Utilization review nurse near me

staff - Registered Nurse (RN) - ED - Emergency Department - $73K-104K per year
Apply

ChenMed is seeking a Registered Nurse (RN) ED - Emergency Department for a nursing job in Westwego, Louisiana. Job Description & RequirementsSpecialty: ED - Emergency...

Travel Nurse RN - Med Surg / Telemetry - $2,948 per week
Apply

Trustaff is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Marrero, Louisiana. Job Description & RequirementsSpecialty: Med Surg /...

Travel Nurse RN - Home Health - $1,890 per week
Apply

Ardor Health Solutions is seeking a travel nurse RN Home Health for a travel nursing job in New Orleans, Louisiana. Job Description & RequirementsSpecialty: Home...

Utilization Review Nurse - Remote - Contract
Apply

Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay: $41/hour Job Responsibilities: RN working in the insurance or managed...

Remote Utilization Management RN Medicare/MA
Apply

A leading healthcare provider in Minnesota is seeking a Registered Nurse (RN) to join their team. The role involves collaborating with healthcare givers in reviewing medical care and services. Candidates should possess an active RN license and at...

Clinical Reviewer, Grievance & Appeals (Remote)
Apply

Clinical Operations Perform clinical and administrative reviews within the Grievance and Appeals department, ensuring accurate administration of benefits, execution of clinical policy, timely access to appropriate levels of care and...

Remote RN: After-Hours Telehealth Care
Apply

A healthcare organization in Massachusetts is seeking a Per Diem Registered Nurse for their After Hours Call Program. This remote role requires a commitment of at least one weekend per month and includes providing virtual visits and clinical...

Clinical Registered Nurse - Utilization Management - Remote
Apply

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Remote Nurse Reviewer I - Imaging Utilization & Preauth
Apply

A leading healthcare organization is looking for a Nurse Reviewer I to conduct preauthorization and appropriateness of treatment reviews for diagnostic imaging services. The role supports remote work and requires an associate degree in nursing...

RN Quality Assurance Remote Audits & QAPI Impact
Apply

A leading care provider is seeking a Registered Nurse - Quality Assurance to oversee audits and ensure high-quality standards in care. The ideal candidate will hold a valid RN licensure, have at least two years of nursing experience, and possess...

Travel Nurse RN - Dialysis - $2,686 per week
Apply

Healthcare Support is seeking a travel nurse RN Dialysis for a travel nursing job in Jefferson, Louisiana. Job Description & RequirementsSpecialty:...

Remote RN Case Review Specialist (QA & Scheduling)
Apply

A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely...

Clinical Registered Nurse - Utilization Management - Remote
Apply

Registered Nurse As a Registered Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process...

Clinical Appeals RN - Commercial LOB - Remote in US
Apply

Join UnitedHealthcare At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better.

NPC Utilization Review, Remote Registered Nurse
Apply

NPC Utilization Review, Remote Registered Nurse Take your career to the next level with an assignment at one of New England's premier healthcare destinations! Supplemental Health Care is hiring experienced NPC Utilization Review, Remote...

Registered Nurse (Specialty Phone Triage) - Remote Opportunity
Apply

Registered Nurse (Specialty Phone Triage) - Remote Opportunity Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with...

RN UM Clinical Appeals Nurse Remote
Apply

Clinical Appeals Nurse The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina...

Utilization Management RN - Remote
Apply

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data...

Remote Utilization Review Case Manager (RN)
Apply

A national risk management solutions provider seeks a remote Utilization Review Case Manager in California to assess patient admissions and treatment. Responsibilities include certifying medical necessity and collaborating with healthcare teams.

Weekend RN - Remote Triage (Sat/Sun)
Apply

A healthcare system in Monroe, NC, is seeking a part-time Registered Nurse to provide high-quality care through evidence-based practices. The role involves nursing process assessments, collaboration with care teams, and remote work...

Registered Nurse (RN) - General Ambulatory Services, Remote, Evenings
Apply

Remote Registered Nurse (RN) Nurse Triage The RN Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is 100% hands-on, responsible for assessing patient symptoms,...

Registered Nurse (RN) - General Ambulatory Services, Remote, Nights
Apply

Remote Registered Nurse (RN) Nurse Triage The Overnight RN Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is 100% hands-on, responsible for assessing patient symptoms,...

Clinical Documentation Integrity Specialist- RN- Remote
Apply

Clinical Documentation Improvement (CDI) Specialist Registered Nurse (RN) When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. This position is remote. Candidates must be local...

RN-Referral Liaison, Continuum of Care/Remote PRN
Apply

Experienced Nurse For Home Health Or Case Management SSM is looking for an experienced nurse with Home Health or Case Management experience that has a dynamic personality with a ton of energy and passion for Home base care. Someone with...

PRN - Remote ENT Utilization Review Work
Apply

Join to apply for the PRN - Remote ENT Utilization Review Work role at Medical Review Institute of America Flexible Independent Contractor (1099) Opportunity FOR PHYSICIANS ONLY Current Unrestricted MINNESOTA,...

RN Triage Nurse - Remote at Get It - Healthcare Charlotte, NC
Apply

RN Triage Nurse - Remote job at Get It - Healthcare. Location: Charlotte, NC Job Description: Are you an experienced RN with pediatric and adult care expertise? Do you thrive in fast-paced environments and enjoy...

Data Entry Processing Specialist - Work From Home
Apply

[Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay - As a Data Entry Processing Specialist at Verra Mobility, you will: Review, assess, and perform data entry tasks for photo enforcement program events using web-based tools;...

Family Health Advocate - Remote
Apply

Job Description: Sharecare is the leading digital health company that helps people – no matter where they are in their health journey – unify and manage all their health in one place. Our comprehensive and data-driven...

RN Coordinator-Utilization Review/Full Time/Remote
Apply

Business (Non-Clinical) General Summary: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered. Combines clinical, business,...

RN (Hybrid/Remote)-Endocrinology Office Albany, NY Full Time
Apply

Employment Type: Full time Shift: Day Shift Description: RN - Endocrinology Office Albany, NY / Hybrid Remote FT If you are looking for an RN II position in an outpatient Endocrinology...