Remote Utilization RN - Case Review & Care
Freelanceshop
- Remote job
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 possess strong clinical knowledge and critical thinking skills, be RN licensed in the U.S., and have a minimum of 2–3 years of clinical experience. Competitive salary and comprehensive benefits are offered. #J-18808-Ljbffr Freelanceshop
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary... ...Hybrid (combination of in person and remote considered) GENERAL SUMMARY The... ...disciplinary teams ensures safe transitions of care. GIBSON AREA HOSPITAL & HEALTH...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...Health is seeking a Travel Nurse RN Case Manager specializing in Utilization Review for a role in Somerville, Massachusetts... .... You will supervise a team of care coordinators, ensuring best... ...travel position offers a flexible remote working schedule from Monday to Friday...Remote workMonday to FridayFlexible hours
- ...Utilization Review Nurse Health Plans - Case Management US:NM:Alamogordo | Utilization Management... ...This position has a remote option for those living close... ...clinical appropriateness of care provided to patients and... ...employment or compact required RN license in state of...Remote workFull time
$65k - $75k
Piper Companies is seeking a Remote Utilization Management/Review Nurse to evaluate member cases, ensuring medical necessity and appropriate... ...providers to make high-quality care decisions. The ideal candidate will hold an active RN license with relevant experience. The...Remote job$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services... ...requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...Remote workWeekend work- ...seeking a Peer-to-Peer Utilization Review Nurse to join the Central... ...and managing complex cases while collaborating closely... ...Physician Advisors and Care Management teams. The... ...Science in Nursing, an RN license, and extensive... ...The position offers a remote work model with a flexible...Remote workFlexible hours
$2,250 per week
...Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort... ...hospital-based) ~ Skilled experience with remote work LENGTH OF ASSIGNMENT –... ...provide quality patient care that continually evolves to make healthcare...Remote workTemporary workFor contractorsShift workNight shiftWeekend work- ...Behavioral Health Case Manager Responsible... ...and e-referral case review and authorization of services utilizing established mental health... ...to provide quality care appropriate to... ...is full-time, fully remote (work from home) and... ...Michigan clinical license (RN, LMSW, LP, LPC, or...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...love your Mondays as the Nurse Director Utilization Review and Case Management at an award winning... ...where your strategic vision transforms care coordination into measurable results and... ...decision support, virtual nursing, and remote monitoring; clear investment in clinician...Remote work
- ...Utilization Management Position Provide health care services regarding admissions, case management, discharge planning and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity...Remote work
$2,210 per week
...personalized managed health care, focused on what's... ...Work-life balance. Remote/hybrid setting (once... ...individual will utilize clinical knowledge... ...decision to a second level reviewer. This individual interfaces with case managers and disease... ...is not limited to RN, LMSW, LMHC....Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment... ..., accurate, and compliant care decisions in accordance with... ...reviewers to support case review processes. Assist with... ...working independently in a remote or office-based setting. Working...Remote workWeekly payContract workWork at officeMonday to Friday$2,220 per week
...Care Career is seeking a travel nurse RN Utilization Review for a travel nursing job in Hanover, Maryland. Job Description... ...Travel Utilization Review Nurse (Remote) Location: 100% Remote... ...Managed Care RN • Health Plan RN • Case Management RN with strong UR...Remote workWeekly payContract workMonday to FridayShift work$41.36 - $100 per hour
...Case Management Nurse Site: Brigham and Women's Faulkner Hospital... ...-profit, we support patient care, research, teaching, and... ...to peer process. - Perform utilization review to evaluate for appropriate level... ...) Schedule: Per Diem Remote Type Hybrid Work...Remote workHourly payDaily paidShift work$34 - $52.7 per hour
...facility. This job is REMOTE. FTE: 0.500000 Standard... ...status type and level of care. Refers cases to the physician advisor, PA... ...moonlighter, for a second level review as needed. Facilitates... ...experience is required; Prior utilization management or case management...Remote workHourly payTemporary workShift work- ...for 3 months, then remote/hybrid Must have... ...hospital setting doing utilization management.... ...likely to benefit from care coordination services... ...Physician Advisor review o Care... ...facilitating Complex Case Review o Identification... ...a current Florida RN license. • Handle...Remote workWork at officeLocal area
$57.28 - $88.92 per hour
...Description RN Utilization Review - Remote. This position is Per Diem and will work 8-hour, Day shifts... ...culture of patient-focused, whole-person care built on understanding, commitment,... ...environment or working as an acute hospital case manager. Preferred...Remote workDaily paidMinimum wageLocal areaShift workDay shift- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the... ...cost-effective patient care. Working collaboratively within... ...meetings to discuss cases, discharge plans, and barriers... ...for facility based staff; optional for remote staff.Remote workWork at office
$47.4 per hour
..... and more! Description The Utilization Review (UR) Specialist is a Registered... ...with the UR Department's Case Management Authorization Specialist... ...team, Interdisciplinary Care Team, and patient to explain... ...Work Type: This position is a remote position outside traditional...Remote workHourly payFull timeWork at officeLocal area- ...clinical member services review assessment processes.... ...integrated delivery of care across the continuum. Contributes... .... Refers appropriate cases to medical directors (... ...care model. Adheres to utilization management (UM)... ...experience. Registered Nurse (RN). License must be...Remote job
$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This hybrid... ...are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent...Remote work$75 - $85 per hour
...Immediate need for a talented Utilization Review/Case Management RN . This is a 03+ Months Contract opportunity with long-term potential and is located... ...other information to determine appropriate levels of care and readiness for discharge. Monitors the...Contract workLocal areaImmediate startShift work- ...Utilization Review Specialist The Utilization Review Specialist is responsible for the assessment... ...that promote cost-effective quality care and cost containment in accordance with... ...Recognizes and reports appropriately cases of fraud, abuse or incorrect utilization...Remote jobWeekly payContract workWork at officeLocal area
$51.43 - $79.84 per hour
Overview Description - This is a remote role. You MUST live in the... ...Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical... ...upon hire. 1 year of Case Management experience. Why Join...Remote workDaily paidLive inShift workDay shift$1,949.74 per month
...Nurse Specialty Utilization Review Job ID 17979666... ...Title Utilization Review RN Weekly Pay $1949.7... ...Job Description Remote Utilization Review RN responsible... ...hospital guidelines in an acute care setting. Client Details...Remote workWeekly payShift work- ...Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior... ...Retrospective Review* Admission Criteria Care coordination Concurrent Review... ...Safety Goals Additional Skills remote UR work CA and Medi-Cal experience...Remote work
$55.24 - $92.02 per hour
Utilization Review—RN US-Remote Requisition ID: 2026-39874 Position Category: Nursing - Care Management Job Type: ONA union represented Position Type: Regular Part-Time Posting... ...to resolve the discrepancy. Discusses cases with providers and Case Managers as needed...Remote workHourly payFull timePart timeWork at officeNight shiftWeekend work3 days per week$23.76 - $51.49 per hour
...Healthcare is seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This... ...with teams to promote effective care. Qualified candidates should... ...$51.49 and requires adherence to utilization management policies. #J-18808-LjbffrRemote workHourly pay- ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant... ...position offers the flexibility of remote work while supporting professional...Remote work
$78k - $92k
...TalentLNX LLC is seeking a Utilization Review Nurse for a remote position focusing on evaluating medical necessity of inpatient and... ...clinical expertise without direct patient care. The role involves reviewing medical cases, collaborating with healthcare teams, and ensuring...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization RN - Case Review & Care. Be the first to apply!
- rn per diem nurse New York, NY
- temporary rn New York, NY
- registered nurse work from home New York, NY
- ob gyn rn New York, NY
- remote telephonic rn New York, NY
- wound care rn registered nurse New York, NY
- operating room travel rn New York, NY
- neuro icu registered nurse New York, NY
- endoscopy rn New York, NY
- staff rn hospital New York, NY

