Telecommute Utilization Review Nurse | Flexible Shifts
Case Management Society of America Inc
Harris Health System is seeking a Utilization Management Review Nurse (UMRN) to assess the necessity and appropriateness of medical services. The UMRN utilizes clinical expertise to ensure care aligns with industry standards, works with healthcare teams to resolve denials, and participates in quality improvement activities. Qualified candidates should have a Bachelor's in Nursing, a Texas nursing license, and strong clinical experience, particularly in Case Management. The position allows for telecommuting and flexible shifts to meet system needs. #J-18808-Ljbffr
- ...yourcommission is looking for a Utilization Management Review Nurse to evaluate and ensure the effectiveness of medical services in Texas. This role... ..., including Case Management. The position requires flexibility in work hours and participation in quality improvement...Remote workFlexible hours
$98.53k - $120.22k
...Job Number: 179477, Job Title: Utilization Management Review Nurse, Salary: $98,529.60 - $120,224.00... ...healthcare (Interqual) Work Schedule Flexible: 8 hour shifts as per system need; variable to 1... ...: Depends on needs of system. Telecommute Holidays: Depends on needs of system...Remote workFlexible hoursWork experience placementWork at officeWeekend work$75k
...HealthHelp is looking for a Registered Nurse to perform inpatient utilization reviews, ensure compliance with medical necessity criteria, and actively engage... ...with InterQual criteria. The position offers a flexible schedule and the possibility of remote work, with a base...Remote workFlexible hours- ...A leading healthcare solutions company seeks a skilled Utilization Review Nurse to conduct vital reviews for medical necessity and appropriateness... ...communication skills. This home-based position offers flexible hours and the opportunity for career growth within a supportive...Remote workFlexible hoursWork from home
$35 - $40 per hour
.../hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services... ...skills and ability to meet deadlines. Self‑directed, flexible, and able to work independently with minimal supervision....Remote workFlexible hoursContract workWeekend work- ...Job Title: Utilization Review Nurse Duration : 6 +Months contract + (Possibilities of Extension) Location: 100% Remote (Illinois... ...to work effectively within a team or independently. Flexible with the ability to shift priorities when required. Other duties as required Qualifications...Remote workFlexible hoursContract workWork at officeLocal areaShift work
$57.24k - $62.18k
...Nurses - are you looking for a change? Want to work no nights, no... ...Illness, accident insurance and flexible spending also available! ~4... ...: This individual will utilize clinical knowledge and... ...defer decision to a second level reviewer. This individual interfaces with...Remote workFlexible hoursTemporary workWork at officeWork from homeMonday to Friday$30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in‑patient admissions and... ..., Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance...Remote workFlexible hoursHourly payMinimum wageFull timeWork at officeLocal area- ...Rising Medical Solutions has an opening for a Utilization Review Nurse , and we want to hear from you! We're a bill review and cost containment... ...~ A customer-service mindset Benefits ~ Generous Flexible Time Off (take it when you need it!) Comprehensive...Remote workFlexible hoursFull timeTemporary work
- ....) PRN (at minimum, two 8hr shifts every pay period) Monday - Friday... ...patients 2 years of Utilization Review (UR) experience reviewing hospital... ...Requirements Education Nursing Diploma/Associate's Nursing... ...Health Care and Dependent Care Flexible Spending Accounts Paid Time...Remote workFlexible hoursFull timeReliefLocal areaWork from homeMonday to FridayShift work
$65k - $78k
...sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll... ...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and...Remote workFlexible hoursFull timeContract workWork at officeWork from home$64.17k - $96.26k
...approach to medical management. The Utilization Management Nurse and the Personal Health Nurse (PHN) works... ...means. The UMN provides utilization review/pre-certification on various members... ...accounts, healthcare & dependent flexible spending accounts ~ Employee Assistance...Remote workFlexible hoursLocal areaRelocation packageWeekend work- ...lives and building a stronger, healthier community together. Join us in making a difference at Umpqua Health. Position Title Utilization Review Nurse Department Umpqua Health Job Status Full Time, Exempt position Schedule Monday – Friday 8:00am – 5:00pm (Pacific Standard...Remote workFlexible hoursFull timeWork at officeLocal areaMonday to Friday
$30.64 - $45.8 per hour
...The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and... ..., Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance...Remote workFlexible hoursHourly payMinimum wageFull timeWork at officeLocal area$35.29 - $47.37 per hour
...Paid Time Off (PTO), Sick leave, Health and life insurance, Flexible Spending- and Health Savings Account options, Tuition... ...of Openings: 1 We are currently hiring a Part-time REMOTE Utilization Review Nurse . If you are a licensed nurse with excellent critical thinking...Remote workFlexible hoursHourly payPart timeCurrently hiringWork at officeLocal areaWork from homeMonday to Friday- Position Summary The Utilization Review Nurse is responsible for ensuring the receipt of high quality, cost‑efficient medical outcomes for enrollees... ...of programs and improved health outcomes. Demonstrate flexibility and agility in a fast‑paced, team‑oriented environment,...Remote jobFlexible hoursWork at office
$34 - $47 per hour
Astrana Health, Inc. seeks a CA-licensed UM Review Nurse to work remotely, approving or denying outpatient services based on medical necessity... ...must reside in California. This full-time position involves flexible scheduling between 8 AM - 8 PM, with overtime required....Remote jobFlexible hoursHourly payFull time- ...healthcare provider in Bellaire is seeking a PRN Utilization Management Review Nurse. This role involves evaluating medical services... ...clinical background. The position offers flexibility in shifts, allowing telecommuting as needed. Excellent communication skills and proficiency...Remote workReliefShift work
- ...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-Ljbffr...Remote work
$35 - $45.94 per hour
...Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About The Role You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding...Remote workHourly payFull timeWork from homeHome office- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role... ...or case management. Strong communication skills and flexibility are essential. This is a contract position that offers a chance...Remote workContract work
$38 - $40 per hour
A healthcare provider is looking for a Registered Nurse (RN) for a remote position in Texas. The RN will be responsible for various review activities and care coordination in the insurance or managed care sector. Candidates must have a valid RN license in Texas and at...Remote workHourly payContract work$30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart time- ...responsible for coordinating patient care and ensuring proper utilization of resources. The role involves managing medical necessity processes... ...at least two years of acute care experience and a Registered Nurse license. This is a remote position with a Tuesday to Saturday...Remote workLocal area
- ...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...Remote workContract work
- ...position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract... ...findings. Organizational skills and prioritization skills. Registered Nurse (RN) with unrestricted license in state . 3 years clinical experience...Remote workFull timeContract work
$35 - $43 per hour
...Base pay range $35.00/hr - $43.00/hr Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only – must reside... ...The Clinical Review Nurse – Concurrent Review will perform utilization management functions to ensure members receive the right care...Remote work- ...Overview Title: Clinical Review Nurse – Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident)... ...Clinical Review Nurse for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct concurrent...Remote workContract work
$47.06k - $70.24k
...A healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill appropriateness, documenting findings, and communicating with claims examiners. Candidates must have a current RN license and at least...Remote work$38 - $40 per hour
...responsible for performing initial, concurrent review activities; discharge care coordination... .... Provides information regarding utilization management requirements and operational... ...QUALIFICATIONS (Required) ~ Registered Nurse (RN) with a valid, current, unrestricted...Remote workHourly payContract workWork at office
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