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

Randstad Technologies

UX Writer/Content Strategist Job at Randstad Technologies

 ...type: Contract salary: $55 - 56 per hour work hours: 8am to 5pm education: Bachelors Responsibilities Write and edit UX copy for web and mobile experiences, including navigation, user flows, and transactional content. Translate complex financial concepts... 

Gudenkauf, a Congruex company

Utility Locator I, II Job at Gudenkauf, a Congruex company

 ...planning, caregiver support, and more! Marketplace discounts and 24/7 access to online learning & development Job Summary: Utility Locators drive company vehicles to job sites and use digital utility maps, along with specialized equipment, to find underground cables... 

SafetyKleen

Solvent Process Operator I Job at SafetyKleen

 ...Clean Harbors Chicago, IL is working an environmentally friendly solvent recycler, is looking to add several Solvent Process Operators to their team! These team members will need to be willing to learn to complete all assigned tasks such as distillation, filtration... 

Altom Transport

Local Driver - CDL A - Tanker Driver Job at Altom Transport

 ...safety and compliance with regulations. ~ Load and unload tanker trucks, sometimes using hoses or pumps, while following all...  ...contribute to operational success. Requirements Valid CDL Class A License Tanker Endorsement (N) Required... 

Tek Ninjas

UX Writer (Senior Level) Job at Tek Ninjas

 ...UX Writer (Senior Level) Duration: 6 months Location: Quebec / Montreal, QC Work mode: Hybrid (1 day onsite) Responsibilities Ensure simple, consistent, and high-quality content design across digital platforms (informational, transactional, and...