Remote Utilization Review Nurse - Case Management
IntePros
- Remote job
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 patient needs. Candidates must possess a nursing license and have experience in utilization review or home health. This contract role offers a chance to manage healthcare quality efficiently while working remotely. #J-18808-Ljbffr IntePros
- ...Nurses Are you looking for a change? Want... ...leader in personalized managed health care,... ...-life balance. ~ Remote/hybrid setting (once... ...This individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces with case managers and disease...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor... ...outcomes and resource management. This role demands a solid... ...review meetings to discuss cases, discharge plans, and barriers... ...for facility based staff; optional for remote staff....Remote workWork at office
$30.64 - $45.8 per hour
...Job Description Job Description The Utilization Review Nurse gathers demographic and clinical information on prospective... ...of stay while supporting the goals of the Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS &...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications... ...Utilization Management, Utilization Review, or Case Management Preferred Certifications...Remote workContract workImmediate startMonday to Friday$64.17k - $96.26k
...holistic approach to medical management. The Utilization Management Nurse and the Personal Health... ...UMN provides utilization review/pre-certification on... ...client specific and external case managers. All Medical... ...essential functions. ~ Remote Work Environment...Remote workLocal areaRelocation packageFlexible hoursWeekend work- ...Rising Medical Solutions has an opening for a Utilization Review Nurse , and we want to hear from you! We're a bill review and cost containment... ...the cost of healthcare claims through bill review, case management, and utilization review. Our mission is "To make lives better...Remote workFull timeTemporary workFlexible hours
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview Salary Range $32.00 - $48.00 Hourly Position Type Full... ...time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review...Remote workHourly payFull timeWork at officeRelocation packageShift work$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE)... ...physician reviewers to support case review processes. Assist... ...timelines. Support case management activities and identify... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to Friday- ...Utilization Review Nurse (RN) Neuropsychiatric Hospitals is looking for a Utilization Review... ...will support multiple hospitals both remotely and traveling onsite to the hospitals... ...the hospital's Utilization Review and Case Management program to ensure appropriate level...Remote workWork at office
$85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR... ...POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests... ...medical necessity Escalate complex cases to Medical Directors and request additional...Remote workFull timeWork at officeLocal areaImmediate startMonday to Friday- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This... ...Arizona and substantial experience in utilization review or case management. Strong communication skills and flexibility are...Remote jobContract work
$77.91k
...Alignment Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position involves reviewing inpatient... ...The ideal candidate will have a minimum of 3 years in case management and licensing as an LVN or RN in California...Remote job$73.86k - $96.02k
...concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team... ...Guidelines Specialist. Registered Nurse. Additional Qualifications:... ...efficiently. ~ Strong analytical, data management and computer skills. ~ Strong...Remote jobLocal area$35 - $45 per hour
...from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical liaison, coordinating... ...with Medicare guidelines. Refer cases outside established guidelines to the... ...communication with payer plan case managers, patients, and provider teams....Remote workContract workWeekend work$30 - $34 per hour
Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor,... ...and durable medical equipment Refer cases to Medical Directors as needed/appropriate... ...UM. Candidates with only case management experience are not a fit. Experience...Remote jobHourly payMonday to Friday- Currently seeking a Utilization Management RN . Please see details... ...qualifications below: Position is remote - candidate must... ...PA license or a Nurse Licensure Compact to include... ...clinical judgment to review medical records,... ...information when needed. Refer cases that do not meet...Remote workImmediate startWeekend workDay shift
$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment... ...reviewers to support case review processes. Assist with... ...timelines. Support case management activities and identify cases... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to Friday$30.64 - $45.8 per hour
The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective... ...of stay while supporting the goals of the Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$55 per hour
...from Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare space. Location: Remote (must be based in California) Employment... ...clinic setting. Preferred: Experience in case management, utilization management, or discharge planning....Remote workFull timeContract workTemporary workLocal area- ...Utilization Management Review Nurse Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of... ...Nurse: Licensed to practice nursing in the State of Texas. Case Management Certification (ACM or CCM) within two years of...Remote workWork experience placementReliefWork at officeFlexible hoursWeekend work
- ...Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to... ...What You’ll Be Doing Utilization Review & Clinical Determinations... ...Peer Reviewers for cases requiring medical necessity... ...aligned with Illinois nursing regulations and...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
- The Case Management Society of America (CMSA) ® is looking for a PRN Utilization Management Review Nurse in Bellaire, Texas. This position involves evaluating the necessity and efficiency of medical services, working with payers on reconciliations, and participating in...Remote workReliefFlexible hours
$43 - $63 per hour
...Job Description Job Description The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate... ...assessing clinical documentation, and collaborating with case management teams to support quality standards and regulatory compliance...Relocation package$63 per hour
...Job Description Job Description Title: Utilization Review Nurse (RN) Department: Case Management Job Type: Full-Time Facility Details Academic Medical Center Nevada’s: Level I Trauma Center Verified Burn Center Transplant Center First...Hourly payFull time$41 - $64 per hour
...Job Description Job Description Utilization Review Nurse (RN) Location: Las Vegas, NV Job Type: Full-Time Pay: $41 – $64/hr... ...Apply InterQual and Milliman criteria Collaborate with case management and clinical teams Assist with discharge planning and...Full time$15k
...Job Description Job Description The Utilization Review Nurse plays a critical role in assessing patient admissions to ensure appropriate... ...analysis of medical charts and collaboration with case management teams to support compliance and quality standards within...Relocation package$40 per hour
...reside in TX Full time remote Candidates must be... ...in the insurance or managed care industry using medically... ...initial, concurrent review activities; discharge... ...information regarding utilization management requirements... ...facilities. Registered Nurse (RN) with valid,...Remote workFull timeContract workWork at office$55.34 - $66.41 per hour
...a difference in our community. Position Summary: The Utilization Review Nurse assesses, plans, implements and evaluates the needs of patients... ...required; ACLS certificate preferred. CCM in Case Management preferred. Madera Community Hospital provides equal employment...Hourly payLocal area- ...Job Description Job Description Utilization Review Nurse MAIN FUNCTION: The Utilization Management Nurse Reviewer (RN) serves as the Subject Matter Expert... ...inpatient and observation) and works with Providers, Case Management, and the Revenue Cycle team in a...Immediate startShift workWeekend work
$40 - $63 per hour
...Job Description Job Description Salary: $40-$63 Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 $63/hour... ...care nursing experience ~ At least 1 year in Utilization Management, Case Management, or CDI ~ Minimum 3 years of Utilization Management...Full timeWork at officeShift workWeekend work
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