Jobs: remote utilization management nurse

About Remote Remote is solving global remote organizations’ biggest challenge: employing anyone anywhere compliantly. We make it possible for businesses big and small to employ a global team by handling global payroll, benefits, taxes, and compliance (learn more about how it works ). All of our positions are fully remote. You do not have to relocate to...

Job DescriptionJob DescriptionDescription:We are looking for a utilization management representative to join our team. This position is a remote role but you must live in Indiana to be eligible. This role is Monday - Friday 8am- 5pm EST and the pay for this role is $18.00/hr.Responsible for coordinating cases for precertification and prior authorization...

Job DescriptionJob DescriptionSeeking an RN with Managed Care and Utilization Management experience to review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria. This position is remote, but requires the candidate to reside in the state of S.C. and attend 1 week of mandatory training onsite, then it will be fully remote....

ProgenyHealth Utilization Management RN Supervisor (Remote) Plymouth Meeting, PA 19462 ProgenyHealth empowers our health plan and employer partners to change the trajectory of maternal and infant health outcomes across America. Informed by more than 20 years of experience and patient data, our end-to-end maternal and infant care management solution helps...

Clinical Management Consultants is excited to offer a rewarding career opportunity for a Remote Nurse Recruiter in Colorado Springs, CO and surrounding areas. This is a fully remote position. In this challenging and fast paced role, the Remote Nurse Recruiter, Nurse, Remote, Healthcare, Staffing, Nursing, Recruiting

Job Description Job Description Enumerate is looking for a Customer Success Manager to grow with our team Our Customer Success Manager position is meant for a born persuader, someone who succeeds by building strong relationships and problem solving on their customer’s behalf. Your enthusiasm, focus on people, and need for challenging, yet rewarding work...

Utilization Management Clinical Registered Nurse - The Health Plan - RemoteJob Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role...

Utilization Management Clinical Registered Nurse - The Health Plan - RemoteJob Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role...

Utilization Management Clinical Registered Nurse - The Health Plan - RemoteJob Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role...

Utilization Management Clinical Registered Nurse - The Health Plan - Remote Job Summary We are searching for a Utilization Management Clinical RN -- someone who works well in a fast-paced setting. In this position, you will provide precertification of inpatient hospitalizations and all outpatient procedures and services requiring authorization. This role...

We are looking for a Utilization Management, RN - IN to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives. McLaren Health Plan and MDwise, Inc.,...

This role is for two (2) 12hours per week and this is a night position 10P-10A requiring every 3 rd weekend and Friday rotation. Essential FunctionsCollaborates and coordinates with all members of the health care team, patient and family (or significant others) to coordinate and ensure timely and efficient delivery of required workflow, services and tasks...

Description This role is for two (2) 12hours per week and this is a night position 10P-10A requiring every 3rd weekend and Friday rotation. Essential Functions Collaborates and coordinates with all members of the health care team, patient and family (or significant others) to coordinate and ensure timely and efficient delivery of required workflow, services...

Job DescriptionJob DescriptionDescription:Ideal candidate will have Behavioral Health experience in a health care setting and or Utilization Review/ Case Management. This is a full-time position Sunday-Thursday 8am-5pm. The pay for the role is $76,000/yr. This position is primarily provider facing.· Uses appropriate screening criteria knowledge and clinical...

About Remote Remote is solving global remote organizations’ biggest challenge: employing anyone anywhere compliantly. We make it possible for businesses big and small to employ a global team by handling global payroll, benefits, taxes, and compliance (learn more about how it works ). We're backed by A+ investors and our team is world-class, literally...

Job DescriptionJob DescriptionAbout usOur goal is to Assist architects, developers, Contractors, and homeowners in applying for, expediting, and perfecting their utility needs on a variety of projects. If you don't have project management or general coordinating experience working with utilities, please do not apply.Job duties include:1. Track down utility...

About us Job duties include: 1. Track down utility service planners in different jurisdictions. **Salary**: $24.00 - $30.00 per hour Expected hours: 40 per week **Benefits**: - Health insurance - Paid time off Schedule: - Monday to Friday Supplemental pay types: - Bonus opportunities Application Question(s): - Availability to work 8am to 5pm...

Overview: Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for services reimbursement. Ensures the patient care team is aware of general length of stay requirements for all patients. Facilitates physician documentation...

Job DescriptionJob Description**Position is fully onsite Mon-Friday, Bilingual in Spanish is required**Location: 9250 NW 36th St, Miami, FL 33178Location: Doral, Fl (Onsite)About Us:At Solis Health Plans, we are not just another Medicare Advantage company; we are a community of passionate professionals dedicated to enhancing the well-being of the communities...

RN Case Manager - Utilization Management Description All nursing practice is based on the legal scope of practice, national and specialty nursing standards, our Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for...