Remote Nurse Analyst
MRINetwork
Behavioral Health Case Manager
Responsible for providing telephonic and e-referral case review and authorization of services utilizing established mental health and substance abuse medical necessity criteria to provide quality care appropriate to clinical needs. Responsible for prospective, concurrent, and retrospective utilization management review of inpatient, residential, partial, and intensive outpatient services to ensure medical necessity, appropriate length of stay, intensity of service and level of care. Evaluate and refer cases to the Medical Director for review of medical necessity, service levels, length of stay, etc. using approved clinical protocols. Processes referral and triage calls from members to assist them in finding the appropriate behavioral health services/providers when needed. Manage member crisis calls transferred internally or received directly to the Behavioral Health Department. This includes assessing the member and contacting community emergency resources to coordinate transport for face-to-face evaluation of the member's needs. Perform other related duties as required. This position is full-time, fully remote (work from home) and requires some weekend, evening, or holiday coverage.
Top 3 Required Skills/Experience – • Strong clinical and analytic skills • Ability to work independently and function as part of a team • Ability to quickly shift tasks based on clinical urgency
Required Skills/Experience – The rest of the required skills/experience. Include: • Three (3) years of clinical experience treating mental health and substance abuse disorders required. • Proficiency with Microsoft Teams, Word, Outlook, and Excel.
Preferred Skills/Experience – Optional but preferred skills/experience. Include: • One (1) year health insurance plan experience or managed care experience preferred. • Ability to troubleshoot basic computer connections and work in multiple programs
Education/Certifications – Include: • Bachelor's degree in Nursing, or an Associate's degree in Nursing with a Bachelor's degree in allied health or related field, or Master's degree in Social Work, Psychology or Counseling required. • Current unrestricted State of Michigan clinical license (RN, LMSW, LP, LPC, or LLP) required.
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- ...Utilization Review Analyst Eagleville Hospital, an independent substance use and behavioral health treatment and educational organization serving the community for more than a century, provides innovative compassionate care to those seeking treatment for stigmatized...SuggestedWork at office
$40.12 - $62.19 per hour
...Utilization Review Nurse RN - NE ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Part-time - Weekends - Weekend shifts - 8:00am-4:30pm ~RN OTHER ~95496 ~$40.12-$62.19 Experience based ~Posted: Yesterday Apply Now Save...SuggestedPart timeShift workWeekend work$46 per hour
...Registered Nurse (RN) | Utilization Review Location: Glendale, CO Agency: Adelphi Healthcare Pay: $46 per hour Contract Duration: 1 Years Start Date: ASAP About the Position TravelNurseSource is working with Adelphi Healthcare to find a...SuggestedHourly payDaily paidLong term contractPermanent employmentFull timeContract workWork at officeImmediate startFlexible hours$1,948 - $2,043 per week
...Registered Nurse (RN) | Utilization Review Location: Burbank, CA Agency: GQR Healthcare Pay: $1,948 to $2,043 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Case Management...Hourly payWeekly payFull timeContract workImmediate startShift work$2,157 per week
...Registered Nurse (RN) | Utilization Review Location: Fort Wayne, IN Agency: GQR Healthcare Pay: $2,157 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working with...Hourly payWeekly payFull timeContract workImmediate startShift work$1,693 per week
...Registered Nurse (RN) | Utilization Review Location: Fort Walton Beach, FL Agency: GQR Healthcare Pay: $1,693 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Case Manager RN Job...Hourly payWeekly payFull timeContract workImmediate startShift work$1,972 per week
...Registered Nurse (RN) | Utilization Review Location: Asheville, NC Agency: GQR Healthcare Pay: $1,972 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Case Manager RN Job Location...Hourly payWeekly payFull timeContract workImmediate startShift work$2,528 - $2,623 per week
...Registered Nurse (RN) | Utilization Review Location: Lodi, CA Agency: GQR Healthcare Pay: $2,528 to $2,623 per week Shift Information: Days Contract Duration: 8 Weeks Start Date: ASAP About the Position Contract - W2 Case Management...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work$2,327 per week
...Registered Nurse (RN) | Utilization Review Location: York, ME Agency: Openwork Health Pay: $2,327 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 7/6/2026 About the Position Openwork Health...Weekly payFull timeContract workFlexible hoursShift work$2,740 - $2,835 per week
...Registered Nurse (RN) | Utilization Review Location: Portland, OR Agency: GQR Healthcare Pay: $2,740 to $2,835 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource is working...Hourly payWeekly payFull timeContract workImmediate startShift work$1,666 - $1,761 per week
...Registered Nurse (RN) | Utilization Review Location: Pocatello, ID Agency: GQR Healthcare Pay: $1,666 to $1,761 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Case Management...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work$2,059 - $2,154 per week
...Registered Nurse (RN) | Utilization Review Location: Milford, MA Agency: GQR Healthcare Pay: $2,059 to $2,154 per week Shift Information: Days Contract Duration: 10 Weeks Start Date: ASAP About the Position Contract - W2 Case Management...Hourly payWeekly payFull timeContract workImmediate startShift work$100 per hour
...Registered Nurse (RN) | Utilization Review Location: Sundance, WY Agency: GQR Healthcare Pay: Competitive weekly pay (inquire for details) Shift Information: Days - 5 days x 8 hours Contract Duration: 8 Weeks Start Date: ASAP About the...Weekly payFull timeContract workImmediate startShift workDay shift$2,772 per week
...Registered Nurse (RN) | Utilization Review Location: Hayward, CA Agency: Prime Staffing Pay: $2,772 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 7/20/2026 About the Position ID: 6385411...Full timeContract workShift workNight shiftWeekend work$2,064 per week
...Registered Nurse (RN) | Utilization Review Location: Anchorage, AK Agency: GQR Healthcare Pay: $2,064 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Case Manager RN Job Location...Hourly payWeekly payFull timeContract workImmediate startShift work$1,829 - $1,924 per week
...Registered Nurse (RN) | Utilization Review Location: Largo, FL Agency: GQR Healthcare Pay: $1,829 to $1,924 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Case Management...Hourly payWeekly payFull timeContract workImmediate startShift work$2,170 per week
...Registered Nurse (RN) | Utilization Review Location: Portales, NM Agency: Core Medical Group Pay: $2,170 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 7/13/2026 About the Position Client...Hourly payWeekly payFull timeContract workShift work$2,170 per week
...Registered Nurse (RN) | Utilization Review Location: Portales, NM Agency: Core Medical Group Pay: $2,170 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: 7/13/2026 About the Position TravelNurseSource...Hourly payWeekly payDaily paidPermanent employmentFull timeContract workTemporary workRelocationShift work$2,296 - $2,396 per week
...Registered Nurse (RN) | Utilization Review Location: Portales, NM Agency: United Health Care Staffing, Inc. Pay: $2,296 to $2,396 per week Shift Information: Days - 5 days x 8 hours Start Date: ASAP About the Position TravelNurseSource is...Full timeContract workLocal areaImmediate startMonday to FridayShift work$1,205 per week
...Registered Nurse (RN) | Utilization Review Location: Camden, ME Agency: Magnet Medical Pay: $1,205 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 9 Weeks Start Date: ASAP About the Position TravelNurseSource...Full timeContract workImmediate startFlexible hoursShift work$1,205 per week
...Registered Nurse (RN) | Utilization Review Location: Camden, ME Agency: Magnet Medical Pay: $1,205 per week Shift Information: Days - 3 days x 12 hours Contract Duration: 9 Weeks Start Date: ASAP About the Position The Registered Nurse...Full timeContract workImmediate startShift work$1,972 per week
...Registered Nurse (RN) | Utilization Review Location: Portsmouth, NH Agency: GQR Healthcare Pay: $1,972 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Case Manager RN Job Location...Hourly payWeekly payFull timeContract workImmediate startShift work$40.12 - $62.19 per hour
...Utilization Review Nurse RN ~ Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm ~RN OTHER ~96812 ~$40.12-$62.19 Experience based ~ Posted: July 2, 2026 Apply Now Save Job Saved...Full timeShift workWeekend workDay shift$50.14 - $77.83 per hour
...Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for...Minimum wageFull timePart timeLocal areaShift workDay shift$46.3 - $91.32 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing...Full timeLocal areaShift work$43 - $63 per hour
...Job Description Job Description The Utilization Review Nurse plays a key role in evaluating patient admissions to ensure appropriate levels... ..., or Clinical Documentation Improvement Active Nevada RN license required Minimum 3 years of Utilization Management...Relocation package$42 - $65 per hour
...Job Description Job Description Utilization Review Nurse Location: Las Vegas, NV Job Type: Full-Time Pay: $42–$65/hr + Sign-On... ...~ Graduate of an accredited School of Nursing. ~ Current RN license in the applicable state. ~5+ years of acute care nursing...Full timeRelocation package- ...BlueCross BlueShield, is hiring an Appeals Analyst. This role involves researching complex appeal requests and performing clinical reviews. The job is full-time, Monday through... ...experience in clinical settings, and an active RN license. Benefits include 401(k) match,...Full timeRemote workMonday to Friday
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