Top 12 Rn work from home Jobs in West Palm Beach Fl

UR COORDINATOR
GUARDIAN RECOVERY NETWORK HOLDINGS LLC —Delray Beach, FL
- $60,000 - $70,000 a year
- Full-time
- Remote
- Nursing
- Mid-level
- Master's degree
Quick Apply
Travel Nurse Recruiter
Cross Country Healthcare —Boca Raton, FL
- $47,500 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Wellness program
- Disability insurance
Quick Apply

Discover related jobs

Based on your search for rn work from home jobs.

Assistant Nurse Manager -Intensive Care Unit
Health Care District of Palm Beach County —Belle Glade, FL
Active Florida Registered Nurse license required. NIH Stroke Scale (NIHSS) certification required (or obtained within defined timeframe).
Nurse Navigator Women's Services, Lynn Women's Institute, FT,8A-4:30P
Baptist Health South Florida —Boca Raton, FL
Must have an active Registered Nurse license. Preferred certification in area of expertise. Proficient in computer applications and typing skills.
$80,516.80 - $104,671.84 a year

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Healthcare Investigator
Staffing Solutions Organization —Ohio
Identifies rule violations, contributing factors, and potential risks; develops clear, well‑supported investigation summary reports. Paid time off and holidays.
$53,000 - $55,000 a year
3d
Registered Nurse (Ohio)
Tuesday Health —Columbus, OH
Valid driver's license with safe driving record. Active and unrestricted Registered Nurse license in the State of Ohio without any board action.
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for rn work from home in west palm beach fl

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

rn work from home jobs near west palm beach fl

Travel Nurse jobs in Boca Raton, FL

Travel Nurse jobs in Billings, MT

American Express Global Business Travel jobs in Remote

Travel Nurse jobs in Sacramento, CA

Travel Nurse jobs in Iowa

Travel jobs in Baton Rouge, LA

Womens Health Nurse jobs in Boston, MA

Travel Respiratory Therapist jobs in Pennsylvania

Travel Nurse jobs in Orlando, FL

UR COORDINATOR

GUARDIAN RECOVERY NETWORK HOLDINGS LLC -
Delray Beach, FL

Quick Apply

Job Details

Full-time
$60,000 - $70,000 a year

Qualifications

Master's degree
Utilization management
Resource utilization in healthcare

Full Job Description

POSITION PURPOSE:

The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of utilization review to ensure appropriate reimbursement by third party payers. This includes managing concurrent reviews for multiple locations and levels of care, the denial/appeals process, as well as the flow, organization, and reporting of information.

POSITION REQUIREMENTS/QUALIFICATIONS

EDUCATION:

Master's degree from an accredited college or university in social work, mental health, nursing, or related degree required.

EXPERIENCE:

Two years of UR experience in a hospital or healthcare insurance setting required.

LICENSURE/CERTIFICATION:

LMSW, LMHC, LPC, or other healthcare related licensure preferred

SPECIFIC AREAS OF RESPONSIBILITY TO POSITION

Obtain preauthorization for admissions and continued stays according to third party guidelines within one business day of admission (unless otherwise required), including researching and obtaining any necessary insurance contact information, and coordinating scheduled meetings between hospital and insurance doctors.
Manage and perform the processes for retrospective authorizations and denials/appeals.
Timely communicating preauthorization outcomes, follow-up instructions, options, and related information to relevant administrative and clinical staff. This includes responding to all calls and emails within one business day unless otherwise required.
Document activity in Billing and UR software and preparing reports for meetings and management review.
Organize and filing documents for ease of access in approved locations.
Assist in compiling information for data analysis relating to preauthorization and reimbursement.
Provide assistance to facility staff in determining the likelihood of insurances covering treatment.
Maintain patient confidentiality in accordance with state and federal law.
Participate in internal information meetings, required in-service education and training, and company-wide performance improvement and compliance activities.
Protect the privacy of all client information in accordance with GRNH, LLC’s privacy policies, procedures, and practices, as required by federal and state law, and in accordance with general principle of professionalism as a healthcare provider. Failure to comply with the company’s policies and procedures on client privacy may result in disciplinary action up to and including termination of employment.
May access protected health information (PHI) and other patent information only to the extent that it is necessary to complete your job duties. The incumbent may only share such information with those who have specific client information you have in your possession to complete their job responsibilities related to treatment, payment or other GRNH, LLC operations.
Expected to report, without the threat of retaliation, any concerns regarding GRNH, LLC’s policies and procedures on client privacy and any observed practices in violation of the policy to their supervisor.
Perform other duties as assigned

Quick Apply

Refine Your Search

rn work from home jobs in west palm beach fl

UR COORDINATOR

Travel Nurse Recruiter

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for rn work from home in west palm beach fl

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected