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- A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical services based on necessity and promoting quality care outcomes. The candidate must have a Bachelor's in Nursing and...Remote jobFlexible hours
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX... ...Description of Project: Managing a case load for healthcare members... ...will include 80% travel. Remote role. Will require a driver’... ..., and need for services for care plan development. Monitor...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX... ...Description of Project: Managing a case load for healthcare members... ...will include 80% travel. Remote role. Will require a driver’... ..., and need for services for care plan development. Monitor...Remote workHourly payFull timeContract workImmediate startShift work3 days per week- ...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 workWeekend work
- ...To Apply for this Job Click Here Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - SIGN ON BONUS Location: Alamogordo... ...and escalates cases involving potential quality of care concerns, questionable admissions, or extended lengths of stay...Work at officeRelocation package
- ...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
- COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the... ...of 3 years of direct patient care experience. The role involves applying... ...collaborating with physicians for complex cases. A supportive remote work...Remote jobFull time
$84.06k - $118.67k
...Licensed Registered Nurse for a remote position in Utilization Management. The role involves providing health care services for admissions and... ...planning, conducting reviews for medical necessity, and assisting... ...issues. Candidates must hold an RN license from the Texas Board...Remote job- ...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
- ...optimal health, access to care and appropriate utilization of resources, balanced with... ...negotiation with a payer on a case by case basis. This... ...delegated to Central Utilization Review LVN/LPN Case Manager and/or... ...thru Saturday schedule. Remote, but you must live locally...Remote workWork at office
- ...are seeking an experienced Utilization Review Nurse to join our team in a... ...Nassau County (Hybrid: In Office/Remote) Schedule: Monday to Friday... ...standards. Participate in case management and care coordination meetings. Qualifications Active RN license in the state of New...Remote workWork at officeMonday to FridayFlexible hours
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE)... ...timely, accurate, and compliant care decisions in accordance with... ...reviewers to support case review processes. Assist... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to Friday- ...RN Utilization Review - Remote Position This position will work full-time, 8-hour day shifts. Provide... ...culture of patient-focused, whole-person care built on understanding, commitment,... ...environment or working as an acute hospital case manager. Why Join Providence?...Remote jobFull timeLocal areaDay shift
$73.86k - $96.02k
...and 200 outpatient centers, urgent care facilities and physician practices... ...initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team... ...their non-leadership role as an RN. however, they are required to complete...Remote jobLocal area$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$31.94 - $43.92 per hour
...Description Job Description Care Coordination Perform... ...care planning discussions Utilization Management Review medical necessity & admission... ...Option 1: 3+ years recent Case Management (acute care) OR Option 2: 3+ years RN in: Med/Surg Telemetry...Relocation packageShift workWeekend workAfternoon shift- ...Medical Center. Please review the following instructions... ...Organization: Utilization Review Location/s:... ...Jackson Job Title: RN - Utilization Reviewer - Coordinated Care - PT - Remote Job Summary:... ...for designated patient case load, including prospective...Remote workPart timeWork experience placementCasual workSeasonal workShift work
- ...Job Description Job Description Registered Nurse (RN) – Case Management / Utilization Review Location: Hyannis, MA 02601 Duration: 27 Weeks... ...background in Case Management, Utilization Review, and Care Coordination for a long-term assignment in Hyannis, Massachusetts...Monday to FridayShift workDay shift
$1,900 - $2,500 per week
...Job Description Job Description Job Title: Travel RN Case Management Utilization Review Location: Carmichael, CA Salary Range: From $1,900 to... ...crucial for ensuring that patients receive appropriate care while managing healthcare resources effectively. Key...Weekly payContract workRelocationMonday to FridayShift workDay shift$2,200 - $2,400 per week
...of Positions: 1 Specialty: Case management Start Date: As... ...for patients needing referred care for a range of modalities.... ...concurrent and retrospective reviews on referred care to patients to... ...~1 year case management or utilization review CERTIFICATION REQUIREMENTS...$52.26 - $81.13 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with a well... ...of patient-focused, whole-person care built on understanding, commitment, and... ...CCM certification upon hire. ~1 year of Case management experience. Why Join Providence...Daily paidMinimum wageLocal areaShift work- ...Job Title: RN - Case Management (Utilization Review) Location: Bakersfield, CA - 93306 Duration: 13 Weeks with possibility of extension Schedule... ...planning activities to ensure appropriate patient care, compliance with payer requirements, and optimal reimbursement...Work at office
$2,743 - $2,905 per week
...Job Description Job Description RN II – Case Management / Utilization Review (CNA) (Contract) – 13 Weeks Location: California 93405 Pay: $2,743 –... ...Collaborate with providers to ensure appropriate level of care Monitor patient progress and support timely care...Contract workDay shift- ...Utilization Review/Case Management RN Immediate need for a talented Utilization Review/Case Management RN. This is a 03+ Months Contract opportunity... ...other information to determine appropriate levels of care and readiness for discharge. Monitors the progression...Contract workLocal areaImmediate startShift work
$57.24k - $62.18k
...personalized managed health care, focused on what's... ...-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 workTemporary workWork at officeWork from homeMonday to FridayFlexible hours- ...Utilization Review Nurse, RN - Case Management Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical offers...Work at officeLocal area
- ...seeking a skilled professional to provide utilization review and coordinate care for members in California. The... ...Nursing school degree and a California RN License. Key responsibilities include... ...healthcare. Experience in utilization and case management is preferred. Providence...
$75 - $85 per hour
Creative Solutions Services, LLC is seeking a Utilization Review/Case Management RN for an onsite contract in Santa Clara, CA. The role involves conducting... ...candidates should have a strong background in hospital care, discharge planning, and a minimum of two years'...Contract work$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 job
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