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

Beebe Healthcare

RN / REGISTERED NURSE - VASCULAR ACCESS TEAM - PER DIEM Job at Beebe Healthcare

 ...patients and a team focused on excellence. Overview: Beebe Healthcare is seeking a highly skilled Per Diem Vascular Access RN (PICC) to provide specialized nursing care for patients requiring vascular access services. This role is responsible for the direct and indirect... 

CMTA, Inc.

Mechanical engineer Job at CMTA, Inc.

 ...CMTA is one of the fastest growing engineering firms in the U.S., with nationally recognized...  ...company, is seeking an entry level Mechanical Engineer in our Lexington, KY office. This...  ...Other duties as assigned Required Experience Bachelors Degree in Mechanical... 

Carle Health

CT Technologist - Proctor Job at Carle Health

 ...variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nations highest... 

Kelly Services

Electronics/Components Technician Job at Kelly Services

 ...Professional & Industrial team as a **Mechanical** **/Components Technician** at our **Rio Rancho, NM** location where we work directly...  ...? You'll be:**+ Maintaining, operating, and performing light repairs on machinery and/or product lines+ Proactively identify defects... 

Jeeter - a DreamFields Brand

Talent Acquisition Specialist Job at Jeeter - a DreamFields Brand

 ...Job Title: Talent Acquisition Specialist Department: Recruiting Reports to: National Talent Acquisition Manager Effective...  ...Build and maintain relationships with external recruitment agencies, educational institutions, and professional organizations. Continuous...