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$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$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$1,966 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
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- ...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
- ...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
$35 - $40 per hour
...0/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating... ...on Medicare guidelines. Refer cases outside of established guidelines... ...service support to payer case managers, patients, and provider teams....Remote workContract workFlexible hoursWeekend 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$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- ...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
- 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- ...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
$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$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- Johns Hopkins Health Plans (JHHP) is seeking a Utilization Review Registered Nurse to assess care appropriateness, authorize services, and coordinate discharge planning for plan members. This remote role prioritizes candidates in MD, DC, VA, PA, DE, and FL with strong clinical...Remote job
- 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
$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- 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
$40 - $63 per hour
...Job Description Job Description Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary: $40 – $63/hour Position Summary... ...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- Sentara Health Plans is seeking a Utilization Review Nurse/ RN for Medicaid to work remotely. The role includes pre-certification, inpatient and concurrent reviews, and care coordination across the patient care continuum, with weekend and holiday coverage requirements....Remote jobWeekend work
- 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
- Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract... ...Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to join our team. This...Remote workFull timeContract work
- ...applicants This is full-time remote, but candidates must reside in... ...RN working in the insurance or managed care industry using medically... ...performing accurate and timely medical review of claims suspended for... ...skills. Registered Nurse (RN) with unrestricted license...Remote workFull timeContract work
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