Get new jobs by email
  •  ...Utilization Review Assistant The Utilization Review Assistant ensures the timely and accurate collection of data and documents necessary for the utilization review process as well as independent medical review. This is a hybrid opportunity, requiring initial onsite... 
    Suggested
    Work at office
    Immediate start
    Work from home
    2 days per week
    3 days per week

    Berkshire Hathaway Homestate Companies

    Omaha, NE
    5 days ago
  •  ...Health Services, we don’t just invest in our patients—we invest in our people. About the Role: REMOTE POSITION The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing... 
    Suggested
    Full time
    Part time
    Remote work
    Weekend work

    ADDICTION AND MENTAL HEALTH SERVICES, LLC

    Louisville, TN
    6 days ago
  • $55k - $70k

     ...Job Description Job Description Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing... 
    Suggested
    Work at office
    Remote work
    Flexible hours

    ICBD

    Lauderdale Lakes, FL
    9 days ago
  •  ...to impact others in a meaningful way - we warmly invite you to join our growing family! We are currently seeking to hire Utilization Review Specialists to join our corporate NJ Team! The Utilization Review Specialist collaborates with Avenues Recovery facilities... 
    Suggested
    Temporary work
    Currently hiring
    Flexible hours

    Avenues Recovery

    Toms River, NJ
    12 days ago
  • $55 per hour

     ...Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare...  ...: Experience in case management, utilization management, or discharge planning. Experience...  ...Nurse, Out-Patient Case Manager Travel Pediatric ICU Registered Nurse - $840 per week... 
    Suggested
    Full time
    Contract work
    Temporary work
    Local area
    Remote work

    Akkodis

    California, MO
    4 hours agonew
  •  ...Job Description Job Description Summary: The primary responsibility of this role consists of reviewing member transportation requests that are over the contractual mileage guidelines. ESSENTIAL FUNCTIONS Reviewing and making approval/denial determinations for... 
    Suggested
    Flexible hours

    Verida Inc

    Villa Rica, GA
    16 days ago
  • $40.72 - $63.12 per hour

     ...Job Description Job Description Job Title: Utilization Review Nurse (RN) Location: Las Vegas, Nevada Job Type: Full-Time Salary: $40.72 – $63.12 per hour Position Summary: We are seeking an experienced Utilization Review Nurse (RN) to join a healthcare... 
    Suggested
    Hourly pay
    Full time
    Work at office
    Shift work
    Weekend work

    Lancesoft INC

    Las Vegas, NV
    2 days ago
  • $65 per hour

     ...Job Description Job Description RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical...  ...recertification prior to employment. Experience: Must have Pediatric experience. Minimum of 1.5 years of recent experience (... 
    Suggested
    Hourly pay
    Full time
    Private practice
    Monday to Friday
    Day shift

    GreenLife Healthcare Staffing

    Syracuse, NY
    8 days ago
  •  ...Job Description Job Description Job Title: Utilization Review Coordinator Reports To: Assistant Administrator Supervises: None Position Type: Full Time Hours of Work: 8am-4pm Schedule: M-F Utilization Review Coordinator Job Description... 
    Suggested
    Full time
    Work at office

    Second Chances Addiction Recovery Center

    Rayville, LA
    26 days ago
  • Insight Global is looking for a Utilization Review Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for evaluating 3.5 patient care cases per hour (both inpatient and outpatient) and collaborating with doctors... 
    Suggested
    Hourly pay
    Remote work

    Insight Global

    Raleigh, NC
    4 hours agonew
  • $2,210 per week

     ...setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills to obtain patient specific...  ...be met, this individual will defer decision to a second level reviewer. This individual interfaces with case managers and disease... 
    Suggested
    Full time
    Temporary work
    Part time
    Casual work
    Work at office
    Remote work
    Work from home
    All shifts
    Monday to Friday
    Flexible hours

    Hines

    Freeport, IL
    4 hours agonew
  • $4,801.16 - $7,761.5 per month

     ...advancement, and more. Benefits of Working at HHS webpage contains additional details. Position Details Functional Title: Utilization Review Nurse Job Title: Nurse II Agency: Health & Human Services Comm Department: UR Wav & Comm Srvs Ran Mmt St Posting Number:... 
    Suggested
    Full time
    Temporary work
    Part time
    Work at office
    Remote work
    Shift work

    Texas Health and Human Services

    San Antonio, TX
    1 day ago
  • $32.48 - $38.98 per hour

     ...unique communities we serve. Summary: This position facilitates utilization management processes to support the right care is provided at...  ...throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care... 
    Suggested
    Hourly pay
    Full time
    Monday to Friday

    UNC Health Care

    North Carolina
    4 hours agonew
  • $76k - $85k

     ...challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing a medical management software system on a day-to-day... 
    Suggested
    For contractors
    H1b
    Work at office
    Local area
    Remote work

    Public Consulting Group

    Cheyenne, WY
    4 hours agonew
  •  ...regulatory timelines Collaborate with multidisciplinary teams Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing clients' members with... 
    Suggested
    Contract work
    Remote work

    Integrated Resources, Inc ( IRI )

    Chicago, IL
    4 hours agonew
  • Utilization Review RN page is loaded## Utilization Review RNlocations: Remotetime type: Full timeposted on: Posted Todayjob requisition id: JR26-31830## Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click... 
    Work at office
    Home office
    Shift work
    Weekend work

    WVU

    Morgantown, WV
    1 day ago
  •  ...for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Overview Functional Title: Utilization Review Nurse Job Title: Nurse II Agency: Health & Human Services Commission Department: UR Hospice Random Moment Study Posting Number... 
    Full time
    Temporary work
    Part time
    Remote work
    Shift work

    Texas Health and Human Services

    Brenham, TX
    4 hours agonew
  • $51.43 - $79.84 per hour

     ...remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization Management (UM), medical... 
    Daily paid
    Live in
    Remote work
    Shift work
    Day shift

    Providence Swedish Medical Center

    Seattle, WA
    1 hour agonew
  •  ...plan of care for members based on authorization and concurrent review. Provides monthly telephonic outreach to ensure members needs are...  ...network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards,... 
    Contract work
    Remote work
    Monday to Friday
    Flexible hours

    Healthcare Support Staffing

    New York, NY
    1 hour agonew
  • RN- Utilization Review Nurse Inpatient (*Hybrid*) Must reside within the New York Tri-State Area - NY, NJ, or CT. COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! Responsibilities Reviews planned, in process, or completed health care services to... 
    Local area
    Work from home

    VillageCare

    New York, NY
    1 day ago
  • $54 - $66 per hour

    We are recruiting for a Utilization Review Nurse to join a large healthcare organization within the Sacramento region. The Utilization Review Nurse is responsible for overseeing the daily operations of the UM Pre-Authorization team, ensuring referral requests are processed... 
    Contract work
    Work at office

    Pacific Staffing

    Sacramento, CA
    2 days ago
  • $65 per hour

     ...coordinate patient care, manage resources, and ensure appropriate utilization of healthcare services while maintaining high-quality patient...  ...care planning and discharge planning. Conduct utilization review to ensure appropriate level of care and services. Collaborate... 
    Hourly pay
    Weekly pay
    Local area
    Shift work

    Pride Health

    New York, NY
    4 days ago
  • $71.61k - $111k

    Utilization Review Nurse - Albany Medical Center Overview Responsible for utilization management, quality screening, and delay management for assigned patients. Department/Unit Care Management/Social Work Work Shift Day (United States of America) Salary Range $71,6... 
    Full time
    Shift work

    Albany Medical Center

    Albany, NY
    4 days ago
  • $20 - $30 per hour

     ...the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being of...  ...care. Join us in making a lasting impact! Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle... 
    Full time
    Part time
    Remote work

    Guidelight Health

    Boston, MA
    28 days ago
  • $35 - $45.94 per hour

     ...Job Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members... 
    Hourly pay
    Full time
    Remote work
    Work from home
    Home office

    Oscar Health

    Dallas, TX
    28 days ago
  • $17.44 per hour

     ...Utilization Review Specialist I  Join a team that CARES!   Here at ODMHSAS, we believe in I.C.A.R.E. – Integrity, Compassion, Accountability, Respect, and Excellence.  Our mission is to promote healthy communities and provide the highest quality care to enhance... 
    Hourly pay
    Full time
    Work at office
    Flexible hours
    Weekend work

    Oklahoma Department of Mental Health and Substance Abuse Ser...

    Tulsa, OK
    2 days ago
  •  ...Description Description: Schedule: Monday - Friday 5:30am-1:30pm Community Medical Services (CMS) is hiring a Texas Grant Utilization Reviewer. Under the supervision of the Regional Operations Director, the Texas Grant Utilization Reviewer is responsible for... 
    Temporary work
    Work at office
    Monday to Friday
    Flexible hours

    Community Medical Services

    Austin, TX
    21 days ago
  • $40 per hour

     ...Job Description Job Description Description: Job Title: Utilization Review Nurse (Remote) Pay Rate: $40/hr. Job Type: Full-Time, Remote Hours: Monday-Friday 8am-5pm Benefits: ~10 Paid Holidays ~80 Hours of Paid Time Off (PTO) ~ Medical, Dental... 
    Remote job
    Full time
    Monday to Friday

    Professional Management Enterprises

    Indianapolis, IN
    7 days ago
  • $31.38 - $53.56 per hour

     ...Southwest Health System, Inc. as a Full-Time Case Management/Utilization Review RN, where your impact is felt daily! This exciting position...  ...in a health care setting working directly with adult, pediatric or geriatric patients. 3-5 years' experience preferred. Knowledge... 
    Hourly pay
    Full time
    Part time
    Work experience placement
    Flexible hours
    Day shift

    Southwest Health System, Inc.

    Cortez, CO
    21 days ago
  •  ...Job Description Job Description Description: Conifer Park is looking for an Utilization Review Coordinator to join the Medical Records team at our site in Glenville, NY. This is an On Site position. In this role, you will provide utilization review monitoring of... 

    Conifer Park Inc.

    Schenectady, NY
    2 days ago