Remote Clinical Review Nurse I - Flexible, Impactful
Elevance Health
Elevance Health is seeking a Clinical Review Nurse I to work virtually full-time with required in-person training sessions. You will review claims to determine if benefits apply, using medical policy and criteria.The role requires an active RN license and at least 1 year of clinical experience, with residency and hybrid/virtual work considerations. Primary duties include assessing necessity and reasonableness of items in a claim and rendering medical determinations, with opportunities forJ-18808-Ljbffr
- ...Elevance Health is seeking a Clinical Review Nurse I to work virtually full-time with required in-person training sessions. You will review claims to determine if benefits apply, using medical policy and criteria. The role requires an active RN license and at least...Remote workFlexible hoursFull time
- ...Applicants for this role have the flexibility to work remotely from their home anywhere... ...medical necessity and clinical reviews of authorization requests... ...an Accredited School of Nursing or Bachelor’s degree in Nursing... ...you do here makes that impact real every day. You’ll...Remote workFlexible hoursFull timePart timeWork at officeLocal areaWork from homeMonday to FridayWeekend work
- Position Title Clinical Review Nurse - Prior Authorization Work Location Remote - PST and CST (No CA and NY candidates please)... ..." Specifically, this role will impact the member and provider experience... ...to look for: Team player, flexible 1 Prior preservice or prior authorization...Remote workFlexible hoursShift work
$27.02 - $48.55 per hour
About This Role The Clinical Review Nurse performs concurrent reviews to assess... ...to discharge planning. This remote position is ideal for those... ...Paid time off plus holidays Flexible work schedules About Centene... ...healthier lives, making a real impact every day through meaningful...Remote workFlexible hoursHourly payFull timeDay shift$27.02 - $48.55 per hour
...Performs concurrent reviews, including... ...necessity based on clinical policies and guidelines... ...Details This is a remote position. The required... ...School of Nursing or Bachelor’s degree... ...do here makes that impact real every day. You... ...off plus holidays a flexible approach to work...Remote workFlexible hoursHourly payFull timePart timeWork at officeMonday to Friday- ...Elevance Health is seeking a Clinical Review Nurse I to review and make medical determinations on claims to ensure members receive the benefits described in their plans in a flexible, virtual environment. The role emphasizes assessing the necessity and reasonableness...Remote workFlexible hours
- ...Position Title Clinical Review Nurse - Concurrent Review Work Location Remote-MS CST Assignment Duration 3 Months Contract to Hire Work Schedule... ...Disqualifiers: LPN Additional qualities to look for: Flexible, Results oriented Top 3 must-have hard skills...Remote workFlexible hoursContract workWeekend work
- ...Infection Control Registered Nurse/Preventionist. The... ...pay and potential for remote work day available).... ...ensuring the development, review, and implementation of... ...Healthcare and Day Care Flexible Spending Accounts Immediate... ...will not negatively impact you in any way,...Remote workFlexible hoursContract workFor contractorsH1bWork at officeImmediate startWork visa
$150k - $300k
...Health in the United States offers PMHNPs remote telepsychiatry with clinical autonomy and strong operational support.... ...with collaborative psychiatrists and peer reviews. Full-time or part-time positions available. Expect flexible schedules, weekly pay, and comprehensive...Remote workFlexible hoursWeekly payFull timePart time- ...across the United States who value evidence-based psychiatry, clinical autonomy, and strong collaboration with psychiatrists through consults and peer case reviews. We offer full-time and part-time roles with flexible scheduling, comprehensive administrative support, and...Remote workFlexible hoursFull timePart time
$80 - $160 per hour
...Mercor, a remote-friendly firm, is seeking a Job Seeker - New Grad for a contract role.... ...$80-$160/hour. Location: Remote.You will review and assess domain-specific documents for... ...with teams while working independently with flexible hours.Requirements include a Bachelor's degree...Remote workFlexible hoursContract work$50 per hour
...Registered Nurse Clinical Reviewer / AIMS - RemoteLocation: Remote (Jericho, NY) Employment Type: Full-time Hourly Rate: $50/hrGreenlife Healthcare Staffing... ...background in acute care utilization review who is detail-oriented, flexible, and capable of working independently....Remote workFlexible hoursHourly payFull timePrivate practice- ...Psychiatric Nurse Practitioner - Maryland Founded in 2020, Lavender... ...and like-minded folks works remotely from across the United States... ...and you can truly have an impact creating high-quality, user-... ...nurses and are seeking the flexibility and autonomy of private practice...Remote workFlexible hours16 hoursFull timeContract workPart timePrivate practiceWork at officeMonday to FridayWeekend work
- ...Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract... ...ways while enjoying the flexibility of a remote work... ...Opportunity to make a meaningful impact on healthcare quality and patient...Remote workFull timeContract workLocal areaWork from homeHome office
- ...is recruiting PMHNPs to provide telepsychiatry across the United States with full clinical autonomy and strong support from psychiatrists via consults and peer reviews. We offer flexible schedules, home-based telehealth, comprehensive administrative support, credentialing...Remote jobFlexible hoursWeekly payWork from home
- ...dedicated Psychiatric Mental Health Nurse Practitioners (PMHNP) for a remote opportunity. This role allows... ...to make a significant impact while enjoying flexible schedules and full autonomy in... ...license and possess exceptional clinical skills. Full back-office support...Remote jobFlexible hours
- ...Remote Telepsychiatry Nurse Practitioner – Make a Meaningful Impact StationMD is seeking a Missouri Licensed Psychiatric Mental... ...medication regimens when clinically appropriate Deliver patient-centered... ...aim to provide both clinical flexibility and scheduling consistency....Remote workFlexible hoursSummer holidayWork from homeShift workWeekend workDay shift
$78k - $84.03k
...and make a lasting impact. Recognized by... ...Cultures, we offer flexibility, growth opportunities... ...of PointClickCare clinical notes for data... ...recommendations using nursing knowledge of... ...involving quality review of AI products.... ...#LI-AV1 #LI-remote \n $37.50 - $40....Remote workFlexible hoursFull timeContract workPart time10 hours per week$68k
...Department Massey Clinical Trials Office Department... ...through high-impact, cutting-edge... ...a Glance Up to 5 remote days per month upon... ...Clinical Research Nurse (CRN) supports Principal... ...Richmond with the flexibility to work hybrid 5 days/month post-review, 3-6 months...Remote workFlexible hoursFull timeTemporary workWork at officeLocal area- ...About This Role The Clinical Review Nurse I is responsible for reviewing and making medical... ...role is ideal for individuals seeking a flexible, virtual work environment while contributing... ...who are passionate about making an impact on their members and communities. #J...Flexible hoursFull timeTemporary work
- Centene is seeking a Clinical Review Nurse for a remote role supporting members in Pennsylvania. The candidate will perform concurrent reviews, assess... ...with competitive pay and benefits, and the chance to impact patient care across the network. RN licensure and acute care...Remote jobFull timeShift workDay shift
$142.71k - $172.93k
...inclusion, wellbeing, flexibility, and comprehensive benefits... ...Summary The Clinical Nurse Consultant (CNC) is a... ...portfolio; and provides high impact patient safety and... ..., and policies. #LI-Remote We hire for skills... ...Compensation programs are reviewed on an ongoing basis...Remote workFlexible hoursHourly payFull timeSummer workLive inLocal areaShift workNight shiftWeekend work- ...The Preservice Review RN position at UnitedHealth Group in Hawaii involves assessing customer needs, interpreting... ...applying protocols to support medical determinations. This remote role in Hawaii offers a meaningful impact on healthcare delivery with a full-time day shift....Remote workFull timeDay shift
- ...Description: Manager of Clinical Utilization Management... ...Type: Hybrid (85% remote, 15% onsite in Northridge... ...tasks, performance reviews, and any necessary disciplinary... ...accredited Registered Nursing Program; RN preferred.... ...and be adaptable to flexible work hours....Remote workFlexible hoursPermanent employmentFull timeTemporary work
- ...entertainment company is looking for a Junior QA Review Assistant to test mobile apps and provide insights. This remote role allows you to explore the user experience... ...great opportunity for tech enthusiasts who want to impact mobile gaming while working from home. Ideal...Remote jobFlexible hoursWork from home
- ...seeking exceptional PMHNPs to deliver psychiatric care via telehealth with meaningful clinical autonomy and robust support. Practice from home or wherever you work best, with flexible scheduling and weekly pay. We provide administrative, credentialing, and collaborating...Remote workFlexible hoursWeekly payWork from home
$14 per hour
A leading digital solutions provider is seeking a Content Reviewer for a part-time freelance opportunity. This role allows you to work from home while making a significant impact on technology. You will analyze and provide feedback on various types of information for major...Remote jobFlexible hoursHourly payPart timeFreelanceWork from home- ...Legacy Hospice in Poplar Bluff, MO is seeking a Nurse Practitioner (PRN) to deliver compassionate hospice care in patients' homes. Responsibilities... ..., a master's in nursing, and CPR/BLS certification, with remote-friendly software use and strong independent work skills. #J-188...Remote workFlexible hoursRelief
- ...Talkspace is seeking a Part-Time Psychiatric Nurse Practitioner licensed in Kentucky to join our telehealth team. You’ll treat patients... ...sessions, documentation, and treatment planning. Enjoy flexible, home-based practice with no billing or marketing overhead, a collaborative...Remote workFlexible hoursPart timePrivate practiceWork from home
- ...medication management for ages 2–26. You’ll join an interdisciplinary team delivering compassionate, evidence-based care in a flexible arrangement across remote tracks. We offer a full benefits package, including health, dental, vision, 401(k) matching, liability coverage,...Remote workFlexible hours
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