- ...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...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
- ...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
- ...Description: Nurses – are you looking for a change... ...work from home 50% of the time once trained? Check out... ...Work-life balance. ~ Remote/hybrid setting (once... ...This individual will utilize clinical knowledge and... ...decision to a second level reviewer. This individual interfaces...Remote jobHoliday workTemporary workFlexible hoursNight shiftMonday to Friday
- ...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
- 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
- ...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
- ***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
- 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
- ...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... ...management Fully remote position The estimate displayed...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- ...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
- ...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
- ...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
- ...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
- ...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
- ...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
- ...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
- ...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
- ...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