- ...NC Job Type: Permanent Full-Time Remote Employment: Remote Optional... ...PM Eastern Job Class Title: Nurse Consultant I Position Number... ...If so, please consider the Utilization Review Nurse Consultant position located... ...programs that will repay part or all of your outstanding student...Part timeRemote jobPermanent employmentFull timeContract workTemporary workWork experience placementRelocation bonusFlexible hoursMonday to Friday
- ...Job Job Overview SUMMARY The Utilization Review RN participates as a member... ...Review Job Status: part time, 24 hours per week, eligible... ...position will be primarily remote but there may be occasions when... ...Education: Bachelor of Science in Nursing (BSN) Experience: Three years...Part timeRemote jobTemporary workShift workWeekend workAfternoon shiftMonday to FridayAll shifts
- ...Description Now Hiring: Part-Time Remote Utilization Review Nurse (AZ Residents Only) Work From Home | Weekends | Registered Nurse (RN) Opportunity Are you a Registered Nurse (RN) looking for a flexible, part-time opportunity that allows you to work from the comfort...Part timeRemote jobImmediate startFlexible hoursShift work
- **Department Name:** Utilization Mgmt **Work Shift:** Day **Job Category... .... Better Than Ever for Nurses. When we make things better... ...Management Care Reviewer,** you will be working in partnership... ...Reviewer position is a part - time fully remote position with a work schedule...Part timeRemote jobShift workWeekend work
- ...Focus Staff is seeking a travel nurse RN Case Management for a travel nursing job in... ...Santa Barbara, CA looking for a Travel Utilization Review RN Registered Nurse! Focus Staff is seeking... ...RN – Travel Utilization Review RN, Part-Time, Contract, Travel, Temporary, 13 Weeks,...Part timePermanent employmentContract workTemporary workWork experience placementReliefShift work
- ...apply for the CLINICAL REVIEW NURSE role at ProMed... ...Candidates With Experience In Utilization Review. Location:... ...Setting: Hybrid (In-office/remote work) Bill Rate: $92.... ...for review and ensure timely decision-making.... ...level Employment type: Part-time Job function: Healthcare...Part timeRemote jobContract workMonday to Friday
- ...experienced Registered Nurse with a passion for ensuring... ...a skilled Medical Review Nurse (MRN) to join our... ...rewarding opportunity to utilize your clinical expertise... ...reviewing Medicare Part A and B claims, including... ...employment (full or part-time). Fraud, Waste, and...Part timeRemote jobHourly payFull timeLocal area
- ...Performs concurrent reviews, including... ...systems according to utilization management policies... ...plans to ensure a timely discharge between... ...Accredited School of Nursing or Bachelor's degree... ...to work with remote, hybrid, field or... ...including full-time or part-time status. Total...Part timeRemote jobHourly payHoliday workFull timeFlexible hours
- ...team as a Concurrent/ Acute Review Nurse RN, where you'll play a vital... ...the right care at the right time. As a CRN, you'll build strong... ...and appropriate level of care utilizing member benefits and InterQual... ...performed. Benefits for intern, part-time and seasonal employees...Part timeRemote jobHoliday workTemporary workWork experience placementInternshipSeasonal work
- Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License Should Have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously...Remote job
- ...unrestricted New York State nursing license. 8:30am-5... ...and clinical reviews of authorization... ...team to ensure timely review of services... ...interdepartmental teams on utilization processes to... ...to work with remote, hybrid, field or... ...including full-time or part-time status. Total...Part timeRemote jobHourly payHoliday workFull timeFlexible hoursMonday to Friday
- ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred...Remote jobLocal areaWeekend work
- Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift: Day 5x8-Hour... ...staff is needed) Day Shift 0800-1630, (UR positions will be remote) Need to have UR experience, specifically with InterQual...Remote jobHoliday workShift workWeekend workSundayDay shiftSaturday
- ...Facility Compliance Review (FCR) team reviews post... ...events. The Manager, Utilization Management Nurse Management will... ...office at least two (2) times per month (for roles... ...of-state roles remain remote. o Employees living... ...Environment - roles involving part to full time schedule...Part timeRemote jobFull timeContract workLocal areaHome office
- APR Consulting, Inc. has been engaged to identify an Nurse Coordinator . Location: Los Angeles, CA 90045 Position: Nurse Coordinator... ...extension Expected Shift: 8am-5pm, 40hrs/week JOB SUMMARY Utilization Review Nurse Remote 2 month contract with probable extension Job Description:...Remote jobContract workShift work
- NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S.... ...in Utilization Management, Utilization Review, or Case Management • Preferred Certifications...Remote jobHoliday workContract workImmediate startMonday to Friday
- ...the Chief Clinical Officer, the Utilization Management Nurse ("UM RN") is responsible for ensuring timely, high quality, and cost-... ...Core Values. Your clinical care review determinations for our hematology... ...utilization management Fully remote position The estimate...Remote jobHourly pay
- ...Medical Review Nurse Job No: 533913 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Healthcare... ...improve compliance related to utilization management process standards... ...your 1st day (prorated for part-time employees) •Paid Parental...Part timeRemote jobHoliday workFull timeInternshipHome officeFlexible hours
$38 per hour
...REMOTE - Candidates must be based in Texas: Austin area - Travis... ...performing initial, concurrent review activities; discharge care... ...Provides information regarding utilization management requirements and operational... ...(Required): ~ Registered Nurse (RN) with a valid, current,...Remote jobHourly payContract workBracane Company, Inc.
Richardson, TX12 days ago- ...Job Summary: As a Utilization Management Nurse/Social Worker, you'll... ...Proficient in Utilization Review processes, you'll... ...government. 100% Remote - However, Only Nevada... ...Care team to facilitate timely patient progression... ...dynamic team and be part of our commitment to...Remote job
- ...flexibility. POSITION IS REMOTE WITH POTENTIAL FOR... ...8AM- 5PM PST TIME ZONE IDEAL... ...Performs a clinical review and assesses care... ...quality and appropriate utilization of services... ...Accredited School Nursing or Bachelor's degree... ...including full-time or part-time status. Total...Part timeRemote jobHourly payHoliday workFull timeFlexible hoursWeekend work
- ...Purpose:** Performs reviews of member's care... ...quality and appropriate utilization of services +... ...Accredited School Nursing or Bachelor's... ...reimbursement, paid time off plus holidays,... ...approach to work with remote, hybrid, field or... ...full-time or part-time status. Total...Part timeRemote jobHourly payHoliday workFull timeFlexible hours
- ...sick days and accrued vacation time provides 5+ weeks of paid... ...match up to 4% for all full and part time employees... ...seeking to fill the position of Utilization Review to work a 35-hour week . This... ...witness victories. Healing Happens Together! remote workPart timeRemote jobHoliday workFull time
Balance Treatment Center
Calabasas, CA17 days ago - ...Partners is seeking a full-time Utilization Review Medical Director to support... ...cases throughout the day as part of routine operations. Evaluate... ...the Utilization Management Nurse will route the case to the... ...Expectations: This is a remote full-time position, but requires...Part timeRemote jobHoliday workFull timeTemporary workLocal area
Integra Partners
Troy, MI18 days ago - ...Job Summary: We are seeking a Part-Time Utilization Review Nurse to join our dedicated healthcare team. In this role, you will play a critical part in ensuring that patients receive appropriate and effective medical care while adhering to established clinical guidelines...Part time
- Salary: $2280 / Week The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a... ...Minimum Requirements: + Current license for the state in which the nurse practices if nursing licensure is required by contract + A...Remote jobWeekly payContract workLocal area
- ...development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,... ...on business needs. #LI-AC1 #LI-REMOTE This position is for pipeline purposes... ...career development. All salaried, full-time candidates are eligible for our generous...Remote jobFull timeContract workFlexible hours
- ...Utilization Review Nurse – RN or LVN (Remote, $43/hr, Temp-to-Hire) Join one of the nation’s leading managed care organizations, committed to transforming... ...ensure members receive the right care at the right time — every time. We are seeking experienced Registered...Remote jobHourly payPermanent employmentFull timeTemporary workMonday to Friday
- ...Description: Manager of Clinical Utilization Management - Denial... ...Type: Hybrid (85% remote, 15% onsite in Northridge, CA); Full-Time Salaried Position Company... ...tasks, performance reviews, and any necessary disciplinary... ...accredited Registered Nursing Program; RN preferred....Remote jobPermanent employmentFull timeTemporary workFlexible hours
Vivo HealthStaff
Burbank, CA3 days ago - ...for the participants through Utilization Review and Utilization Management... ...education. The Utilization Review Nurse is responsible for... ...management of medical costs through timely prospective, concurrent and... ...(37.5 hours per week) as a remote opportunity. We reward...Remote jobHoliday workTemporary workWork experience placementFlexible hoursMonday to Friday
