Most of the training will be remote however you will be required to start onsite A Utilization Review (UR) Nurse is a registered nurse who bridges the gap between healthcare providers and insurance ...
Most of the training will be remote however you will be required to start onsite A Utilization Review (UR) Nurse is a registered nurse who bridges the gap between healthcare providers and insurance ...
Registered Nurse (0767)
Baltimore, MD · Remote
$84K - $106K/yr
Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions ... The RN will establish the business strategy and roadmap: (1) improve outcomes for Grace at Home ...
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Registered Nurse (0767)
Baltimore, MD · Remote
$84K - $106K/yr
Deploys Remote Patient Monitoring and Patient Self Reporting for High-Risk Chronic Conditions ... The RN will establish the business strategy and roadmap: (1) improve outcomes for Grace at Home ...
Care Manager (Remote)
Baltimore, MD · Remote
We are looking for an experienced Registered Nurse to work remotely within the greater Baltimore/Washington metropolitan area. While this position is remote, the incumbent will be expected to come ...
Care Manager (Remote)
Baltimore, MD · Remote
We are looking for an experienced Registered Nurse to work remotely within the greater Baltimore/Washington metropolitan area. While this position is remote, the incumbent will be expected to come ...
Current Registered Nurse licensure in Maryland, the District of Columbia, and/or appropriate ... Remote patient monitoring * Connected care * Clinical informatics * Digital health * Technology ...
Current Registered Nurse licensure in Maryland, the District of Columbia, and/or appropriate ... Remote patient monitoring * Connected care * Clinical informatics * Digital health * Technology ...
Be Seen First
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
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Be Seen First
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
Be Seen First
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
Quick apply
Be Seen First
Active, non-restricted Registered Nurse (RN) license . * Strong computer proficiency with excellent written communication skills. * Demonstrated research and analytical skills. Preferred ...
Triage Clinical Guide (Registered Nurse) - Care OnDemand
Nottingham, MD · On-site +1
$85K - $110K/yr
As a Triage Clinical Guide (Registered Nurse), you'll be responsible for providing telephonic ... Eager to learn and able to quickly master electronic medical records (EMR), remote telephone ...
Triage Clinical Guide (Registered Nurse) - Care OnDemand
Nottingham, MD · On-site +1
$85K - $110K/yr
As a Triage Clinical Guide (Registered Nurse), you'll be responsible for providing telephonic ... Eager to learn and able to quickly master electronic medical records (EMR), remote telephone ...
Utilization Management Specialist (RN)
Baltimore, MD · Remote
$68/hr
Remote - offsite Responsibilities * Perform prospective, concurrent, and retrospective reviews for ... * RN or LPN license; Compact license for MD required * Strong computer skills, including ...
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Utilization Management Specialist (RN)
Baltimore, MD · Remote
$68/hr
Remote - offsite Responsibilities * Perform prospective, concurrent, and retrospective reviews for ... * RN or LPN license; Compact license for MD required * Strong computer skills, including ...
Bi-Lingual, RN Care Coordinator
Annapolis, MD · On-site +1
$25 - $26/hr
... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... specialty physicians, registered dietitians, nurses, psychologists, and therapists who have ...
Bi-Lingual, RN Care Coordinator
Annapolis, MD · On-site +1
$25 - $26/hr
... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... specialty physicians, registered dietitians, nurses, psychologists, and therapists who have ...
iMPROve Health is seeking an RN Reviewer (Workers' Compensation Utilization Review) to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc ...
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iMPROve Health is seeking an RN Reviewer (Workers' Compensation Utilization Review) to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc ...
100% Remote Must be able to adhere to a 9am to 5:30pm EST or CST schedule Optum Home & Community ... As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population ...
100% Remote Must be able to adhere to a 9am to 5:30pm EST or CST schedule Optum Home & Community ... As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population ...
We believe in meeting people where they are and offer remote first care with opportunities for in-person visits. About the APRN role Sunday Health is seeking an Advanced Practice Registered Nurse ...
We believe in meeting people where they are and offer remote first care with opportunities for in-person visits. About the APRN role Sunday Health is seeking an Advanced Practice Registered Nurse ...
Urgent Care Nurse Practitioner
Washington, DC · Remote
$81K - $101K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
Urgent Care Nurse Practitioner
Washington, DC · Remote
$81K - $101K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
UM Specialist (RN) - Remote / Telecommute
Baltimore, MD · Remote
$46 - $51/hr
Qualification And Education: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire. * LPN - Licensed Practical Nurse - State Licensure. * CNS-Clinical Nurse Specialist ...
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UM Specialist (RN) - Remote / Telecommute
Baltimore, MD · Remote
$46 - $51/hr
Qualification And Education: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire. * LPN - Licensed Practical Nurse - State Licensure. * CNS-Clinical Nurse Specialist ...
Be Seen First
NP or PA MAT Telehealth Provider
Baltimore, MD · Remote
$111K - $144K/yr
Graduate of an approved accredited ARNP or PA program. · Experience : Minimum one to three years ... Remote
Quick apply
Be Seen First
NP or PA MAT Telehealth Provider
Baltimore, MD · Remote
$111K - $144K/yr
Graduate of an approved accredited ARNP or PA program. · Experience : Minimum one to three years ... Remote
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Quick apply
Telephonic Case Manager I - California RN License Required
Nottingham, MD · Remote
$63K - $95K/yr
This is a remote role. California RN license is required for this role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provide medical case management to individuals through coordination with the patient ...
Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. * LNCC - Legal Nurse ...
Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. * LNCC - Legal Nurse ...
Holter/Cardiac Technologist (Remote)
Rockville, MD · Remote
$22/hr
A rare opportunity for remote techs is now open! Clinician must be able to submit comprehensive ... FMG, RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect ...
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Holter/Cardiac Technologist (Remote)
Rockville, MD · Remote
$22/hr
A rare opportunity for remote techs is now open! Clinician must be able to submit comprehensive ... FMG, RN and LPNs with experience in ECG assessment, evaluation of arrhythmia and a thorough respect ...
The RN Case Manager plays a critical role in delivering Cigna's wholeperson health strategy by serving as a trusted advocate and clinical partner for customers, families, and caregivers. This role ...
The RN Case Manager plays a critical role in delivering Cigna's wholeperson health strategy by serving as a trusted advocate and clinical partner for customers, families, and caregivers. This role ...
Remote Promedica Rn information
What is the difference between Remote Promedica Rn vs Remote Promedica Lpn?
| Aspect | Remote Promedica Rn | Remote Promedica Lpn |
|---|---|---|
| Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Telehealth, patient assessments, care planning | Telehealth, basic patient care, medication administration |
| Employer & Industry | Healthcare, hospital systems, telehealth providers |
Remote Promedica Rn and Remote Promedica Lpn roles both operate in telehealth settings within the healthcare industry. RNs typically handle more complex patient assessments and care planning, requiring an RN license, while LPNs focus on basic patient care and medication support, requiring an LPN license. Both roles are essential in remote healthcare delivery, but RNs generally have broader responsibilities and higher qualifications.
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What is the best remote job for registered nurses?
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The most popular types of Promedica Rn jobs in Columbia, MD are:
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Full-time
Posted 18 days ago
Job description
- Weekend only position.
- 4 - eight hour weekend shifts a month required.
- At least 1 major holiday required.
- Only serious applicants should apply.
- Recent UR / MCG experience.
- Most of the training will be remote however you will be required to start onsite
A Utilization Review (UR) Nurse is a registered nurse who bridges the gap between healthcare providers and insurance companies. They evaluate patient medical records to ensure treatments, procedures, and hospital stays are clinically necessary, cost-effective, and meet established insurance guidelines.
- Medical Necessity Reviews: They verify that admissions, surgeries, and treatments are medically necessary by comparing patient charts to standardized, evidence-based guidelines like Milliman Care Guidelines (MCG) or InterQual.
- Concurrent & Retrospective Reviews: They review ongoing hospital stays (concurrent) to authorize continuing care, and review charts after discharge (retrospective) to prevent claim denials and ensure accurate billing.
- Insurance Liaison: They act as a go-between, submitting clinical data to insurance companies to secure prior authorizations and ongoing approvals so the hospital gets properly reimbursed.
- Resource Optimization: They monitor the patient's progress to ensure they are in the appropriate level of care (e.g., observation vs. inpatient) and help coordinate discharges to lower levels of care.
Work Experience
Education
* 4 year/ Bachelor's degree in Nursing (Required)
Combination of relevant education and experience may be considered in lieu of degree.
Master's Degree in Nursing (Preferred)
Experience and Skills
Recent UR / MCG experience.
Required Skills: Strong Verbal Communications Skills, Strong Written Communications Skills, Excel Intermediate Level, PowerPoint - Intermediate Level, MS Word - Intermediate Level, Excellent Organizational Skills
Employment Type: OTHER