Remote Clinical Review Nurse - Concurrent Review
A-Line Staffing Solutions
A-Line Staffing Solutions is seeking a Clinical Review Nurse for a concurrent review role in a remote-capable setting. The RN will assess member eligibility through chart review and coordinate with providers to gather necessary information. You will document findings and ensure compliance with regulatory and insurance guidelines while collaborating with healthcare teams. The position emphasizes timely communication, quality review processes, and participation in team meetings to enhance workflow #J-18808-Ljbffr
- ...Job Title: Clinical Review Nurse - Concurrent Review - J00933 Address: Various, GA Job Description: Perform clinical review and concurrent assessment... ...regulations. Critical Information: Work hours: 7am - 6pm EST Remote or on-site/hybrid: Remote; on-site/hybrid details not...Remote workFull time
- ...Position Title: Clinical Review Nurse - Concurrent Review Work Location: Remote, Compact Nursing License Required, Central Time Zone Work Schedule Assignment Duration: 12-Month Contract to Hire Work Schedule: Mon-Friday, 11 AM to 8 PM CST; Weekends and Holidays...Remote workContract workWeekend work
- ...Job Title: Clinical Review Nurse - Concurrent Review - J00933 Address: Various, SC Job Description Perform concurrent reviews to assess members' overall... ...*** Schedule: Monday–Friday, 8:00 AM–5:00 PM EST Remote: 100% Remote Hours: Full-time, 40 hours per week Weekend...Remote workFull timeMonday to FridayWeekend work
- ...Job Title Work Mode: 100% Remote, Source candidates from EST... ...Responsibilities: Perform concurrent reviews of members for appropriate... ...medical necessity based on clinical policies and guidelines.... ...from an Accredited School of Nursing or Bachelor's degree in Nursing...Remote workWeekend work
$56.2k - $100.98k
...Position Purpose: Performs concurrent reviews, including determining member... ...necessity based on clinical policies and guidelines Reviews... ...from an Accredited School of Nursing or Bachelor’s degree in Nursing... ...approach to work with remote, hybrid, field or office work...Remote workHourly payFull timePart timeWork at officeFlexible hours- ...Clinical Review Nurse - Concurrent Review - J00933 Address MS, 99999 Job Description Review clinical records to assess member eligibility and appropriateness... ...to improve review processes. Critical Information Remote work environment. Standard shift and hours as designated...Remote workShift work
$40 - $43 per hour
...Job Description Job Description Title: Clinical Review Nurse - Concurrent Review Location: Remote - Kentucky Pay: $40–$43 per hour, based on experience Schedule Options: Monday–Friday, 8:00 AM–5:00 PM EST, with rotating weekend coverage (one weekend every...Remote workHourly payTemporary workMonday to FridayShift work- ...Position Title Clinical Review Nurse - Concurrent Review Work Location Remote-MS CST Assignment Duration 3 Months Contract to Hire Work Schedule 8 am-5 pm (Central). OT is voluntary; weekend rotation once every 2 months Work Arrangement Remote...Remote workContract workFlexible hoursWeekend work
$36 - $39 per hour
...Immediate need for a talented Clinical - Clinical Review Nurse - Concurrent Review. This is a 06+ Months Contract opportunity with long-term potential and is located in Louisville, KY (Onsite) . Please review the job description below and contact me ASAP if you are...Full timeContract workLocal areaImmediate start$33.5 - $45 per hour
...Must have 1-2 years of inpatient and SNF Concurrent review and discharge planning experience. To... ...and BH. The case manager is a licensed nurse (RN or LVN). A care manager can be a... ...and contracts. * Review and process clinical information in accordance with regulatory...Hourly pay- ...Jobs / Clinical Review Nurse - Concurrent Review - J00933 Clinical Review Nurse - Concurrent Review - J00933 Conduct concurrent reviews of patient care for quality and compliance.Collaborate with healthcare providers to ensure appropriate treatment plans.Analyze patient...
$36.5 - $39.1 per hour
...Description Job Description Immediate need for a talented Clinical - Clinical Review Nurse - Concurrent Review. This is a 06+months contract opportunity with long-term potential and is located in U.S(Remote). Please review the job description below and contact me...Remote workContract workLocal areaImmediate start$80k - $100k
...Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract: Washington Labor & Industries... ...healthcare services through prospective, concurrent, and retrospective clinical reviews. In...Remote workFull timeContract workLocal areaWork from homeHome office- ...Contract Duration: 5 months • Work Location: Primarily Remote (Hybrid focus for candidates residing in MD, DC, or VA; PA... ...Overview: Work with a leading healthcare organization as a Clinical Medical Review Nurse supporting the annual HEDIS retrospective project. In this...Remote workContract workWork at officeLocal areaWork from home
- ...To support the Home Health Services Team, the full-time Clinical Review Nurse will manage clinical staff oversight, ensure accurate documentation... ..., and implement educational initiatives, all while working remotely during day shifts. Key responsibilities Direct clinical...Remote workFull timeDay shift
- ...Concurrent Review RNImmediate need for a talented Concurrent Review RN. This... ...and is located in USA (Remote). Please review the job description... ...on member referrals.Conduct clinical medical necessity reviews,... ...an Accredited School of Nursing.Licensed nurse in the state...Remote workContract workImmediate start
- ...A healthcare staffing company is seeking a Clinical Review Nurse for Prior Authorization Review. This remote role demands conducting reviews, collaborating with healthcare teams, and ensuring compliance. Candidates need an active RN license and 2–4 years experience in...Remote workContract work
- ...Requires Graduate from an Accredited School of Nursing or Bachelor's degree in Nursing and 2 - 4 years of related experience. Clinical knowledge and ability to analyze... ...Performs medical necessity and clinical reviews of authorization requests to determine medical...Remote workFlexible hours
- ...WNS, part of Capgemini, is seeking a Clinical Review Nurse for a fully remote, full-time role. You will perform prospective utilization reviews for HealthHelp’s programs, applying clinical guidelines and policies to decide medical necessity. Successful candidates will...Remote workFull time
- ...Job Title: Clinical Review Nurse - Prior Authorization - J00927 Address: Various, NJ Job Description: Conduct clinical reviews and authorize... ...accurate records of all review activities. Critical Information: Remote work possible Shift/hours: Standard business hours,...Remote workFull timeShift work
- ...Position Title: Clinical Review Nurse - Prior Authorization Work Location: Remote (must be clinically licensed in NC, DE, NH, NJ, SC; nationwide sourcing accepted; Compact license preferred) Assignment Duration: 6 months (Possibility to extend or convert) Work...Remote work
- ...Clinical Medical Review NurseAmpcus Inc. is a certified global provider of a broad range of Technology... ...).Qualifications:Registered Nurse (RN) – active state or compact license... ...professionalism and a collaborative mindset.Remote work environment with minimal physical...Remote work
- ...Position Title Clinical Review Nurse - Prior Authorization Work Location Remote - PST and CST (No CA and NY candidates please) Assignment Duration 12 Months Work Schedule Sunday - Thursday 7am - 4pm 8am - 5pm 9am - 6pm 10pm - 7pm Shifts depend on what the team needs....Remote workFlexible hoursShift work
- ...Clinical Medical Review NurseWe are seeking Licensed Practical Nurses (LPN) or Registered Nurses (RN) to join the Quality team as Clinical Medical Review Nurses. This is a hybrid contract position requiring both remote work and regular onsite presence at the Canton, MD...Remote workContract workWork at office2 days per week3 days per week
$69.8k - $125.9k
...Quality of Care (QOC) Manager, the QOC Nurse conducts the review and investigation of potential quality... ...; Ability to assess and judge the clinical performance of physicians and other health... ...is not available This is a remote role #LI- remote #LI- Kw1 #INAK...Remote workFull time- ...Concurrent Review Registered Nurse (RN)Location: Fully remote. Candidates must be able to work a schedule aligned with Pacific Time (PST) business hours.Our client... ...management teams.Request and review additional clinical documentation when necessary.Escalate complex...Remote workWork at officeImmediate start
$36.49 - $41.49 per hour
...: $36.49hr - $41.49hr Job Overview: The Clinical Medical Review Nurse handles day to day review of professional and institutional... ...Strong verbal and written communication skills. Remote EMR access experience is essential. Ambulatory practice...Remote workWork at office- ...Position Title Clinical Review Nurse - Prior Authorization Work Location Remote; nationally sourced within approved U.S. states. Must be available during standard business hours for the assigned team. Assignment Duration 12 Months possibility of extension...Remote workWork at officeMonday to Friday
- ...Clinical Review Nurse - RemoteARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a dynamic and well-respected organization...Remote workPermanent employmentWork at officeLocal area
- ...Time Off and Paid Sick Leave Summary Statement The Clinical Review Nurse is responsible for reviewing and making medical determinations... ...Veteran/Disabled Employer." This opportunity is open to remote work in the following approved states: AL, AR, FL, GA, ID, IN...Remote workPermanent employmentTemporary workWork at officeLocal areaImmediate start
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