Utilization Review Nurse - LPN (Remote) Job at Morgan Stephens, Remote

RmJHYkR3Q0JKR2dWdzJMenlJVytlWFpqRGc9PQ==
  • Morgan Stephens
  • Remote

Job Description

Job Summary:

As a Utilization Management Nurse, you'll play a crucial role in our multidisciplinary team, ensuring that patients progress seamlessly through their care journey according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory and reimbursement requirements for various payers, both commercial and government.

100% Remote - However, Only candidates on EST Time Zone are considered. 

Key Responsibilities:

  • Conduct concurrent and continued stay Utilization Management reviews, ensuring accurate data tracking, evaluation, and reporting.
  • Lead or participate actively in process improvement initiatives, collaborating with various departments and multi-disciplinary teams.
  • Efficiently manage a diverse workload in a fast-paced, ever-evolving regulatory environment.
  • Foster positive collaboration with the Care team to facilitate timely patient progression during their stay.

Job Requirements:

  • Current PN Nurse license
  • Associate's degree preferred.
  • 2 years of Utilization Management experience in large health organization.
  • Hospital case management experience is advantageous.
  • Proficiency in federal and state regulations (DOH, Medicaid/Medicare) and familiarity with third-party payers and managed care principles.

Salary Range: $75,000+
Benefits: Yes- Full benefit package available with employer contribution.

Join our dynamic team and be part of our commitment to efficient Utilization Management and patient-focused care.

​​​​​​Date of Original Job Posting: 1/25/25 

Job Tags

Similar Jobs

MetLife

Full Stack Software Engineer II Job at MetLife

 ...demonstrated extracurricular success (research, projects) in any field Candidate must be currently authorized to work in the United States and must not require MetLife sponsorship or support for an immigration-related employment benefit (e.g., work permit or temporary work... 

Great Clips

Hair Stylist Job at Great Clips

 ...ARE YOU READY TO MAKE UP TO $20-$32 PER HOUR??? Our driven, goal-oriented company is looking to fill a hair stylist position! The person who is the right fit for our team will be personal, creative, confident, and adaptable! We are a growing organization that operates... 

Maxion Corp

Remote Data Entry Specialist Job at Maxion Corp

 ...Join Our Team as a Work-From-Home Data Entry Research Panelist! Are you ready to earn money from the comfort of your own...  ...This Job: Flexibility at Its Best: Work part-time or full-time, from anywhere, and on a schedule that fits your... 

Openkyber

Junior Frontend UI Developer Job at Openkyber

 ...Role: React UI Developer Location: Wilmington, DE & Alpharetta, GA (onsite) Duration: Long term Contract Work Schedule: 5 days a...  ...of hands-on experience developing Web applications using React JS. ~ Experience in designing User Interface (UI) applications... 

PandaTree

Mandarin Chinese Online Tutor for Children Job at PandaTree

 ...Do you love helping children learn Mandarin Chinese? And are you looking for a fun and flexible part-time job? Do you want to work from...  ...We are growing and looking for native-fluency Mandarin Chinese-speaking tutors to provide one-on-one and small group tutoring for...