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

Art Room

Animator Job at Art Room

The Role: We are looking for a creative and talented Animator to join Art Room Orlando, a leading arts and crafts company. As an Animator, you will play a crucial role in creating engaging and educational animations to support our learning materials and projects. This...

Bechtel

2026 University Hire (U.S.) - Nuclear Engineer Job at Bechtel

 ...create a lasting positive impact. We serve the Infrastructure; Nuclear, Security & Environmental; Energy; Mining & Metals, and the...  ...the application of applicable codes and standards, as well as engineering calculations and techniques, procedures, and criteria. You will... 

Optimum Staffing Inc.

Class B Truck Driver Job at Optimum Staffing Inc.

 ...7:00 AM average shift length around 9 hours Operate a Straight Truck/Box Truck Delivering building materials within a 150-mile...  ...Apply or Call Now! Recruiter: (***) ***-**** ext. 311 Driver & Operations Coordinator (***) ***-**** Weekend Callers;... 

Direct Rate Home Loans

Personal Admin Assistant Job at Direct Rate Home Loans

 ...a job where you get to work closely with decision-makers at the highest level of a small business? Were hiring a superb personal assistant to improve our efficiency and productivity to achieve our organizational goals. You will be taking phone calls, running errands, setting... 

AIG

Finance Operations Analyst Job at AIG

Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies provide a wide range of property casualty insurance, life insurance, retirement solutions, and other financial...