Registered Nurse - Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital ...
Registered Nurse - Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital ...
Day 5x8-Hour (08:00 - 16:30) Weekly Schedule: 40 Hours Certifications/License Mandatory Experience: * RN Utilization Review * 3 Years exp * MUST have CA license * Epic Required Get in Touch: We want ...
New
Day 5x8-Hour (08:00 - 16:30) Weekly Schedule: 40 Hours Certifications/License Mandatory Experience: * RN Utilization Review * 3 Years exp * MUST have CA license * Epic Required Get in Touch: We want ...
New
Fully remote if live >50 miles from Dublin campus What you'll do (Essential Responsibilities ... Licensed Practical Nurses (LPNs) currently employed by Quantum Health may also be considered.
Fully remote if live >50 miles from Dublin campus What you'll do (Essential Responsibilities ... Licensed Practical Nurses (LPNs) currently employed by Quantum Health may also be considered.
Utilization Management Nurse, LVN/LPN Remote NeueHealth is a value-driven healthcare company ... The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical ...
Utilization Management Nurse, LVN/LPN Remote NeueHealth is a value-driven healthcare company ... The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical ...
Remote: Utilization Review Specialist
Los Angeles, CA · Remote
$80K - $90K/yr
... * Assist with appeals, denials management, and corrective actions related to utilization review ... LPC, LCSW, LMFT, RD, RN, LVN, LPN, or PsyD * Experience in utilization review or case management ...
Remote: Utilization Review Specialist
Los Angeles, CA · Remote
$80K - $90K/yr
... * Assist with appeals, denials management, and corrective actions related to utilization review ... LPC, LCSW, LMFT, RD, RN, LVN, LPN, or PsyD * Experience in utilization review or case management ...
Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic ...
Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic ...
They are available to assist in utilization management questions for patients in outpatient spaces ... Concurrent reviews are completed by the UM RN every three days or sooner, when consulted, to ...
They are available to assist in utilization management questions for patients in outpatient spaces ... Concurrent reviews are completed by the UM RN every three days or sooner, when consulted, to ...
Remote Registered Nurse In this remote role, the RN will manage utilization reviews, ensuring patient care meets medical necessity standards. Responsibilities include assessing patient cases ...
New
Remote Registered Nurse In this remote role, the RN will manage utilization reviews, ensuring patient care meets medical necessity standards. Responsibilities include assessing patient cases ...
New
RN Utilization Review Behavioral Health
Nevada Mass, NV · Remote
$42/hr
RN Utilization Review Behavioral Health Work Location ... Telecommute (Remote) Work Hours: 8:00 AM-5:00 PM PST Pay Rate: $42.00/hour License Preference:
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RN Utilization Review Behavioral Health
Nevada Mass, NV · Remote
$42/hr
RN Utilization Review Behavioral Health Work Location ... Telecommute (Remote) Work Hours: 8:00 AM-5:00 PM PST Pay Rate: $42.00/hour License Preference:
Case Manager, RN- Utilization Review
Tampa, FL · On-site +1
The UMN performs admission, concurrent, and retrospective utilization reviews using clinical ... a remote or hybrid work environment. * Licensed as a Registered Nurse in the state of Florida
Case Manager, RN- Utilization Review
Tampa, FL · On-site +1
The UMN performs admission, concurrent, and retrospective utilization reviews using clinical ... a remote or hybrid work environment. * Licensed as a Registered Nurse in the state of Florida
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Provide case management and/or consultation for complex cases. * Assist departmental staff with ... What minimum qualifications you'll need Licensure / Certification / Registration: * Registered ...
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Provide case management and/or consultation for complex cases. * Assist departmental staff with ... What minimum qualifications you'll need Licensure / Certification / Registration: * Registered ...
CA Utilization Review Nurse I
$30.64 - $45.80/hr
This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ...
CA Utilization Review Nurse I
$30.64 - $45.80/hr
This is a remote position. Essential Functions & Responsibilities: * Identifies the necessity of ... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ...
RN Utilization Review PRN
$40.41 - $57.05/hr
Remote Facility: Ascension Care Management Insurance Department: Utilization Review Schedule: Day ... Operational & Denial Support: Assist interdisciplinary teams with coding, clinical documentation ...
RN Utilization Review PRN
$40.41 - $57.05/hr
Remote Facility: Ascension Care Management Insurance Department: Utilization Review Schedule: Day ... Operational & Denial Support: Assist interdisciplinary teams with coding, clinical documentation ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ... Remote
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ... Remote
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ... Remote
Quick apply
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
... LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and ... Remote
Remote After Training Great care starts with great people. (Like you.) At HonorHealth, you'll find ... Registered Nurse (RN) State And/Or Compact State Licensure - Required * Certified Case Management ...
Remote After Training Great care starts with great people. (Like you.) At HonorHealth, you'll find ... Registered Nurse (RN) State And/Or Compact State Licensure - Required * Certified Case Management ...
Licensed Practical Nurse-PRN
Suffolk, VA · Remote
$50/hr
Remote IV Hydration LPN As a Remote LPN focused on IV hydration, you will use your clinical ... Review client intake forms, medical histories, and lab work (if applicable) to help determine IV ...
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Licensed Practical Nurse-PRN
Suffolk, VA · Remote
$50/hr
Remote IV Hydration LPN As a Remote LPN focused on IV hydration, you will use your clinical ... Review client intake forms, medical histories, and lab work (if applicable) to help determine IV ...
Remote Triage & Home Health LPN experience highly preferred *Potential Start Date: 9/14/26 *New ... Ensure compliance with state/local/payer requirements through review of documentation * Provide ...
Remote Triage & Home Health LPN experience highly preferred *Potential Start Date: 9/14/26 *New ... Ensure compliance with state/local/payer requirements through review of documentation * Provide ...
Remote Triage & Home Health LPN experience highly preferred *Potential Start Date: 9/14/26 *New ... Ensure compliance with state/local/payer requirements through review of documentation * Provide ...
Remote Triage & Home Health LPN experience highly preferred *Potential Start Date: 9/14/26 *New ... Ensure compliance with state/local/payer requirements through review of documentation * Provide ...
Remote Triage & Home Health LPN experience highly preferred *Potential Start Date: 9/14/26 *New ... Ensure compliance with state/local/payer requirements through review of documentation * Provide ...
Remote Triage & Home Health LPN experience highly preferred *Potential Start Date: 9/14/26 *New ... Ensure compliance with state/local/payer requirements through review of documentation * Provide ...
Assistant Remote Lpn Utilization Review information
See salary details
$16.11 - $18.14
2% of jobs
$18.14 - $20.17
3% of jobs
$20.17 - $22.20
7% of jobs
$24.19 is the 25th percentile. Wages below this are outliers.
$22.20 - $24.24
13% of jobs
$24.24 - $26.27
16% of jobs
The median wage is $27.71 / hr.
$26.27 - $28.30
13% of jobs
$28.30 - $30.33
17% of jobs
$31.12 is the 75th percentile. Wages above this are outliers.
$30.33 - $32.36
12% of jobs
$32.36 - $34.40
9% of jobs
$34.40 - $36.43
4% of jobs
$36.43 - $38.46
4% of jobs
$16
$28
$38
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Job description
This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).
Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).
InterQual experience is mandatory; candidates without this will not be considered.
Proficient in Epic, with recent use within the last 6–12 months.
Experience working with HMOs, IPAs, and similar managed care organizations.
Strong knowledge of Medicare regulations and associated utilization management processes, including:
- Condition Code 44 (CC44)
- Advance Beneficiary Notices (ABNs)
- Hospital-Issued Notices of Noncoverage (HINNs)
- Medicare Coverage Status Notices (MCSNs)
About 3B Healthcare
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Iselin, NJ, US
Year founded
2024