Average salary: $105,864 /yearly
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$38 - $40 per hour
...responsible for performing initial, concurrent review activities; discharge care coordination... .... Provides information regarding utilization management requirements and operational... ...QUALIFICATIONS (Required) ~ Registered Nurse (RN) with a valid, current, unrestricted...SuggestedHourly payContract workWork at officeRemote workMadea Home Care Services
Plano, TX2 days ago- ...position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract... ...findings. Organizational skills and prioritization skills. Registered Nurse (RN) with unrestricted license in state . 3 years clinical experience...SuggestedFull timeContract workRemote work
Innovative Systems Group
Richardson, TX1 day ago $35 - $40 per hour
...Base Pay Range $35.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of...SuggestedContract workRemote workFlexible hoursWeekend workIntePros
Phoenix, AZ1 day ago- ...Clinical Review Nurse - REMOTE Location: 100% Remote in California Schedule: Monday-Friday, 8:00 AM-5:00 PM Pay: $66/hr We are hiring... ...focused on appeals, grievances, medical necessity review, and utilization management . This Clinical Review Nurse role is ideal for an...SuggestedRemote workMonday to Friday
A-Line Staffing Solutions
Alameda, CA1 day ago - A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...SuggestedContract workRemote work
IntePros
Phoenix, AZ1 day ago $38 - $40 per hour
A healthcare provider is looking for a Registered Nurse (RN) for a remote position in Texas. The RN will be responsible for various review activities and care coordination in the insurance or managed care sector. Candidates must have a valid RN license in Texas and at...SuggestedHourly payContract workRemote workMadea Home Care Services
Plano, TX2 days ago- Currently seeking a Utilization Management RN . Please see details and qualifications below:... ...equipment Must have an active PA license or a Nurse Licensure Compact to include PA. **... ...conditions through medical record review to determine medical necessity for services...SuggestedImmediate startRemote workDay shift
- What We're Looking For We have openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse ensures all aspects of an injured worker’s treatment are effective, efficient, and in accordance with applicable legal requirements. This is...SuggestedPermanent employmentFull timeWork at officeWork from home2 days per week
- ...elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious... ...University of Texas MD Anderson Cancer Center. Job Summary The Utilization Management Review Nurse (UMRN) performs technical and administrative work...SuggestedWork experience placementReliefWork at officeRemote workFlexible hoursWeekend work
- A state welfare agency in San Antonio is seeking a Nurse II to join their Medicaid CHIP Services team. The successful candidate will handle utilization reviews and ensure proper service delivery in various programs for individuals with intellectual and developmental disabilities...SuggestedRemote jobFull time
$30 - $34 per hour
Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS - UM This is a fully remote position. Description Astrana Health is looking for an experienced...SuggestedRemote jobHourly payMonday to Friday$71.61k - $111k
Utilization Review Nurse page is loaded## Utilization Review Nurselocations: 43 New Scotland Avenue Albany, NY 12208time type: Full timeposted on: Posted Todayjob requisition id: 69429Department/Unit:Care Management/Social WorkWork Shift:Day (United States of America)Salary...SuggestedRemote workShift work$4,801.16 - $7,761.5 per month
...advancement, and more. Benefits of Working at HHS webpage contains additional details. Position Details Functional Title: Utilization Review Nurse Job Title: Nurse II Agency: Health & Human Services Comm Department: UR Wav & Comm Srvs Ran Mmt St Posting Number: 151...SuggestedFull timeTemporary workPart timeWork at officeRemote workShift work$55 per hour
...message the job poster from Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare space. Location:... ...or clinic setting. Preferred: Experience in case management, utilization management, or discharge planning. Experience working in a...SuggestedFull timeContract workTemporary workLocal areaRemote work- ...experience performing care for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical... ...in the appropriate setting. Minimum Requirements Education Nursing Diploma/Associate's Experience 2-5 years Supervisor Experience...SuggestedFull timeReliefLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift work
- ...about this position, we encourage you to apply - even if your experience doesn’t match every requirement. About the role The Utilization Review Nurse is responsible for reviewing and processing medical services requests for members of Quantum Health’s employer groups in...Permanent employmentCasual workWork at office
- Job Title: Nurse Case Management Senior Analyst Location: Remote Schedule: 8am to 5pm... ...conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan,... ...prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation,...Immediate startRemote work
- ...PA, NJ, or DE Employment type: Contract to full-time hire Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN with a valid PA license (or Compact)to join our team. This position is ideal for an RN with prior work in insurance utilization...Full timeContract workRemote work
- A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote jobFull timeWork at officeWork from home
$78.56k - $110.91k
A healthcare organization is seeking a Licensed Registered Nurse to work remotely in the Utilization Management Department. Responsibilities include evaluating medical necessity for admissions, coordinating complex cases, and supporting staff with medical documentation...Remote jobPart time$78.56k - $110.91k
...Facility: Ascension Saint Thomas Department: Utilization Management Schedule: Part Time |... ...Will Do: Admissions & Medical Necessity Review: Evaluating service requests and admissions... ...equipment, or transfers to skilled nursing facilities. Compliance & Reporting: Overseeing...Temporary workPart timeLocal areaRemote workWeekend work- OverviewTitle: Clinical Review Nurse - Prior Authorization ReviewLocation: Fully Remote (PST Time Zone - WA/OR Resident)Duration: 12-Month... ...Review Nurse for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct concurrent and...Remote work
- ...Job Title: Quality Review Specialist Location: Remote in NM, TX, IL, OK, MT Pay: $38.27/hr on W2 Duration: 6+ months contract... ...year) and one weekend every 3rd weekend. 1.Work closely with Utilization Management (UM), Case Management (CM) and Customer Service (CS...Contract workRemote workShift workWeekend work
Innovative Systems Group
Albuquerque, NM4 days ago - ...Job Title: Utilization Review Nurse Location: Remote in IL, TX, NM, MT or OK Duration: 6+ months contract (possible extension) Pay: $41.45/hr on W2 Registered Nurse responsible for collaborating with healthcare providers, members, and business partners, to...Contract workLocal areaRemote work
Innovative Systems Group
Richardson, TX2 days ago - A national insurance group in Omaha seeks a full-time Utilization Review Nurse to oversee treatment requests and ensure compliance with guidelines. Candidates should have a BSN or RN degree and at least 5 years of clinical experience in critical care. The role involves...Remote jobFull time
- ...extension Overview We are seeking an experienced Inpatient RN Utilization Reviewer to independently manage a clinically complex inpatient... ...assigned. Requirements Education & Licensure: Registered Nurse with a current, unrestricted MA state license BSN preferred...Daily paidContract workRemote workShift workWeekend work
- Insight Global is looking for a Utilization Review Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for evaluating 3.5 patient care cases per hour (both inpatient and outpatient) and collaborating with doctors...Hourly payRemote work
- ...Description Job Description Description: Nurses – are you looking for a change? Want to... ...DESCRIPTION: This individual will utilize clinical knowledge and communication... ...individual will defer decision to a second level reviewer. This individual interfaces with case...Temporary workWork at officeRemote workWork from homeMonday to FridayFlexible hours
Hines & Associates Inc
Rockford, IL1 day ago $34 - $47 per hour
Astrana Health is seeking a CA-licensed Utilization Review Nurse for remote work. This role involves using clinical judgment to approve or deny outpatient medical services based on Medical Necessity Criteria. Candidates must have at least one year of outpatient UM experience...Remote jobHourly payShift work$34 - $47 per hour
Astrana Health, Inc. seeks a CA-licensed UM Review Nurse to work remotely, approving or denying outpatient services based on medical necessity. Candidates need at least one year of outpatient UM experience and must reside in California. This full-time position involves...Remote jobHourly payFull timeFlexible hours
