Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Clinical Review Nurse I - Flexible, Impactful in Tampa, FL vacancy
  •  ...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 work
    Flexible hours
    Full time

    Elevance Health

    United States
    23 hours ago
  •  ...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 work
    Flexible hours
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Monday to Friday
    Weekend work

    Centene Corporation

    Topeka, KS
    4 days ago
  • 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 work
    Flexible hours
    Shift work

    Spectraforce Technologies, Inc.

    Houston, TX
    1 day ago
  • $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 work
    Flexible hours
    Hourly pay
    Full time
    Day shift

    Centene

    New York, NY
    23 hours ago
  • $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 work
    Flexible hours
    Hourly pay
    Full time
    Part time
    Work at office
    Monday to Friday

    Centene Management Company LLC

    Sacramento, CA
    1 day ago
  •  ...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 work
    Flexible hours

    Elevance Health

    United States
    2 days ago
  •  ...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 work
    Flexible hours
    Contract work
    Weekend work

    Spectraforce Technologies, Inc.

    Jackson, MS
    -13
  •  ...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 work
    Flexible hours
    Contract work
    For contractors
    H1b
    Work at office
    Immediate start
    Work visa

    Franconia-Springfield Surgery

    Alexandria, VA
    2 days ago
  • $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 work
    Flexible hours
    Weekly pay
    Full time
    Part time

    Legion Health

    Honolulu, HI
    1 day ago
  •  ...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 work
    Flexible hours
    Full time
    Part time

    Legion Health

    Roswell, GA
    23 hours ago
  • $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 work
    Flexible hours
    Contract work

    Mercor Inc

    San Francisco, CA
    23 hours ago
  • $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 work
    Flexible hours
    Hourly pay
    Full time
    Private practice

    GreenLife Healthcare Staffing

    Jericho, NY
    3 days ago
  •  ...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 work
    Flexible hours
    16 hours
    Full time
    Contract work
    Part time
    Private practice
    Work at office
    Monday to Friday
    Weekend work

    Joinlavender

    United States
    3 days ago
  •  ...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 work
    Full time
    Contract work
    Local area
    Work from home
    Home office

    COMAGINE HEALTH

    Oregon State
    23 hours ago
  •  ...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 job
    Flexible hours
    Weekly pay
    Work from home

    Legion Health, Inc.

    New York, NY
    2 days ago
  •  ...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 job
    Flexible hours

    Seasoned Recruitment

    Glendale, CA
    3 days ago
  •  ...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 work
    Flexible hours
    Summer holiday
    Work from home
    Shift work
    Weekend work
    Day shift

    StationMD

    Sacramento, CA
    3 days ago
  • $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 work
    Flexible hours
    Full time
    Contract work
    Part time
    10 hours per week

    PointClickCare

    Remote
    3 days ago
  • $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 work
    Flexible hours
    Full time
    Temporary work
    Work at office
    Local area

    Commonwealth of VA Careers

    Richmond, VA
    23 hours ago
  •  ...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 hours
    Full time
    Temporary work

    Elevance Health

    New York, NY
    2 days ago
  • 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 job
    Full time
    Shift work
    Day shift

    Centene

    New York, NY
    23 hours ago
  • $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 work
    Flexible hours
    Hourly pay
    Full time
    Summer work
    Live in
    Local area
    Shift work
    Night shift
    Weekend work

    Bristol Myers Squibb

    Remote
    13 days ago
  •  ...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 work
    Full time
    Day shift

    UnitedHealth Group

    United States
    1 day ago
  •  ...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 work
    Flexible hours
    Permanent employment
    Full time
    Temporary work

    Vivo HealthStaff

    Burbank, CA
    14 days ago
  •  ...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 job
    Flexible hours
    Work from home

    Review Pays

    New York, NY
    3 days ago
  •  ...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 work
    Flexible hours
    Weekly pay
    Work from home

    Legion Health, Inc.

    Austin, TX
    2 days ago
  • $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 job
    Flexible hours
    Hourly pay
    Part time
    Freelance
    Work from home

    TELUS Digital

    Hallock, MN
    2 days ago
  •  ...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 work
    Flexible hours
    Relief

    Legacy Hospice Inc

    Poplar Bluff, MO
    1 day ago
  •  ...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 work
    Flexible hours
    Part time
    Private practice
    Work from home

    Qumra Capital

    United States
    4 days ago
  •  ...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 work
    Flexible hours

    OpenKrill

    United States
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Clinical Review Nurse I - Flexible, Impactful. Be the first to apply!