Top 53 Remote nurse Jobs in Illinois

Behavioral Health Utilization Review Registered Nurse
Hines & Associates Inc —Rockford, IL
- $57,244 - $62,180 a year
- No weekends
- Remote
- Nursing
- Addiction Medicine
- RN License
- Paid holidays
- Disability insurance
Quick Apply
REMOTE RN Case Manager- Chicago, IL
OpTech LLC —Illinois
- $80,000 - $90,000 a year
- No weekends
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Mileage reimbursement
- Paid holidays
Quick Apply
Registered Nurse (RN) - Case Manager
Integrated Resources - Hosted Jobs —South Suburban, IL
- $42 - $44 an hour
- Contract
- Remote
- Spanish
- Nursing
- Skilled nursing facility
- Health insurance
- Dental insurance
Quick Apply
3d
Clinical Claims Review Nurse
CVS Health —Illinois
- $26.01 - $68.55 an hour
- Full-time
- Remote
- Nursing
- RN License
- Customer service
- Health insurance
- Dental insurance
2d
UM Nurse Consultant-2
CVS Health —Illinois
- $26.01 - $68.55 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Computer literacy
- Health insurance
- Dental insurance
4d
Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Illinois
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Case Manager Registered Nurse - must have Illinois RN License
CVS Health —Illinois
- $66,575 - $142,576 a year
- Weekends as needed
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
2d
RN - Clinical Documentation Integrity Specialist
Carle Health —Champaign, IL
- $34.31 - $59.01 an hour
- PRN
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
Registered Nurse Educator
Ascension —La Grange Park, IL
- $94,223.00 - $133,015.21 a year
- Full-time
- Remote
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
2d
Holistic Health Specialist - Work From Home
Health Care Service Corporation —Chicago, IL
- $61,500 - $136,100 a year
- Full-time
- Remote
- Nursing
- Management
- RN License
- Work from home
RN Clinical Admission Specialist - Transfer Coordination
Carle Health —Peoria, IL
- $33.11 - $53.88 an hour
- 8 hour shift
- Remote
- Nursing
- RN License
- Hospital
- Health insurance
2d
RN - Patient Advisory
Carle Health —Urbana, IL
- $33.11 - $53.88 an hour
- Part-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
Nurse RN, Medical Detox
LSSI —Chicago, IL
- $35 - $45 an hour
- Part-time
- Remote
- Background check
- Nursing
- Microsoft Excel
- Paid training
- Paid holidays
Quick Apply
Telephonic Nurse Care Manager
Advanced Monitored Caregiving Inc. —Springfield, IL
- $78,000 - $90,000 a year
- Full-time
- Remote
- 3 years
- Home Health
- Ability to sit for extended periods
Clinical Quality Assurance Coordinator
IME RESOURCES LLC —Rockford, IL
- $26.50 - $28.50 an hour
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Telephonic Nurse Care Associate
Advanced Monitored Caregiving Inc. —Springfield, IL
- $25 - $30 an hour
- Full-time
- Remote
- 5 years
- Senior level
- Communication skills
Nurse Care Manager
Evergreen Nephrology —Chicago, IL
- $90,000 - $103,000 a year
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Paid parental leave
- Health savings account
Quick Apply
Remote Behavioral Registered Nurse (RN)– Remote Care Manager
CareGenix Solutions LLC —Illinois
- Part-time
- Remote
- Nursing
- RN License
- HIPAA
Quick Apply
1d
Legal Nurse
Rising Medical Solutions —Chicago, IL
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Profit sharing
- 401(k) matching
Quick Apply
Bilingual Care Manager, Telephonic Nurse
Humana —Illinois
- $71,100 - $97,800 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
2d

I want to receive the latest job alert for remote nurse in illinois

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

remote nurse jobs near illinois

Nurse jobs in Chicago, IL

Registered Nurse jobs in Urbana, IL

Quality Assurance Coordinator jobs in Rockford, IL

Care Manager jobs in Illinois

Care Manager jobs in Springfield, IL

Registered Nurse Oncology jobs in Illinois

Care Manager jobs in Chicago, IL

Clinical Documentation Improvement Specialist jobs in Champaign, IL

Clinical Nurse Coordinator jobs in Peoria, IL

Clinical Nurse Manager jobs in Illinois

Utilization Review Nurse jobs in Rockford, IL

Nurse Consultant jobs in Illinois

Health Specialist jobs in Chicago, IL

Registered Nurse Case Manager jobs in Hilo, HI

Case Manager jobs in Tacoma, WA

Registered Nurse Case Manager jobs in Rock Hill, SC

Registered Nurse jobs in Longmont, CO

Registered Nurse jobs in Richland, WA

Case Management jobs in Orlando, FL

Registered Nurse Case Manager jobs in Cincinnati, OH

Behavioral Health Utilization Review Registered Nurse

Hines & Associates Inc -
Rockford, IL

Quick Apply

Job Details

$57,244 - $62,180 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
Customer service
Acute care experience

Full Job Description

Description:

Nurses – are you looking for a change? Want to work no nights, no weekends, and no holidays? Check out Hines & Associates!

*Must have Mental Health and/or Substance Abuse experience*

ABOUT US:

Hines is a nationwide, independent leader in personalized managed health care, focused on what’s important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.’s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service.

WHAT WE OFFER:

Competitive salary and benefits, including medical, dental, vision, long-term care, short-term disability, long-term disability, company paid and voluntary life insurance. Critical Illness, accident insurance and flexible spending also available!
401k plan with company match, fully vested after 1 year.
No weekends and nights!
Paid Holidays
Work-life balance.
Remote setting

ROLE DESCRIPTION:

This individual will utilize clinical knowledge and communication skills to obtain patient specific information regarding patient condition and proposed treatments and procedures to determine if illness and/or proposed services meet acceptable criteria sets and acceptable nursing practice guidelines for outpatient treatment or inpatient confinement. This individual will certify treatment for confinement when criteria and/or practice guidelines are met, in accordance with the health benefit plan, disability, workers compensation regulations and state and federal regulations. If these conditions do not appear to be met, this individual will defer decision to a second level reviewer. This individual interfaces with case managers and disease management nurses on active cases involved in other Hines’ programs.

*****This is a Monday through Friday position, 9:30 AM to 6:00 PM.******

RESPONSIBILITIES AND PERFORMANCE:

Completes first level reviews within the scope of practice relevant to the clinical area(s) addressed in the initial clinical review. General Medical-Surgical nursing is sufficient to be relevant to the clinical areas addressed in most initial clinical reviews. .
Demonstrates ability to assess a patient’s current medical status, including complications and untoward events, which may require additional intervention. Provides certification of medical, disability and workers compensation cases.
Demonstrates a thorough understanding of criteria sets and their limitations including when a second level review is required.
Evaluates appropriateness of current plan of care.
Assesses aftercare needs, implements discharge planning and/or case management referral in a timely manner.
Maintains knowledge of current advances and trends in medical care.
Demonstrates knowledge of URAC guidelines, Hines policies and procedures, and standards of practice and their revisions. Able to attain and maintain the minimal quality assurance performance standards.
Demonstrates assertiveness in completion of precertification and concurrent review within the guidelines of URAC, disability, workers compensation regulations, and state and federal requirements and according to the Hines policies and procedures.
Performs onsite evaluations as needed or requested.
Additional responsibilities as assigned.

PM21

COMMUNICATION:

Communicates with hospital staff, physicians, other providers and Hines customer contacts in a competent, calm, effective and professional manner.
Effectively communicates the need to refer to a higher-level review for questionable plans of treatment.
Provides written documentation concerning the clinical information obtained regarding the patient’s status, benefit and claim concerns, and validation of criteria.
Communicates knowledge of policies and procedures, URAC guidelines, disability and workers compensation regulations, state and federal requirements, and standards of practice.

PERSONAL AND PROFESSIONAL:

Participates in self-evaluation by identifying areas of strength and limitations and offers and accepts constructive criticism.
Creative and assertive.
All First Level Reviewers are required to sign and honor a confidentiality statement at the time of hire and annually at the time of performance reviews.

Requirements:

QUALIFICATIONS:

Registered Nurse with valid, unrestricted, current nursing license in the state or territory of the United States where employed. For mental health/substance abuse, licensed medical professional with an unrestricted license in the state or in a state that has licensure reciprocation with the state of the office location the employee is working in may perform first level reviews. Accepted licensure includes but is not limited to RN, LMSW, LMHC.
Must have Mental Health or Substance Abuse experience.
Successful completion of UR nurse orientation program.
Minimum of 3 years recent acute clinical practice required, 5 years preferred.
Managed care, disability or workers compensation experience helpful but not mandatory.
Customer service oriented.

*Hines welcomes diversity and as an equal opportunity employer all qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability or protected veteran status.*

Quick Apply

Refine Your Search

remote nurse jobs in illinois

Behavioral Health Utilization Review Registered Nurse

REMOTE RN Case Manager- Chicago, IL

Registered Nurse (RN) - Case Manager

Clinical Claims Review Nurse

UM Nurse Consultant-2

Case Manager, Registered Nurse (Oncology experience required)

Case Manager Registered Nurse - must have Illinois RN License

RN - Clinical Documentation Integrity Specialist

Registered Nurse Educator

Holistic Health Specialist - Work From Home

RN Clinical Admission Specialist - Transfer Coordination

RN - Patient Advisory

Nurse RN, Medical Detox

Telephonic Nurse Care Manager

Clinical Quality Assurance Coordinator

Telephonic Nurse Care Associate

Nurse Care Manager

Remote Behavioral Registered Nurse (RN)– Remote Care Manager

Legal Nurse

Bilingual Care Manager, Telephonic Nurse

I want to receive the latest job alert for remote nurse in illinois

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected