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

North Wind Group

Security Escort 03956 (P) NWFS Job at North Wind Group

 ...Location: Oak Ridge, Tennessee Title: Security Escort - Pending / Expected Start Jan 2026 Schedule (FT/PT): Regular Full Time Travel Required: No Clearance: Ability to Obtaina DOE Q Clearance North Wind Federal Services, LLC is an Alaska Native... 

35 Clyde Road

Certified Medical Assistant Job at 35 Clyde Road

 ...Job Title: Certified Medical Assistant Location: Barnabas Health Medical Group Department Name: Care First Req #: 0000210937 Status: Hourly Shift: Day Pay Range: $22.52 - $28.78 per hour Pay Transparency: The above reflects the anticipated hourly... 

Zaxby's

Crew Member - Cashier Job at Zaxby's

 ...Qualifications The following requirements must be met in order to qualify for this position. Must be willing to learn Must be 15 years of age or older Ability to work a minimum of 5 hours per week Benefits: ~ Flexible scheduling and requested time off... 

Sodexo

Facilities Project Manager Job at Sodexo

**Role Overview****Sodexo is seeking a skilled Lead Project Manager** to oversee the deployment and mobilization of Facilities Management (FM) services-including both hard and soft services-across multiple locations for a high-profile Corporate Services account. This... 

Advanced Turf Solutions

Live Chat Agent Job at Advanced Turf Solutions

 ...motivated individual looking for a flexible, rewarding opportunity to work from home? Were seeking dedicated Customer Service Representative /...  ...and professionally to customer inquiries via phone, email, or chat Troubleshoot and resolve technical issues, guiding...