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

Acceler8 Talent

Entry Level Recruiter - May 2025 Grads! Job at Acceler8 Talent

 ...Entry Level Recruiter - May 2025 Grads! Do you want to join an organization with a 5-star Glass Door review? Are you graduating in 2025? Interested in an exciting and lucrative recruitment career? Founded in 2019, Acceler8 Talent is headquartered at our dynamic office... 

HirefinderRPO

Insurance Sales Agent Job at HirefinderRPO

&##128227; Explore a Flexible Career Opportunity in Insurance Sales We are hiring Life and Health Insurance Agents under a 1099 contract. This opportunity is ideal for those looking for: Full control of your schedule : You decide how many hours you work.... 

Giant Eagle

Pharmacy Manager Job at Giant Eagle

 ...Job Summary As a Team Leader Pharmacy, we will look to you to develop, lead and coach a service conscious pharmacy team who will...  ...work assignments, and efficient use of supplies and equipment. Manage inventories by tracking daily reports, overseeing physical... 

MSI

Sales Representative-BOI (Tile and Flooring) Job at MSI

 ...Summary: The sales representative is responsible to grow and develop the sales and margins of MSIs Tile product lines with the retailer...  ...retailer and dealer networks, to drive sales and promote our flooring and countertop products. Provide product knowledge and... 

Reach Alert

Web/App Developer Internship Job at Reach Alert

REACH Alert is seeking a self-directed part-time Web/App Developer with a passion for technology, collaboration, and creative problem-solving. The...  ...Louisville, Kentucky. For more information about this Software Engineer intern position, please send your resume and a brief...