Telecommuting Utilization Review Jobs

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Are you looking for a remote utilization review job that you can work from the comfort of your own home? At Virtual Vocations, we hand-screen the latest online job listings to make sure we bring you the highest quality telecommute positions available.

Utilization review is the process of analyzing patient and facility records to make sure that patient care is appropriate, cost-effective, and a good use of hospital resources. Most utilization review specialists are registered nurses, and you need several years of clinical experience before you can take on this role. Remote positions are very common in this field, so this is the perfect option if you want to get out of the high-pressure, fast-paced side of nursing. You use your medical and clinical expertise to go over the diagnosis and treatment of a patient to make sure it is up to hospital standards.

To succeed in a remote utilization review job, you need strong analytical skills, in addition to your technical and clinical knowledge. Available job titles include Telecommute Utilization Review Registered Nurse, Telecommute Utilization Review Manager, and Remote Utilization Review Nurse.
  • Utilization Review Nurse

    A company is looking for a Utilization Review Nurse, part-time, remote.

    RN License InterQual MCG Microsoft Office
  • Utilization Review Nurse

    A company is looking for a Utilization Review Nurse, PRN, Remote.

    InterQual MCG EMR Microsoft Office
  • Utilization Review RN

    A company is looking for a Utilization Review Nurse to join their Clinical Review team....review experience in a managed care setting 2+ years of clinical experience, including at least 1 year in an acute care setting

    RN Licensure Utilization Review Clinical Judgment Evidence-based Guidelines
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  • Missouri Licensed Utilization Review Clinician

    A company is looking for a Utilization Review Clinician - BH.

    LCSW LMHC LPC LMFT
  • Director of Utilization Review

    A company is looking for a Director of Enterprise Utilization Review....Key Responsibilities Oversee utilization review functions, ensuring compliance and process improvements across the Company Act as administrative chair for the Utilization Review committee, implementing policies and coordinating initiatives Provide

    Utilization Review Process Improvement Case Management ICD-10 Codes
  • California Licensed Utilization Review Nurse

    A company is looking for a Concurrent Utilization Review Nurse, RN (Work from home)....review or case management Experience in a managed care setting with medical necessity reviews is preferred Preferred certifications include Certified Professional in Utilization Review (CPUR) or Certified Case Manager (CCM) Strong knowledge of clinical

    Concurrent Review Case Assessment InterQual MCG
  • California Licensed Utilization Review Author

    A company is looking for a Utilization Review Author (Weekend)....Key Responsibilities Perform initial admission and continued stay reviews utilizing InterQual or Milliman Abstract data from medical records to ensure accurate clinical data Adhere to quality, timeliness, and productivity outputs for nursing utilization

    Registered Nurse Utilization Review InterQual Milliman
  • Georgia Licensed Utilization Review Clinician

    A company is looking for a Utilization Review Clinician - Behavioral Health.

    Clinical Review Concurrent Review Discharge Planning Data Analysis
  • Nevada Licensed Utilization Review Clinician

    A company is looking for a Utilization Review Clinician - Behavioral Health.

    Clinical Review Mental Health Substance Abuse Prior Authorization
  • California Licensed Utilization Review Nurse

    A company is looking for a Utilization Review Author to assist hospital clients with case reviews....review Required Qualifications Active Registered Nurse (RN) license in the state of residence Eligibility to obtain a California RN license Experience in a clinical inpatient environment Hospital-based utilization or case management experience

    InterQual Milliman Clinical Documentation Data Abstraction