30 Remote Utilization Review Nurse jobs in Richmond, Virginia, United States

Case Management

Registered Nurse (RN) License

Prior Authorization

Utilization Review Nurse/ Registered Nurse (RN) for LTSS Waiver/Medicaid - Remote in Virginia

Sentara Health·Virginia, United States (Remote)

Sentara Health

Virginia, United States (Remote)

2w ago

Utilization Review Nurse

Registered Nurse (RN)

Utilization Management Registered Nurse (RN) - Remote

Guidehealth·United States (Remote)

Guidehealth

United States (Remote)

$70K – $75K Yearly2w ago

Medical Necessity Criteria

Nurse Reviewer (Registered Nurse) - Remote in US (Any city, AL, US, 99999)

Gainwell Technologies LLC·United States (Remote)

Gainwell Technologies LLC

United States (Remote)

$78K – $88K Yearly5d ago

Nursing

Claims Auditing

Clinical Guide Part A: Utilization Management Nurse

Devoted Health·United States (Remote)

Devoted Health

United States (Remote)

$85K – $95K Yearly2w ago

Utilization Review Nurse

RN License

Utilization Management RN

Your IT Recruiter·United States (Remote)

Your IT Recruiter

United States (Remote)

4w ago

Registered Nurse (RN) License

Utilization Review RN

Peer to Peer Nurse Author RN

R1 RCM Holdco Inc.·United States (Remote)

R1 RCM Holdco Inc.

United States (Remote)

$65.5K – $96.9K Yearly14h ago

Peer-to-Peer Nurse

RN License

RN Utilization Management Reviewer

Sagility·United States (Remote)

Sagility

United States (Remote)

$35 – $40 Hourly3w ago

Utilization Management Nursing

InterQual

Clinical UM Nurse

CenterWell Senior Primary Care·United States (Remote)

CenterWell Senior Primary Care

United States (Remote)

$71.1K – $97.8K Yearly3w ago

Clinical Nursing

Registered Nurse (RN) License

Nurse Licensure Compact (NLC)

Registered Nurse (RN) Medicare Quality Assurance Reviewer

Clover Health·United States (Remote)

Clover Health

United States (Remote)

$92K – $120K Yearly4w ago

Utilization Management & Appeals

Medicare Utilization Management

RN License

Physical Health Registered Nurse (Remote)

Vaya Health·North Carolina, United States + 6 more (Remote)

Vaya Health

North Carolina, United States + 6 more (Remote)

$68K – $88.4K Yearly7d ago

Clinical Reviews

Registered Nurse (RN), Home Health Utilization Management

Clover Health·United States (Remote)

Clover Health

United States (Remote)

$92.3K – $120K Yearly1w ago

Utilization Management Nursing

Clinical Review Nursing

CMS Regulations

Medicare Advantage

Utilization Management RN

WPS Health Solutions·Colorado, United States + 16 more (Remote)

WPS Health Solutions

Colorado, United States + 16 more (Remote)

$75K – $100K Yearly2w ago

Prior Authorization

Clinical Care Reviewer II

CareSource·United States (Remote)

CareSource

United States (Remote)

$62.7K – $100.4K Yearly4w ago

Clinical Care Review

Medical Necessity Review

RN Utilization Management

Arkansas Blue Cross·United States (Remote)

Arkansas Blue Cross

United States (Remote)

2w ago

Analytical Decision Making

Active Listening

Supervisor, Utilization Management

Centene Corporation·United States (Remote)

Centene Corporation

United States (Remote)

$75.3K – $135.4K Yearly2w ago

Clinical Management

Prior Authorization

Lead Utilization Review-RN

Personify Health·United States (Remote)

Personify Health

United States (Remote)

$38 – $43 Hourly3w ago

RN Licensure

ICD-10 Coding

Case Manager, Registered Nurse

CVS Health·United States (Remote)

CVS Health

United States (Remote)

$54.1K – $155.5K Yearly3w ago

Case Manager

Telephonic Case Management

Case Management

Remote Home Health RN – Medical Claims Reviewer

Broadway Ventures·United States (Remote)

Broadway Ventures

United States (Remote)

$60K – $63K Yearly2d ago

Registered Nursing

Medical Review

Registered Nurse (RN)

Medical Claims Review

Registered Nurse RN - Clinical Documentation Specialist - CDIP or CCDS REQUIRED - Mon - Fri Days - Remote

Northeast Georgia Medical Center, Inc.·Worldwide (Remote)

Northeast Georgia Medical Center, Inc.

Worldwide (Remote)

4w ago

Clinical Documentation Specialist