Average salary: $80,928 /yearly

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 ...Radiation Oncology Preservice Review Nurse RN - Remote Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people... 
Remote job
Hourly pay
Holiday work
Full time
Work experience placement
Immediate start
Home office
Weekend work
Afternoon shift

UnitedHealth Group Inc

Dallas, TX
4 days ago
 ...Nurse Reviewer I Description Nurse Reviewer I Location: Within 50 miles of a pulse point in TN, NV, or CO. Shift : Monday - Friday,...  ...Health is strongly preferred. For candidates working in person or remotely in the below locations, the salary* range for this specific... 
Remote job
Holiday work
Temporary work
Work experience placement
Local area
Shift work
Monday to Friday

Elevance Health

Denver, CO
3 days ago
 ...Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide... 
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Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
3 days ago
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of our largest clients located in Detroit, MI! Title: Registered Nurse Re...
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Contract work

Strategic Staffing Solutions

Detroit, MI
7 days ago
 ...technologies, making this a great experience to add to your resume. Come join their winning team! This Contract role as a Remote Weekend Physician Reviewer will be responsible for evaluating clinical service requests based on company guidelines to make medical necessity... 
Remote job
Contract work
Shift work
Weekend work
Sunday
Saturday

Solving IT

Chicago, IL
4 days ago
 ...excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...  ...of a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure... 
Remote job
Full time

St. Luke's University Health Network

Allentown, PA
4 days ago
 ...additional income as a collaborating physician (Chart Reviews). Our collaborators over see our highly skilled Nurse Practitioners in the field as stated by state law....  ...Physician - 1099 (Chart Reviews)Location: Remote Opportunity - State of MissouriHours: Flexible HoursRate... 
Remote job
Full time
For contractors
Relief
Flexible hours

Matrix Medical Netowrk

Scottsdale, AZ
1 day ago
 ...excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...  ...a patient's ability to pay for health care. The Utilization Review Nurse will be responsible for substantiating medical necessity and... 
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St. Luke's University Health Network

Bethlehem, PA
12 hours ago
Job Description: Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and expected need until November. Must Have: -Recent experience in Utilization Review 2 years or more. -Proficient in MCG, InterQual, and experienced with Epic.... 
Remote job
Monday to Friday

SOS Healthcare Staffing

Chico, CA
1 day ago
 ...Job Summary: As a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary team, ensuring that...  ...to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory... 
Remote job

Morgan Stephens

Remote
2 days ago
 ...Physician Clinical Reviewer- Pediatric Oncology - REMOTE at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and... 
Remote job
Internship

Idaho State Job Bank

Boise, ID
5 days ago
We are seeking a compassionate and detail-oriented professional to join our team as a Review Nurse. In this remote role, you will play a crucial part in ensuring the accuracy and appropriateness of medical billing and care delivery. Utilizing your clinical and technical... 
Remote job
Full time
Flexible hours

Get It Recruit - Healthcare

Dallas, TX
9 days ago
 ...opportunity for work/life balance needs yet want to stay clinically active? Join us as an Medical Director to conduct chart and peer reviews from your home office. where you'll be empowered to make a difference in the lives of patients by improving the quality of... 
Remote job
Holiday work
Full time
Part time
Work from home
Home office
Weekend work
Monday to Friday

Max Populi, LLC

Dallas, TX
1 day ago
 ...currently seeking experienced first and second level document review attorneys for several upcoming anticipated review projects. Candidates...  ...Relativity is required. Rate is $26/hr. Work will be done remotely. Reviewers on assignment must be able to work 40 hours per... 
Remote job
Contract work
Monday to Friday

Lexitas Legal

Chicago, IL
13 days ago
Overview: Provides administrative and clinical review and administrative support for the DoDs implementation of the American College...  .... Qualifications: Knowledge of professional nursing principles and procedures in surgery, either the operating room... 
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Avosys Technology, Inc.

Nevada
2 days ago
 ...** **Position Summary:** Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP). Additionally... 
Remote job
Local area
Immediate start

Commonwealth Care Alliance

Boston, MA
10 hours ago
 ...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC What You'll be Doing Do you have... 
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TTEC

Double Oak, TX
4 days ago
 ...Monday-Friday 8:00 am - 4:30 pm. Deliverables/Principal Results Expected: • Perform admission, continued stay and discharge reviews on all managed care clients. • Maintain positive relationships with referral sources and insurance companies. • Track... 
Remote job
Local area
Work from home
Flexible hours
Shift work
Monday to Friday

Pyramid Healthcare Inc

Allentown, PA
1 day ago
Join our team as a Utilization Management Nurse Reviewer, where you'll play a pivotal role in healthcare delivery by ensuring the efficient...  ...Competitive salary. Apple equipment and media stipend provided for remote work. Comprehensive training program. If you're looking... 
Remote job
Full time

Get It Recruit - Healthcare

West Palm Beach, FL
20 days ago
 ...Job Description Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of...  ...discipline, use of appropriate billing protocols, etc. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:... 
Remote job
Minimum wage
Full time
Local area
Flexible hours

CorVel Healthcare Corporation

Dallas, TX
11 days ago
 ...Job Description Job Description Document review project currently in progress. This is remote work for a Philadelphia area law firm. Must be located within Pennsylvania. Must have an active attorney license in any state Must have a PC/Mac Business hours... 
Remote job
Shift work

Wegman

Philadelphia, PA
23 days ago
 ...with the potential for permanent placement based on attendance, performance, and organizational needs. As a Hybrid Auditor Review Registered Nurse, you'll play a crucial role in ensuring the quality and appropriateness of services provided to individuals receiving home... 
Remote job
Hourly pay
Permanent employment
Full time
Contract work
Flexible hours

Get It Recruit - Healthcare

Harrisburg, PA
2 days ago
 ...Position Title: Medical Claims Review Nurse Type: Fully Remote Schedule: Monday to Friday, 9:00 AM to 5:00 PM local time.  Daily Responsibilities: ~ Reviewing medical patient records against standard medical criteria. Minimum Qualifications: Three years... 
Remote job
Local area
Monday to Friday

Morgan Stephens

Remote
1 day ago
 ...supporting better patient outcomes. The DRG Reviewer is responsible for performing DRG payment...  ...)  Associate or bachelor's degree in nursing (active/unrestricted license); or ...  ...up to 4% ~ Generous vacation policy ~ Remote-first & hybrid work philosophies ~ A... 
Remote job
Contract work
Work experience placement
Shift work

Apixio

Tampa, FL
18 days ago
We are seeking a dedicated and compassionate Registered Nurse to join our team as a Hybrid Auditor Review Registered Nurse. In this role, you will play a vital part in ensuring the quality and appropriateness of services provided to individuals receiving home and community... 
Remote job
Hourly pay
Permanent employment
Full time
Contract work
Monday to Friday

Get It Recruit - Healthcare

Harrisburg, PA
2 days ago
 ...00 PM availability required. Responsibilities: Assess and review reportable incidents and service plans for participants receiving...  ...incident management. Requirements: Licensed Registered Nurse Proficiency in Microsoft Office Suite, including Outlook, Word... 
Remote job
Hourly pay
Permanent employment
Full time
Contract work

Get It Recruit - Healthcare

Harrisburg, PA
2 days ago
 ...development. Summary We are seeking a talented individual for a Nurse Reviewer who will be responsible for performing clinical reviews to...  ...on business needs                 #LI-NB1 #LI-REMOTE   The pay range for this position is $58,200 - $70,000 per... 
Remote job
Full time
Contract work
Flexible hours

Gainwell Technologies LLC

Kentucky
22 days ago
 ...Services, and other relevant agencies to manage critical incidents effectively. Requirements: Current licensure as a Registered Nurse. Proficiency in Microsoft Office Suite, including Outlook, Word, and Excel. Preferred experience in long-term care settings.... 
Remote job
Hourly pay
Permanent employment
Full time
Monday to Friday

Get It Recruit - Healthcare

Harrisburg, PA
6 days ago
 ...Job Description Job Description Job Title: Quality Review Specialist- Expert (Remote) Location: Raleigh, NC Duration: 12+ Months Job Description: Supplement Staff is needed to provide temporary assistance with Quality Review and Oversite of IT Technical... 
Remote job
Temporary work

Serigor Inc.

Raleigh, NC
13 days ago
 ...lives of individuals receiving home and community-based services? We're seeking a skilled and compassionate Hybrid Auditor Review Registered Nurse to join our team. Highlights: This is a contract assignment with the potential for permanent placement, contingent upon... 
Remote job
Hourly pay
Permanent employment
Full time
Contract work

Get It Recruit - Healthcare

Harrisburg, PA
14 days ago