Virtual Nurse (RN) Full Time [Remote]
COMAGINE HEALTH
- Remote job
COMAGINE HEALTH is seeking Clinical Utilization Review Nurses (RN) for a full-time remote position focused on assessing the medical necessity of healthcare services in Alabama. Candidates must hold an active RN license and possess a BA/BS in nursing, alongside a minimum of 3 years of direct patient care experience. The role involves applying Medicaid program criteria, completing timely reviews, and collaborating with physicians for complex cases. A supportive remote work environment is emphasized, with opportunities for professional growth and effective patient care delivery.
#J-18808-Ljbffr COMAGINE HEALTH
- ...Clinical Utilization Review Nurses (RN) Based In Alabama Comagine Health is a national, mission-driven, nonprofit organization that has engaged in health care... ...care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role...Remote workFull timeContract work
- ...in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an active RN licensure in Alabama, with 3+ years of clinical experience... ...crucial. The position offers a remote work option along with...Remote work
- COMAGINE HEALTH is seeking a registered nurse for Clinical Review and QIDP responsibilities, working remotely from any U.S. location. The role requires an active RN license in Alabama, a BA/BS in Nursing, and at least three years of direct patient care experience. Responsibilities...Remote jobWork from home
- ...patient outcomes. Our talented remote workforce spans the country and... ...that the employee is an active RN and based in Alabama. The Supervisor, Clinical Review plays a critical role in providing... ...supervision of clinical staff who conduct utilization review and/or specialty reviews....Remote workContract work
$50 per hour
...for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting utilization reviews and ensuring healthcare documentation... ...should have an active New York State RN license and 1-3 years of experience...Remote jobHourly pay- Harris Health System, Inc. is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, TX. This... ...efficiency, ensuring quality care based on clinical guidelines. The UMRN will work closely... ...’s in Nursing and being a licensed RN in Texas, alongside significant experience...Remote jobFlexible hours
- Santa Barbara Cottage Hospital is hiring a Utilization Review Nurse for a remote position. The role involves gathering clinical information, certifying medical necessity, and... ...candidates will have a strong nursing background with RN licensure and at least 4 years of clinical...Remote job
- ...Registered Nurse with active licensure and minimum 3 years of clinical experience for a remote position. Candidates must have strong clinical... ...eligible for DoD background clearance. This role involves reviewing medical records, identifying quality issues, and supporting...Remote job
$60 per hour
Chapter 13 Trustee Middle District of Alabama is looking for a Registered Nurse Clinical Reviewer / IDR in Jericho, NY. This full-time position offers a competitive... ...licensed in New York, and possess 1-3 years in utilization review or appeals. This role contributes to...Hourly payFull time$88.85k
...Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12988 Salary Range: $88,854.00 (Min.) - $115,509.00 (...Full time$20.38 - $36.44 per hour
...Utilization Review Specialist (LVN) Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health... ...Texas, you will have the flexibility to work remotely as you take on some tough challenges....Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaFlexible hours$88.85k
...achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II facilitates, coordinates, and... ...or onsite admission and concurrent review, and collaborates with onsite staff... ...At least 5 years of varied RN clinical experience in an acute hospital setting...- ...POSITION SUMMARY: The Utilization Review Registered Nurse (UR RN) is a key contributor to the delivery of appropriate... ...conducts comprehensive reviews of clinical documentation, assesses medical... ...as required for facility based staff; optional for remote staff.Remote workWork at office
- ...Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must... ...Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking... ...position involves performing clinical reviews, assisting in quality...Remote job
- ...Job Description: Manager of Clinical Utilization Management - Denial Compliance... ...Position Type: Hybrid (85% remote, 15% onsite in Northridge,... ...managing daily tasks, performance reviews, and any necessary... ...Registered Nursing Program; RN preferred. 2. Minimum of five...Remote workPermanent employmentFull timeTemporary workFlexible hours
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL 60936 Overview... ...Hybrid (combination of in person and remote considered) GENERAL SUMMARY The... ...and issues on a case-by-case basis with clinical staff. Demonstrates working knowledge...Remote workHourly payFull timeWork at officeRelocation packageShift work$47.06k - $70.24k
...healthcare solutions provider is seeking a Utilization Review Nurse in Fort Worth, TX. This remote role involves analyzing medical bill... ...examiners. Candidates must have a current RN license and at least four years of clinical experience, particularly in medical bill...Remote job$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...contact and will include 80% travel. Remote role. Will require a driver’s license.... ...complaints and appeals. Licensed Clinical Social Worker/Registered Nurse License...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$35 - $45 per hour
Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential... ...records, treatment requests, and clinical documentation to support timely, accurate... ...Comfortable working independently in a remote or office-based setting. Working Conditions...Remote workWeekly payContract workWork at officeMonday to Friday- Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote jobWork from homeFlexible hours
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health... ...contact and will include 80% travel. Remote role. Will require a driver’s license.... ...complaints and appeals. Licensed Clinical Social Worker/Registered Nurse License...Remote workHourly payFull timeContract workImmediate startShift work3 days per week- ...provider in Chicago is hiring a Clinical Care Manager to oversee high-quality... ..., patient-centered care through Utilization Review. The role requires an active RN license in Illinois and... ...position offers the flexibility of remote work while supporting professional...Remote job
- A national nonprofit organization is seeking a Registered Nurse (RN) to perform Clinical Review work and QIDP reviews. This remote position requires an active RN license in Alabama and at least three years of direct patient care experience. Key responsibilities include...Remote job
- ...Health Partners is looking for an RN Concurrent Review nurse to guide utilization management efforts in our mission-... ...This role offers hybrid or fully remote arrangements, with major responsibilities... ...and have at least two years of clinical nursing experience. Join us in...Remote job
- Village Center for Care, Inc. is seeking a self-motivated RN for the role of Utilization Review Nurse in a full-time, hybrid position located in the... ...requires familiarity with Medicaid/Medicare regulations and clinical guidelines, along with inpatient experience. #J-18808-...Remote jobFull time
- ...Job Description Fully remote- Must have state of MI unrestricted RN license. You will perform... ...and retrospective review of inpatient, outpatient... ...skills (Microsoft office) Clinical experience in ICU, ER,... ...unit preferred Prefer utilization management experience...Remote workWork at officeFlexible hours
- ...Health Partners is seeking Senior Virtual Utilization Review Specialists to join their remote team in the United States. This role... ...experience, possess current LPN or RN compact licensure, and have strong communication and clinical assessment skills. The position offers...Remote job
- Itlearn360 is seeking a dedicated Utilization Management professional based in the Town... ...requires state licensure as either an LPN or RN and a minimum of 2 years of experience... ...Management. Responsibilities include reviewing patient clinical information, coordinating with...Full time
- A health organization is seeking a Registered Nurse (RN) to perform clinical review and QIDP work remotely. The ideal candidate will assess medical necessity according to Alabama Medicaid guidelines and possess a current RN license in Alabama, along with a BA/BS in Nursing...Remote job
$45k - $70k
A leading healthcare company is looking for a Utilization Management Nurse Reviewer to ensure medical services are appropriately utilized. Responsibilities... ...A valid nursing license and a minimum of two years of clinical experience are required. The role offers a competitive...Remote job
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