Clinical Nurse & Utilization Manager — Remote
Saratoga-Medica
- Remote job
Saratoga-Medica is seeking a Clinical Nurse for Medical Management/Utilization Management in Falls Church, Virginia. This full-time opportunity includes a competitive rate, paid time off, and benefit options, along with telework availability. Ideal candidates will have a Bachelor's in Nursing (Master's preferred) and relevant experience in Department of Defense Program Management. Join to contribute to vital health services in a supportive environment. #J-18808-Ljbffr Saratoga-Medica
- ...Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great...Remote workFull time
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$50 per hour
...We are looking for a Clinical Appeals Nurse to join our team to train AI models... ...Documentation & HIM, Medication Management (PharmD), Laboratory... ...Based Care, and Managed Care & Utilization Management. Benefits Full-time or part-time remote position Choose which projects...Remote workHourly payFull timePart timeFor contractorsFlexible hours- ...Department: Managed Services Please make sure you read the following... ...positions for this role. The Utilization Management (UM) RN performs... ...first level reviews. The UM nurse ensures a process that is efficient... ...This position is hybrid with remote and in-office assignment....Remote workWork at officeWork from homeRelocation package
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$26.5 - $47.59 per hour
...Clinical Review Nurse - Concurrent ReviewBe among the first 25 applicants and... ...on our Medical Management/Health Services team. Centene... ...perspective on workplace flexibility.Remote-US position. Must work... ...Registered Nurse (RN) with utilization management, concurrent review...Remote workHourly payWork at officeFlexible hours$70k - $93.6k
...Job Description Job Title: Clinical Research Nurse I Job Description The... ...protocol activities, managing regulatory submissions, and... ...-quality study conduct. Utilize the electronic health record... ...four days on site and one day remote, depending on patient scheduling...Remote workPermanent employmentWork at office- ...Clinical Nurse Primary Duties and Responsibilities The Clinical... ...nursing interventions, pain management, medication administrations,... ...needs of the patients assigned. Utilizes the nursing process based on... ...Beach, CA, 92663, US Remote or Onsite Onsite Job Schedule...Remote workFull timeLocal areaShift work
$35 - $39 per hour
...Prior Authorization Nurse (Utilization Review) This role analyzes prior... ...appropriate services through thorough clinical review and collaboration... ...member in designated health management systems to ensure accuracy,... ...Type This is a fully remote position. Application Deadline...Remote workContract workTemporary workShift work- ...UM Inpatient Clinical Review Nurse The UM Inpatient Clinical Review Nurse contributes to the overall success of the Utilization Management department by performing clinical reviews for inpatient... ...LOCATION: This is a full-time remote opportunity. Current States...Remote workHourly payFull timeWork at officeMonday to FridayFlexible hoursWeekend work
$35 - $39 per hour
...Title: Prior Authorization Nurse (Utilization Review) Job Description... ...appropriate services through thorough clinical review and collaboration... ...member in designated health management systems to ensure accuracy,... ...Type This is a fully remote position. Application Deadline...Remote workContract workTemporary workShift work- Emory Healthcare is seeking a remote Utilization Review Specialist responsible for conducting thorough medical necessity reviews and performing... ..., among others. Join a supportive environment where you can thrive in your nursing career. #J-18808-Ljbffr Emory HealthcareRemote job
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$30 per hour
...Akkodis Resource Development Manager at Modis(An Adecco Group Company) Job Title: Clinical Claims Nurse (Healthcare Provider) Job Type... ...Contract to Hire Location: Remote, United States Salary Range:... ...frameworks. Conduct detailed research utilizing online resources such as...Remote workContract workTemporary workLocal area- ...Dane Street, LLC is seeking a remote Physician Reviewer for full-time work from home.... ...Internal or Family Medicine, to perform utilization reviews, including preauthorization and... ...utilization review experience and strong clinical judgment. Benefits include medical coverage...Remote workFull timeWork from home
- ...Clinical Registered Nurse (RN) II The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring... ...manner. Resource Utilization and Stewardship... ...be (are) waived for 100% remote employees** Cath Lab/...Remote workWork experience placementImmediate startFlexible hours
- ...CLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are... ...clinical decisions on the coverage, medical necessity, utilization and appropriateness of care per national and local policies...Remote workPermanent employmentWork at officeLocal area
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