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

vTech Solution

Technical Writer Job at vTech Solution

 ...Job Title: Technical Writer Location: Richmond, VA 23219 Contract Duration: 5 months Job Description: Our client is seeking...  ...Familiarity with diagramming tools (e.g., Lucidchart, Draw.io), UX writing, and basic knowledge of Markdown, HTML/CSS will be advantageous... 

Contrarian Thinking

Short Form Editor Job at Contrarian Thinking

 ...We're looking for a short-form video editor with experience editing viral content. This job is to edit short form content for Codie Sanchez...  ...Salary is $1,000 / $1,700 USD per month and the job is 100% remote. *Salary depends on your skills, experience, and primarily... 

Gulf Management

Leadperson Highway Striping Job at Gulf Management

Toperformthisjobsuccessfully,anindividual must beabletoperformthe essential functions of this positionsatisfactorily.The requirementslisted below are representative oftheknowledge,skills,and/orabilitiesrequired.This is considered asafetysensitive...

Royal Star Realty

Customer Service Representative Job at Royal Star Realty

 ...customers, managing communications, and working independently from home. Responsibilities Answer customer inquiries via phone, email, and online platforms Provide information...  ...skills Job Details Job Type: Full-Time or Part-Time Work Location: Remote (Work... 

Bayer

Computational Biologist, Principal Scientist - CVRI Job at Bayer

 ...At Bayer were visionaries, driven to solve the worlds toughest challenges and striving for a world where 'Health for all Hunger for none is no longer a dream, but a real possibility. Were doing it with energy, curiosity and sheer dedication, always learning from unique...