- **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
- ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Louisville... .... No matter where you are or what time it is, Supplemental Health Care is... ...Savings Program to both full-time and part-time employees with a wide range of investment...Part timeWeekly payFull timeContract workFor contractorsLocal areaImmediate startShift work
- ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Las Cruces... .... No matter where you are or what time it is, Supplemental Health Care is... ...Savings Program to both full-time and part-time employees with a wide range of investment...Part timeWeekly payFull timeContract workFor contractorsLocal areaImmediate startShift work
- ...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
- ...facility to staffing, training, and operations. Job Summary Our client is seeking a strong, detail-oriented Utilization Review Registered Nurse (RN) to join their team. The Utilization Review Nurse plays a critical role in evaluating the appropriateness and necessity...Part timeLocal area
Medix™
Houston, TX3 days ago - ...Travel Nurse RN - Utilization Review - $2,948 per week at PHP summary: This position is for a Travel Nurse RN specializing in Utilization Review, providing remote nursing assessment and evaluation services for a 13-week contract in Atlanta, Georgia. The role requires...Remote jobFull timeContract workShift work
PHP
Atlanta, GA9 hours agonew - ***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
- ...necessity and clinical reviews of authorization... ...team to ensure timely review of services... ...interdepartmental teams on utilization processes to... ...School of Nursing or Bachelor's degree... ...approach to work with remote, hybrid, field or... ...including full-time or part-time status. Total...Part timeRemote jobHourly payHoliday workFull timeFlexible hours
- 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
- 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
- ...Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure... ...providers. Work Location: Remote Work Schedule: M-F, 8am-5pm... ...: • Minimum 3 years clinical nursing experience. • Minimum one year...Remote jobHourly pay
Professional Management Enterprises
Houston, TX5 days ago - ***REMOTE - Candidates must be based in Texas: Austin area - Travis... ...initial, concurrent review activities; discharge care coordination... ...information regarding utilization management requirements and operational... ...(Required): Registered Nurse (RN) with a valid, current, unrestricted...Remote jobHourly payContract work
- Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS... ...Compensation: Rate Type: Hourly Over Time: Default Multiplier: None; 8 Hour Multiplier... ...5% Additional Information: ***Hybrid/Remote within a commutable distance to...Remote jobHourly payHoliday workContract workShift work
- ...Performs a clinical review and assesses care... ...and appropriate utilization of services Provides... ...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
- Location: Remote, US Shift: Weekend Evening schedule Fri/Sat/Sun/Mon 2 PM - 12:30... ..., and workflow orchestration. As our Utilization Review Nurse , you will help our hospital clients by... ...reasonable accommodation to complete any part of the job application process, please...Remote jobHourly payLocal areaShift workWeekend workAfternoon shift
- ...Description LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance (Remote), California. Job Description & Requirements... ...of experienced career specialists takes the time to understand your needs and match you with the...Remote jobWeekly payPermanent employmentContract workFixed term contractLocal areaShift work
- ...professionals. Apply via Lensa today! Salary: $2280 / Week The Utilization Review Specialist is responsible for the assessment and review of... ...Requirements Current license for the state in which the nurse practices if nursing licensure is required by contract A...Remote jobWeekly payContract workLocal area
Lensa
Oakland, CA4 days ago - ...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, CA10 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, MI11 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
$36.46 - $43.75 per hour
...self-funded Commercial plans. Utilization Review nurses at Select Health proactively... ...benefits is at the right time, right place, right provider... ...practice in all states that are part of the compact and may be... ...working successfully working in a remote environment or using...Remote jobFull timeFlexible hoursSelectHealth
Salt Lake City, UT26 days ago- ...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective... ...on business needs. #LI-AC1 #LI-REMOTE This position is for pipeline... ...career development. All salaried, full-time candidates are eligible for our generous...Remote jobFull timeContract workFlexible hours
- ...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, CA26 days ago - ...for the participants through Utilization Review and Utilization Management... .... The Utilization Review Nurse is responsible for conducting... ...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
UNITE HERE HEALTH
Las Vegas, NV25 days ago - ...supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical... ...established turnaround times, quality benchmarks, and efficiency... ...:** + Associate's Degree in Nursing (ASN) required; Bachelor's... ...work solutions include remote options, hybrid work schedules...Remote jobHoliday workFlexible hoursMonday to Friday
- Job Type Full-time Description Position Summary: The Utilization Review Nurse Trainer plays a vital role in onboarding and developing clinical staff to ensure high... ...a high-performing clinical team. This is a remote position; however, occasional in-office attendance...Remote jobFull timeWork experience placement
- Join to apply for the RN / Nurse Utilization Review (Medicaid) role at Elevance Health... ...with the autonomy of remote work, promoting a dynamic and... ...compensation for this role at the time of this posting. This range... ...onsite will be discussed as part of the hiring process. The...Remote jobHoliday workFull timeTemporary workWork experience placementLocal areaFlexible hoursDay shift
