Top 24 Rn work from home Jobs in Rowlett, 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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Utilization Review Nurse
Bracane Co —Plano, TX
- Full-time
- Remote
- RN License
- Mid-level
- 3 years
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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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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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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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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
6d
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
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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
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CDQI Nurse Specialist- FT
Datavant —Dallas, TX
- $40 - $45 an hour
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
Medical Case Manager I - Spanish Speaking
CorVel Corporation —Dallas, TX
- $63,739 - $95,264 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health savings account
- Disability insurance
Quick Apply
Mobile IV Nurse
Event Hydration —Dallas, TX
- Full-time
- Remote
- RN License
- BLS Certification
- Mid-level
- Dental insurance
Quick Apply
Clinical Operations EMR Consultant
Maxwell TEC —United States
- $55 - $85 an hour
- Part-time
- Remote
- RN License
- Mid-level
- Home Health
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Remote Registered Nurse (RN), Bilingual | $35.50/hr
Carenet Health —United States
- $35.50 an hour
- Weekends as needed
- Remote
- Spanish
- Nursing
- RN License
- Paid holidays
- Health insurance

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rn work from home jobs near rowlett, 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 rowlett, tx

Utilization Review Nurse

Utilization Review Nurse

Case Management RN

CCM Case Management RN

DRG Reviewer

Flex Nurse Educator - Dallas W, TX

Registered Nurse - Nights

Clinical Educational Manager - Dallas

CDQI Nurse Specialist- FT

Medical Case Manager I - Spanish Speaking

Mobile IV Nurse

Clinical Operations EMR Consultant

Remote Registered Nurse (RN), Bilingual | $35.50/hr

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