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

firstsourc

Patient Financial Advocate Job at firstsourc

 ...their work through the emotions of relief and joy of the patients. Join our team and make a difference! The Patient Financial Advocate is responsible to screen patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. This... 

BrightStar Care of Olathe/Overland Park

CNA (Certified Nursing Assistant)/Caregiver Job at BrightStar Care of Olathe/Overland Park

 ...and collaborative team, and we would love to work with you!BrightStar Care is looking for full-time and part-time CNAs (Certified Nursing Assistants) and PCAs (personal care attends/caregivers) to join our growing team! At BrightStar Care, our CNAs (Certified Nursing... 

Wintech Inno

Overseas Sales Manager 海外销售经理 Job at Wintech Inno

According to the company's business development needs, explore North American sales channels and promote products to enter the North American market. Be responsible for the management of distributors in the...

Purple Drive

Full Stack Developer Job at Purple Drive

 ...Job Title: Full Stack Developer Location: San Jose, CA Experience Required: 5+ Years Role Overview We are seeking an experienced Full Stack Developer with strong expertise in ReactJS, Java, and core JavaScript fundamentals . The ideal candidate will... 

Woundlocal

Medical Coder - Austin Job at Woundlocal

 ...Woundlocal is looking for a detail-oriented Medical Coder to join our dynamic team in Austin! Responsibilities: Review and analyze medical documentation to ensure accurate coding and billing processes. Assign appropriate codes for diagnoses, procedures, and...