Average salary: $45,792 /yearly

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  • Utilization Reviewer

    $55k

     ...Utilization Reviewer Developmental Disabilities Services Human services professionals are encouraged...  ...As a Utilization Reviewer, your daily work will involve: Conducting audits...  ...allow you to primarily work from your home office. Travel throughout the Maryland... 
    Work from home
    Full time
    Immediate start
    Remote work
    Home office
    Monday to Friday

    Liberty Healthcare

    Annapolis, MD
    4 days ago

  • LPN-Utilization Mgmt Reviewer - Case Management - Full Time

    $20.38 - $31.81 per hour

    Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and...  ...Services and Care Coordination Additionally, the position works closely with the Care Coordination department to... 
    Suggested
    Full time
    Work at office

    Guthrie

    Cortland, NY
    10 hours agonew

  • Long Term Services & Support Reviewer Utilization Management

     ...Long Term Services And Supports Reviewer Your career starts now. We...  ...and outpatient services, working closely with Service Coordinators...  ...Assistance Services (PAS), home care (skilled) services,...  ...received, nature of the request, utilization determination (and events leading... 
    Suggested
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Augusta, GA
    4 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review)

     ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-...  ...supplemental income Fully remote – work from anywhere You control volume and... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    New York, NY
    2 days ago

  • Physician Reviewer - Orthopedic Spine Surgery (Utilization Review) MS

     ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical,...  ...– predictable, supplemental income Work remotely from anywhere you choose... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work

    Dane Street

    Drew, MS
    20 hours ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review) NY

     ...Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our...  ...interested in supplemental income and non-traditional work, while continuing their active clinical practice.... 
    Suggested
    Extra income
    Contract work
    For contractors
    Remote work
    Flexible hours

    Dane Street

    New York, NY
    2 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~40 hours... 
    Suggested
    Immediate start
    Remote work
    Shift work

    MSSI

    Minneapolis, MN
    26 days ago

  • Occupational Medicine Physician - Utilization Reviewer (MUST be licensed in New

     ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert...  ...New York medical license (Required) Work Location: Fully Remote / Telehealth Compensation... 
    Suggested
    Extra income
    Contract work
    Remote work
    Flexible hours

    Dane Street

    New York, NY
    2 days ago

  • Utilization Review Nurse- Remote

    $65k - $78k

     ...Utilization Review Nurse It takes great medical minds to create powerful solutions that solve some...  .... Join us and put your expertise to work in ways you never imagined possible. We...  ...What you should expect in this role Home-based position. High-speed internet and... 
    Work from home
    Full time
    Contract work
    Work at office
    Remote work
    Flexible hours

    IntelyCare

    Nags Head, NC
    1 day ago

  • Utilization Manager Reviewer, RN (Multiple Openings!)

     ...coordinating, integrating, and monitoring the utilization of physical health (PH) medical and...  ...cases to the Medical Director for review. Refer to and work closely with Case Management to...  ...care. Collaborates with hospital, home care, care management, and other providers... 
    Suggested
    Contract work
    Live in
    Work at office
    Remote work

    Univera Healthcare

    Rochester, NY
    4 days ago

  • Local Contract Nurse RN - Utilization Review

     ...) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia...  ...name under which they are currently working. This position is remote - Full-time...  ...?s medical condition and the potential home care needs. Performs early... 
    Suggested
    Permanent employment
    Full time
    Contract work
    Part time
    Local area
    Remote work
    Shift work

    Pyramid Consulting (Travel)

    Philadelphia, PA
    12 days ago

  • Staff Nurse - Utilization Review (ED)

     ...currently seeking a Staff Nurse to join our Utilization Management department for the/Emergency...  ...RESPONSIBILITIES: The Utilization Review (UR) Registered Nurse is responsible for...  ...safe, efficient, and regulatory-compliant work environment; adheres to Hennepin Healthcare... 
    Suggested
    Shift work
    Weekend work
    Afternoon shift

    Minnesota Visiting Nurse Agency

    Minneapolis, MN
    1 day ago

  • Distribution Reviewer

    $55k - $65k

     ...Distribution Reviewer Are you looking for a position where you can utilize your experience processing retirement plan distributions and loans? Do you excel...  ...you want the flexibility and convenience of working from home? Nova 401(k) Associates is looking to fill a fully... 
    Work from home
    Remote work
    Monday to Friday

    Nova 401(k) Associates

    Providence, RI
    2 days ago

  • Utilization Management Reviewer

     ...Utilization Management Reviewer Mental Health Resource Center is looking for a Utilization Management...  ...stabilization units are a fast paced working environment and present employees with...  ...psychiatric nursing required. Valid Florida LPN License required. OR Master's... 
    Suggested
    Full time
    Monday to Friday

    Mental Health Resource Center Inc

    Jacksonville, FL
    20 hours ago

  • English Precision Reviewer

    $15 per hour

     ...the data it’s trained on. That’s why we work with contributors from all over the world...  ...structured way. Evaluate AI outputs by reviewing and ranking reasoning and problem-solving...  ...hours/week, up to 40 hours working from home Join a global community of Coding experts... 
    Work from home
    Weekly pay
    Freelance
    Remote work
    Flexible hours

    Outlier AI

    Aurora, CO
    20 hours ago

  • Utilization Review Specialist

     ...where your clinical insight truly drives client success. As a Utilization Review Specialist, you’ll be the bridge between quality care and...  ...opportunity to make a powerful impact Why You’ll Love Working Here ⭐ A mission-driven environment where your work directly... 
    Full time
    Work at office
    Immediate start

    Triumph Treatment Services

    Yakima, WA
    13 days ago

  • Hospital Reviewer/Utilization Manager

     ...Onsite Position Position Purpose: Works in partnership with physicians, nurse case managers...  ...for the corresponding level of care utilizing evidence-based criteria....  ...Discharge Planning, and Case Management. Reviews the appropriateness of Severity Index/Intensity... 
    Contract work
    Work experience placement
    Flexible hours

    DOCTORS HEALTHCARE PLANS, INC.

    Miami, FL
    2 days ago

  • Editorial Standards Reviewer (Remote)

    $15 per hour

     ...the data it’s trained on. That’s why we work with contributors from all over the world...  ...structured way. \n Evaluate AI outputs by reviewing and ranking reasoning and problem-solving...  ...hours/week, up to 40 hours working from home \n Join a global community of... 
    Work from home
    Remote job
    Weekly pay
    Freelance
    Flexible hours

    Outlier AI

    New Orleans, LA
    4 days ago

  • Utilization Review Assistant (Workers Compensation)

     ...Utilization Review Assistant The Utilization Review Assistant ensures the timely and accurate collection...  ...a minimum requirement of three days per work week in our Omaha, NE office....  ...applications. What We Offer Work From Home Program (up to 2 days per week upon... 
    Work from home
    Work at office
    Immediate start
    2 days per week
    3 days per week

    Berkshire Hathaway Homestate Companies

    Omaha, NE
    2 days ago

  • Utilization Review Nurse

     ...RN- Utilization Review Nurse . Inpatient - Full Time - 100% Remote Opportunity - . Must reside within the New York Tri-State Area - NY, NJ, or CT . COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! . VillageCare is loo Nurse, Medical Director, Healthcare... 
    Full time
    Local area
    Remote work

    VillageCare Senior Living

    New York, NY
    4 days ago

  • Remote Utilization Review RN Hospital Admissions

     ...A leading healthcare organization is seeking an experienced RN for a remote position focusing on utilization review. Candidates must have 2 years of RN and UR experience, an active RN license, and reside within one hour of St. Louis. This role involves reviewing diagnostic... 
    Remote work

    BJC HealthCare

    United States
    4 days ago

  • Utilization Review Nurse

     ...Description Position Title: Utilization Review Nurse Location: Fully...  ...effective, and compliant delivery of home health care. This role...  ...active nursing license (RN, LPN, or LVN) in good standing with...  ...directed, flexible, and able to work independently with minimal... 
    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    15 days ago

  • Senior Clinical Review Nurse, Retrospective Utilization

     ...City, MO. This role involves performing clinical retrospective reviews and ensuring appropriate quality of care for members. The...  ...will have a Bachelor's degree in Nursing, strong experience in utilization review, and familiarity with Medicare and Medicaid regulations... 
    Remote work

    Centene Corporation

    Jefferson City, MO
    2 days ago

  • Clinical Reviewer - LPN/LVN or RN - PRN (Remote U.S.)

    $28.37 - $39.19 per hour

     ...-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled...  ...Acentra Health is seeking a Clinical Reviewer - LPN/LVN or RN - PRN (Remote U.S.) to join...  ...team. Job Summary: ~ Utilizes clinical expertise for the review of medical... 
    Contract work
    Relief
    Work at office
    Local area
    Remote work
    Monday to Friday

    Acentra Health

    McLean, VA
    2 days ago

  • Clinical Specialist LPN/RN, Disability Claims

    $57.81k - $86.72k

     ...Clinical Specialist LPN/RN, Disability Claims...  ...and overseeing vendor utilization and assist in determining...  ...Vendor management: Works collaboratively with vendors...  ...education You will Review information in file,...  ...work primarily from home. May be expected to come... 
    Work from home
    Work at office
    Flexible hours

    Guardian Life Ins. Co. of America

    Freemansburg, PA
    3 days ago

  • Remote Lead Clinical Review Nurse: Utilization & Quality

    $35.49 - $63.79 per hour

     ...organization is seeking a Lead Clinical Review Nurse to oversee correspondence letters and...  ...with 5-7 years of experience in utilization management. The nurse will manage audits,...  ...initiatives. The role offers a flexible work schedule with competitive pay between $35... 
    Hourly pay
    Remote work
    Flexible hours

    Centene Corporation

    California, MO
    3 days ago

  • Utilization Review Nurse

     ...Job Description Job Title: Quality Review Specialist Location: Remote in IL, TX, NM...  ...shift 40 hours per week, but mandatory to work holidays (rotating scheduled 3-4 holidays...  ...in health care experience. 5 years utilization management, appeals, claims and mainframe... 
    Contract work
    Remote work
    Shift work
    Weekend work

    Innovative Systems Group

    Chicago, IL
    19 days ago

  • Senior Clinical Review Nurse - Remote Utilization Lead

    $35.49 - $63.79 per hour

     ...This role requires oversight of clinical reviews, compliance with healthcare standards,...  ...nursing degree and extensive experience in utilization management, including Medicare and...  ...comprehensive benefits package, including flexible work schedules. #J-18808-Ljbffr... 
    Hourly pay
    Remote work
    Flexible hours

    Centene Corporation

    Denver, CO
    1 day ago

  • Advanced Practice Nurse Utilization Review PD

     ...The Per Diem Advanced Practice Nurse (APN) for Utilzation Review utilizes a patient-centered coordinated care model, demonstrating competencies...  .../guiding, research, and ethical decision-making. The APN works collaboratively with the practice/hospital team to assess, plan... 
    Daily paid

    HACKENSACK UNIVERSITY MED CNTR

    Hackensack, NJ
    3 days ago

  • Advanced Practice Nurse Utilization Review PD

    $75.12 per hour

     ...The Per Diem Advanced Practice Nurse (APN) for Utilzation Review utilizes a patient-centered coordinated care model, demonstrating competencies...  .../guiding, research, and ethical decision-making. The APN works collaboratively with the practice/hospital team to assess, plan... 
    Hourly pay
    Daily paid
    Full time
    Part time
    Apprenticeship
    Work experience placement
    Work at office
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    Hackensack Meridian Health

    Hackensack, NJ
    3 days ago