Remote RN Utilization Review Specialist
Intermountain Healthcare Inc.
Augusta, ME
- Remote job
Intermountain Healthcare Inc. is seeking an RN Utilization Review Care Management I for a fully remote, part-time role. You will review records, apply clinical guidelines, and collaborate with providers and members to ensure appropriate, cost-effective care across multiple regions. Remote work and Teams-based collaboration are required. The role emphasizes regulatory compliance, patient-centered care, and support for safe transitions of care, with weekend and holiday coverage, and a compact RN #J-18808-Ljbffr Intermountain Healthcare Inc.
Vacancy posted 14 hours ago
Similar jobs that could be interesting for youBased on the Remote RN Utilization Review Specialist in Augusta, ME vacancy
- ...CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically necessary... ...license, 5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an Associate...Remote workWork from homeMonday to FridayWeekend work
CVS Health
Jackson, MS5 days ago - ...Sedgwick is seeking a Telecommuter RN for Utilization Review in the United States. The role requires an active RN license, an associate degree... ...utilization review. Certification is a plus. The position offers remote work with a comprehensive benefits package and competitive...Remote work
Sedgwick Claims Management Services
United States3 days ago - ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care.The role collaborates with Admitting, Financial...Remote work
Cincinnati Children's Hospital
United States4 days ago $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 management... ...a Bachelor’s degree in a related field, an active RN/Social Work/Clinical Counselor license, and 2+ years of...Remote workFull timeCincinnati Children's
New York, NY3 days ago- ...Ascension is seeking a Registered Nurse for Utilization Management in a remote-capable role. This position focuses on reviewing admissions and service requests for medical necessity... ...the organization. The role requires Texas RN licensure and a nursing diploma, with...Remote work
Ascension
United States5 days ago $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 workConcierge Home Care
United States3 days ago- WNS HealthHelp (A Capgemini Company) is seeking a licensed registered nurse to perform concurrent inpatient utilization reviews from a remote setting. You will collaborate with attending physicians and care teams to determine medical necessity and appropriate level of care...Remote job
- iMPROve Health is recruiting a Michigan-licensed Registered Nurse (RN) for a contingent, fully remote Utilization Review / LTSS Review Nurse role. The position supports Michigan Medicaid programs, reviews Nursing Facility LOC and Home Help assessments, and requires UR/UM...Remote jobFlexible hoursAfternoon shift
- Intermountain Health’s St. Marys Regional Hospital seeks an RN Utilization Review Care Management I to perform utilization review screenings,... ...ensure compliant, efficient, and patient-centered services. Remote work is offered where approved, with shifts enterprise-wide...Remote jobShift work
- Jobgether is partnering with a healthcare organization to hire a Case Manager - Utilization Review Specialist for a full-time remote role based in the United States. You will oversee admission and concurrent reviews, assess medical necessity, and coordinate appeals to...Remote jobFull time
- HonorHealth is seeking an RN Utilization Review Specialist to review and monitor health care service utilization, ensuring appropriate levels of care and medical necessity across admissions and payer types. You will coordinate medical necessity reviews for Medicare, AHCCCS...Remote jobDaily paid
- Sedgwick is seeking a remote RN Utilization Review professional in Tennessee to provide timely utilization reviews and advocate for cost-effective patient care. You will assess medical conditions, coordinate with clinicians, and support evidence-based treatment decisions...Remote jobFlexible hours
- Quorum Health Corporate is seeking a remote Utilization Review Specialist with a registered nurse background to manage admission decisions and concurrent reviews, ensuring compliance with payer and regulatory standards. Responsibilities include coordinating appeals, documenting...Remote job
- 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 jobPart timeRelief
- Jobgether is partnering with a U.S.-based healthcare employer to recruit a Case Manager - Utilization Review Specialist for a fully remote role in the United States. The position focuses on admission and concurrent reviews, medical necessity determinations, and coordination...Remote job
- Jobgether, in partnership with a healthcare organization, seeks an experienced Case Manager - Utilization Review Specialist for a fully remote role in the United States. This position focuses on admission and concurrent reviews, medical necessity assessment, and coordination...Remote job
- Jobgether, on behalf of a partner company, seeks an experienced Case Manager - Utilization Review Specialist to oversee admission and concurrent reviews remotely in the United States. You will evaluate medical records for medical necessity, coordinate appeals, and collaborate...Remote job
$60k - $62k
...Job Description Remote- Work From Home, Jackson, Jackson, Michigan, United States... .... Position Overview The Utilization Review Specialist is responsible for all aspects of the... ...Utilization Review (as either CADC, LAADC, RN, LCSW, LPN, LMHC, LMFT, RN Case Manager...Remote workFull timePart timeWork from homeFlexible hoursCoronis Health
Jackson, MI4 days ago- ...Hansei Solutions is seeking an Utilization Review Specialist to act as the vital link between insurance payors and treatment facilities, advocating for clients to secure maximum authorized treatment days. The role emphasizes communication, organization, data entry, multitasking...Remote work
Hansei Solutions
Franklin, TN1 day ago - ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant communications with insurance payers. You will support patient access by securing initial and continued...Remote work
The Florida House
United States1 day ago - ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining insurance authorizations, communicating with managed care organizations, and collaborating with clinical teams....Remote workPart timeWeekend work
Recovery Unplugged
United States5 days ago $30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ...along with experience in Epic EHR and Utilization Review. The selected candidate will perform... ...program metrics. This position is remote and offers a pay range of $30-$45 per...Remote workHourly payContract workPyramid Consulting
Long Beach, CA1 day ago- ...excellence. Who We're Looking For We are seeking an experienced specialist who is passionate about making a difference in the lives of... ...Health or related field required preferred. 2-3 years of utilization review experience in behavioral health, addiction treatment, or managed...Remote workDaily paidFull time
The Florida House
United States2 days ago - ...The Arizona Health Care Cost Containment System (AHCCCS) is seeking a Behavioral Health Prior Authorization Utilization Review Consultant. The role focuses on monitoring, evaluating, and approving or denying payment for medical and behavioral health services for the Fee...Remote work
State of Arizona
New York, NY2 days ago $24 - $26 per hour
...Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-Friday, 9 AM-5 PM ET | $24-$26/hour About the Role Principles Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage insurance authorizations for adolescent...Remote workFull timeMonday to FridayPrinciples Recovery Center
United States4 days ago- CVS Health is hiring an experienced Registered Nurse (RN) for Utilization Management to ensure appropriate care at the right time through evidence-based review and coordination. This role supports 24/7 operations and may require evenings, weekends, and holidays from a home...Remote jobWork from homeWeekend workAfternoon shift
- Logan Health is seeking a Utilization Management Specialist to join our team in a fully remote role focused on inpatient admissions reviews, physician documentation assessment, and authorizations across the Logan Health system. The position emphasizes collaboration with...Remote job
- ...As Utilization Review Specialists, we are the liaisons between insurance payors and the treatment facilities... ...LCDC, LiCSW) or nursing degree (MSN, RN, LVN), or 2 years of experience in a previous... ...as "recovering".Benefits100% remote first company to foster flexibility, inclusivity...Remote workWork at office
Hansei Solutions
Franklin, TN1 day ago $18 - $20 per hour
...compassionate professional to join our Utilization Review department. At Camber, we do not... ...The Role As a Utilization Review Specialist, you serve as the vital link between our... ...at our Olathe corporate office, 3 days remote. What You Will Do Act as the primary...Remote workHourly payFull timeWork at officeKVC Shared Services
Olathe, KS1 day ago- CVS Health is seeking a Registered Nurse (RN) for Utilization Management to ensure appropriate care delivery and coordinate patient care with clinical teams. The role emphasizes evidence-based review, care coordination, and collaboration with providers to optimize outcomes...Remote jobFull timeFlexible hoursAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN Utilization Review Specialist. Be the first to apply!
Related searches
- outpatient rn Augusta, ME
- registered nurse office Augusta, ME
- labor & delivery rn Augusta, ME
- registered nurse remote Augusta, ME
- mother baby postpartum rn registered nurse Augusta, ME
- gastroenterology rn Augusta, ME
- rn iv therapy Augusta, ME
- registered nurse healthcare Augusta, ME
- interventional radiology rn Augusta, ME
- part time rn Augusta, ME