Remote Utilization Review Nurse - Case Management
IntePros
New York, NY
- 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
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse - Case Management in New York, NY vacancy
$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 FridayJ Edward Staffing LLC
Aurora, CO12 hours ago- ...Performs medical record review for severity of... ...efficient time management skills Education... ...Training Nurse, Registered (RN) licensure... ...-5 years previous Utilization Review experience... ...nursing; hospital case management;... ...week schedule block; remote; on site...Remote workShift work
Silver Cross Hospital
United States3 days ago $1,966 per week
...first 25 applicants Nurses – are you looking... ...leader in personalized managed health care,... ...Work-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 workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hoursHines
Rockford, IL12 hours ago- ...Summary Responsible for reviewing electronic medical records,... ...data and reports. Supports utilization review processes by planning... ...interprets reports for physicians, nursing, and ancillary services. •... ...N/A Department : Case Management Shift : Days (United...Remote workFull timePart timeReliefInternshipShift work
UK St Claire
United States3 days ago $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 FridayUmpqua Health
United States9 days ago- ...Utilization Management Registered Nurse Duration: 6 Month Contract (Possibility of Extension... ...outpatient utilization review and prior authorization activities... ...Directors for complex cases, denial recommendations,... ...work independently in a remote environment. Comfortable...Remote workContract work
US Tech Solutions
United States1 day ago - ...Miami Jewish Health in Florida is seeking an Utilization Review Nurse to conduct prospective, concurrent, and retrospective reviews ensuring... ...level of care. You will collaborate with hospital UR/Case Management, the IDT, and providers to facilitate timely care transitions...Remote work
Miami Jewish Health
Doral, FL3 days ago - ...Case Manager RN (U) The Case Manager RN (U) coordinates the overall... ...days. Enter Ancillary notes utilizing the templates for care... ...develop patient care plans and review medical needs for continued hospital... .... Utilize Case Manager nurse driven protocols to facilitate...Remote work
University of Miami
United States2 days ago - ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements Full time position. Hybrid (combination of in person and remote considered) General Summary The Utilization Review/Case Management Nurse is directly responsible...Remote workFull timeShift work
Gibson Area Hospital
Gibson City, IL4 days ago $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 areaAkkodis
California, MO1 day ago- 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
$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- 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
- ...Registered Nurse - Utilization Review (Nursing) Location: Aurora, CO. Location: Colorado Military Health... ...: Registered Nurse – Utilization Management. Current POP ends 11/30/25. TO POP ends... ...Medical‑Surgical Nursing or Nursing Case Management through the American Nurses...Remote workContract workWork from homeMonday to FridayNight shift
Software Technology Inc
Aurora, CO12 hours ago $40.12 - $62.19 per hour
...Utilization Review Nurse RN ~Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~Full-time... ...stakeholders in the Revenue Cycle Management process and payors to ensure efficiency... ...Management, including coordination with Case Management Monitor utilization of...Full timeShift workWeekend workDay shift- ...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$43 - $63 per hour
...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 packageLancesoft INC
Las Vegas, NVa month ago- ...Job Description Job Description Job Description – Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible... ...standards while collaborating with physicians, case managers, and interdisciplinary teams to optimize patient outcomes...Full timeCasual workWork at officeShift work
Lancesoft INC
Las Vegas, NV20 days ago $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 packageLancesoft INC
Las Vegas, NVa month ago$42 - $65 per hour
...Job Description Job Description Utilization Review Nurse Location: Las Vegas, NV Job Type: Full-Time Pay: $42–$65/hr + Sign... ...Milliman (MCG) criteria. Collaborate with physicians, case managers, and healthcare teams. Support discharge planning and...Full timeRelocation packageLancesoft INC
Las Vegas, NV20 days ago$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 timeLancesoft INC
Las Vegas, NVmore than 2 months ago- ...Brighton Health Plan Solutions, LLC is seeking an Utilization Management Nurse to perform medical necessity reviews remotely. Licensed LPN with strong MS Office skills will review clinical criteria, coordinate with care partners, and document determinations in compliance...Remote work
Brighton Health Plan Solutions
Chapel Hill, NC1 day ago - ...great opportunity for a local remote position. Schedule PRN... ...: ~2 years of staff nurse experience performing care for... ...hospitalized patients. ~2 years of utilization review (UR) experience reviewing... ...and resources to help you manage your physical, emotional,...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
BJC HealthCare
Saint Louis, MO1 day ago - ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
Medix
New York, NY4 days ago $57.24k - $62.18k
...Santa Barbara Cottage Hospital is seeking a Registered Nurse with Mental Health and/or Substance Abuse experience. This Monday to Friday... ...balance with no nights, weekends or holidays, and up to 50% remote work after training. The ideal candidate will have recent acute...Remote workMonday to FridayWeekend workSanta Barbara Cottage Hospital
New York, NY20 hours ago- ...Quality Management Position Participates in the development... ...: Reviews documentation and evaluates... ...Potential Quality of Care cases across all lines of... ...an RN ~ Registered Nurse in state of residence... ...have prior authorization utilization experience ~ Experience...Remote work
US Tech Solutions
United States12 hours ago $41 per hour
...Medical Review Nurse (RN) Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract... ...months. Pay: $41/hour RN working in the insurance or managed care industry using medically accepted criteria to validate...Remote workContract workHireOps Staffing LLC
United States4 days ago- ...Utilization Review Registered Nurse Excel. Empower. Advance. Shine. Belong. Explore.... ...Health Plans (JHHP) is the managed care and health services business... ...-life balance - This is a remote role! Candidates in the... ...and responsibility. In cases where the range is...Remote workLocal areaMonday to Friday
Johns Hopkins Medicine
United States4 days ago - ...Hybrid – Chicago, IL (3 days onsite / 2 days remote) We're seeking an experienced Registered Nurse (RN) with a background in managed care, clinical audits, and delegation... ...groups and/or delegated subcontracted providers reviewing adherence to regulatory and contractual...Remote workFor subcontractorWork at office
Integrated Resources
Chicago, IL1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Nurse - Case Management. Be the first to apply!
Related searches
- utilization review nurse New York, NY
- remote utilization review nurse part time New York, NY
- remote utilization review nurse New York, NY
- business intelligence analyst remote New York, NY
- revenue manager remote New York, NY
- remote reservations agent New York, NY
- quality assurance manager remote New York, NY
- it director remote New York, NY
- frontend internship remote New York, NY
- remote broker New York, NY