Remote Concurrent Review RN: Utilization & Care Coordination

$69.38k - $92.28k

MVP 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

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Remote Concurrent Review RN: Utilization & Care Coordination in Schenectady, NY vacancy

Remote RN: Utilization Review & Care Coordination
...Administration, Inc. is seeking an RN Clinician to provide utilization management services in a remote role from Virginia. The... ...and over 3 years of acute care experience. Responsibilities... ...include prior authorization reviews, care coordination, and managing appeals for services...
Remote work
170 Sentara Health Administration, Inc.
Virginia, MN
3 days ago
Remote Utilization Review RN — Care Coordination
Providence Health & Services is hiring a Utilization Review RN for a remote position focused on administering medical management programs, including... ...in Oregon and Washington. This role encompasses care coordination and discharge planning, along with various compliance...
Remote job
Providence Health & Services
Renton, WA
1 day ago
RN Concurrent Review | Hybrid/Remote Utilization Nurse
...Partners in Henderson, NV is seeking an RN Concurrent Review to ensure compliance with the Medical... ...Program. The role may be hybrid or fully remote, with competitive hourly rates based on... ..., including working in managed care settings, and will promote the mission...
Remote work
Hourly pay
Sky Mavis
Henderson, NV
3 days ago
Nurse Coordinator (RN)- Care Management
...The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines... ...membership on a pre-service, concurrent and post-service basis. This...
Remote work
Work at office
Local area
Work from home
Home office
Monday to Friday
Network Health Plan (Wisconsin)
United States
4 days ago
Registered Nurse (RN) - Utilization Review
...effective resource coordination to help patients achieve... ...health, access to care and appropriate utilization of resources,... ...Central Utilization Review LVN/LPN Case Manager... ...from payers Managing concurrent disputes... ...Saturday schedule. Remote, but you must live...
Remote work
Work at office
Santa Barbara Cottage Hospital
New York, NY
2 days ago
RN Concurrent Review
$90k - $100k
...the business of health care, transforming it from... ...We are looking for a RN Concurrent Review . If you are... ...Health Partners regarding Utilization Review, inclusive of... ...or telephonically to coordinate care Educate providers... ...either a hybrid or fully remote work arrangement....
Remote work
Work at office
3 days per week
Sky Mavis
Henderson, NV
3 days ago
Home Health Virtual Care RN
$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 work
Contract work
MVP Health Care
Rochester, NY
2 days ago
UTILIZATION REVIEW NURSE - RN
...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 work
Work at office
Nexus Health Systems
Houston, TX
3 days ago
RN-Utilization Review/Case Manage Nurse - RFT
$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 work
Hourly pay
Full time
Work at office
Relocation package
Shift work
Gibson Area Hospital
Gibson City, IL
3 days ago
Sr. Review Coordinator RN (Remote)
...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 work
Contract work
Local area
Telligen
Boise, ID
5 days ago
RN Care Management(Remote)
$45.9 - $71.4 per hour
Description Utilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical... ...include prior authorization, concurrent hospital and skilled nursing review... ...of claims and other data, care coordination and discharge planning. Location...
Remote job
Hourly pay
Local area
Providence Health & Services
Renton, WA
1 day ago
Travel Nurse RN - Utilization Review - $35 to $45 per hour in Corpus Christi, TX
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX... ...and will include 80% travel. Remote role. Will require a driver... ...and need for services for care plan development. Monitor... ...telephonic contact Authorize and coordinate referral for services....
Remote work
Hourly pay
Full time
Contract work
Immediate start
Shift work
3 days per week
Mindlance Health
Corpus Christi, TX
20 days ago
Travel Nurse RN - Utilization Review - $35 to $45 per hour in Corpus Christi, TX
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX... ...and will include 80% travel. Remote role. Will require a driver... ...and need for services for care plan development. Monitor... ...telephonic contact Authorize and coordinate referral for services....
Remote work
Hourly pay
Full time
Contract work
Immediate start
Shift work
3 days per week
TravelNurseSource
Corpus Christi, TX
19 days ago
Remote RN: Utilization & Care Coordination
$69.38k - $92.28k
...MVP Health Care is looking for a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare continuum. This... ...collaboration, ideal for RNs seeking growth in utilization management. Applicants should have a current RN license...
Remote work
MVP Health Care
Rochester, NY
1 hour ago
Hybrid Utilization Review RN | Medicare & Appeals Expert
...Confluence Health is seeking a Utilization Review Specialist to ensure... ...years of experience in an acute care setting and an Associate's degree... .... The ideal candidate will coordinate reviews, issue notifications... ...for flexibility between remote and in-office work. #J-18808...
Remote work
Work at office
Confluence Health
Wenatchee, WA
2 hours ago
Remote Utilization Review Nurse (LPN/RN) Home Health
...tango is seeking a Utilization Review Nurse (LPN or RN) to join our remote team. This role processes patient authorization requests and coordinates care to ensure compliance with health care standards. Candidates must have at least two years of nursing experience and be...
Remote work
Full time
Tango
Phoenix, AZ
1 hour ago
Remote Utilization Review Nurse for Care Coordination
...Martin's Point Health Care Inc. is looking for a Utilization Review Nurse in New York. This role requires a strong background in clinical nursing and utilization... ...in quality initiatives. Candidates must have a Compact RN License and at least 3 years of clinical nursing...
Remote work
Martins Point Health Care
New York, NY
4 days ago
Concurrent Utilization Review Nurse, RN
$74.29k - $111.43k
...consumers are entitled to high‑quality, coordinated care. By uniquely aligning the interests... ...experience for all. Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for... ...Qualifications Education: Registered Nurse (RN) with an active, unrestricted...
Work at office
NeueHealth
Los Angeles, CA
3 days ago
Remote Clinical Review Nurse: Utilization & Care Coordination
...New York is looking for a Clinical Review Nurse to perform concurrent reviews of member health and care. The position requires an active New York State RN license and at least 2 years of acute... ...are available, allowing for remote work alongside competitive benefits...
Remote work
Flexible hours
Centene Corporation
New York, NY
1 hour ago
Concurrent Review Nurse
...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 work
Apprenticeship
Local area
Santa Barbara Cottage Hospital
New York, NY
2 days ago
Concurrent Utilization Review Nurse, RN
$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
NeueHealth
California, MO
3 days ago
Utilization Review Registered Nurse
$1,966 per week
...managed health care, focused on what... ...-life balance. Remote/hybrid setting... ...individual will utilize clinical... ...a second level reviewer. This individual... ...precertification and concurrent review within... ...not limited to RN, LMSW, LMHC. Successful... ...RN Clinical Coordinator - Neurosurgery...
Remote work
Full time
Temporary work
Part time
Work at office
Work from home
Monday to Friday
Flexible hours
Hines
Rockford, IL
3 days ago
Utilization Review Nurse(Austin/Richardson TX) (Remote)
$38 - $40 per hour
...REMOTE - Candidates must be based in Texas... ...Collin Counties 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 work
Hourly pay
Contract work
Work at office
Madea Home Care Services
Plano, TX
1 day ago
Utilization Review Nurse
...Title: Clinical Review Nurse – Prior... ...Location: Fully Remote (PST Time Zone... ...to join our Utilization Management team... ...you will conduct concurrent and prior... ...providers, and care management teams... ...authorized care Coordinates as appropriate... ...Qualifications ~ Active RN license (WA;...
Remote work
Contract work
SPECTRAFORCE
Washington DC
2 days ago
Utilization Review Nurse
$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
IMCS Group
New York, NY
2 days ago
Utilization Review Coordinator
$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
Guidelight Health
New York, NY
1 day ago
Registered Nurse Shift Coordinator Full Time
...RN Utilization Review Coordinator, Full-time Hiring Now for RN Utilization Review Coordinator Department... ...for performing prospective, concurrent, and post?discharge utilization reviews... ...progression through the episode of care. This position also assists with discharge...
Full time
Local area
Shift work
Methodist Hospital for Surgery
Addison, TX
5 days ago
RN Utilization Review Nurse in Sacramento CA
$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 work
Weekly pay
Contract work
Work at office
Monday to Friday
Canon Recruiting Group
Sacramento, CA
2 hours ago
Utilization Review Nurse - Remote
...Position Summary The Utilization Review Nurse works as responsible for ensuring... ..., completes inpatient concurrent review, establishes discharge plans, coordinates transitions of care to lower/higher levels of care... ...clinical nursing experience as an RN, preferably in a hospital...
Remote work
Work at office
Martins Point Health Care
Portland, ME
2 days ago
Utilization Review Nurse (LPN)
100% remote position in any state except, NY, CA, HI, or AK... ...For Performing Discharge Care Coordination And Review Activities For Determining... ...Guidelines, Conducting Initial And Concurrent Review, Prepare Reports On... ...Information Regarding Utilization Management Requirements...
Remote work
Contract work
Integrated Resources
United States
3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Concurrent Review RN: Utilization & Care Coordination. Be the first to apply!