinate care for optimal patient outcomes. Responsibilities include assessing clinical records, monitoring denials, and collaborating with care teams. The ideal candidate...Weekend work
- Mass Digital Health in Quincy, Massachusetts is seeking a Utilization Review Nurse to evaluate patients for admission appropriateness and coordinate care activities. This role demands collaboration with physicians, care managers, and extensive clinical knowledge to ensure...
- 4004 Aetna Medicaid Administrators is looking for an Integrated Care Manager based in New Jersey. The role involves assessing, planning, and coordinating member care to enhance overall wellness. Candidates should have a minimum of 3 years of clinical experience and a valid...Remote workWork from homeFlexible hours
4004 Aetna Medicaid Administrators
New York, NY3 days ago - ...is seeking an experienced Licensed Practical Nurse (LPN) to facilitate value-based care for patients. This fully remote position offers the chance to work from home,... ...role includes conducting health assessments, coordinating resources, and assisting with medication management...Remote workWork from home
CareHarmony LLC
New York, NY15 hours ago - ...Management Location: 100% Remote Schedule: M-F 9:00... ...Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization management... ...members with the right care at the right place at... ...IL State Registered Nursing (RN) license in good...Remote workContract work
Integrated Resources
Springfield, IL4 days ago $21 per hour
CareHarmony, Inc. is seeking an experienced Licensed Practical Nurse (LPN) to manage patient care and coordinate resources remotely. The candidate must have at least 3 years of direct patient-facing experience and an active LPN license. Responsibilities include patient...Remote workWork from homeCareHarmony LLC
Boise, ID3 days ago$41 per hour
...Remote position, however, candidates must reside in the State of TX... ...work in the insurance or managed care industry using medically... ...performing accurate and timely medical review of claims suspended for... ...Requirements: # Registered Nurse (RN) with unrestricted license...Remote workContract workHireOps Staffing, LLC
Chicago, IL4 days ago- ...applicants This is full-time remote, but candidates must reside in... ...the insurance or managed care industry using medically accepted... ...accurate and timely medical review of claims suspended for... ...prioritization skills. ~ Registered Nurse (RN) with unrestricted license...Remote workFull timeContract work
Innovative Systems Group
Richardson, TX3 days ago $63k - $65k
...PURPOSE OF THE ROLE To utilize evidence-based tools to... ...well‑being of others in a remote work environment. Enjoy... ...setting. Enable our Caring Counts® mission of supporting... ...with the client, nursing staff and claims examiners... ...utilization management reviews. Maintain client’s...Remote workWork experience placementFlexible hoursSedgwick
Nashville, TN3 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
- remote utilization review nurse New York, NY
- utilization review nurse New York, NY
- remote utilization review nurse part time New York, NY
- revenue manager remote New York, NY
- remote clinical trial manager New York, NY
- remote sales consultant New York, NY
- remote lvn New York, NY
- remote appointment scheduler New York, NY
- remote financial planning New York, NY
- remote research analyst jobs New York, NY