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
$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- ...Job Description Job Description Remote Utilization Review Registered Nurse (UR RN) Location: Remote (Texas RN... ...) to join our growing Utilization Management team. This fully remote position plays... ...experience in utilization review, case management, or behavioral health...Remote workFull timeWork 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$66.83k - $111.38k
...Sentara Health Plans is hiring an Utilization Review Nurse/ RN for Medicaid - Remote! Status: Full-time, permanent... ...Nurse is responsible for utilizing management services within the scope of... ...transition of care coordinator with case management and facilitates member...Remote workPermanent employmentFull timeTemporary workShift workDay shift- 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
$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$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$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$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 hours- 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... ...medical record review to determine medical necessity... ...when needed. Refer cases that do not meet...Remote workImmediate startDay 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- ...Utilization Review Nurse American Health Plans, a division of Franklin, Tennessee-based American... ...operators, these Medicare Advantage plans manage medical risk by improving patient care... ...the clinical data provided Certify cases that meet clinical review criteria,...Remote jobFull timeTemporary workLocal area
$30.64 - $45.8 per hour
...Utilization Review Nurse The Utilization Review Nurse gathers demographic and clinical information on prospective... ...length of stay while supporting the goals of the Case Management department and of CorVel. This is a remote position. Essential Functions &...Remote workHourly payFull 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- ...From preventative care to managing chronic conditions, we’re dedicated... ...Health. Position Title Utilization Review Nurse Department Umpqua Health... ...Standard Time) Location Remote position Salary Wage Band... ...elevate complex or non-standard cases to Medical Directors;...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hours
- ...global, innovative Total Talent management firm dedicated to... ...Field work contract role for a Utilization Review Nurse. The Utilization Review Nurse... .../Prior Authorization/Case Review Nurses with active... ...to work independently and remotely Experience in a healthcare...Remote workContract work
$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$50 per hour
...Sinai Hospital's Utilization Review operates as a distinct specialty service... ...line of physician advisors, nurses, and support staff who... ...stakeholders in the Revenue Cycle Management process and payors to ensure... ...including coordination with Case Management Monitor...ReliefLive in$35 - $45.94 per hour
...we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review... ...You will perform frequent case reviews, check medical records... ...Work Location: This is a remote position, open to candidates... ...utilization review experience in a managed care setting ~ Strong...Remote workHourly payFull timeWork from homeHome officeWeekend work- ...Health Plans (JHHP) is the managed care and health services... ...8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans... ...life balance - This is a remote role! Candidates in the... ...and responsibility. In cases where the range is displayed...Remote workFull timeMonday to Friday
$85.99k - $105.34k
A community-focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical service requests, conducting prior authorization reviews, and collaborating with interdisciplinary teams. Applicants...Remote jobFull time- ...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 Medix™Remote job
$78k - $88k
Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective... ...for decision-making, referring complex cases to Medical Directors when needed.... ...Document findings and rationale in medical management systems. Assist in training new nurses...Remote jobFull timeContract workWork at officeWork from homeFlexible hours- ...Utilization Review Nurse Position at Vassar Brothers Medical Center Northwell... ...& Authorization Management Conducts timely payer notifications... ...Clinical Team Discusses cases with the attending MD when... ...in the Nuvance Health Remote Work Program Policy when utilizing...Remote workNight shift
- Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness of services, utilizing clinical criteria and guidelines. Qualified candidates should have an active Maine RN...Remote jobFlexible hours
$30 - $38 per hour
A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote jobHourly payPart time- A global talent management firm is seeking a Utilization Review Nurse for a contract role based in Pennington, NJ. The role involves performing utilization management, reviewing medical records, and coordinating discharge planning. Candidates must have an active RN license...Remote jobContract work
$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 package- Johns Hopkins Health Plans is seeking a Utilization Review Registered Nurse to apply clinical, managed care and utilization review expertise to improve member outcomes. This remote role supports the organization with standard hours; you will monitor care relevance, evaluate...Remote job
- ...sets Position Summary: Reviews patient admissions for... ...appropriateness, efficiency of resource utilization and compliance with third... ...an accredited school of nursing and five (5) years of acute... ...of which was in Utilization Management, Case Management, or Clinical Documentation...Work at officeShift workWeekend work
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