Active RN, OT, or PT license Preferred Qualifications: * 1-2 years' experience in utilization review, case management and/or managed care regulations * Experience with MCG Guidelines, InterQual or ...
Active RN, OT, or PT license Preferred Qualifications: * 1-2 years' experience in utilization review, case management and/or managed care regulations * Experience with MCG Guidelines, InterQual or ...
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... Master's degree in nursing, with a current RN license in good standing, Doctorate degree strongly ...
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... Master's degree in nursing, with a current RN license in good standing, Doctorate degree strongly ...
Nursing Education Specialist
Leawood, KS · On-site +1
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... MSN and current RN license required. * 5+ years of experience as a full-time faculty member in a ...
Nursing Education Specialist
Leawood, KS · On-site +1
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... MSN and current RN license required. * 5+ years of experience as a full-time faculty member in a ...
RN - AI Trainer
Overland Park, KS · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
RN - AI Trainer
Overland Park, KS · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Position Title Program Nurse Manager - Care Collaborative Days - Full Time Remote Position Summary ... Licensed Registered Nurse (LRN) - Single State - State Board of Nursing Licensed in State of Kansas
Position Title Program Nurse Manager - Care Collaborative Days - Full Time Remote Position Summary ... Licensed Registered Nurse (LRN) - Single State - State Board of Nursing Licensed in State of Kansas
RN - AI Trainer
Kansas City, MO · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
RN - AI Trainer
Kansas City, MO · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
RN - AI Trainer
Kansas City, KS · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
RN - AI Trainer
Kansas City, KS · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
RN - AI Trainer
Olathe, KS · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Quick apply
RN - AI Trainer
Olathe, KS · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...
Telephonic Case Manager I
Overland Park, KS · Remote
$62K - $93K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Quick apply
Telephonic Case Manager I
Overland Park, KS · Remote
$62K - $93K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Telephonic Case Manager I
Overland Park, KS · Remote
$62K - $93K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Telephonic Case Manager I
Overland Park, KS · Remote
$62K - $93K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Telephonic Case Manager I
Overland Park, KS · Remote
$63K - $95K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Telephonic Case Manager I
Overland Park, KS · Remote
$63K - $95K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Quick apply
Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...
Telephonic Case Manager I
Overland Park, KS · Remote
$62K - $93K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Telephonic Case Manager I
Overland Park, KS · Remote
$62K - $93K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Telephonic Case Manager I
Overland Park, KS · Remote
$63K - $95K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Quick apply
Telephonic Case Manager I
Overland Park, KS · Remote
$63K - $95K/yr
Current RN Licensure in state of operation * 3 or more years of recent clinical experience ... Remote
Our collaborators over see our highly skilled Nurse Practitioners in the field as stated by state ... Remote Opportunity - State of MissouriHours: Flexible HoursRate of Reimbursement: Varies per ...
Our collaborators over see our highly skilled Nurse Practitioners in the field as stated by state ... Remote Opportunity - State of MissouriHours: Flexible HoursRate of Reimbursement: Varies per ...
Remote Medical Scribe
Kansas City, MO · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Quick apply
Remote Medical Scribe
Kansas City, MO · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Live Review Educator Part Time
Leawood, KS · On-site +1
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... Active Registered Nursing License * Knowledge of NCLEX Blueprint * Minimum 2 years of experience ...
Live Review Educator Part Time
Leawood, KS · On-site +1
Headquartered in Burlington, MA, with additional office locations and hybrid and remote workers in ... Active Registered Nursing License * Knowledge of NCLEX Blueprint * Minimum 2 years of experience ...
Clinical Liaison
Kansas City, MO · Remote
$63K - $85K/yr
... remote with onsite visits when needed). As a Clinical Liaison, you will play a vital role in ... Must be an LPN or RN * 1+ years of experience in a healthcare setting * Strong communication and ...
Quick apply
Clinical Liaison
Kansas City, MO · Remote
$63K - $85K/yr
... remote with onsite visits when needed). As a Clinical Liaison, you will play a vital role in ... Must be an LPN or RN * 1+ years of experience in a healthcare setting * Strong communication and ...
Therapeutic Nutrition Acute Care Sales Representative - Kansas City, MO
Kansas City, MO · On-site +1
$61K - $122K/yr
Clinical/Healthcare experience (RN/RD) * Strong Business acumen demonstrated through solid ... Remote ADDITIONAL LOCATIONS: United States > Kansas City : 8140 Ward Parkway WORK SHIFT: Standard ...
Therapeutic Nutrition Acute Care Sales Representative - Kansas City, MO
Kansas City, MO · On-site +1
$61K - $122K/yr
Clinical/Healthcare experience (RN/RD) * Strong Business acumen demonstrated through solid ... Remote ADDITIONAL LOCATIONS: United States > Kansas City : 8140 Ward Parkway WORK SHIFT: Standard ...
Director of Business Development Wound Care REMOTE
Stilwell, KS · On-site +1
$100K - $120K/yr
Registered Nurse / Some kind of Clinical Experience preferred Essential Job Duties and Responsibilities (Reasonable accommodations may be made to enable individuals with disabilities to perform these ...
Director of Business Development Wound Care REMOTE
Stilwell, KS · On-site +1
$100K - $120K/yr
Registered Nurse / Some kind of Clinical Experience preferred Essential Job Duties and Responsibilities (Reasonable accommodations may be made to enable individuals with disabilities to perform these ...
Remote Prn Rn information
What is a Remote PRN RN job?
A Remote PRN RN job is a flexible, as-needed nursing position that allows registered nurses to work from home, typically providing telehealth services, case management, or remote patient monitoring. These roles require active RN licensure and experience in areas like triage, chronic disease management, or insurance assessments. Since the position is PRN (pro re nata), hours are not guaranteed and vary based on employer needs.
What are the main challenges of working as a Remote PRN RN and how can I prepare for them?
One of the main challenges of working as a Remote PRN RN is adapting to changing schedules and clinical needs, since PRN positions require flexibility based on staffing demands. You may also need to manage patient care independently and troubleshoot technical issues related to remote work platforms. Staying organized, being proactive in communication, and regularly updating your knowledge of telehealth best practices will help you excel. Building a strong rapport with remote teams and utilizing available training resources can enhance both your confidence and effectiveness in this role.
What are the key skills and qualifications needed to thrive in the Remote Prn Rn position, and why are they important?
To thrive as a Remote PRN RN, you need a valid RN license, strong clinical assessment abilities, and experience in diverse healthcare environments. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication tools is typically required. Excellent time management, self-motivation, and strong verbal and written communication are valuable soft skills. These are crucial for providing effective patient care remotely, ensuring compliance with regulations, and adapting quickly to varying work demands.
$2.5K/yr
Full-time
Medical, Dental, Vision, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Key responsibilities
Conduct prior authorization reviews and continued stay reviews for post-acute care services by applying clinical guidelines and escalating cases to medical directors as needed.
Collaborate with case managers, physicians, and medical directors to ensure appropriate levels of care and seamless care transitions.
Approve services in compliance with health plan guidelines, contractual agreements, and medical necessity criteria.
WellSky rating
7.5
Based on 9 frontline employees who took The Breakroom Quiz
124th of 192 rated software companies
Job description
The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely post-discharge follow-ups with completed assessments to help prevent acute care readmissions.
In this role, you will also review requests for post-acute services promptly, using established clinical guidelines and coverage criteria to assess appropriateness. You'll collaborate with physicians, healthcare providers, and both internal and external stakeholders to support improved health outcomes. By applying clinical expertise, you'll coordinate care with facilities and providers, follow standard operating procedures and organizational policies, and consult with peer reviewers, Medical Directors, or delegated clinical reviewers to ensure care is medically appropriate, high-quality, and cost-effective throughout the medical management process.
The ideal candidate will have working knowledge of Microsoft Office applications (e.g., Word, Excel) and be comfortable using clinical decision support tools and operational software.
Join us in shaping the future of healthcare - apply today!
Key Responsibilities:
Conduct prior authorization reviews and/or continued stay reviews for post-acute care services by applying clinical guidelines and escalating cases to medical directors as needed
Approve services in compliance with health plan guidelines, contractual agreements, and medical necessity criteria
Collaborate with case managers, physicians, and medical directors to ensure appropriate levels of care and seamless care transitions
Participate in team meetings, educational activities, and interrater reliability testing to maintain review consistency and professional growth
Ensure compliance with federal, state, and accreditation standards, and identify opportunities to enhance communication or processes
Support all payer programs and initiatives related to the post-acute space
Make benefit determinations about appropriate levels of care using clinical guidelines
Coordinate benefits and transitions between various areas of care
Utilize knowledge of resources available in the healthcare system to assist physicians and patients effectively
Perform other job duties as assigned
Required Qualifications:
Bachelor's degree or equivalent work experience
4-6 years of clinical nursing or therapy experience
Active RN, OT, or PT license
Preferred Qualifications:
1-2 years' experience in utilization review, case management and/or managed care regulations
Experience with MCG Guidelines, InterQual or other clinical decision support tools, especially inutilization managementandprior authorizationprocesses
Job Expectations:
Willing to travel up to 30% based on business needs
Willing to work additional or irregular hours as needed
Must work in accordance with applicable security policies and procedures to safeguard company and client information
Must be able to sit and view a computer screen for extended periods of time
WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.
WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.
Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.
Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:
Excellent medical with Rx, dental, and vision benefits
Mental Health support through EAP
Generous paid time off, plus 13 paid holidays
100% vested 401(K) retirement plans
Educational assistance up to $2500 per year
About WellSky
Sourced by ZipRecruiter
Industry
Software development
Company size
1,001 - 5,000 Employees
Headquarters location
Overland Park, KS, US
Year founded
1980