Average salary: $65,199 /yearly

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  •  ...physicians looking for additional income as a collaborating physician (Chart Reviews). Our collaborators over see our highly skilled Nurse...  ...Type: Collaborating Physician - 1099 (Chart Reviews) Location: Remote Opportunity - State of Missouri Hours: Flexible Hours... 
    Remote work
    Extra income
    Full time
    For contractors
    Relief
    Flexible hours

    Matrix Medical Netowrk

    Scottsdale, AZ
    2 days ago
  • $50 per hour

    RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25309) Location: Hybrid (Remote to Office-Based) - Jericho, NY Employment...  ...reviews up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching... 
    Remote work
    Hourly pay
    Full time
    Private practice
    Work at office
    Flexible hours

    GreenLife Healthcare Staffing

    Jericho, NY
    1 day ago
  • $750 - $1,250 per month

    A local healthcare provider in Hackensack, NJ is seeking a remote Physician for chart reviews and examinations. The ideal candidate must be Board Certified and licensed in New Jersey, ready to conduct telemedicine consultations. Responsibilities include reviewing patient... 
    Remote job
    Part time
    Local area
    Flexible hours

    Your Wellness Care

    Hackensack, NJ
    3 days ago
  • $50 - $53 per hour

    Job Title: Clinical Review RN (IDR/Appeals) Experience: Open to various clinical backgrounds...  ...*** Location: Jericho, NY (will start remote for ~1 month until there is enough office...  ...including the appeal level. This includes chart screen, compiling regulatory guidance, researching... 
    Remote job
    Full time
    Work at office
    Flexible hours

    Medix™

    Jericho, NY
    18 hours ago
  • $1,568 per week

     ...Focus Staff is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements...  ...retrospective reviews on all patients Review current charts for appropriateness and correct admission status... 
    Remote work
    Permanent employment
    Contract work
    Temporary work
    Part time
    Work experience placement
    Relief
    Shift work

    Focus.one

    Torrance, CA
    3 days ago
  • $1,858 per week

     ...Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance...  ...*Job Description:** - **Position:** Remote Utilization Management - Registered...  ...Patient Ratio Experience:** 1:40 - **Charting System:** Epic (required) - **Travel... 
    Remote work
    Contract work
    Work experience placement
    Zero hours contract
    Shift work
    Rotating shift

    Catalytic Solutions, Inc.

    Torrance, CA
    1 day ago
  • $108k

     ...Experienced Utilization Review Nurse UW Medical Center has an outstanding opportunity...  ...join our team. Work schedule includes fully remote/work from home, availability to work day...  ...to appropriately navigate electronic charting and referral systems, and case management... 
    Remote work
    Full time
    Work experience placement
    Work from home
    Shift work
    Day shift
    1 day per week

    IntelyCare

    Seattle, WA
    5 days ago
  • $62.7k - $100.4k

     ...outcomes and lower costs of care. Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for...  ...Science (A.S) Completion of an accredited registered nursing (RN) degree program required Three (3) years clinical experience... 
    Remote work
    Hourly pay
    Work at office

    CareSource

    Boston, MA
    1 day ago
  •  ...for additional income as a collaborating physician. (Medicare Chart Reviews) Our collaborators over see our highly skilled Nurse Practitioners...  ...Type: Collaborating Physician - 1099 (Chart Reviews)Location: Remote Opportunity - Meridian, MS (Lauderdale County) - Per State... 
    Remote work
    Extra income
    Permanent employment
    Locum
    Flexible hours

    Matrix Medical Netowrk

    Scottsdale, AZ
    2 days ago
  • Are you a dedicated Quality Review Specialist with a passion for delivering quality care? Join our team and make a difference...  ...Full Time Monday-Friday 8-5 Some on call rotation Non-Remote Responsibilities Chart/Record Audits: Review patient medical records and documentation... 
    Remote work
    Full time
    Part time
    Immediate start
    Monday to Friday
    Flexible hours

    National Church Residences

    Columbus, OH
    18 hours ago
  • $95k - $105k

    A leading managed care company is seeking an RN for a Utilization Review Nurse position, offering a hybrid work environment. Candidates must have a current New York RN license, a BSN, and at least 2 years of utilization review experience. Responsibilities include assessing... 
    Remote job

    VillageCare

    New York, NY
    18 hours ago
  • $31 - $61 per hour

     ...Perm Staff Jobs is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in New York, New York. Job Description & Requirements...  ...Pre-Authorization RN Pre-Authorization RN Remote after training which is a hybrid schedule 2 days onsite... 
    Remote work
    Hourly pay
    Permanent employment
    Work at office
    Relocation package

    Perm Staff Jobs

    New York, NY
    18 hours ago
  • $50 per hour

    Overview Registered Nurse Clinical Reviewer / IDR - Remote to Office-Based, Jericho, NY (ID #25302) Location...  ...Nursing or a graduate of an approved RN program Licensure: Current New York...  ...the appeal level. This includes chart screen, compiling regulatory guidance,... 
    Remote work
    Hourly pay
    Full time
    Private practice
    Work at office
    Flexible hours

    GreenLife Healthcare Staffing

    Jericho, NY
    3 days ago
  •  ...RN / Medical Reviewer / Remote Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City : Columbia State : SC Pay Range : Job Description... 
    Remote work
    Full time
    Contract work
    Local area
    Shift work

    InGenesis

    United States
    2 days ago
  • $40 per hour

    Nurse Reviewer PT (20-30 hours week) - Remote Work Environment Non-Exempt: $40.00 hour Supports Medical Review Services...  ...guidelines and regulations. The RN will work closely with the Team Lead...  .../Medical record review and chart abstraction Current standards of medical... 
    Remote work
    Contract work
    Work at office
    Local area
    Immediate start

    Healthcare Quality Strategies, Inc. (HQSI)

    Pennsylvania
    18 hours ago
  •  ...centered care through precise Utilization Review. The role involves evaluating healthcare services...  .... Candidates should have an active RN license in Illinois and at least 5 years of...  ...settings. This position supports a remote work model, allowing for flexibility while... 
    Remote job

    Guidehealth

    Chicago, IL
    18 hours ago
  • A healthcare solutions provider is seeking a Clinical Reviewer - LPN/LVN or RN - PRN (remote U.S.) to utilize clinical expertise in reviewing medical records against criteria. Candidates must have an active Indiana license or compact license. This role is flexible, with... 
    Remote job
    Relief
    Flexible hours

    Acentra Health

    Mc Lean, VA
    1 day ago
  •  ...centered care through effective utilization review. The candidate will be responsible for...  ...coordination efforts. This role requires an active RN license in Illinois, dedication to...  ...various healthcare settings. The position is remote and offers a competitive benefits package.... 
    Remote job

    Guidehealth

    Saint Louis, MO
    2 days ago
  • $28 - $32 per hour

     ...Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The purpose of...  ...Required Qualifications/Experience: Active unrestricted RN or, or other applicable State and/or Compact State clinical license... 
    Remote work
    Contract work
    Local area
    Flexible hours
    Shift work

    Acentra Health

    McLean, VA
    4 days ago
  •  ...centered care through detailed Utilization Review. Responsibilities include managing...  ...regulations. Candidates should have an active RN license in Illinois and over 5 years of relevant experience. The position is fully remote, offering competitive benefits including medical... 
    Remote job

    Guidehealth

    Milwaukee, WI
    1 day ago
  •  ...quality of care complaints. Audit medical records and monitor performance measures for heath care risk management, sentinel events and trends. Qualifications What We Look For: 2+ years of HEDIS or chart review experience #J-18808-Ljbffr Healthcare Support Staffing
    Private practice

    Healthcare Support Staffing

    Milwaukee, WI
    3 days ago
  • A healthcare technology firm is seeking a Clinical Reviewer - RN to review medical records for compliance with standards and ensure proper...  ...interpret patient records, maintain confidentiality, and work in a remote setting. Candidates should be an active RN with 2+ years of... 
    Remote job
    Flexible hours

    Acentra Health

    Mc Lean, VA
    18 hours ago
  • A national health organization is seeking a Clinical Review Clinician - Appeals to conduct clinical reviews and manage appeals. The role...  ...standards and healthcare regulations. The position is fully remote and includes a comprehensive benefits package. Join us to make a... 
    Remote job
    Flexible hours

    Centene Corporation

    Wisconsin
    4 days ago
  • $38.46 - $48 per hour

    A leading healthcare organization in California is seeking a Clinical Review Nurse to evaluate medical records and clinical documentation related to claims and grievances. This role requires strong clinical judgment and knowledge of Medicare Advantage regulations. The... 
    Remote job
    Hourly pay

    Clever Care Health Plan

    Huntington Beach, CA
    18 hours ago
  • A leading healthcare solutions provider is seeking a Clinical Reviewer RN - PRN to leverage clinical expertise in reviewing medical records. This remote position requires an active RN license and at least 2 years of clinical experience. Responsibilities include ensuring... 
    Remote job
    Relief

    Acentra Health

    Mc Lean, VA
    18 hours ago
  • $50 - $53 per hour

    A healthcare solutions provider is seeking a Clinical Review RN to conduct appeals reviews under the IDR team. This role starts remotely for one month, transitioning to onsite work in Jericho, NY. Candidates must have a BSN and a New York State RN license, with at least... 
    Remote job
    Hourly pay

    Medix™

    Jericho, NY
    1 day ago
  • A leading healthcare organization is seeking a Clinical Reviewer Registered Nurse for a remote role supporting health maintenance activities in Colorado....  ...documentation for service recommendations and requires an active RN license in Colorado. The role offers competitive... 
    Remote job
    Full time
    Monday to Friday
    Flexible hours

    Maximus

    Denver, CO
    4 days ago
  • Overview DRG Nurse Reviewer Appeals and Hearings - Remote at Gainwell Technologies. We are seeking a talented individual to coordinate and perform all appeal...  ...coding guidelines; completes required CEUs to maintain RN license and/or coding certification. Attends training and... 
    Remote job
    Work from home
    Flexible hours

    Gainwell Technologies

    Florida, NY
    2 days ago
  • $50 - $60 per hour

    A leading healthcare recruitment agency is seeking an experienced RN Clinical Reviewer to join their New York team. This hybrid role involves remote work and office-based responsibilities, focusing on conducting comprehensive medical-legal reviews. The position offers... 
    Remote job
    Work at office

    GreenLife Healthcare Staffing

    Jericho, NY
    1 day ago
  • A leading technology services provider is seeking an experienced Medical Coder with RN and CPC certification for a remote role. This position focuses on quality assurance reviews of medical files, supporting fair medical determinations. Applicants should possess strong... 
    Remote job

    TEKsystems

    Orlando, FL
    18 hours ago