Remote Utilization Review Nurse, P2P Expert
Mass General Brigham (Enterprise Services)
Somerville, MA
- Remote job
Mass General Brigham Incorporated is seeking a Peer-to-Peer Utilization Review Nurse to join the central utilization management team. The role focuses on concurrent level-of-care denials and supports physician advisor-led peer-to-peer discussions through expert clinical analysis and standardized criteria. It requires autonomy in handling high volumes of complex cases. The position collaborates with ED providers, admitting teams, and care management, with remote work options and a 32-hour weekly #J-18808-Ljbffr Mass General Brigham (Enterprise Services)
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Utilization Review Nurse, P2P Expert in Somerville, MA vacancy
- Netsmart is seeking a Remote Utilization Review Nurse to evaluate ED admissions using InterQual/MCG criteria and apply evidence-based guidelines to ensure proper resource utilization. You will discuss documentation and admission status with ED physicians and enter reviews...Remote job
- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote job
- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-LjbffrRemote work
Medix
New York, NY2 days ago $1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB, Colorado... ...weekends, no holidays, no telehealth/remote work Minimum Qualifications U.... ...in Utilization Management, Utilization Review, or Case Management Preferred...Remote workContract workImmediate startMonday to FridayJ Edward Staffing LLC
Aurora, CO3 days ago- i360technologies, Inc. is seeking an experienced Oracle EBS Functional Consultant with strong Procure-to-Pay (P2P) expertise to support federal financial systems. Location: Gaithersburg, MD. Responsible for implementation, configuration, and ongoing support of Oracle R1...Suggested
$100 - $150 per hour
.... Position: Cybersecurity Labeling Expert Type: Contract Compensation... ...: $100–$150/hour Location: Remote Duration: 2–3 week engagement... ...to: ****@*****.*** PS: Our team reviews applications daily. Please complete your...Remote workHourly payWeekly payFull timeContract workFor contractorsSummer workMercor
Remote15 hours ago$55 per hour
...Akkodis is hiring a Concurrent Review Nurse to support our client in the... ...Healthcare space. Location: Remote (must be based in California... ...in case management, utilization management, or discharge planning... ...community knowledge in a new way. Experts add insights directly into...Remote workFull timeContract workTemporary workLocal areaAkkodis
California, MO4 days ago$55k - $175k
...a third party.Once you complete the assessment, our team will review your full application package and follow up via email with our... ...to base salary, such as variable bonus and/or stock bonus.#LI-Remote#LI-MidSeniorVeeva’s headquarters is located in the San Francisco Bay...Remote workWork at officeLocal areaWork from home3 days per week- ...Utah, United StatesCompany: AAPCPosted: 2026-08-11A healthcare services provider is seeking an experienced Contract Coder to work remotely. The ideal candidate will have a minimum of 5 years of coding experience in various specialties, including surgical and E/M coding...Remote workContract work
- Mass Digital Health in Quincy, Massachusetts is seeking a Utilization Review Nurse to evaluate patients for admission appropriateness and coordinate care activities. This role demands collaboration with physicians, care managers, and extensive clinical knowledge to ensure...
- ...About the roleOrange Business Services U.S. Inc: Senior IoT Sales Expert - Atlanta, GABuild and develop relationships with NAM sales and... ...)Agile / DevOps / open sourcePurdue OT frameworkTelework: 100% Remote; position may be performed from anywhere within the U.S.Travel:...Remote workFull timeWork at officeLocal areaWork from homeFlexible hours
- ...New York state boroughs including Manhattan, Brooklyn, Bronx, Staten Island and Queens• Long Island/ Suffolk County, Rockland County, Orange County, Westchester County• No remote optionFor more information, please contact:Christen ****@*****.***Remote workFlexible hours3 days per week
$35 - $45.94 per hour
...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role:... ..., Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida...Remote workHourly payFull timeWork from homeHome officeWeekend workOscar Health
Tempe, AZa month ago$65k - $150k
...employees, and communities.The RoleAs a Product Expert for Veeva Compass, you will be the... ...you complete the assessment, our team will review your full application package and follow... ...as variable bonus and/or stock bonus.#LI-Remote#LI-AssociateVeeva’s headquarters is located...Remote workWork at officeLocal areaWork from home3 days per week- ...operations. The position is primarily remote with occasional travel within... ...Microsoft subject matter expert supporting the FireNet... ...operations and Microsoft environment utilization. Advise leadership on... ...security controls, compliance reviews, reporting, distribution lists...Remote workLocal area
- ...in technology and services.We are now looking for an Operations Expert to join our Operations Management Support team in North America.... ...operations, providing proactive operational guidance and advanced remote technical support to our contractual customers. You will analyze...Remote workPermanent employmentTemporary workH1bWork at officeLocal areaWork from home2 days per week
- ...seeking a qualified Joint Strategic Operations / Plans Subject Matter Expert. Specifically, seeking an individual who can perform as a... ...required in the conduct of simulated and real-world events (local, remote, distributed, live, virtual, and constructive; friendly, neutral...Remote workFor contractorsLocal area
- ...Sustainability Reporting Expert For Industries And Companies We are looking for a sustainability reporting expert for industries and companies. The ideal candidate should have: More than five years of working experience Direct experience in more than 5 projects...Remote workFull timePart timeWork experience placementWork from home
Rcg Eecc
United States1 day ago - ...ll be based in our Raleigh office with the flexibility of hybrid remote work. Occasional global travel (up to 10%) may be required to... ...software specifications and analyze software behaviorDebug and review code to ensure optimal performanceCollaborate with global teams...Remote workFull timeWork at office
- ..., the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity... ...What awaits you: ~ Work-life balance - This is a remote role! Candidates in the following approved states will be...Remote workFull timeMonday to Friday
Johns Hopkins Medicine
Hopkins, MN14 days ago - ...Job Description Job Description Remote Utilization Review Registered Nurse (UR RN) Location: Remote (Texas RN License or Compact License Required) Company: Nexus Health Systems Employment Type: Full-Time Make an Impact from Anywhere Nexus Health Systems...Remote workFull timeWork at office
Nexus Health Systems Ltd
Houston, TX13 days ago $99k - $225k
...benefits by visiting the Resource page on our Careers site and reviewing Our Employee Benefits page.Salary at Booz Allen is determined by... ...generally expected to have their cameras on during meetings.Remote: If this position is listed as remote, there may still be occasions...Remote workFull timeContract workPart timeWork at officeLocal area$78k - $88k
Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and appropriateness of services, following clinical criteria, coverage policies, and contract guidelines....Remote jobFull timeContract workWork at officeWork from homeFlexible hours- ...apply now.We are currently seeking a OCM Expert to join our team in Plano, Texas (US-TX)... .... Drive faster adoption, increased utilization, and greater proficiency of affected employees... ...’s needs. While many positions offer remote or hybrid work options, these arrangements...Remote workWork at officeFlexible hours
$85k - $105.34k
...UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a healthcare organization...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayUmpqua Health
Roseburg, OR16 days ago$70 - $75 per hour
...Autodesk Fusion Manage Implementation ExpertLocation: Phoenix, AZ ( Onsite - Hybird) and remote is optionalDescription:We are seeking experienced Autodesk Fusion Manage Implementation Expert to lead the initial setup, and integration of Fusion Manage across multi-...Remote workHourly pay$86.8k - $198k
Defense Mission ExpertThe Opportunity:As an expert in defense missions, your unique... ...the Resource page on our Careers site and reviewing Our Employee Benefits page.Salary at Booz... ...to have their cameras on during meetings.Remote: If this position is listed as remote, there...Remote workFull timeContract workPart timeWork at officeLocal area- Johns Hopkins Health Plans (JHHP) is seeking a Utilization Review Registered Nurse to assess care appropriateness, authorize services, and coordinate discharge planning for plan members. This remote role prioritizes candidates in MD, DC, VA, PA, DE, and FL with strong clinical...Remote job
$85.99k - $105.34k
A community-focused healthcare organization in Oregon is seeking a Utilization Review Nurse for a full-time remote position. The role involves evaluating clinical service requests, conducting prior authorization reviews, and collaborating with interdisciplinary teams. Applicants...Remote jobFull time$86.8k - $198k
...ExpertThe Opportunity:As a Defense Mission Expert, you’ll use your deep expertise in... ...the Resource page on our Careers site and reviewing Our Employee Benefits page.Salary at Booz... ...to have their cameras on during meetings.Remote: If this position is listed as remote, there...Remote workFull timeContract workPart timeWork at officeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Nurse, P2P Expert. Be the first to apply!
Related searches
- remote utilization review nurse part time Somerville, MA
- senior devops engineer remote Somerville, MA
- remote medical coding supervisor Somerville, MA
- remote virtual Somerville, MA
- remote contract attorney Somerville, MA
- clinical data manager remote Somerville, MA
- online remote Somerville, MA
- remote work no experience Somerville, MA
- remote accounting Somerville, MA
- remote Somerville, MA