Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or ... Active, unrestricted RN, LPN, LCSW, or LPC license Required Education and Experience: * Completion ...
Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or ... Active, unrestricted RN, LPN, LCSW, or LPC license Required Education and Experience: * Completion ...
Psychiatric Nurse Practitioner for Remote Telepsychiatry - FT - REMOTE
Scottsdale, AZ · Remote
$150K/yr
Job Type: Permanent, Full Time Pay Rate Based on Years of Psych NP Licensure: Less than 2 years ... Monday to Friday - 9 to 5 - No weekends or Call Duty Work Location: Fully Remote Other Details:
Psychiatric Nurse Practitioner for Remote Telepsychiatry - FT - REMOTE
Scottsdale, AZ · Remote
$150K/yr
Job Type: Permanent, Full Time Pay Rate Based on Years of Psych NP Licensure: Less than 2 years ... Monday to Friday - 9 to 5 - No weekends or Call Duty Work Location: Fully Remote Other Details:
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN, LPN, LPT, LBSW, LMSW, or LCSW. (Applies to All Levels) Required Certifications * N/A PREFERRED ...
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN, LPN, LPT, LBSW, LMSW, or LCSW. (Applies to All Levels) Required Certifications * N/A PREFERRED ...
We are currently looking for a Utilization Review Nurse (LPN or RN) to join our growing team! This ... Fully Remote ** QUALIFICATIONS: * Is a graduate of an accredited school of professional nursing or ...
We are currently looking for a Utilization Review Nurse (LPN or RN) to join our growing team! This ... Fully Remote ** QUALIFICATIONS: * Is a graduate of an accredited school of professional nursing or ...
Remote Temp contract position for an experienced commercial general liability claims examiner with ... Workdays Monday - Friday - 40 hours per week. All equipment is provided We pay weekly with no hold ...
Remote Temp contract position for an experienced commercial general liability claims examiner with ... Workdays Monday - Friday - 40 hours per week. All equipment is provided We pay weekly with no hold ...
With this remote work, candidates must be self-motivated, possess moderate to strong tech skills ... Schedule is Monday through Friday, regular business hours. You are required to work at least 75% of ...
With this remote work, candidates must be self-motivated, possess moderate to strong tech skills ... Schedule is Monday through Friday, regular business hours. You are required to work at least 75% of ...
Registered Nurse - Medical Policy Development/Research Specialist - Remote - AZ
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN, LPN, LPT, LBSW, LMSW, or LCSW. (Applies to All Levels) Required Certifications * N/A PREFERRED ...
Registered Nurse - Medical Policy Development/Research Specialist - Remote - AZ
Phoenix, AZ · On-site +1
Remote: not held to onsite requirements, however, leadership can request presence onsite for ... RN, LPN, LPT, LBSW, LMSW, or LCSW. (Applies to All Levels) Required Certifications * N/A PREFERRED ...
Job Type: Part Time, Permanent Pay Rate Based on Years of Psych NP Licensure: Less than 2 years ... Monday to Friday - 9 to 5 - No weekends or Call Duty Work Location: Fully Remote Other Details:
Job Type: Part Time, Permanent Pay Rate Based on Years of Psych NP Licensure: Less than 2 years ... Monday to Friday - 9 to 5 - No weekends or Call Duty Work Location: Fully Remote Other Details:
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
Adjunct - Advanced Health Assessment for Nurse Educators - Online (Remote) - College of Nursing a...
Phoenix, AZ · On-site +1
Adjunct - Advanced Health Assessment for Nurse Educators - Online (Remote) - College of Nursing and ... Minimum of 2 years APRN, DO, MD, or PA clinical experience and current knowledge in course content ...
Adjunct - Advanced Health Assessment for Nurse Educators - Online (Remote) - College of Nursing a...
Phoenix, AZ · On-site +1
Adjunct - Advanced Health Assessment for Nurse Educators - Online (Remote) - College of Nursing and ... Minimum of 2 years APRN, DO, MD, or PA clinical experience and current knowledge in course content ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77K - $98K/yr
Must be an RN and prefer to have as least 1.5 years of prior Field Case Manager workers ... remote work environment that allows face to face interaction with injured workers and medical ...
Licensed Practical Nurse
Kingman, AZ · On-site +1
$54K - $94K/yr
... RN/provider, managing electronic health records and secured messaging. Total Rewards of a Allied Health Professional Work Schedule : Full-time. Monday-Friday 7:00am - 5:30pm. Recruitment Incentive ...
Licensed Practical Nurse
Kingman, AZ · On-site +1
$54K - $94K/yr
... RN/provider, managing electronic health records and secured messaging. Total Rewards of a Allied Health Professional Work Schedule : Full-time. Monday-Friday 7:00am - 5:30pm. Recruitment Incentive ...
Call Center Telecare Registered Nurse - OVERNIGHT (Remote)
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and ...
Call Center Telecare Registered Nurse - OVERNIGHT (Remote)
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and ...
Licensed Practical Nurse
Kingman, AZ · On-site +1
$54K - $94K/yr
... RN/provider, managing electronic health records and secured messaging. Total Rewards of a Allied Health Professional Work Schedule : Full-time. Monday-Friday 7:00am - 5:30pm. Recruitment Incentive ...
Licensed Practical Nurse
Kingman, AZ · On-site +1
$54K - $94K/yr
... RN/provider, managing electronic health records and secured messaging. Total Rewards of a Allied Health Professional Work Schedule : Full-time. Monday-Friday 7:00am - 5:30pm. Recruitment Incentive ...
All states are within Mountain, Pacific, and Central times zones Option 1: Monday-Friday (8 hour ... Up to $3,000 CME * $50 monthly Remote Work Stipend * Paid parental leave * All equipment provided
Quick apply
All states are within Mountain, Pacific, and Central times zones Option 1: Monday-Friday (8 hour ... Up to $3,000 CME * $50 monthly Remote Work Stipend * Paid parental leave * All equipment provided
All states are within Mountain, Pacific, and Central times zones Option 1: Monday-Friday (8 hour ... Up to $3,000 CME * $50 monthly Remote Work Stipend * Paid parental leave * All equipment provided
Quick apply
All states are within Mountain, Pacific, and Central times zones Option 1: Monday-Friday (8 hour ... Up to $3,000 CME * $50 monthly Remote Work Stipend * Paid parental leave * All equipment provided
Account Executive / Inside Sales (US Remote)
Phoenix, AZ · Remote
$17.31/hr
Work Schedule Operating hours are Monday - Friday from 6AM to 6PM Pacific Time, and Saturdays from ... Remote Role, Work from Home #LI-CBF #LI-SAFG #LI-Remote Why Corebridge? At Corebridge Financial, we ...
Account Executive / Inside Sales (US Remote)
Phoenix, AZ · Remote
$17.31/hr
Work Schedule Operating hours are Monday - Friday from 6AM to 6PM Pacific Time, and Saturdays from ... Remote Role, Work from Home #LI-CBF #LI-SAFG #LI-Remote Why Corebridge? At Corebridge Financial, we ...
Account Executive / Inside Sales (US Remote)
Phoenix, AZ · Remote
$17.31/hr
Work Schedule Operating hours are Monday - Friday from 6AM to 6PM Pacific Time, and Saturdays from ... Remote Role, Work from Home #LI-CBF #LI-SAFG #LI-Remote Why Corebridge? At Corebridge Financial, we ...
Account Executive / Inside Sales (US Remote)
Phoenix, AZ · Remote
$17.31/hr
Work Schedule Operating hours are Monday - Friday from 6AM to 6PM Pacific Time, and Saturdays from ... Remote Role, Work from Home #LI-CBF #LI-SAFG #LI-Remote Why Corebridge? At Corebridge Financial, we ...
Remote Monday Friday Rn information
What are the key skills and qualifications needed to thrive as a Remote Monday–Friday RN, and why are they important?
What is a Remote Monday Friday RN?
What is the difference between Remote Monday Friday Rn vs Remote Monday Friday Lpn?
| Aspect | Remote Monday Friday Rn | Remote Monday Friday Lpn |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Primarily clinical, patient care, and documentation | Similar clinical tasks, often with more limited scope |
| Employer Usage | Hospitals, clinics, telehealth services | Long-term care facilities, outpatient clinics, telehealth |
| Common Search Intent | Remote RN jobs with Monday-Friday schedule | Remote LPN jobs with Monday-Friday schedule |
Remote Monday Friday Rn and Remote Monday Friday Lpn roles both involve providing patient care remotely, but RNs have a broader scope of practice and require a registered nurse license, while LPNs have a more limited scope and require a practical nurse license. Both roles are in demand in telehealth and healthcare settings, with differences mainly in credentials and responsibilities.
What are some common challenges faced by Remote Monday-Friday RNs, and how can they be addressed?
$40/hr
Other
Posted 15 days ago
Job description
Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote)
Time Zone Preference:
Pacific or Mountain Time Zone is preferred
Work Schedule:
Tuesday through Saturday, 8:00 AM - 5:00 PM PST
Compensation:
$40 per hour
Position Type:
Temporary to Permanent
Position Summary:
A Managed Care Organization is seeking a Utilization Management Nurse to review provider-submitted service authorization requests and evaluate medical necessity, with a primary focus on behavioral health services. This position plays a key role in ensuring members receive appropriate and timely care by performing prior authorizations and concurrent reviews.
Day-to-Day Responsibilities:
Review provider submissions for prior service authorizations, particularly in behavioral health
Evaluate requests for medical necessity and appropriate service levels
Provide concurrent review and prior authorization according to internal policies
Identify appropriate benefits and determine eligibility and expected length of stay
Collaborate with internal departments, including Behavioral Health and Long Term Care, to ensure continuity of care
Refer cases to medical directors as needed
Maintain productivity and quality standards
Participate in staff meetings and assist with onboarding of new team members
Foster professional relationships with internal teams and provider partners
Must-Have Requirements:
Background in Behavioral Health services and/or experience with a Managed Care Organization (MCO) in Utilization Management
Licensure Requirements:
Active, unrestricted RN, LPN, LCSW, or LPC license
Required Education and Experience:
Completion of an accredited Registered Nursing program (or equivalent combination of experience and education)
2 years of clinical experience, preferably in hospital nursing, utilization management, or case management
Knowledge, Skills, and Abilities:
Understanding of state and federal healthcare regulations
Experience with InterQual and NCQA standards
Strong organizational, communication, and problem-solving skills
Proficient in Microsoft Office and electronic documentation systems
Ability to work independently and manage multiple priorities
Professional demeanor and commitment to confidentiality and compliance with HIPAA standards
Team-oriented with the ability to build and maintain positive working relationships
About Morgan Stephens
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Tallahassee, FL, US
Year founded
2009