Remote Utilization Review RN: Care Coordination
LE12 MVP Service Corp.
- Remote job
LE12 MVP Service Corp. is seeking a Professional Concurrent Review RN to ensure members receive the right care at the right time. This role offers a hybrid work setting, allowing for both autonomy and collaboration with clinical leadership. The ideal candidate will have a current RN license, a strong clinical background with at least 3 years of experience, and excellent communication skills. Join us in our mission to enhance health care delivery and patient care. #J-18808-Ljbffr LE12 MVP Service Corp.
$69.38k - $92.28k
...MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This hybrid... ...are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent...Remote work$85k - $105.34k
...Umpqua-Health seeks a Utilization Review Nurse to evaluate clinical service requests and ensure quality care. This role includes conducting prior authorizations, collaborating... ...regulations. The ideal candidate will have an RN license, 5 years of experience, and skills in...Remote work- ...and e-referral case review and authorization of services utilizing established mental... ...to provide quality care appropriate to clinical... ...resources to coordinate transport for face-... ...is full-time, fully remote (work from home) and... ...clinical license (RN, LMSW, LP, LPC, or...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
- ...position will be responsible for conducting utilization review/medical management for all services... ...appropriateness of quality of care based on contract, state, or URAC requirements... ...meet screening criteria to peer reviewer Coordinates and participates in peer-to-peer review...Remote workContract work
$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment... ..., accurate, and compliant care decisions in accordance... ...processes. Assist with coordination of peer reviews and communication... ...working independently in a remote or office-based setting....Remote workWeekly payContract workWork at officeMonday to Friday- ...POSITION SUMMARY - RN Utilization Review POSITION DUTIES -... ...stays, and services, while coordinating with providers and payers to... ...~ Skilled experience with remote work LENGTH OF ASSIGNMENT... ...organizations provide quality patient care that continually evolves to...Remote workTemporary workShift workWeekend work
- ...YEAR COMMITMENT**JOB TITLE: UTILIZATION REVIEW/CASE MANAGEMENT – NurseDEPARTMENT... ...of in person and remote considered)GENERAL SUMMARYThe... ...ensures safe transitions of care.GIBSON AREA HOSPITAL & HEALTH... ...DUTIES AND RESPONSIBILITIES1. Coordinate and facilitate patient progression...Remote workFull timeSecond jobWork at officeRelocation packageShift work
$41.36 - $100 per hour
...-profit, we support patient care, research, teaching, and community... ..., Planning, Implementation, Coordinate, Monitor and Reassess... ...process. - Perform utilization review to evaluate for appropriate... ...) Schedule: Per Diem Remote Type Hybrid Work Location...Remote workHourly payDaily paidShift work- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to... ...and cost-effective patient care. Working collaboratively... ...assesses medical necessity, and coordinates with healthcare providers... ...for facility based staff; optional for remote staff.Remote workWork at office
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position... ...and communicate with medical teams to ensure appropriate care levels. Ideal candidates will have at least one year of utilization...Remote workContract workWork from home
- ...Brigham is seeking a Peer-to-Peer Utilization Review Nurse to join the Central... ...with Physician Advisors and Care Management teams. The ideal candidate... ...'s of Science in Nursing, an RN license, and extensive... .... The position offers a remote work model with a flexible schedule...Remote workFlexible hours
$71.1k - $97.8k
...healthcare organization is seeking a Utilization Management Registered Nurse to support the coordination and documentation of medical services. This remote position requires a valid RN license and clinical... ...information and ensuring appropriate care delivery. The role offers a...Remote work$2,250 per week
...is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in... ..., and services, while coordinating with providers and payers... ...~ Skilled experience with remote work LENGTH OF ASSIGNMENT... ...provide quality patient care that continually evolves to...Remote workTemporary workShift workNight shiftWeekend work$71.1k - $97.8k
...United States is seeking a Utilization Management Registered... ...clinical skills in coordinating medical services and ensure appropriate care levels for members. This... ...should possess a Compact RN license and at least... ...The position offers a remote work option and includes...Remote work- ...Days) Overview: Sentara Health Plansis hiring an Utilization Review Nurse/RN- Remote in Virginia Status: Full-time,permanent position (4... ...Conducts pre-certification, continued stay review, care coordination, or discharge planning for appropriateness of treatment...Remote workPermanent employmentFull timeTemporary workPart timeImmediate startShift work
$80 - $95 per hour
...Hospital RN – Care Coordination & Utilization Review Immediate need for a talented Hospital RN – Care Coordination & Utilization Review. This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA (Onsite). Please review the job...Contract workLocal areaImmediate start$23.76 - $51.49 per hour
...Healthcare is seeking a Registered Nurse (RN) to support clinical member services review and assessment processes. This... ...with teams to promote effective care. Qualified candidates should... ...$51.49 and requires adherence to utilization management policies. #J-18808-LjbffrRemote workHourly pay- ...organization is looking for a Utilization Management Registered Nurse to work remotely in Cheyenne, Wyoming. You... ...nursing skills to coordinate medical services and ensure appropriate care levels. The ideal candidate will hold a Compact RN license and have over one...Remote work
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote workContract work
$71.1k - $97.8k
...solutions company is looking for a Utilization Management Registered Nurse to interpret and coordinate medical services. This fully remote position requires a Compact RN license and over a year of... ...criteria and collaborating with care providers. The position offers a...Remote work- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
- ...Department: Utilization Management Schedule: M-F 8am... ...5pm Work Location: Remote Benefits for eligible... ...Do Provide health care services regarding admissions... ...and utilization review. Review admissions... ...appeals. Assess and coordinate discharge planning...Remote work
- ...Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior... ...Retrospective Review* Admission Criteria Care coordination Concurrent Review Continued... ...Safety Goals Additional Skills remote UR work CA and Medi-Cal experience...Remote work
- ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and significant... ...position offers the flexibility of remote work while supporting professional...Remote work
- COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) for a full-time remote position, focused on medical necessity assessments in healthcare. Applicants... ...with InterQual Criteria. It supports cost-effective care while ensuring compliance with standards and contract...Remote jobFull timeContract workWork from home
- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical... ...continued stays, and services, while coordinating with providers and payers to ensure compliance... ...-based) ~ Skilled experience with remote work Length of Assignment: 13...Remote workShift workWeekend work
$56.97k - $84.75k
...Utilization Review Coordinator Performs admission screening for patients in a bed for medical necessity... ...is one of the largest Catholic health care systems in the Midwest. Franciscan Health... ...care preferred ~ Registered Nurse (RN - Indiana licensure) required ~3...Remote workWork at officeLocal areaMonday to Friday- ...is responsible for coordinating, integrating, and monitoring the utilization of behavioral health... ...Director for review. Refer to and work... ...benefits, and efficient care delivery processes.... ...degree and active NYS RN license required.... ...be opportunity for remote work within all jobs...Remote workContract workWork at office
$2,210 per week
...personalized managed health care, focused on what's... ...Holidays Work-life balance. Remote/hybrid setting (once... ...: This individual will utilize clinical knowledge and... ...to a second level reviewer. This individual interfaces... ...but is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours$75k
...seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical... ...informed decisions. Candidates must hold an active RN license and have experience in acute care settings. The starting salary for this position is...Remote work
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