- **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
- ...Internal Travel is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts... ...General Brigham Schedule Full-time, Remote Employee Status Temporary Mass... ...medical record as appropriate, as part of the Interdisciplinary team in...Remote jobWeekly payHoliday workFull timeTemporary workFlexible hoursShift workWeekend work
Mass General Brigham - Internal Travel
Boston, MA14 days ago - ...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 areaWork from home
- ...Director, Medi-Cal/Medicare Utilization Management Nurse Management role at... ...play a key role as part of the Utilization... ...authorization and concurrent review to ensure that the... ...the right care in a timely and cost-effective... ...of-state roles remain remote. Employees living...Part timeRemote jobFull timeWork experience placementLocal areaWork from homeHome office1 day per week
- ...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, CA2 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 jobDaily paidHoliday workFull timeTemporary workLocal area
Integra Partners
Troy, MI3 days ago - Join to apply for the Registered Nurse - Utilization Review role at Ascension 2 days ago Be among the first... ...$115,939.20 per year Benefits Paid time off (PTO) Details Department:... ...2 months ago Clinical Appeals Nurse - Remote / Telecommute Owings Mills, MD $39.71...Remote jobFull timeTemporary workLocal areaRelocation packageNight shiftMonday to FridayAll shifts
$137 per hour
...Travel Nurse RN - Utilization Review - $2,030 per week at Supplemental Health Care summary: This position... .... No matter where you are or what time it is, Supplemental Health Care is standing... ...Savings Program to both full-time and part-time employees with a wide range of...Part timeWeekly payFull timeContract workFor contractorsLocal areaImmediate startShift workSupplemental Health Care
Kealakekua, HI14 days ago$12 per hour
...Supplemental Health Care is seeking a travel nurse RN Clinic Utilization Review for a travel nursing job in Santa... .... 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 workSupplemental Health Care
Santa Barbara, CA7 days ago$31.25 - $37.5 per hour
...Duties/Responsibilities: Reviews admission data to establish the appropriate level of care... ...MA RN licensure. Bachelor’s Degree in Nursing or advanced degree in healthcare preferred... ...the hospital setting. Experience with utilization management within the last 3 years required...Part timeBeth Israel Deaconess Hospital Plymouth
Plymouth, MAa month ago- ...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 placementShift work
- ...the Chicago, IL area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are... ..., night shift, and mid shift Job types available: full time, part time, and per diem Employer features: Level 2 trauma center...Part timeDaily paidFull timeShift workNight shiftDay shift
- *Utilization Case Manager Coordinator* In this role, the UM, Registered Nurse role is to communicate with payers and provide... ...(UM) department reviews clinical documentation... ...on site. There is no remote ability, for this... ...work. Job Type: Full-time Pay: From $106,201...Remote jobFull timeShift workMonday to Friday
BronxCare Hospital Center
Bronx, NY3 hours agonew - ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Kealakekua... .... 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
Kealakekua, HI5 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
Amerihealth Caritas
Newark, DE11 hours ago - ...Supervisor, the Clinical Care Reviewer- Shift Care is... ...services including skilled nursing and home health aide... ...include timely notification and education... ...Work Arrangement; Remote Qualified candidates... ...Minimum of 3 years of Utilization Management experience,...Remote jobHoliday workContract workFlexible hoursShift workMonday to Friday
Amerihealth Caritas
Philadelphia, PA1 day ago - ...seeking a Family Medicine physician to work in a non-clinical utilization review setting. Opportunity Highlights ~ Daytime Monday through Friday position. Potential to work remotely part of the time. ~ Strong CDI Program ~ Salary and incentive $250K+ depending...Part timeRemote jobMonday to Friday
- Join to apply for the Travel Nurse RN - Utilization Review - $2,488 per week role at talent4health Continue... ...Employment type Employment type Full-time Job function Job function Health Care... ...Registered Nurse - Hospital at Home - P/T with Benefits - Evenings Registered Nurse...Part timeFull timeImmediate startShift workNight shiftDay shiftAfternoon shift
- ...Performs clinical reviews needed to resolve... ...appeal + Ensures timely review, processing... ...Accredited School of Nursing or Bachelor's... ...preferred.Knowledge of utilization management... ...approach to work with remote, hybrid, field or... ...including full-time or part-time status. Total...Part timeRemote jobHourly payHoliday workFull timeFlexible hours
- Join to apply for the Travel Registered Nurse Utilization Review role at ALOIS Healthcare 2 days ago Be among the first 25 applicants Join to... ...Seniority level Entry level Employment type Employment type Part-time Job function Job function Health Care Provider Industries...Part timeHourly payPermanent employmentFull timeContract workZero hours contractLocal areaVisa sponsorshipRelocation packageShift work
- Join to apply for the Travel Nurse RN - Utilization Review - $3,122 per week role at RemoteWorker US 4 days ago Be among the first 25 applicants... ...Seniority level Entry level Employment type Employment type Part-time Job function Job function Health Care Provider Industries...Part timeHourly payPermanent employmentFull timeContract workZero hours contractLocal areaVisa sponsorshipRelocation packageShift work
- ...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
- ...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
- ...RN Case Manager - Utilization Management role at... ...Employment Type Full time Shift Day Shift... ...with physicians, nurses, and the... ...for accurate case review and status determination... ...quality patient care. Remote Opportunity - Must... ...Nurse (RN) Part Time - $5000 Sign...Part timeRemote jobHourly payFull timeLocal areaRelocation packageFlexible hoursShift workDay shift
- ...We're Hiring: Utilization Review Nurse - RN! We are seeking a dedicated and experienced Utilization... ...effectively. Location: 100% remote - but ust be residing and licensed in... ...responsible for performing accurate and timely medical review of claims suspended for...Remote jobContract work
TapTalent.ai
Richardson, TX11 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 workWork from homeFlexible hours
- ...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
$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, TX27 days ago- ...Job Summary: Conducts utilization review for in-house patients and/or... ...positions on a routine basis. At any time, Kaiser Permanente reserves... ...setting OR if for Skilled Nursing departments, minimum two (2)... ...: 05:00 PM Job Schedule : Part-time Job Type : Standard...Part timeHourly payShift work
Kaiser
San Jose, CA25 days ago
