Remote Nurse Reviewer I: Imaging Utilization
$33.12 - $56.77 per hourElevance Health
Elevance Health is seeking a Nurse Reviewer I to conduct preauthorization reviews for diagnostic imaging. This is primarily a virtual role based in Washington DC, suitable for new graduates. You will collaborate with healthcare providers to ensure proper treatment approvals and documentation. Minimum qualifications include an RN license and clinical nursing experience. Salary ranges from $33.12/hr to $56.77/hr based on experience and location, along with a comprehensive benefits package. #J-18808-Ljbffr
Vacancy posted 6 hours ago
Similar jobs that could be interesting for youBased on the Remote Nurse Reviewer I: Imaging Utilization in Washington DC vacancy
$45k - $70k
...A leading healthcare company in the United States is looking for a Utilization Management Nurse Reviewer to ensure the efficient use of medical services and provide clinical expertise. Applicants must have an active LVN/RN license, with a preference for candidates having...Remote workDane Street
New York, NY2 days ago$45k - $70k
...A healthcare services company is seeking a Utilization Management Nurse Reviewer to ensure medical services are used appropriately. The role involves reviewing medical records and coordinating care while adhering to guidelines. Candidates should possess an unrestricted...Remote workDane Street
New York, NY2 days ago$45k - $70k
...A leading healthcare company is looking for a Utilization Management Nurse Reviewer to ensure medical services are appropriately utilized. Responsibilities include conducting assessments, reviewing patient records, and collaborating with healthcare providers. A valid nursing...Remote workDane Street
New York, NY2 days ago- ...A leading medical review company in Washington is seeking a Utilization Management Nurse Reviewer. The role involves assessing medical necessity, reviewing patient records... ...The position offers a competitive salary range, remote work options, and a comprehensive benefits...Remote work
Dane Street
Washington DC4 days ago $36.27 - $56.77 per hour
Elevance Health is looking for a Nurse Reviewer I in Walnut Creek, CA, allowing for virtual work full-time with in-person training. Responsibilities include conducting reviews for diagnostic imaging services and collaborating with healthcare providers to ensure quality...Remote jobFull time- Elevance Health is seeking a Nurse Reviewer I to conduct medical necessity reviews for diagnostic imaging services. This role offers the flexibility of virtual full-time work, with part-time onsite requirements for training. The successful candidate should possess at least...Remote jobFull timePart time
- Harris Health System, Inc. is seeking a Utilization Management Review Nurse (UMRN) in Bellaire, TX. This position involves evaluating medical service necessity and efficiency, ensuring quality care based on clinical guidelines. The UMRN will work closely with various departments...Remote jobFlexible hours
$70k - $80k
...Gainwell Technologies is seeking a Nurse Reviewer, Associate, who will conduct clinical reviews to assess if medical records support the need for services based on defined criteria. In this home-based full-time role, you will review and interpret medical documentation...Remote workFull timeWork from homeGainwell Technologies
Wausau, WI4 days ago- ...Medical Cost Projections. This includes reviewing records, preparing the narrative and an... ...Degree, Associate Degree or Diploma in Nursing required • 3-5 years' experience in Nursing... ...reports, medical bill reviews and utilization reviews in injury cases preferred • Certification...Remote workFull time
Verisk Analytics
United States1 day ago $80k - $99.2k
...Nurse Reviewer Appeals and Hearings- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex... ...medical record coding experience required. 3+ years of utilization review experience or claims auditing required....Remote workFull timeFlexible hoursGainwell Technologies
United States1 day ago- ...Nurse Reviewer – State of Illinois Location: Remote with on-site visits across Illinois We are currently seeking Nurses who reside in Central Illinois... ...submit documentation supporting compliance findings. Utilize technology and web-based systems to convert paper...Remote workFlexible hours
Staffing Solutions Organization LLC
United States17 hours ago $40 per hour
...Nurse Reviewer PT (20‐30 hours week) – Remote Work Environment Non‐Exempt: $40.00 hour Supports Medical Review Services. The Nurse Reviewer plays a critical... ...Evaluate medical claims against industry standards, utilizing research of relevant ICD‐10, CPT, and HCPCS codes to...Remote workContract workWork at officeLocal areaImmediate startHealthcare Quality Strategies
Florida, NY4 days ago$5,833.33 - $6,666.67 per month
...at HHS webpage. Functional Title: Nurse Reviewer Job Title: Nurse III Agency: Health... ...under the direction of the Surveillance Utilization Review (SUR) Regional Director and Regional... ...and Microsoft software in a telework/remote environment. Minimum of 2...Remote workFull timeTemporary workPart timeWork at officeShift workNight shiftDay shiftTexas Health and Human Services Commission
Austin, TX2 days ago$65k - $75k
...Select how often (in days) to receive an alert: Nurse Reviewer (Registered Nurse) - Remote in US Date: Jul 25, 2025 Location: Any city, AL... ...service based on clinical criteria, coverage policies, and utilization and practice guidelines as defined by review...Remote workPermanent employmentFull timeContract workTemporary workWork from homeMonday to FridayFlexible hoursGainwell Technologies
El Paso, TX4 days ago- Job Overview ShimSpine is looking for a Nurse Reviewer / Analyst to use our patented software... ...Pain Management. Prior experience with utilization review, developing medical chronologies... ...This is an onsite position. No remote work. #J-18808-Ljbffr ShimSpine.comRemote workTemporary work
$50 per hour
...About the Job Registered Nurse Clinical Reviewer / AIMS - Remote (#25299A) Location: Remote. Employment Type: Full-time. Hourly Rate... ...York. This fully remote position involves conducting utilization reviews and quality study data collection, ensuring compliance...Remote workHourly payFull timeGreenLife Healthcare Staffing
United States1 day ago$72.59k - $119.77k
...Clinical Nurse Reviewer Quality Management Saint Peter's is among the few hospitals... ...through a secure, Web-based system. Utilize software applications for data collection... ...Position located on-site with limited remote work hours as allowed based on Director'...Remote workFull timeWork experience placementShift workSaint Peter's Healthcare System
New Brunswick, NJ2 days ago- ...Description Description: The Medical Nurse Reviewer applies clinical nursing expertise to review... ...performs medical necessity reviews, utilization audits, and investigations related to... ...Work Location and Environment 100% Remote PHI/PII Requirement: Yes. The Candidate...Remote workFull timeWork at officeFlexible hours
Verve LLC
Baltimore, MD16 days ago $88.85k
...Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12988 Salary Range: $88,854.00 (Min.) - $115,509.00...Full timeL.A. Care Health Plan
Los Angeles, CA1 day ago$90k - $99k
A leading healthcare solutions provider seeks a DRG Nurse Reviewer Appeals and Hearings to coordinate appeal duties and engage in hearings,... ...must have an active RN license and coding certification. This remote role offers flexibility and opportunities for career development...Remote workFlexible hoursGainwell Technologies
Florida, NY4 days ago- ...Truman Medical Centers is seeking a Utilization Management RN for a part-time position working from home. The role involves partnering... ...with regulatory standards. Applicants should have a BSN or a Nursing graduate degree, an active RN license in Missouri, and at least...Remote workPart timeWork from home
Truman Medical Centers
New York, NY4 days ago - ...Santa Barbara Cottage Hospital is seeking a Nurse Reviewer who will conduct compliance reviews of providers to ensure adherence to state regulations... ...and an active Illinois RN license. This position allows for remote work with 2–3 on-site visits per week throughout Illinois. #J-...Remote work
Santa Barbara Cottage Hospital
New York, NY4 days ago - ...A leading healthcare solutions company seeks a skilled Utilization Review Nurse to conduct vital reviews for medical necessity and appropriateness. The ideal candidate will have an active RN license, 3+ years of inpatient clinical experience, and strong written communication...Remote workWork from homeFlexible hours
Gainwell Technologies
Juneau, AK4 days ago $43 - $47 per hour
...Roles, MA, Phlebotomist, CNA|| Passionate ||...Home Health RN – Remote (CA License Required)Facility: Compassus Providence Home Health... ...Torrance, CA (5315 Torrance Blvd, Ste 169-B)Role Type: Remote Reviewer RN – Back Office Chart ReviewStart Date: 11/03/2025Duration: 13...Remote workPacer Group
Torrance, CA2 days ago- ...leading healthcare provider is looking for an experienced Registered Nurse in Peoria, Illinois. The role focuses on utilization review, clinical consultation, and effective patient support within a fully remote setting. Candidates should have an active Illinois RN license...Remote workWork from home
Guidehealth
Peoria, IL4 days ago - A healthcare quality organization is seeking a Nurse Reviewer to perform comprehensive medical necessity reviews for Medicaid claims. The ideal... ..., and participating in ongoing training. This is a part-time remote position, offering a flexible work environment with...Remote workHourly payPart timeFlexible hours
Healthcare Quality Strategies
Florida, NY4 days ago - ...Downtown Boulder Partnership is seeking a Nurse Reviewer for Appeals and Hearings to coordinate and perform all appeal-related duties, including... ...for hearings. This position is a full-time, permanent remote role that complies with work-from-home policies. The ideal...Remote workPermanent employmentFull timeWork from homeFlexible hours
Downtown Boulder Partnership
El Paso, TX17 hours ago $35 - $45.94 per hour
...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... ...Supervisor, Utilization Review. Work Location This is a remote position, open to candidates who reside in: Arizona;...Remote workHourly payFull timeWork from homeHome officeOscar Health
New York, NY2 days ago- ...members provides professional remote and customer-facing technical... ...Services include creation of imaging media, imaging record... ...health record documentation and review, user technical support, problem... ...matter expert for Associates Utilizes electronic health records to...Remote workFull timePart timeWork experience placementWork at officeWork from homeShift work
Geisinger Health System
United States3 days ago $56.37 - $80.61 per hour
...with a wide variety of diseases requiring image guided interventions and management. The... ...be able to work as a team with providers, nurses, medical assistants, schedulers, and all... ...Theories and principles of education are utilized to support the educational development of...Remote workLegacy Health
United States1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Nurse Reviewer I: Imaging Utilization. Be the first to apply!
Related searches
- remote sales consultant Washington DC
- remote lvn Washington DC
- customer service associate remote Washington DC
- remote financial planning Washington DC
- medical records reviewer remote Washington DC
- remote sales jobs Washington DC
- remote video game Washington DC
- remote purchasing Washington DC
- remote legal writer Washington DC
- remote insurance Washington DC