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

Bayer

Sr Data Scientist, AI 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... 

Indeck Energy Services

Power Plant Operator Job at Indeck Energy Services

 ...Energy Services is looking for an individual with combined cycle power plant experience to fill an immediate position. This position...  ...Energy has developed, financed, managed the construction, owned and operated numerous power generation facilities across the United States... 

Central Group Companies

Auto Recycler scrap preparer Job at Central Group Companies

 ...can utilize their automotive experience to engage with and be a part of an outstanding team. This position is responsible for properly...  ...education ~18+~ Proficientin removing and understanding of various auto parts ~ Proficient in running front end loader with bucket &... 

Colliers Engineering & Design

Environmental Engineering Intern Job at Colliers Engineering & Design

 ...Overview We are seeking a highly-motivated student to join our Environmental Services Group for Summer 2026 in our Mt. Arlington office....  ...Environmental Engineering, Civil Engineering, Environmental Science, Geology, or a related program. Must have reliable transportation... 

BWXT

Nuclear Process Operator (PIPELINE -- May 2025) Job at BWXT

 ...exploration. With more than 7,800 employees, BWXT has 14 major operating sites in the U.S., Canada and the U.K. We are the sole...  ...LinkedIn , X , Facebook and Instagram . Nuclear Process Operator - Nuclear Fuel Services (BWXT) - Erwin, TN Minimum...