Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Quick apply
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Quick apply
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Quick apply
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Quick apply
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
New
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
New
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Quick apply
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar clinical coordination role preferred ... Ability to work independently in a remote setting * Experience with EMR systems preferred (Epic ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Quick apply
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
Experience in Utilization Review, Case Management, or similar role preferred * Strong understanding ... Ability to work independently in a remote environment * Proficiency with EMR systems preferred ...
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Remote Rn Case Review information
What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?
| Aspect | Remote Rn Case Review | Remote Rn Utilization Review |
|---|---|---|
| Credentials | Registered Nurse (RN), licensure, case review certifications | Registered Nurse (RN), licensure, utilization review certifications |
| Work Environment | Remote, healthcare settings, insurance companies | Remote, healthcare settings, insurance companies |
| Employer & Industry | Hospitals, insurance firms, healthcare providers | Insurance companies, healthcare management organizations |
Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.
What are the most commonly searched types of Rn Case Review jobs in California? The most popular types of Rn Case Review jobs in California are:
What are popular job titles related to Remote Rn Case Review jobs in California? For Remote Rn Case Review jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in California look for? The top searched job categories for Remote Rn Case Review jobs in California are:
What cities in California are hiring for Remote Rn Case Review jobs? Cities in California with the most Remote Rn Case Review job openings:
$40/hr
Other
Posted 5 days ago
Job description
Job Title: Registered Nurse - Utilization Review
Location: Santa Rosa, CA
Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM
Contract Duration: 13 Weeks
Orientation: 40 Hours (Non-Billable)
Required Qualifications
- Active Registered Nurse (RN) License required
- Minimum 1-2 years acute care nursing experience preferred
- Experience in Utilization Review, Case Management, or similar role preferred
- Strong understanding of medical necessity, payer guidelines, and clinical documentation
- Knowledge of insurance authorization processes preferred
- Strong analytical, communication, and decision-making skills
- Ability to work independently in a remote environment
- Proficiency with EMR systems preferred (Epic experience a plus)
Job Responsibilities
- Perform utilization review of inpatient and outpatient cases
- Evaluate medical necessity based on clinical guidelines and payer policies
- Review patient records and documentation for appropriate level of care
- Collaborate with physicians, case managers, and insurance providers
- Process prior authorizations and continued stay reviews
- Document all review decisions accurately in EMR systems
- Identify cases requiring further clinical escalation
- Ensure compliance with regulatory, hospital, and insurance standards
- Support discharge planning and care coordination as needed
- Maintain productivity and quality standards in a remote setting
For more details contact at sthakur@navitashealth.com
About Navitas Healthcare, LLC 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.