Virtual Health RN [Remote]
Quantum Corporation
- Remote job
Quantum Health in Dublin, OH is seeking a Registered Nurse for Transplant Utilization Review. This hybrid role reviews inpatient requests, ensures alignment with plan language, and collaborates with providers to promote appropriate, cost-effective care.
The role supports discharge planning, engages with patients and facilities, and requires strong clinical judgment, communication, and documentation skills. Hybrid work is available; remote options apply if outside mileage limits.
#J-18808-Ljbffr Quantum Corporation
- RN, Registered Nurse- Transplant Utilization Review Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare... ...Located at our Dublin, OH campus with hybrid flexibility. Fully remote if live >50 miles from Dublin campus What you...Remote workPermanent employmentCasual work
- ...Job Description Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It is a hybrid position with 1-2 days per week on-site required.Collaborates with the physician, nurse case manager...Suggested2 days per week1 day per week
$40.12 - $62.19 per hour
...Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses... ...clinical information. This is a Full-time remote position. Responsibilities: The Utilization Review RN reviews the medical record by applying...Remote workFull time$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying medical...Remote workHourly pay- A healthcare organization in Texas is seeking an RN Utilization Review Coordinator to perform utilization reviews and ensure medical necessity... ...at least five years of relevant experience. This full-time hybrid position emphasizes attention to detail and critical thinking...SuggestedFull time
- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews,...Remote work
$35.29 - $54.71 per hour
...- CO Department: Transplant Medicine Work Schedule... ...and does not offer a hybrid or remote option Work nights,... ...a Registered Nurse (RN). ~6 months of nursing... ...direct patient care utilizing the nursing process... ...of living. Market reviews: All UCHealth positions...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift$30 - $34 per hour
A health services company is seeking a Utilization Management Review Nurse in Monterey Park, CA. This hybrid role includes conducting reviews for inpatient admissions and outpatient procedures, ensuring compliance with regulations, and working collaboratively with the team...Hourly payWeekend work- ...RN Integrated Care Coordinator (UM) The RN Integrated Care Coordinator (UM) provides... ...weekend hours are required to address utilization review cases. Roles and Responsibilities... ...Telecommuting Requirements This is a remote position. Our whole company works...Remote workLive inFlexible hoursWeekday work
$35 - $43 per hour
...expertise into life-changing decisions, one review at a time? Why This Role Matters... ...Experience: ~ Current, unrestricted RN license in the United States or a U.S. territory... ...-surg, ICU/ED, or similar setting) ~ Utilization review/utilization management experience...Remote workHourly payImmediate startMonday to FridayFlexible hours- ...Utilization Review NurseWe are seeking a detail-oriented and experienced Utilization Review Nurse... ...is a licensed Registered Nurse (RN) with experience in utilization management... ...or utilization management department. Remote, hybrid, or on-site opportunities depending on...Remote workWork at office
- ...Job summary: Acrisure is seeking a Utilization Review Nurse, LPN to evaluate treatment requests and... ...conditions is also highly valued. This is a hybrid position with two days per week in the office and three days remote. Candidates must also have flexibility to...Remote workWork at officeImmediate startFlexible hours2 days per week
$30 - $38 per hour
A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote jobHourly payPart time$1,966 per week
...Holidays Work-life balance. Remote/hybrid setting (once trained) ROLE DESCRIPTION... ...: This individual will utilize clinical knowledge and... ...defer decision to a second level reviewer. This individual interfaces with... ...but is not limited to RN, LMSW, LMHC. Successful completion...Remote workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours$68.4k - $100.4k
...Full-Time Rn Case Manager DaVita Integrated... ...Through medical record review and consultation, you... ...Details: Location: Hybrid-Remote. Work from home (telehealth... ...~1+ years of utilization management experience... ...dialysis, seeking a kidney transplant or receiving life-sustaining...Remote jobMinimum wageFull timeWork from homeHome officeMonday to FridayFlexible hours$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay Range: $35.00 - $45... ...-paced environment. Comfortable working independently in a remote or office-based setting. Working Conditions May be exposed...Remote workWeekly payContract workWork at officeMonday to Friday- ...Fully Remote Utilization Review Position Setting: Fully Remote – Utilization Review Schedule: Full-Time, Monday–Friday Hours: Standard business... ...Patient Volume: N/A Job Requirements: Active RN license with Multi-State/Compact license required Minimum...Remote workFull timeMonday to Friday
- ...R1 RCM is seeking an experienced Utilization Review Author (RN) for our Physician Advisory Team. The role involves first-level admission and continued stay reviews using InterQual/MCG criteria and requires hospital-based UR or Case Management experience. The position offers...Remote workFlexible hours
- University of Miami Health System seeks a full-time Utilization Review Case Manager to work remotely. The role reviews patient charts for prior authorization, concurrent and retrospective utilization, coordinating with the care team for timely and appropriate care. You...Remote jobFull time
- ...RN Utilization Review Review patient medical records to assess the appropriateness and medical necessity of hospital admissions, continued... ...management experience (hospital-based) ~ Skilled experience with remote work Length of assignment: 13 weeks Shift / hours...Remote workShift workWeekend work
- ...Ascension Sacred Heart Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment with reimbursement policies. Join a multidisciplinary...Remote work
- Spectrum Healthcare Resources seeks a Utilization Manager Registered Nurse (UMRN) to work entirely from home in a fully remote role. The nurse will review cases, educate patients on... ...schedule of 8 hours per day, requiring an RN with a Bachelor's degree, state licensure...Remote jobWork from homeMonday to Friday
- ...HealthHelp is seeking a remote Utilization Review clinician (RN/LPN/LVN) to support medical necessity determinations across client programs. You will review cases, coordinate with providers, and ensure timely decisions in line with policy and regulatory requirements. Ideal...Remote workWork at office
$65 per hour
...RN – Utilization Review Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30)... ...No Locals accepted? No. Pending License accepted: No Fully Remote Position RTO Restrictions: Please include all RTO at the time...Remote workHourly payLocal areaImmediate startMonday to FridayShift workWeekend work- ...RN Utilization Review Location: Torrance, CA Job Type: Travel Discipline: RN Specialty: Utilization Review Facility Setting: Short Term Acute Care (STAC) Accepting Locals per Radius Rule?: Yes Contract Length: 13 weeks Shifts: Days Shift Details...Remote workContract workTemporary workLocal areaShift work
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...Remote job
- ...Overview In this role, you will manage utilization review processes, ensuring quality patient care while optimizing resource use. Your... ...weekend, contributing to a collaborative and supportive remote work environment. Benefits ~ Weekly Pay...Remote workWeekly payMonday to FridayWeekend work
$45 - $50 per hour
...for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical... ...nursing programs with an active New York RN license. #J-18808-Ljbffr kozmetickesluzby....Remote jobHourly pay- Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective...Remote jobFull timeContract work
- ...BlueShield South Carolina subsidiary, seeks a Medical Reviewer II (RN) to perform medical claim reviews and... ...guidelines. The role documents decisions and supports utilization review across multiple services. The position is remote, full-time, with standard hours 8:00 AM-5:00...Remote jobFull time
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