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
- ...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
$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$30.64 - $45.8 per hour
...Utilization Review NurseThe Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective... ...stay while supporting the goals of the Case Management department and of CorVel. This is a remote position.Essential Functions &...Remote workFull timeWork at officeLocal areaFlexible hours- ...Utilization Review NurseThis position has a remote option for those living close and will be able to... ...needed.The Utilization Review Nurse is responsible for... ...effectively and efficiently manage a diverse workload in a fast... ....Identify and present cases of possible quality of care...Remote workFull time
$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- 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
$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- 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
$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$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- ...facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving... ...Bonus Program Job Summary The Utilization Review Nurse is to assess the medical... ...clinical data provided Certify cases that meet clinical review criteria...Remote jobFull timeTemporary workLocal area
- ...Performs medical record review for severity of... ...efficient time management skills Education... ...and Training: Nurse, Registered (RN) licensure... ...-5 years previous Utilization Review experience... ...nursing; hospital case management;... ...Days, Primarily remote; onsite orientation...Remote workShift workWeekend 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$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- ...Utilization Review Nurse We are seeking a detail-oriented and experienced Utilization Review Nurse... ...with healthcare providers and case management teams, and support high-quality, cost... ...or utilization management department. Remote, hybrid, or on-site opportunities depending...Remote workWork at office
- Responsibilities Responsible for utilization review work for emergency... .../or medical/surgical nursing At least 2 years utilization management experience in acute... ...Science in Nursing (BSN) Case Management... ...Expectations Comfortable with remote work arrangements and virtual...Remote workFor contractorsWork at office
- ...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- ...CVS Health is hiring a Utilization Management Nurse Consultant focused on Medical Review. This fully remote role supports timely, medically necessary care through expert clinical review and provider collaboration. The position requires an active RN license, 3+ years of...Remote workFull 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-LjbffrRemote work
- ...Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and...Remote workContract work
- ...applicants This is full-time remote, but candidates must reside in... ...in the insurance or managed care industry using medically... ...performing accurate and timely medical review of claims suspended for... ...prioritization skills. ~ Registered Nurse (RN) with unrestricted license...Remote workFull timeContract work
- ...Recruitment Manager @ Integrated Resources,... ...Location: 100% Remote Schedule: M-F... ...Works with the Utilization Management team primarily... ...necessity/utilization review and other... ...Consults with and refers cases to Client medical... ...State Registered Nursing (RN) license in good...Remote workContract work
$35 - $43 per hour
...$35.00/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside in CA or hold an... ...Clinical Review Nurse – Concurrent Review will perform utilization management functions to ensure members receive the right...Remote work- ...: St. Louis, Missouri (Partial Remote) Role Overview We are seeking two... ...for Blue Cross Blue Shield cases. The successful candidates will be responsible for reviewing clinical notes and documents to... ...support authorization requests. Manage a daily workload of approximately...Remote work
$34 - $40 per hour
...$34.00/hr - $40.00/hr Remote (Compact Licensure Required... ...is seeking an experienced Utilization Review Nurse to support our mission of... ...Medicare guidelines . Refer cases outside established... ...year in utilization review/management with home health reviews....Remote workFull time$80 - $95 per hour
...Hospital RN – Care Coordination & Utilization ReviewImmediate need for a talented Hospital RN – Care Coordination & Utilization Review. This is a 06+months contract opportunity... ...Acute inpatient hospital experienceUM / Case Management / Discharge Planning backgroundOur...Contract workLocal areaImmediate start- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and... ...and proficiency in computer usage. Previous Utilization Management experience is preferred. Join a dynamic team focused on...Remote work
$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
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