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  •  ...Company is seeking a local contract nurse RN Utilization Review Level I for a local contract nursing...  ...Management Nurse (RN) needed for a remote contract opportunity with Yoh’s client...  ...s vast network of opportunities. ~ Medical, Dental & Vision Benefits ~401K... 
    Remote work
    Medical
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    Immediate start
    Shift work

    Yoh, A Day & Zimmermann Company

    Fairfield, CA
    4 days ago
  •  ...Internal Travel is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts...  ...Brigham Schedule Full-time, Remote Employee Status Temporary Mass...  ...requirements  Documents in the medical record as appropriate, as part of the... 
    Remote work
    Medical
    Weekly pay
    Full time
    Temporary work
    Flexible hours
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    Weekend work

    Mass General Brigham - Internal Travel

    Boston, MA
    3 days ago
  • Title: Registered Nurse-Review Analys Work Location: Detroit, MI, 48243 Duration: 10 Months...  ...Job Type: Contract Work Type: Remote Dept: MA Post-Acute Care UM E...  ...review of post-acute care services to ensure medical necessity, appropriate length of stay, intensity... 
    Remote work
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    For contractors

    Umanist Staffing LLC

    Detroit, MI
    6 days ago
  • Join to apply for the Registered Nurse-Utilization Review role at 3B Healthcare Inc. 3 weeks ago Be among...  ...Registered Nurse - Utilization Review (Remote) Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center Location: 4101 Torrance Blvd,... 
    Remote work
    Medical
    Contract work
    Shift work

    3B Healthcare Inc.

    Torrance, CA
    1 day ago
  • Are you a dedicated and experienced Registered Nurse with a passion for ensuring the integrity and accuracy of medical claims? We're seeking a skilled Medical Review Nurse (MRN) to join our dynamic Federal Team and play a crucial role in supporting our medical claim and... 
    Remote work
    Medical
    Hourly pay
    Full time
    Part time
    Local area
    Work from home

    Get It - Healthcare

    Baltimore, MD
    14 days ago
  •  ...Clearance Card - Needed before start date. Candidate needs to obtain their own laptop SOAZ Posting ID # 5297 - Medical Review Nurse (Local Only/Mostly Remote/Onsite Trainings) Skills Required: Medical nursing practice, medical case management protocols, quality... 
    Remote work
    Medical
    Work at office
    Local area

    S R INTERNATIONAL INC

    Phoenix, AZ
    10 days ago
  • Join to apply for the Registered Nurse/Utilization Review role at Emonics LLC 6 months ago Be among the...  ...8:30 - 17:00) Description ***Hybrid/Remote*** Orientation Location: 8501...  ...Managed care experience Knowledge of medical management process Knowledge of NCQA regulations... 
    Remote work
    Medical
    Full time
    Contract work
    Part time
    Local area
    Relocation package
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    Emonics LLC

    Beverly Hills, CA
    1 day ago
  •  ...JOB TITLE (#25240) : Registered Nurse / Med/Surg (Tier 3) / VA Reviewer - Remote Minimum of 5 years active clinical practice within the specialty and...  ...-driven non-profit organization. Conduct independent medical record reviews for the Department of Veterans Affairs... 
    Remote work
    Medical
    Price work
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    Temporary work
    Private practice
    Work at office
    Flexible hours

    GreenLife Healthcare Staffing

    New York, NY
    8 days ago
  • $68.64k

    The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review...  ...of appropriate billing protocols, etc. This is a remote role. Candidate must reside in CA. Essential Functions... 
    Remote work
    Medical
    Minimum wage
    Full time
    Local area
    Flexible hours

    CorVel Corporation

    Folsom, CA
    28 days ago
  •  ...Description Looking for a RN to work remotely anywhere within the United States. Job...  ...with experience with appeals, claims review, and medical coding. Job Summary Utilizing clinical...  ...Graduate from an Accredited School of Nursing Required Experience/Knowledge, Skills... 
    Remote work
    Medical
    Hourly pay
    Full time
    Work experience placement
    16 hours
    Monday to Friday

    Molina Healthcare

    Miami, FL
    1 day ago
  •  ...Growing together.** As an RN, Preservice Review Nurse, you will be responsible for performing...  ...benefit plan documents, evidence-based medical policy and nationally recognized clinical...  ..., you will have the flexibility to work remotely* as you take on some tough challenges. *... 
    Remote work
    Medical
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    Irvine, CA
    more than 2 months ago
  •  ...It takes great medical minds to create powerful solutions that solve some of healthcare...  ...are seeking a talented individual for a Nurse Reviewer (RN) who will be responsible for performing...  .... Company-provided computer. Remote/work-from-home role; employees must be located... 
    Remote work
    Medical
    Full time
    Contract work
    Work from home
    Flexible hours

    Gainwell Technologies LLC

    Florida
    3 hours ago
  • $28.27 per hour

     ...You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take...  ...Responsibilities Perform clinical coverage review services, which require interpretation of...  ...independently and collaborating with Medical Directors and non-clinical partners Adapt... 
    Remote work
    Medical
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area
    Weekend work

    Optum

    Clearwater, FL
    14 days ago
  • Join to apply for the Registered Nurse - Utilization Review role at Ascension 2 days ago Be among the first...  ..., concurrent and retrospective medical necessity and/or compliance with reimbursement...  ...2 months ago Clinical Appeals Nurse - Remote / Telecommute Owings Mills, MD $39.71... 
    Remote work
    Medical
    Full time
    Temporary work
    Local area
    Relocation package
    Night shift
    Monday to Friday
    All shifts

    Ascension

    Baltimore, MD
    2 days ago
  •  ...subject to change. We are hiring a Concurrent Review Nurse to join our team! Must reside in California - remote role. What You Will Be Doing: Under...  ...planning. Escalates non-standard requests to Medical Director for review; approves or denies services... 
    Remote work
    Medical
    Contract work
    Local area
    Flexible hours

    SAN JOAQUIN COUNTY HEALTH COMMISSION

    French Camp, CA
    21 days ago
  •  ...this role, the UM, Registered Nurse role is to communicate with payers...  ...changes in patients’ medical status contribute to the overall...  ...Utilization Management (UM) department reviews clinical documentation for...  ...to work on site. There is no remote ability, for this position *... 
    Remote work
    Medical
    Full time
    Shift work
    Monday to Friday

    BronxCare Hospital Center

    Bronx, NY
    11 hours ago
  •  ...Summary We are seeking a licensed Nurse Practitioner (NP) to serve as a Clinical Chart Reviewer and Evaluator, responsible for...  ....  Review patient charts and medical records to ensure documentation...  ...working independently in a remote environment, with proficiency in... 
    Remote work
    Medical
    Flexible hours

    FitOn and FitOn Health

    Tampa, FL
    17 days ago
  •  ...a supervisor, the Clinical Care Reviewer – Utilization Management evaluates medical necessity for inpatient and outpatient...  ...: ~ Associate’s Degree in Nursing (ASN) required; Bachelor’s Degree...  ...Flexible work solutions include remote options, hybrid work schedules, competitive... 
    Remote work
    Medical
    Work at office
    Flexible hours
    Monday to Friday

    Amerihealth Caritas

    Newark, DE
    4 days ago
  •  ...ShareSTAFF is seeking a travel nurse RN Infection Control for a...  ...education during audits, compliance reviews, or policy updates. &##12930...  ...control in a stunning, remote setting? Apply now to join SEARHC...  ...your career. Benefits Medical benefits Dental benefits... 
    Remote work
    Medical
    Permanent employment
    Full time
    Contract work
    Temporary work
    Flexible hours
    Shift work

    ShareSTAFF

    Sitka, AK
    2 days ago
  •  ...Position Title: Clinical Review Nurse Concurrent Review Location: Fully Remote (Texas) Duration: 6 Months | Possible Extension Schedule: 10am-7pm CST...  ...approximately 20 hospital admission cases daily for medical necessity. Advocate and protect members from... 
    Remote work
    Medical
    Work from home

    Pacer Group

    Texas
    16 hours ago