Utilization Review Nurse - LPN (Remote) Job at Morgan Stephens, Remote

WVpmeEgyY1ZSdHhwQTdJNWtCOFoyMFM2Mmc9PQ==
  • 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: $80,000+
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: 2/2/25 

Job Tags

Remote job,

Similar Jobs

Dart Healthcare Staffing

Licensed Nursing Home Administrator Job at Dart Healthcare Staffing

 ...guidelines, and regulations that govern nursing facilities to assure that the highest degree...  ...Duties and Responsibilities 1. Administrative Functions a. Plan, develop, organize,...  ...Quality Measures data posted on the nursing home compare website to determine the... 

Jordan's Furniture

Photographer Job at Jordan's Furniture

 ...Prep, compose and shoot product and lifestyle images maintaining consistency across a range of products according to the Product Photography Standards guidelines. Work closely with Creative Director to establish new guidelines as needed.Executes standard photography operation... 

Texas Physical Therapy Specialists

Physical Therapist - Orthopedics Job at Texas Physical Therapy Specialists

 ...~ Using exercises, stretching, equipment, and hands-on manual therapy to manage patients pain, increase mobility, and prevent further...  ...TexPTS) has been helping people return to their work, life, and play without pain. We are recognized leaders in orthopedic and sports... 

Zing! Recruiting

Sr. Patient Access Bed Control Representative Job at Zing! Recruiting

 ...of necessary supplies. Protect and disclose patient information in accordance with HIPAA standards. Qualifications: ~ High School Diploma or equivalent required. ~1 year of hospital admitting experience preferred. ~ Proficiency in Microsoft Office. ~ Willingness... 

Kootenai Health

Medical Screener Job at Kootenai Health

 ...Medical Screener Position Summary: Position conducts medical screening for all clients admitted to the Northern Idaho Crisis Center, assists with medical oversight for patients scheduled for medications, responds to medical emergencies that occur at the center and...