Remote RN: Utilization Review & Prior Authorization
$28.37 - $36 per hourAcentra Health, LLC
New York, NY
- Remote job
Acentra Health, LLC is seeking a Clinical Reviewer - RN - PRN (Remote U.S.) to interpret patient records, ensuring medical necessity and appropriateness of care. Ideal candidates will possess an RN license and relevant clinical experience. This position offers flexible scheduling during business hours, and access to benefits like a 401(k) plan with company match and wellness resources. Pay ranges from $28.37 to $36.00/hr. #J-18808-Ljbffr Acentra Health, LLC
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote RN: Utilization Review & Prior Authorization in New York, NY vacancy
- Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including prior authorization and review processes. Candidates must have a strong clinical nursing background with 5 years of experience...Remote job
$49.34 - $76.59 per hour
A leading healthcare organization is seeking a Utilization Review RN for a fully remote role in Oregon. Candidates must hold an Oregon Registered Nurse License and have at least 5 years of clinical nursing experience, particularly in collaboration with physicians. This...Remote job$45.9 - $71.4 per hour
Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that include prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development...Remote jobHourly payLocal area$45.9 - $71.4 per hour
Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health... ...administration of medical management programs for prior authorization. These programs are developed to manage medical expense...Remote jobMinimum wageLocal areaShift work- ...Point Health Care Inc. is looking for a Utilization Review Nurse in New York. This role requires... .... Responsibilities include reviewing prior authorization requests, collaborating with healthcare... .... Candidates must have a Compact RN License and at least 3 years of clinical...Remote job
$20.38 - $36.44 per hour
...Psychiatric Association Inc seeks a Utilization Review Specialist (LVN) who will... ...for services requiring prior authorization and serving as a liaison for surgery... ...review experience and an active RN license. The position offers flexible remote work options adhering to...Remote jobHourly payFlexible hours- Kelsey-Seybold Clinic is seeking a Utilization Review Specialist (LVN) to conduct medical reviews... ...necessity for services requiring prior authorization. This role involves liaising with providers... ...utilization review. Flexibility for remote work is provided for Texas residents....Remote jobHourly pay
- Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration... ...Review to join our Utilization Management team. In this role,... ...assigned Qualifications Active RN license (WA; must be in good standing...Remote workContract work
- ...Utilization Review Nurse Join Martin's Point Health Care - an innovative, not... ...need for inpatient/ outpatient authorizations. This position receives and reviews prior authorization requests for specific... ...nursing experience as an RN, preferably in a hospital setting...Remote workWork at office
Martins Point Health Care
Portland, ME4 days ago $85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG... ...care for members. This role conducts prior authorizations, facilitates care coordination, and... ...QUALIFICATIONS Active, unrestricted RN license (BSN or MSN) in Oregon or a...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayUmpqua Health
United States2 days ago$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...contact and will include 80% travel. Remote role. Will require a driver’s license.... ...visits and telephonic contact Authorize and coordinate referral for services....Remote workHourly payFull timeContract workImmediate startShift work3 days per weekMindlance Health
Corpus Christi, TX15 days ago$30 - $34 per hour
Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.... ...Innovative Work As One Team What You'll Do Complete prior authorization/retrospective review of elective inpatient admissions,...Remote jobHourly payMonday to Friday$35 - $45 per hour
...from IntePros IntePros is seeking a Remote Utilization Review Nurse serves as a key clinical... ...Essential Functions Process patient prior authorization and reauthorization requests in accordance... ...professional nursing program (RN, LPN, or LVN). Minimum of two years...Remote workContract workWeekend work$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...contact and will include 80% travel. Remote role. Will require a driver’s license.... ...visits and telephonic contact Authorize and coordinate referral for services....Remote workHourly payFull timeContract workImmediate startShift work3 days per weekTravelNurseSource
Corpus Christi, TX15 days ago- ...: Manager of Clinical Utilization Management - Denial Compliance... ...Type: Hybrid (85% remote, 15% onsite in... ...daily tasks, performance reviews, and any necessary disciplinary... ...Nursing Program; RN preferred. 2. Minimum of five years in prior-authorization, appeals & grievance,...Remote workPermanent employmentFull timeTemporary workFlexible hours
Vivo HealthStaff
Burbank, CA28 days ago - ...The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position... ...Responsibilities: Evaluate and process prior authorization requests/referrals submitted from...Remote workWork at officeLocal areaWork from homeHome officeMonday to Friday
Network Health Plan (Wisconsin)
United States4 days ago - CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote job
$69.38k - $92.28k
MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum... ...candidates are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent...Remote job- ...To Apply for this Job Click Here Position: UTILIZATION REVIEW RN- Case Management (IN PERSON) - SIGN ON BONUS Location:... ..., Leader of Others, or Leader of Leaders. Conducts prior authorization reviews to assess whether proposed services are covered and...Work at officeRelocation package
i4 Search Group
Alamogordo, NM13 days ago - ...Utilization Management Position Provide health care services regarding admissions, case... ...management, discharge planning and utilization review. Review admissions and service... ...the Alabama Board of Nursing obtained prior to hire date or job transfer date required...Remote work
St. Vincent's Health System
United States2 days ago - Providence is seeking an RN for a remote Utilization Review role. This per diem position involves conducting prospective, retrospective, and concurrent utilization reviews for Southern California ministries, requiring strong clinical expertise and a solid understanding...Remote jobDaily paid
$84.06k - $118.67k
...seeks a Licensed Registered Nurse for a remote position in Utilization Management. The role involves... ...admissions and discharge planning, conducting reviews for medical necessity, and assisting... ...claims issues. Candidates must hold an RN license from the Texas Board of Nursing...Remote job- COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum...Remote jobFull time
- P3 Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-driven organization. This role offers hybrid or fully remote arrangements, with major responsibilities in telephonic review and collaboration with provider...Remote job
- ...in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an active RN licensure in Alabama, with 3+ years of... ...skills are crucial. The position offers a remote work option along with comprehensive...Remote work
- Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization reviews across Southern California ministries, requiring effective problem-solving and decision-making skills...Remote jobPart time
- ...Utilization Management RN - Pediatrics (Remote) | New York RN License Required | 110K+ • Fully remote opportunity... ...compliance. Through clinical review and coordination, this role... ...in utilization review, prior authorization, case management, or managed care...Remote workFull timeContract workWork at office
Morgan Stephens
United States4 days ago - A leading healthcare organization is seeking a remote RN to ensure appropriate administration of hospital resources and quality care. Responsibilities include reviewing patient care levels and utilizing Interqual Criteria for inpatient hospitalizations. The ideal candidate...Remote job
- ...is hiring a full-time Licensed Medical Review Nurse to conduct reviews of medical documentation while working remotely. This role involves managing appeals... ...clinical nursing experience, including utilization review, and a valid RN license in Florida or Kentucky. Strong...Remote jobFull time
- A regional healthcare provider in Houston is seeking a Utilization Management Review Nurse. This role involves evaluating the appropriateness of medical services based on necessity and promoting quality care outcomes. The candidate must have a Bachelor's in Nursing and...Remote jobFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN: Utilization Review & Prior Authorization. Be the first to apply!
