pay rate max is ***/hour or following your Client rate card this is a remote position in any state ... Performs prospective, concurrent, and retrospective reviews for inpatient acute care ...
pay rate max is ***/hour or following your Client rate card this is a remote position in any state ... Performs prospective, concurrent, and retrospective reviews for inpatient acute care ...
Nurse Case Manager
Nashville, TN · On-site +1
Performs prospective, concurrent, and retrospective reviews for inpatient acute care ... team members. RN and current unrestricted nursing license required. Notes: This is a remote ...
Nurse Case Manager
Nashville, TN · On-site +1
Performs prospective, concurrent, and retrospective reviews for inpatient acute care ... team members. RN and current unrestricted nursing license required. Notes: This is a remote ...
Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals ... Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education:
Quick apply
Review medically complex claims , pre-authorization requests, appeals, and fraud/abuse referrals ... Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education:
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Review documentation from in-home visits * Provide telephonic case management for members
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Review documentation from in-home visits * Provide telephonic case management for members
Case Manager - Utilization Review Specialist - Remote The Utilization Review Specialist assumes ... Current state-issued RN license. Knowledge in areas such as InterQual Level of Care Criteria and ...
Case Manager - Utilization Review Specialist - Remote The Utilization Review Specialist assumes ... Current state-issued RN license. Knowledge in areas such as InterQual Level of Care Criteria and ...
Case Manager - Utilization Review Specialist - Remote The Utilization Review Specialist assumes ... Current state-issued RN license. Knowledge in areas such as InterQual Level of Care Criteria and ...
Quick apply
Case Manager - Utilization Review Specialist - Remote The Utilization Review Specialist assumes ... Current state-issued RN license. Knowledge in areas such as InterQual Level of Care Criteria and ...
Case Manager - Utilization Review Specialist - Remote The Utilization Review Specialist assumes ... Current state-issued RN license. Knowledge in areas such as InterQual Level of Care Criteria and ...
Case Manager - Utilization Review Specialist - Remote The Utilization Review Specialist assumes ... Current state-issued RN license. Knowledge in areas such as InterQual Level of Care Criteria and ...
Case Manager, Registered Nurse (Oncology experience required)
Nashville, TN · Remote
$54K - $155K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Perform medical necessity reviews. Required Qualifications * 5+ years' experience as a Registered ...
Case Manager, Registered Nurse (Oncology experience required)
Nashville, TN · Remote
$54K - $155K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Perform medical necessity reviews. Required Qualifications * 5+ years' experience as a Registered ...
This position combines remote clinical supervision of a team of Registered Nurses (50%) with in ... Conduct virtual case reviews and clinical consultations with RNs * Guide escalation of care ...
This position combines remote clinical supervision of a team of Registered Nurses (50%) with in ... Conduct virtual case reviews and clinical consultations with RNs * Guide escalation of care ...
Note: * RN Case Managers must be available for occasional late-shift rotation (9 am-6 pm Central ... Although we are based in Chattanooga, TN, this is a fully remote role. * Sponsorship is not ...
Note: * RN Case Managers must be available for occasional late-shift rotation (9 am-6 pm Central ... Although we are based in Chattanooga, TN, this is a fully remote role. * Sponsorship is not ...
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Shelbyville, TN · Remote
$84 - $115/hr
Flexible & Remote Telemedicine ... Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ...
Quick apply
Psychiatric Nurse Practitioner (PMHNP) - Telehealth
Shelbyville, TN · Remote
$84 - $115/hr
Flexible & Remote Telemedicine ... Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review ...
Remote Virtual Nurse Practitioner
Knoxville, TN · On-site +1
$95K - $115K/yr
Nurse Practitioner Remote Care Partners Remote Care Partners is seeking a compassionate, experienced, and self-motivated Nurse Practitioner (APRN) to join our growing virtual care team. This is a ...
Remote Virtual Nurse Practitioner
Knoxville, TN · On-site +1
$95K - $115K/yr
Nurse Practitioner Remote Care Partners Remote Care Partners is seeking a compassionate, experienced, and self-motivated Nurse Practitioner (APRN) to join our growing virtual care team. This is a ...
All services are delivered in a fully remote environment supporting members across Tennessee. To be ... Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master ...
All services are delivered in a fully remote environment supporting members across Tennessee. To be ... Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master ...
All services are delivered in a fully remote environment supporting members across Tennessee. To be ... Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master ...
All services are delivered in a fully remote environment supporting members across Tennessee. To be ... Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master ...
All services are delivered in a fully remote environment supporting members across Tennessee. To be ... Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master ...
All services are delivered in a fully remote environment supporting members across Tennessee. To be ... Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master ...
All services are delivered in a fully remote environment supporting members across Tennessee. To be ... Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master ...
All services are delivered in a fully remote environment supporting members across Tennessee. To be ... Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master ...
All services are delivered in a fully remote environment supporting members across Tennessee. To be ... Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master ...
All services are delivered in a fully remote environment supporting members across Tennessee. To be ... Current, active unrestricted Tennessee license in Nursing (RN) or behavioral health field (Master ...
NCLEX-RN Tutor
Memphis, TN · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
NCLEX-RN Tutor
Memphis, TN · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
NCLEX-RN Tutor
Chattanooga, TN · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
NCLEX-RN Tutor
Chattanooga, TN · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
NCLEX-RN Tutor
Murfreesboro, TN · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
NCLEX-RN Tutor
Murfreesboro, TN · Remote
$40/hr
... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...
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.
Job description
pay rate max is ***/hour or following your Client rate card
this is a remote position in any state except, NY, CA, HI, or AK
this role is 8am-5pm M-F
manager prefers compact RN license
Nurse Case Management Senior Analyst
Delivers specific delegated tasks assigned by a supervisor in the Nurse Case Management job family. Plans, implements, and evaluates appropriate health care services in conjunction with the physician treatment plan. Utilizes clinical skills to assess, plan, implement, coordinate, monitor and evaluate options and services in order to facilitate appropriate healthcare outcomes for members. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Provides clinical assessments, health education, and utilization management to members. Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient services. Manages own caseload and coordinates all assigned cases. Completes day-to-day Nurse Case Management tasks without immediate supervision, but has ready access to advice from more experienced team members. Tasks involve a degree of forward planning and anticipation of needs/issues. Resolves non-routine issues escalated from more junior team members. RN and current unrestricted nursing license required.
EEO:
"Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."
About Mindlance
Sourced by ZipRecruiter
Mindlance is a multinational staffing and services firm based in the Greater NYC area. We have 14 offices across the United States, Canada, and India. We match talented people to Fortune 500 and Fortune 1000 companies across industries. We have been in business since 1999 and are recognized by Staffing Industry Analysts (SIA) as one of the fastest-growing U.S. staffing firms. Our rapid growth means more jobs, more projects, and more opportunities for you. Our core philosophy means that you work with an organization that truly values and recognizes you.
Industry
Recruiting and staffing services
Company size
1,001 - 5,000 Employees
Headquarters location
Union, NJ, US
Year founded
1999