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Remote Optum Rn Jobs in Santa Rosa, CA (NOW HIRING)

Atlas Home Health

RN Clinical Supervisor

Napa, CA · Remote

$60 - $70/hr

Flexible schedule Position: RN Clinical Supervisor (Part-time, Remote/Flexible) Compensation: ~ $60-$70/hour depending on experience Schedule: Part- Time, ~20-25 hours/week + patient care hours for ...

Atlas Home Health Inc

RN Clinical Supervisor

Napa, CA · Remote

$60 - $70/hr

Flexible schedule Position: RN Clinical Supervisor (Part-time, Remote/Flexible) Compensation: ~ $60-$70/hour depending on experience Schedule: Part- Time, ~20-25 hours/week + patient care hours for ...

DataAnnotation

RN

Santa Rosa, CA · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

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Remote Optum Rn information

What is the difference between Remote Optum Rn vs Remote UnitedHealth Group Rn?

AspectRemote Optum RnRemote UnitedHealth Group Rn
CredentialsRegistered Nurse (RN) license, applicable certificationsRegistered Nurse (RN) license, applicable certifications
Work EnvironmentRemote healthcare services, telehealth platformsRemote healthcare services, telehealth platforms
Employer & IndustryOptum, healthcare and health services industryUnitedHealth Group, healthcare and insurance industry

Both Remote Optum Rn and Remote UnitedHealth Group Rn roles involve providing remote nursing care within the healthcare industry. They require similar credentials and work environments, often utilizing telehealth platforms. The main difference lies in the employer and specific focus areas within the healthcare sector, with Optum focusing on health services and UnitedHealth Group encompassing broader health insurance and services.

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Remote Optum Rn jobs near you

Remote Utilization Review RN - RURR 26-06086

NavitasPartners

Rohnert Park, CA • Remote

$40 - $45/hr

Other

Posted 4 days ago

Job description

Job Title: Remote Utilization Review RN

Location: Santa Rosa, CA
Assignment Duration: 13 Weeks
Schedule: Day Shift - 5x8 Hours (8:00 AM - 4:30 PM)

Compensation:
  • Pay Rate: $40-$45/hr based on experience
Position Overview:

We are seeking an experienced Remote Utilization Review Registered Nurse (RN) to support healthcare operations by ensuring the appropriate use of medical services and resources. The ideal candidate will have strong knowledge of medical necessity criteria, payer guidelines, and utilization review processes while working collaboratively with interdisciplinary healthcare teams.

Responsibilities:
  • Perform utilization review activities to ensure appropriate and cost-effective use of healthcare resources
  • Review patient medical records for medical necessity and compliance with payer requirements
  • Collaborate with physicians, case managers, and interdisciplinary healthcare teams
  • Submit, track, and monitor authorizations, approvals, and denials
  • Maintain accurate, timely, and compliant documentation
  • Ensure adherence to healthcare regulations and payer guidelines
  • Communicate effectively with providers and healthcare staff regarding review outcomes
  • Support quality improvement initiatives related to utilization management
Qualifications:
  • Active Registered Nurse (RN) License
  • Recent Utilization Review experience preferred
  • Strong understanding of payer guidelines and medical necessity criteria
  • Excellent communication, critical thinking, and organizational skills
  • Ability to work independently in a remote environment
  • Strong documentation and computer skills
  • Ability to manage multiple tasks in a fast-paced healthcare setting

For more details reach at Aditi.sharma@navitashealth.com or Call / Text at 516-587-6677.

About Navitas Healthcare, LLC: It is a certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

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