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$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
$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$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- ...such care; achieved via managing the cost of care while... ...Applies approved utilization criteria to monitor appropriateness... ...and continued stay review. Communication to... .../provider and case manager/discharge planner... ...payer as determined by nursing judgment and/or...Remote workWork at officeShift workNight shiftRotating shift
- ...Utilization Review Nurse, LPNAcrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment... ...Experience in utilization review or case management is highly beneficial, particularly... ...per week in the office and three days remote. Candidates must also have flexibility...Remote workWork at officeImmediate startFlexible hours2 days per week
$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- 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
$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... ...clinical judgment to review medical records,... ...information when needed. Refer cases that do not meet...Remote workImmediate startWeekend workDay shift
$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$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- ...Remote Utilization Review Registered Nurse (UR RN) Nexus Health Systems is seeking an experienced Utilization... ...RN) to join our growing Utilization Management team. This fully remote position plays... ...experience in utilization review, case management, or behavioral health...Remote jobWork at office
- ...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
- ...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
- ...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
- ...Utilization Management Review Nurse (UMRN)The Utilization Management Review Nurse (UMRN) performs technical and administrative work required to evaluate... ...: Licensed to practice nursing in the State of Texas. Case Management Certification (ACM or CCM) within two years of...Remote workWork experience placementWork at officeFlexible hoursWeekend work
- ...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- ...Comagine Health is seeking a remote clinical reviewer to evaluate medical necessity for behavioral health services across a national footprint. The role requires applying evidence-based criteria, managing high-volume reviews, and documenting outcomes within the EMR. You...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
- ...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
- 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 workContract work
$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 workHourly payPart time- ...a Friend Back Remote Work from Home Share... ...MD 21076 Category: Nursing Schedule: Day Shift... ...Plans (JHHP) is the managed care and health... ...AM - 5:00 PM As a Utilization Review Registered Nurse for Johns... ...and responsibility. In cases where the range is...Remote workFull timeLocal areaWork from homeMonday to FridayDay shift
- ...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
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