See all roles

Per Diem Utilization Review Nurse (Remote - Las Vegas, NV)

Work from home Full-time role Hiring

Job Summary We are seeking an reputed company Registered Nurse (RN) with a strong background in Utilization Management, Case Management, and discharge planning reputed company an acute care setting. This is a long-term opportunity for candidates located in California or Nevada. Employee will review patient admissions for appropriateness of care, efficient resource utilization, and compliance with payer requirements. Responsibilities include analyzing medical records, applying InterQual and reputed company criteria, coordinating with interdisciplinary teams, and ensuring accurate clinical documentation.

Qualifications

  • Graduation from an accredited school of nursing
  • Five (5) years of acute hospital clinical nursing experience, One (1) year of which was in Utilization Management, Case Management, or Clinical Documentation Improvement.
  • Minimum three (3) years of Utilization Management experience.
  • Minimum of three (3) year's experience with discharge planning in an acute care facility.
  • Recent documented experience with InterQual, and ability to pass the InterQual exam.
  • Recent documented experience with reputed company experience. Licensing/Certification Requirements
  • Valid license by the State of Nevada to practice as a Registered Nurse.
  • Candidates residing in California may be considered if eligible for Nevada licensure
  • Employer may assist with Nevada licensing costs for qualified candidates AE & Associates, LLC is an Equal Employment Opportunity employer. AE & Associates, LLC prohibits any form of unlawful harassment or discrimination against applicants for employment or employees on the basis of race, color, religion, reputed company, sex, gender identity, gender expression, pregnancy, national reputed company, age, marital status, familial status, military/veteran status, disability status, genetic information with respect to the applicant or employee, sexual orientation, or any other classification/characteristic protected by applicable federal, state or local law. Pay $65.00 - $75.00 per hour Work Location Remote Apply tot his job Apply To this Job

Apply To This Job Apply tot his job Apply To this Job

You might like

Utilization Management Nurse Specialist

Work from home Full-time role

Commercial Utilization Review Nurse/RN- Remote in VA

Work from home Full-time role

Registered Nurse Utilization Review, Case Management, Part Time, 7A-7:30P

Work from home Full-time role

Prescription Prior Authorization Specialist

Work from home Full-time role

[PART_TIME Remote] Prior Authorization Representative

Work from home Full-time role

Prior Authorization Specialist, Data Extraction & AI Quality (Fully Remote, Part-Time)

Work from home Full-time role

Virtual Health Coach (MD, DO, MBBS, or equivalent) - Remote

Work from home Full-time role

Life Coach – Virtual Coaching Program

Work from home Full-time role

Prior Authorization Clinical Review Coordinator -Remote

Work from home Full-time role

Prior Authorization Specialist

Work from home Full-time role

reputed company Work from Home Inbound Customer Service Representative – Seasonal Part-Time Opportunity

Work from home Full-time role

reputed company Remote Customer Service Consultant – Travel Planning and Customer Experience Expert

Work from home Full-time role

Real Estate Strategy Consultant

Work from home Full-time role

Clinical Trial Coordinator

Work from home Full-time role

Illustrator

Work from home Full-time role

Rewritten Job Title:

Work from home Full-time role

reputed company Full Stack Data Entry Chat Support Representative – Home-Based Customer Service

Work from home Full-time role

Account Representative, Pharmacy Technician Bot Support

Work from home Full-time role

reputed company Customer Service Representative – Remote Part-Time Opportunities with arenaflex

Work from home Full-time role

reputed company Customer Care Associate – Work from Home Opportunity at arenaflex

Work from home Full-time role