Detroit, MI · On-site +1
$30 - $35/hr
... utilization review, and caring for aging population in the home or post-acute care setting, etc ... Registered Nurse with current unrestricted Michigan Registered Nurse license required. NIT001 Meet ...
Detroit, MI · On-site +1
$30 - $35/hr
... utilization review, and caring for aging population in the home or post-acute care setting, etc ... Registered Nurse with current unrestricted Michigan Registered Nurse license required. NIT001 Meet ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
In this position you will be reviewing patient charts to determine if pre-elective surgical cases ... Previous utilization management or case management experience preferred. CERTIFICATIONS/LICENSURES ...
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Welcome patients into continuous care program(s) and review benefits and services included
... Nurse (RN) to serve our patient population in the navigation, prevention and management of their ... Welcome patients into continuous care program(s) and review benefits and services included
... Utilization Review Accreditation Commission (URAC) standards Education & Experience: * Bachelor ... Home Health RN experience preferred * Certification as a Case Manager within 2 years of hire.
... Utilization Review Accreditation Commission (URAC) standards Education & Experience: * Bachelor ... Home Health RN experience preferred * Certification as a Case Manager within 2 years of hire.
... Utilization Review Accreditation Commission (URAC) standards Education & Experience: * Bachelor ... Home Health RN experience preferred * Certification as a Case Manager within 2 years of hire.
... Utilization Review Accreditation Commission (URAC) standards Education & Experience: * Bachelor ... Home Health RN experience preferred * Certification as a Case Manager within 2 years of hire.
Troy, MI · On-site +1
$60K - $60K/yr
Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Troy, MI · On-site +1
$60K - $60K/yr
Communicate outcomes of UM authorization reviews, both verbally and in writing * Process ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:
Care Coordinator RN (Remote in Michigan) Shift: Part-Time Days 8:00am-3:00pm (Tuesdays and ... teach warning signs, review discharge instructions, coordination of care, and problem solve ...
Care Coordinator RN (Remote in Michigan) Shift: Part-Time Days 8:00am-3:00pm (Tuesdays and ... teach warning signs, review discharge instructions, coordination of care, and problem solve ...
Iron Mountain, MI · On-site +1
$65K - $122K/yr
... after review of the EDRP application. Former EDRP participants ineligible to apply. Learn more ... outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic ...
Iron Mountain, MI · On-site +1
$65K - $122K/yr
... after review of the EDRP application. Former EDRP participants ineligible to apply. Learn more ... outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic ...
Experience facilitating InterQual reviews, admission process preferred. Experience with systems ... Licensed as a Registered Nurse in the State of Michigan
Experience facilitating InterQual reviews, admission process preferred. Experience with systems ... Licensed as a Registered Nurse in the State of Michigan
Iron Mountain, MI · On-site +1
$65K - $122K/yr
... process, clinical review criteria, utilization management standards, clinical documentation ... All Registered Nurses must be a graduate of a school of professional nursing approved by the ...
Iron Mountain, MI · On-site +1
$65K - $122K/yr
... process, clinical review criteria, utilization management standards, clinical documentation ... All Registered Nurses must be a graduate of a school of professional nursing approved by the ...
Experience facilitating InterQual reviews, admission process preferred. Experience with systems ... Licensed as a Registered Nurse in the State of Michigan Additional Information * Organization:
Experience facilitating InterQual reviews, admission process preferred. Experience with systems ... Licensed as a Registered Nurse in the State of Michigan Additional Information * Organization:
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ... chart review, and care coordination -- for the visit to be billable. Payment is issued for ...
Quick apply
Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ... chart review, and care coordination -- for the visit to be billable. Payment is issued for ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Sterling Heights, MI · Remote
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
Sterling Heights, MI · Remote
Review claims data, clinical records, and assessment tools to evaluate member needs and benefit ... Remote Work Expectations * This is a remote role with 25-50% travel required, candidates must have ...
The licensed Registered Nurse (RN) plans & provides professional nursing services & standards of practice in accordance with level of experience & education, state board of nursing & established ...
The licensed Registered Nurse (RN) plans & provides professional nursing services & standards of practice in accordance with level of experience & education, state board of nursing & established ...
$18.65 - $22.42
2% of jobs
$22.42 - $26.19
9% of jobs
$28.77 is the 25th percentile. Wages below this are outliers.
$26.19 - $29.96
21% of jobs
The median wage is $33.01 / hr.
$29.96 - $33.73
23% of jobs
$33.73 - $37.50
13% of jobs
$40.44 is the 75th percentile. Wages above this are outliers.
$37.50 - $41.28
10% of jobs
$41.28 - $45.05
8% of jobs
$45.05 - $48.82
5% of jobs
$48.82 - $52.59
5% of jobs
$52.59 - $56.36
2% of jobs
$56.36 - $60.13
2% of jobs
$18
$36
$60
| Aspect | Remote Rn Utilization Review Nurse | Remote Rn Case Manager |
|---|---|---|
| Certifications | RN license, possibly UR or CCM certification | RN license, CCM or other case management certification |
| Work Environment | Reviewing medical records, insurance guidelines, and authorizations | Coordinating patient care, discharge planning, and resource management |
| Employer & Industry Usage | Health insurance companies, third-party administrators | Hospitals, health plans, healthcare providers |
Remote Rn Utilization Review Nurses primarily evaluate medical necessity for insurance approvals, focusing on documentation and guidelines. In contrast, Remote Rn Case Managers coordinate patient care, discharge planning, and resource allocation. Both roles require RN licensure and related certifications but differ in daily tasks and work focus.
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Established in 2000, LanceSoft is a Certified MBE and Woman-Owned organization. Lancesoft Inc. is one of the highest rated companies in the industry. We have been recognized as one of the Largest Staffing firms and ranked in the top 50 fastest Growing Healthcare Staffing firms in 2022. Lancesoft offers short- and long-term contracts, permanent placements, and travel opportunities to credentialed and experienced professionals throughout the United States. We pride ourselves on having industry leading benefits. We understand the importance of partnering with an expert who values your needs, which is why we're 100% committed to finding you an assignment that best matches your career and lifestyle goals. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities.
Recruiting and staffing services
1,001 - 5,000 Employees
Herndon, VA, US
2000
