Top 41 Rn work from home Jobs in Grapevine, Tx

Utilization Review Nurse
Oscar Health —Dallas, TX
- $35.00 - $45.94 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
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DRG Reviewer
Machinify —Dallas, TX
- $90,000 - $115,000 a year
- Remote
- Nursing
- HIPAA
- Mid-level
- Health savings account
- Health insurance
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Case Management RN
Oscar Health —Dallas, TX
- $32.60 - $42.79 an hour
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
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ASSESSMENT COORD (RN/LIC THERAPIST) - OUTPATIENT INTAKE
Millwood Hospital —Arlington, TX
- Overtime
- Remote
- Nursing
- Medication administration
- Addiction Medicine
- Health insurance
- Dental insurance
Utilization Review Nurse
Bracane Co —Plano, TX
- Full-time
- Remote
- RN License
- Mid-level
- 3 years
Quick Apply
Flex Nurse Educator - Dallas W, TX
IQVIA —Dallas, TX
- $80,000 - $85,000 a year
- Weekends as needed
- Remote
- Spanish
- Nursing
- Up to 50% travel
7d
Clinical Review QC Auditor
CorVel Corporation —Fort Worth, TX
- $68,566 - $104,841 a year
- Full-time
- Remote
- LVN
- RN License
- Computer literacy
- Health savings account
- Disability insurance
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Registered Nurse Outpatient Care Manager - PRN
Texas Health Resources —Arlington, TX
- PRN
- Remote
- Nursing
- RN License
- Mid-level
- Employee assistance program
- Employee discount
9d
CCM Case Management RN
Oscar Health —Dallas, TX
- $32.60 - $42.79 an hour
- Remote
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
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RN, Pediatric Psychiatry
Cook Children's Health Care System —Fort Worth, TX
- Full-time
- Remote
- Nursing
- Psychiatry
- RN License
- Health insurance
Payment Integrity Analyst III - QA Analyst
CorVel Corporation —Fort Worth, TX
- $73,345 - $113,247 a year
- Full-time
- Remote
- LVN
- RN License
- Research
- Health savings account
- Disability insurance
Quick Apply
Payment Integrity Analyst II
CorVel Corporation —Fort Worth, TX
- $66,941 - $101,258 a year
- Full-time
- Remote
- LVN
- RN License
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
1d
Part Time (RN) Registered Nurse
Applesoft Homecare Services —Arlington, TX
- $120 - $150 a day
- Part-time
- Remote
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
Quick Apply
Senior Compliance Auditor - RN
Elara Caring —Fort Worth, TX
- $80,000 - $90,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Bachelor of Science
- Paid holidays
- Health insurance
Quick Apply
2d
Payment Integrity Supervisor
CorVel Corporation —Fort Worth, TX
- $77,960 - $120,368 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Health savings account
- Disability insurance
Quick Apply
Clinical Educational Manager - Dallas
HRIS-Payroll and Timecard Systems —Dallas, TX
- Full-time
- Remote
- Customer service
- Computer literacy
- Bachelor of Science
- Paid holidays
- Disability insurance
Quick Apply
Registered Nurse - Nights
Cadence Health —Dallas, TX
- $80,000 - $90,000 a year
- Weekends as needed
- Remote
- RN License
- Clinic experience
- Mid-level
- Paid parental leave
- Health insurance
Quick Apply
CDQI Nurse Specialist- FT
Datavant —Dallas, TX
- $40 - $45 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
Payment Integrity Analyst III - Trainer
CorVel Corporation —Fort Worth, TX
- $73,345 - $113,247 a year
- Full-time
- Remote
- LVN
- RN License
- Writing skills
- Health savings account
- Disability insurance
Quick Apply
Hospital Bill Audit Supervisor
CorVel Corporation —Fort Worth, TX
- $76,207 - $117,662 a year
- Full-time
- Remote
- Nursing
- RN License
- 5 years
- Health savings account
- Disability insurance
Quick Apply

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rn work from home jobs near grapevine, tx

Utilization Review Nurse

Oscar Health -
Dallas, TX

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Job Details

$35.00 - $45.94 an hour

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
Paid sick time

Qualifications

Nursing
Utilization review
Managed care organization experience
Acute care facility experience
InterQual
Utilization management
Decision making
Resource utilization in healthcare
Nursing

Full Job Description

Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.

About the role:

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

You will report into the Supervisor, Utilization Review.

Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.

Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.

Responsibilities:

Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines
Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines
Meet required decision-making SLAs
Refer members for further care engagement when needed
Compliance with all applicable laws and regulations
Other duties as assigned

Requirements:

Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Nursing Diploma Program in Accredited School of Nursing
Ability to obtain additional state licenses to meet business needs
1+ year of utilization review experience in a managed care setting
Strong experience utilizating MCG (Milliman Care Gudielines) or InterQual
1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)
Weekend availability is required; all applicants must be able to work at least one weekend day (Saturday or Sunday) each week.

Bonus points:

BSN
Previous experience conducting concurrent or inpatient reviews for a managed care plan

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care - an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team ([email protected]) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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Refine Your Search

rn work from home jobs in grapevine, tx

Utilization Review Nurse

DRG Reviewer

Case Management RN

ASSESSMENT COORD (RN/LIC THERAPIST) - OUTPATIENT INTAKE

Utilization Review Nurse

Flex Nurse Educator - Dallas W, TX

Clinical Review QC Auditor

Registered Nurse Outpatient Care Manager - PRN

CCM Case Management RN

RN, Pediatric Psychiatry

Payment Integrity Analyst III - QA Analyst

Payment Integrity Analyst II

Part Time (RN) Registered Nurse

Senior Compliance Auditor - RN

Payment Integrity Supervisor

Clinical Educational Manager - Dallas

Registered Nurse - Nights

CDQI Nurse Specialist- FT

Payment Integrity Analyst III - Trainer

Hospital Bill Audit Supervisor

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