Remote Nurse Reviewer jobs
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NURSE PRACTITIONER IN PORTLAND, OR - HYBRID REMOTE
Location: Hybrid-Remote. Work from home and Travel within an assigned geography including Dialysis Clinics and Nephrology Practices.. Complete Comprehensive Health Assessments. Manage complex patients, focused on reducing hospital...
| Company | Davita |
|---|---|
| Address | Portland, OR |
| Category | Information Technology |
| Job type | Full-time |
| Date Posted | 22 hours ago See detail |
Nurse Practitioner in Portland, OR - Hybrid Remote New
Davita
Portland, OR
Location: Hybrid-Remote. Work from home and Travel within an assigned geography including Dialysis Clinics and Nephrology Practices.. Complete Comprehensive Health Assessments. Manage complex patients, focused on reducing hospital...
22 hours ago seen See more...
- View all - jobs in Portland, OR
Registered Nurse Case Manager- Hybrid Remote, Las Vegas, NV New
Davita
Las Vegas, NV
Location: Hybrid-Remote. Work from home (telehealth) and travel within an assigned geography for in-person visits (dialysis clinics and nephrology practices). Monday- Friday schedule with the ability to accommodate patient and nep...
22 hours ago seen See more...
- View all - jobs in Las Vegas, NV
Supportive Care Registered Nurse (Remote)
Vyncacare
Remote
$42 - $52 an hour
Manage patients assigned to your Care Team, ensuring the RN and Interdisciplinary team visit frequencies align with the patients acuity level and needs. Communicate with patients via phone and video conferencing as outlined in th...
2 days ago seen
Nurse Review Auditor
Enablecomp
Remote
Applies clinical expertise and judgment to analyze, research and interpret medical services, bills, etc. and determines appropriateness of charges, delivery of care and treatment plans. Identify the necessity of the review process...
2 days ago seen
REMOTE Registered Nurse (Utilization Review/MEDCOMPASS EXP REQUIRED)
A-Line Staffing Solutions
Atlanta, GA
Start Date: ASAP/TBD. Potential for Direct Hire?: YTBD. $36.21 p/hr, paid biweekly. Benefits are available after 90 days and include health, optical, dental, life, and short-term disability insurance. To be eligible for benefits y...
2 months ago seen See more...
TrustPoint - 6+ Month Document Review Project - Hybrid Remote and In-Office
Trustpoint
Richmond, VA
$33 an hour
Expected Start Date: The mid-late March, exact start TBD based on completion of background check and computer delivery.This client requires an independent background screen process that requires candidates to have their finger pri...
2 days ago seen See more...
- View all - jobs in Richmond, VA
Registered Nurse (RN) - Engagement Center (Remote)
Advocate Aurora Health
Milwaukee, WI
Uses the nursing process and guidance of established protocols to assess the needs of the patient telephonically including the patient, guardian, or family in the conversation when necessary. Determines most appropriate level of c...
2 days ago seen See more...
- View all - jobs in Milwaukee, WI
Medical Review Nurse
Performant Financial Corporation
Remote
$59,500 - $78,000 a year
Auditing claims for medically appropriate services provided in both inpatient and outpatient settings while applying appropriate Medical Review guidelines, policies and rules. Document all findings referencing the appropriate poli...
2 days ago seen
LPN Preservice Review - Remote in Pacific Time Zone
Optum
Portland, OR
$19.47 - $38.08 an hour
Understand and follow standardized processes for managing add or change requests and implementing requests in the letter generation system. Create and review denial letters to determine compliance with contractual and regulatory r...
3 days ago seen See more...
- View all - jobs in Portland, OR
Sr. Payer Policy Relations Analyst-Oncology -Remote (Medical Review-Appeals)
Labcorp
Burlington, NC
$75,000 - $105,000 a year
Works directly with Oncology Segment Marketing Management teams to develop an understanding of existing and emerging technologies to provide education, appeals influence and insight pertaining to Payer Policy. Manage informational...
3 days ago seen See more...
- View all - jobs in Burlington, NC
Medical Review Nurse
Blue Cross Blue Shield Of Louisiana
Baton Rouge, LA
This role does not manage people. This job reports to: Departmental Leadership. Necessary Contacts: In order to effectively fulfill this position, the incumbent must be in contact with: Healthcare providers and subscribers to obta...
3 days ago seen See more...
- View all - jobs in Baton Rouge, LA
RN Utilization Management Nurse - Remote in OR
Optum
Portland, OR
Consistently exhibits behavior and communication skills that demonstrate Optums commitment to superior customer service, including quality, care and concern with each and every internal and external customer. Perform all function...
3 days ago seen See more...
- View all - jobs in Portland, OR
Iowa - Psych Nurse Practitioner - Remote - At least 2 yrs exp required
Forefront Telecare
Bettendorf, IA
Weekday rounds on approx. 12-16 patients Mon-Fri 7a-7p. Every other weekend, rounds on approx. 16 patients Mon-Fri 7a-7p. Weeknight call for admissions and med management Mon-Fri 7p-7a. Every other weekend call for admissions and...
3 days ago seen See more...
- View all - jobs in Bettendorf, IA
Registered Nurse-Access Care- UMC-36 Hours-Midnights-Remote Work-Detroit
Henry Ford Health
Detroit, MI
Under minimal supervision, reviews and screens the recommended admission cases at Henry Ford Health Network emergency rooms. Combines clinical and regulatory knowledge and skill to reduce significant financial risk and exposure du...
4 days ago seen See more...
- View all - jobs in Detroit, MI
Psychiatric Mental Health Nurse Practitioner (PMHNP) - Remote
Rula Health
Tampa, FL
$120.00 to $240.00 hourly
2+ years as a psychiatric Nurse Practitioner with experience with Mental Health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations. An unrestricted license and...
4 days ago seen See more...
- View all - jobs in Tampa, FL
Medical Review Nurse (MRAC)
Provider Resources, Inc.
Hartford, CT
Understand and represent PRI?s mission, vision, and values to all internal and external customers. Engage clients in appropriate communication that manages client expectations and builds a collaborative relationship with the clien...
4 days ago seen See more...
- View all - jobs in Hartford, CT
Health Nurse - Utilization Review
Alterwood Health
Maryland, United States
$75,000 - $95,000 a year
Research and apply national care guidelines such as Medicare National or Local Coverage Determinations, MCG, or InterQual to concurrent and preservice prior authorization (PA) requests. Process PA requests in a timeline fashion ac...
5 days ago seen See more...
- View all - jobs in Maryland State
RN - Utilization Management Nurse 2 - Remote - Florida Region
Humana
Indiana, United States
$69,800 - $96,200 a year
Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action 3-5 years of prior clinical experience preferably in an acute care hospital, skilled or rehabilitation clinical setting Comprehensive knowledge...
6 days ago seen See more...
- View all - jobs in Indiana State
RN - Telephonic Utilization Management Nurse- Medicare- Remote - Southeast Region
Humana
Indiana, United States
$69,800 - $96,200 a year
Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Coordinates and communicates with providers, members, or other parties to facilitate appropriate discharge planning i...
6 days ago seen See more...
- View all - jobs in Indiana State
Utilization Review Nurse Manager
Community Alternatives Inc
Charlotte, NC
$65,000 - $95,000 a year
Dental insurance. Health insurance. Life insurance. Paid time off. Retirement plan. Vision insurance. 8 hour shift. Monday to Friday. Please list you RN license number? What types of patients have you primarily worked with in your...
6 days ago seen See more...
- View all - jobs in Charlotte, NC
Remote Family Nurse Practitioner - Field visits required
Molina Healthcare
Houston, TX
Provide general medical care and care coordination to various and/or specific patient levels adults, womens health, pediatric, and geriatric.. Perform comprehensive evaluations including history and physical exams for gaps in c...
7 days ago seen See more...
- View all - jobs in Houston, TX
(RN) Nurse Case Management Lead Analyst - Evernorth Health Services -Remote
The Cigna Group
Pittsburgh, PA
$75,300 - $125,500 a year
Customer Strong: I deliver world-class experiences for all my customers. Me to We: I take accountability to trust, partner, and deliver. Own It: I see a need and deliver value because I care. Evolve and Adapt: I learn and adapt to...
7 days ago seen See more...
- View all - jobs in Pittsburgh, PA
Remote Licensed Psychiatric Nurse Practitioner - Now Hiring
Headway
Miami, FL
$156.00 - $206.00 per hour
Accept insurance hassle-free by credentialing you with the nations largest networks and handling the billing and admin paperwork for you.. Maintain a flexible schedule by deciding how many clients you see through Headway, so that...
a week ago seen See more...
- View all - jobs in Miami, FL
Claims System Configuration Quality Review Senior Analyst - eviCore - Remote
The Cigna Group
Franklin, TN
Resolve non-routine issues escalated from leadership, business, clients and junior team members and act as a subject matter expert (SME) to business and IT for eviCore claims product setups/processes Collaborate with internal and...
a week ago seen See more...
- View all - jobs in Franklin, TN
Appeals Nurse Consultant (Remote)
Cvs Health
Hartford, CT
We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordab...
a week ago seen See more...
- View all - jobs in Hartford, CT
Utilization Review Nurse, RN
Uf Health Central Florida
Leesburg, FL
Professional certification in CM preferred. Associate's degree required. Current Florida nursing license required. Must be able to read, write in, speak and understand English. Experience: Minimum of 5 years of clinical experience...
a week ago seen See more...
- View all - jobs in Leesburg, FL
Nurse Care Manager Remote ( Minnesota)
Signallamp Health
Minneapolis, MN
Engage in regular check-ins with patients: Discuss changes since the last conversation, follow up on appointments, and understand any new instructions from their doctor. Delve into rich conversations and bond with patients, unders...
a week ago seen See more...
- View all - jobs in Minneapolis, MN
RN - Utilization Management Nurse 2 - Remote - Florida Region
Humana
Vermont, United States
$69,800 - $96,200 a year
Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action 3-5 years of prior clinical experience preferably in an acute care hospital, skilled or rehabilitation clinical setting Comprehensive knowledge...
a week ago seen See more...
- View all - jobs in Vermont State
Licensed Vocational Nurse - REMOTE
Adecco
Woonsocket, RI
$ 27 - $ 28.09 / Hour
Refer prior authorization cases not meeting clinical criteria for upper-level review when appropriate.. Must possess excellent communication skills, both written and verbal.. Shift priorities while exhibiting a high level of urg...
2 weeks ago seen See more...
- View all - jobs in Woonsocket, RI
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