Remote Preservice Review RN - Utilization & Compliance
$28.94 - $51.63 per hourStryker
Stryker Corporation is seeking a dedicated Preservice Review RN to work remotely while reviewing requests from providers. Candidates must hold a current RN license for Nevada and have experience in critical care or ER nursing. The position involves assessing eligibility and determining benefits for patients. With a focus on review accuracy, candidates will thrive in a supportive environment that encourages professional growth. This opportunity offers a competitive pay range of $28.94 to $51.63 per hour, along with a comprehensive benefits package. #J-18808-Ljbffr
- ...UnitedHealth Group is seeking a Preservice Review RN responsible for evaluating provider requests using established protocols. This role requires... ...nursing experience. You can enjoy the flexibility of remote work while playing a vital part in reviewing medical necessity...Remote work
$28.94 - $51.63 per hour
...UnitedHealthcare is seeking a Preservice Review RN in Las Vegas, NV. The RN will review provider requests for medical necessity and benefit level, working remotely and collaborating with other staff. Candidates must possess a Nevada RN license and have at least 2 years...Remote workHourly pay- ...Texas Health Institute is seeking a Preservice Review RN responsible for evaluating requests from... ...on medical necessity. This role allows remote work flexibility while engaging with... ...include verifying eligibility, maintaining compliance, and supporting new staff. A valid RN...Remote work
- ...The University of Minnesota School of Nursing is seeking a Preservice Review RN to evaluate requests from providers, ensuring they meet medical... ...criteria. This position offers the flexibility to work remotely within the U.S. and requires a current RN license in Nevada....Remote workWork at office
- Ascension Health is seeking a Licensed Registered Nurse for a remote role within Ascension Network Services. This position... ...services related to admissions, case management, and utilization review, ensuring compliance with regulations. The ideal candidate must possess a...Remote job
$50.68 per hour
Children's Hospital Colorado is seeking a Utilization Review RN to support medical necessity reviews and compliance in a hybrid role based in Colorado. This position requires strong pediatric nursing experience and knowledge of utilization review. Responsibilities include...Remote jobHourly payFlexible hours- ...leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...Remote workHourly payDaily paidDay shift
- ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and collaborating with teams to meet...Remote workContract work
- 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
- ...the United States is hiring for a Concurrent Review Nurse responsible for performing utilization management activities remotely. The role involves conducting concurrent... ...analytical skills. This position also emphasizes compliance with regulatory standards and quality...Remote work
- P3 Health Partners in Henderson, NV is seeking an RN Concurrent Review to ensure compliance with the Medical Management Program. The role may be hybrid or fully remote, with competitive hourly rates based on experience. The successful candidate will have at least two years...Remote jobHourly pay
$50.68 per hour
...Email this Job Job Overview The Utilization Review RN participates as a member of a... ...support medical necessity reviews, ensure compliance, and actively participate in denial mitigation... .... **This position will be primarily remote but there may be occasions when you...Remote workHourly payTemporary workLive inImmediate startRelocationFlexible hoursShift workWeekend workDay shiftAfternoon shift$35.29 - $47.37 per hour
...individual and their work-life balance Remote work options and Flexible scheduling... ...and others. All duties are performed in compliance with organization’s policies and... ...are currently hiring a Part-time REMOTE Utilization Review Nurse . If you are a licensed nurse with...Remote workHourly payPart timeCurrently hiringWork at officeLocal areaWork from homeMonday to FridayFlexible hours$35 - $45 per hour
...poster from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison... ...meet patients’ needs while ensuring compliance with federal, state, and... ...accredited professional nursing program (RN, LPN, or LVN). Minimum of two years of...Remote workContract workWeekend work- ...services. Interns will conduct clinical reviews, communicate with healthcare providers, and ensure compliance with regulations. Candidates must hold an active RN license and have at least two years... ...health experience. The position is remote with a weekday schedule. #J-18808-...Remote jobInternshipWeekday work
- ...group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines. Candidates should have a BSN or RN degree and at least 5 years of clinical... ...The position offers options for remote work, health insurance, and other...Remote jobFull time
$85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as... ...transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare... ...Active, unrestricted RN license (BSN or MSN) in Oregon or a...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday- ...CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote work
- ...professional to join their Utilization Management team. The... ...involves conducting reviews and evaluations for... ...hospitalization and ensuring compliance with state and federal... ...position requires an RN or LVN certification... ...The job is primarily remote but may require...Remote workWork at office
$45 - $50 per hour
...Utilization Management Nurse – Medicare Remote | California RN Required | Must sit in CA We’re partnering with a mission... ...and retrospective utilization reviews for Medicare members Apply... ...member‑centered documentation in compliance with regulatory and...Remote workContract workTemporary workWork from home- Humana is offering a Utilization Management Behavioral Health Registered Nurse (RN) Internship for transitioning military service... ...involves conducting clinical reviews, communicating with healthcare... ..., and ensuring documentation compliance. Candidates must possess an active...Remote workInternship
- ...Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including... ...coordination and discharge planning, along with various compliance and policy development duties. A comprehensive benefits...Remote work
- ...Santa Barbara Cottage Hospital is seeking an RN for Utilization Review, a Per Diem position working remote 8-hour day shifts. This role includes conducting clinical reviews and utilization assessments for our Southern CA ministries. Candidates should have an Associate'...Remote workDaily paidDay shift
- ...COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...Remote workFull time
- ...Providence is seeking a Remote RN Utilization Review nurse to work Per Diem 8-hour day shifts. This role involves conducting utilization reviews, requiring a strong clinical background and knowledge in Utilization Management. Join Providence California Regional Services...Remote workDaily paidDay shift
- ...A major healthcare organization is seeking a registered nurse for a remote position focused on utilization review. Candidates should have 2 years of experience in a hospital setting and expertise in evaluating medical necessity. Responsibilities include assessing care...Remote work
- ...Providence Health & Services is seeking an RN Utilization Review professional to work remotely for per diem shifts in Mission Hills, California. This role will conduct utilization reviews for Southern CA ministries, requiring a strong clinical background and knowledge...Remote workDaily paidShift work
$75k
...Cottage Hospital is seeking a qualified RN for concurrent inpatient utilization review. The candidate will regularly... ...and healthcare teams, ensuring compliance with industry regulations and maintaining... ...RN license. The position offers a remote work option along with a...Remote work- ...NeuroPsychiatric Hospitals is seeking a Utilization Review Nurse (RN) to coordinate patient services... ...reviewing patient documentation for compliance, planning discharges, and collaborating... ...for better outcomes. Located remotely with a preference for candidates in...Remote work
- ...A leading healthcare organization is seeking a remote RN to ensure appropriate administration of hospital resources and quality care. Responsibilities include reviewing patient care levels and utilizing Interqual Criteria for inpatient hospitalizations. The ideal candidate...Remote work
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