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 ...
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 ...
Remote LPN/LVN - Nevada Work Arrangement: Fully Remote (Nevada LPN/LVN license required) Schedule ... Conduct virtual outreach with patients to review care plans and provide education * Monitor patient ...
Remote LPN/LVN - Nevada Work Arrangement: Fully Remote (Nevada LPN/LVN license required) Schedule ... Conduct virtual outreach with patients to review care plans and provide education * Monitor patient ...
Remote LPN/LVN - Nevada Work Arrangement: Fully Remote (Nevada LPN/LVN license required) Schedule ... Conduct virtual outreach with patients to review care plans and provide education * Monitor patient ...
Remote LPN/LVN - Nevada Work Arrangement: Fully Remote (Nevada LPN/LVN license required) Schedule ... Conduct virtual outreach with patients to review care plans and provide education * Monitor patient ...
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
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 ...
Quick apply
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 ...
CA Utilization Review Nurse I
$30.64 - $45.80/hr
Medical
Dental
Vision
Life
Retirement
PTO
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
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
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 ...
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 ...
CA Utilization Review Nurse I
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
Medical
Dental
Vision
Life
Retirement
PTO
... 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
Medical
Dental
Vision
Life
Retirement
PTO
... 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 - Licensed Practical Nurse - LPN - LVN - Day Shift
Philadelphia, PA · Remote
$28/hr
Medical
Dental
Vision
Retirement
PTO
Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ... Additional single state licensures (LPN) Remote Requirements: * Must have active high-speed Wi-Fi * ...
Quick apply
Remote - Licensed Practical Nurse - LPN - LVN - Day Shift
Philadelphia, PA · Remote
$28/hr
Medical
Dental
Vision
Retirement
PTO
Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ... Additional single state licensures (LPN) Remote Requirements: * Must have active high-speed Wi-Fi * ...
Remote - Bilingual - Spanish + English - Licensed Practical Nurse - LPN
$28/hr
Medical
Dental
Vision
Retirement
PTO
Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ... Additional single state licensures (LPN) Remote Requirements: * Must have active high-speed Wi-Fi * ...
Remote - Bilingual - Spanish + English - Licensed Practical Nurse - LPN
$28/hr
Medical
Dental
Vision
Retirement
PTO
Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ... Additional single state licensures (LPN) Remote Requirements: * Must have active high-speed Wi-Fi * ...
Remote - Licensed Practical Nurse - LPN - LVN - Day Shift
Philadelphia, PA · On-site +1
$28/hr
Medical
Dental
Vision
Retirement
PTO
Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ... Additional single state licensures (LPN) Remote Requirements: * Must have active high-speed Wi-Fi * ...
Remote - Licensed Practical Nurse - LPN - LVN - Day Shift
Philadelphia, PA · On-site +1
$28/hr
Medical
Dental
Vision
Retirement
PTO
Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ... Additional single state licensures (LPN) Remote Requirements: * Must have active high-speed Wi-Fi * ...
$28/hr
Medical
Dental
Vision
Retirement
PTO
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ...
$28/hr
Medical
Dental
Vision
Retirement
PTO
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ...
$28/hr
Medical
Dental
Vision
Retirement
PTO
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ...
$28/hr
Medical
Dental
Vision
Retirement
PTO
Fully remote position - Work from the comfort of your own home in cozy clothes without a commute ... Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ...
Remote - Licensed Practical Nurse - LPN - LVN - Day Shift
Philadelphia, PA · Remote
$28/hr
Medical
Dental
Vision
Retirement
PTO
Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ... Additional single state licensures (LPN) Remote Requirements: * Must have active high-speed Wi-Fi * ...
Remote - Licensed Practical Nurse - LPN - LVN - Day Shift
Philadelphia, PA · Remote
$28/hr
Medical
Dental
Vision
Retirement
PTO
Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ... Additional single state licensures (LPN) Remote Requirements: * Must have active high-speed Wi-Fi * ...
$28/hr
Medical
Dental
Vision
Retirement
PTO
Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ... Additional single state licensures (LPN) Remote Requirements: * Must have active high-speed Wi-Fi * ...
$28/hr
Medical
Dental
Vision
Retirement
PTO
Resolve patients' questions and create an open dialogue to understand needs. * Assist/Manage ... Additional single state licensures (LPN) Remote Requirements: * Must have active high-speed Wi-Fi * ...
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