Remote Hawaii RN: Preservice Review Specialist
UnitedHealth Group
UnitedHealth Group is seeking a qualified RN for utilization management in Hawaii. The role offers the flexibility to work remote while handling complex clinical and non-clinical determinations and documentation.
You will assess needs, interpret records, and collaborate across teams to drive efficient care decisions. Applicants must hold a Hawaii RN license, have 3+ years in acute care, and be available for Saturday shifts.
#J-18808-LjbffrVacancy posted 6 hours ago
Similar jobs that could be interesting for youBased on the Remote Hawaii RN: Preservice Review Specialist in United States vacancy
- ...The Preservice Review RN position at UnitedHealth Group in Hawaii involves assessing customer needs, interpreting medical records, and applying protocols to support medical determinations. This remote role in Hawaii offers a meaningful impact on healthcare delivery with...Remote workFull timeDay shift
- ...seeking experienced nursing professionals to review medical records and ensure appropriate... .... Candidates must have a valid California RN license and at least two years of clinical... ...degree in a related field. The position offers remote work with emphasis on critical thinking...Remote work
- ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure...Remote workWork at office
$69.39k - $88.61k
...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case... ...requires a Bachelor’s degree in a related field, an active RN/Social Work/Clinical Counselor license, and 2+ years of related...Remote workFull time- ...Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges. Qualifications include RN...Remote work
- ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant... ...team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization...Remote workWork at office
- ...Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and discharge planning in collaboration...Remote workPart timeRelief
$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with...Remote workMonday to FridayWeekend workWeekday work- ...UnitedHealth Group is seeking a Telephonic Oncology Preservice Review Nurse (RN) to perform pre-service clinical reviews remotely across the U.S. You will evaluate services using benefit plan documents, guidelines, and policies to determine medical appropriateness....Remote workAfternoon shift
- ...Performance Home Health is seeking an experienced Referral Review Nurse to join our growing team. This role reviews incoming home health... ...in a fast-paced environment where accuracy matters. This is a remote position based in Texas with full-time hours. #J-18808-LjbffrRemote workFull time
- HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The ideal candidate has an RN license...Remote job
- PruittHealth is seeking a Registered Nurse (RN) ICD-10 and Oasis Reviewer for a remote Home Health position. Must reside in SC, NC, or GA and hold an active ICD-10 certification. Join a leader in post-acute care and contribute to high-quality home-based nursing care. Responsibilities...Remote job
- ...resource to others If you are located in Hawaii, you will have the flexibility to work remotely* as you take on some tough... ...assigned to the appropriate team for review (e.g., Medicare, Medicaid,... ...accreditation) Required Qualifications: Valid RN license in Hawaii Residence in...Remote workWork at office
$43 - $47 per hour
...in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of... ...must possess an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a...Remote job- HonorHealth is seeking an Utilization Review RN Specialist to review and monitor the utilization of health care services, ensuring medical necessity and appropriate levels of care. You will coordinate reviews for Medicare, AHCCCS, self-pay, and others from admission onward...Remote job
$29 - $52 per hour
...Improve the lives of others while Caring. Connecting. Growing together. Job Description - Radiation Oncology Preservice Review Nurse RN - Remote (2389342) Optum is a global organization that delivers care, aided by technology to help millions of people live healthier...Remote workHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend workAfternoon shift- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote workContract workWork from home
- ...Jobgether represents a partner company seeking a Clinical Denials Management Specialist based in the United States. The role is fully remote and focuses on reviewing, appealing, and preventing denied hospital claims across a healthcare system, working with nursing, utilization...Remote work
- ...To support hospital client partners, the full-time remote RN DRG Appeals Specialist will perform reviews of inpatient DRG payer denials, including analyzing denial letters, formulating appeal responses, and ensuring compliance with coding guidelines. Key responsibilities...Remote workFull time
- ...Center is seeking a Utilization Management Specialist to review admissions across the system and... ...appropriate status. This role suits an RN or Social Worker with acute care experience... ...and insurers. The position is fully remote for Montana residents and offers a four...Remote work
- ...Logan Health is hiring a Utilization Management Specialist to join the UM team. The role focuses on reviewing admissions, validating documentation and determining... ...and EMR proficiency, with a four-day work week and remote options for Montana residents. #J-18808-LjbffrRemote work
- ...Quality Control Review Specialist Department: Retail Loan Department Reports to: Retail Lending Processing Manager Supervises... ...effectively as part of a team and as an individual contributor in a remote environment. Specific Job Functions for the Quality...Remote workFull timeContract workWork at officeLocal areaRelocationFlexible hours
- ...seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license.... ...and knowledge of Utilization Review Guidelines. The position offers a competitive...Remote work
- ...CVS Health Corporation seeks an experienced Registered Nurse (RN) to support 24/7 Utilization Management operations. You will review cases, assess medical necessity, coordinate care, and ensure members receive appropriate, high-quality healthcare services. Join a dynamic...Remote workWork from home
- ...is seeking an experienced Denial Mitigation-Appeal Specialist II RN to support revenue cycle efforts by reviewing clinical records, preparing appeals, and... ...to work with physicians and coding/billing teams. Remote work may be possible after probation based on productivity...Remote workTrial period
- ...members and providers. The role supports remote work with required in-person training and... ...adherence to commuting guidelines. You will review records, summarize findings, and determine... ...policies. The position requires an active RN license and a HS diploma, with a preference...Remote work
- ...assisting a growing healthcare organization in finding an Enrollment Nurse (RN) for a primarily remote role based in New York. The position involves meeting with prospective members, reviewing clinical assessments, and developing Person-Centered Service Plans while educating...Remote work
- ...success. Job Summary CDI Specialists will collaborate extensively... ...and coded. CDI Specialist will review medical records for opportunities... ...and procedures. This is a remote position Essential Duties... ...months of employment. Current RN license. Three years CDI...Remote workFull timeWork at officeImmediate start
- ...Dane Street is seeking experienced Orthopedic Surgeons to join our team of expert medical reviewers. This telework opportunity allows you to customize your schedule while working as a 1099 independent contractor. You will review medical records, prepare concise clinical...Remote workFor contractors
- ...a compassionate bilingual Registered Nurse (RN) to join the Intake team for a growing home health... ...starts on-site with potential to move to a remote role based on performance and training. Responsibilities include reviewing referrals, verifying eligibility and...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Hawaii RN: Preservice Review Specialist. Be the first to apply!
Related searches
- public health registered nurse United States
- temporary rn United States
- cath-lab rn United States
- perioperative rn United States
- part time rn United States
- pacu rn United States
- travel registered nurse l&d United States
- nicu registered nurse United States
- telephonic rn United States
- rn urgent care United States



