- **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 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
- ...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
- ...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
- ...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
- 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
- ***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
- 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
$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 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
- ...might be a perfect fit for you! Position Summary: As the Utilization Review Coordinator, you will develop and implement systems for... ...individuals with disabilities and if you need reasonable accommodation during any time of the employment process, please reach out.Part timeRemote jobLocal areaImmediate start
- ...RESPONSIBILITIES: The Inpatient Utilization Management (UM) RN is... ...include: Review of prospective, inpatient... ...services. Perform timely concurrent reviews for... ...California Registered Nurse License required. Bachelor... ..., AZ, NV, TX, WA, OR; remote and on site in Alameda...Part timeRemote jobFull timeLocal areaImmediate startWeekend work2 days per week3 days per weekMonday to Friday
- 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
- ...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
- ...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
- ...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
- RN Utilization Review Nurse (Washington D.C. Medicaid) JR149756 Location : This... ...engagement with the autonomy of remote work, promoting a dynamic... ...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 workTemporary workWork experience placementLocal 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
$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 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
$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 time- ...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
- ...Summary The Utilization Management (UM) Registered Nurse (RN) is responsible for UM reviews for patients who receive hospital... ...awards Paid Time Off: 50 days of paid... ...position is full-time, part-time or intermittent.... ...and administrative, remote and onsite, paid and...Part timeRemote jobHoliday workPermanent employmentFull timeTemporary workFor contractorsTraineeshipImmediate startRelocationFlexible hoursShift workWeekend work
- ...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... ...Flexible work solutions include remote options, hybrid work...Remote jobHoliday workFlexible hoursMonday to Friday