Remote Concurrent Review RN: Utilization & Care Coordination
$69.38k - $92.28kMVP Health Care
MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This hybrid role allows for independent work alongside collaboration with providers, focusing on enhancing health care delivery. Ideal candidates are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent communication skills. The position offers competitive compensation between $69,383 and $92,279, and is ideal for detail-oriented professionals passionate about patient care. #J-18808-Ljbffr
- ...-referral case review and authorization of services utilizing established mental... ...quality care appropriate to... ...for prospective, concurrent, and retrospective... ...emergency resources to coordinate transport for... ...-time, fully remote (work from home... ...license (RN, LMSW, LP, LPC,...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
$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$69.38k - $92.28k
...the Future of Health Care At MVP Health Care... ...As a Professional Concurrent Review RN, you'll have the opportunity... ...to expand into utilization management, this position... ..., and care coordination strategies. With opportunities... ...be: Location: Remote Pay Transparency...Remote workContract work- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key... ...-effective patient care. Working collaboratively... ...necessity, and coordinates with healthcare providers... ...o Conduct concurrent and retrospective reviews... ...facility based staff; optional for remote staff.Remote workWork at office
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson... ...of in person and remote considered) GENERAL... ...safe transitions of care. GIBSON AREA HOSPITAL... ...Coordinate and facilitate patient... ...program. Provides concurrent reviews of all admissions...Remote workHourly payFull timeWork at officeRelocation packageShift work- ...responsible for conducting utilization review/medical management for all... ...Functions Performs prospective, concurrent or retrospective... ...appropriateness of quality of care based on contract, state, or... ...criteria to peer reviewer Coordinates and participates in peer-to...Remote workContract work
- ...Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior... ...Retrospective Review* Admission Criteria Care coordination Concurrent Review Continued Stay Reviews... ...Goals Additional Skills remote UR work CA and Medi-Cal...Remote work
$74.29k - $111.43k
...Concurrent Utilization Review Nurse, RN California, United States NeueHealth is a value-driven healthcare company grounded in the belief that... ...all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers...Work at office- ...Department: Utilization Management Schedule:... ...Work Location: Remote Benefits for eligible... ...Provide health care services regarding... ...planning and utilization review. Review... ...for prospective, concurrent and retrospective... ...appeals. Assess and coordinate discharge planning...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$2,210 per week
...personalized managed health care, focused on what's... ...-life balance. Remote/hybrid setting (... ...individual will utilize clinical knowledge... ...to a second level reviewer. This individual... ...and concurrent review within the... ...is not limited to RN, LMSW, LMHC. Successful...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeAll shiftsMonday to FridayFlexible hours$1,949.74 per month
...Specialty Utilization Review Job ID 17979... ...Utilization Review RN Weekly Pay $... ...Job Description Remote Utilization Review RN responsible for concurrent reviews, medical necessity... ...guidelines in an acute care setting. Client...Remote workWeekly payShift work$74.29k - $111.43k
...Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for conducting... ...to members under a managed care health plan. The role... ...admission and continued stays, coordinating with healthcare providers,... ...Education – Registered Nurse (RN) with an active,...Work at office$56.97k - $84.75k
...Utilization Review Coordinator Performs admission screening for patients in a bed... ...the largest Catholic health care systems in the Midwest. Franciscan... ...am - 4:30pm EST Perform concurrent reviews for appropriateness... ...~ Registered Nurse (RN - Indiana licensure) required...Remote workWork at officeLocal areaMonday to Friday- ...Utilization Review Coordinator Fully Remote • MBH Remote Worker - Phoenix, AZ 85024 Overview Position Type... ...Bachelors Degree Category Health Care Description This is where you... ...Services. You will conduct pre-certs, concurrent and extended reviews. You will...Remote workFull timeLocal area
$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 Concurrent Review Nurse is responsible... ...for performing utilization management... ...appropriateness of care, and length of stay... ...insurance companies to coordinate patient care and... ...Nurse (RN) license, active... ...Work Environment Remote Equal Opportunity...Remote workApprenticeshipLocal area
$47.69 - $94.06 per hour
...Job Summary The Utilization Review (UR) Nurse supports the Utilization Management... ...comprehensive admission, concurrent and retrospective UR‑related... ...in utilization review, care management, quality management... ...St. Peter Hospital Location: Remote, Olympia, WA (work site...Remote workHourly payFull timeLocal areaShift workDay shift$41 - $45.5 per hour
...Analyst Location: Remote (within plan... ...Active, unrestricted RN License Must... ..., implementing, coordinating, monitoring, and... ...effective, high-quality care and supports... ...education, and utilization management. Key... ...prospective, concurrent, and retrospective reviews for inpatient, rehab...Remote work- ...This position has a remote option for those... ...needed. The Utilization Review Nurse is... ...appropriateness of care provided to patients... ...of pre-admission, concurrent, and retrospective... ...identifiable needs for coordination of the... ...compact required RN license in state...Remote workFull time
$35 - $43 per hour
...Job Title Clinical Review Nurse – Concurrent Review Location: Remote (California only –... ...hold an active CA RN license) Duration:... ...will perform utilization management functions... ...receive the right care at the right time.... ...to ensure timely coordination between care levels...Remote work$40 per hour
...in TX Full time remote Candidates must... ...based in TX. RN working in the insurance or managed care industry using medically... ...initial, concurrent review activities; discharge care coordination for determining efficiency... ...regarding utilization management requirements...Remote workFull timeContract workWork at office- ...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
$20 - $30 per hour
...delivering exceptional care, utilizing state-of-the-art... ...Department/Location: Remote FLSA Status: Exempt Travel... ...Utilization Review on Behalf of the Clinics... ...treating clinicians. Coordinate Peer-to-Peer (P2P) Review... ...presentations. Coordinate all concurrent insurance reviews...Remote 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$51.43 - $79.84 per hour
...Description – This is a remote role. You MUST live in the state... ...Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong... ...responsible for performing admission, concurrent and retrospective UR related...Remote workDaily paidLive inShift workDay shift$35.62 - $52.99 per hour
...Responsibilities As our Utilization Review LVN, your focus will... ..., cost-effective care which will enable... ...facility review or in concurrent review. To be successful... ...flow. As a remote employee, we will provide... .... Recommends and coordinates interventions to facilitate...Remote workContract work- ...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
$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$80 - $95 per hour
...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 description below and contact me ASAP if you are...Contract workLocal areaImmediate start
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