Average salary: $48,282 /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 MissouriHours: Flexible HoursRate of Reimbursement...Remote workExtra incomeFull timeFor contractorsReliefFlexible hours
Matrix Medical Netowrk
Scottsdale, AZ14 hours ago $40 per hour
...Job Description Job Description Remote MCO Utilization Review Nurse (RN) IL ONLY $40.00 per hour Monday – Friday 8:00 am – 4:30 pm Remote... ...clinical experience · Experience in Hospital ER · Chart Review PREFERRED JOB REQUIREMENTS * Utilization management...Remote jobHourly payImmediate startMonday to Friday$50 - $53 per hour
...Job Title: Clinical Review RN Openings: 3 Hours: 40 hours a week between 7:30am-5... ...Location: the first 2 positions are remote but all 3 nurses must be local to NYC, Long... ...of two (2) years of experience reviewing charts for the purpose of quality improvement or...Remote workPart timeLive outWork at officeLocal areaMedix
New York, NY3 days ago- ...with state specific requirements, as outlined below. This is a remote position. Responsibilities Enter into Written Collaborative... ...Protocols, and in accordance with applicable state and federal law; Review a representative sample of CCS Practitioner Service records at...Remote workWork from home
ComplexCare Solutions
Charleston, SC22 hours ago - ...this dept is 100% remote, with a variety of service lines and levels of care (inpatient, Extended Hospital Outpatient and OBS). 3-year... ...acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) •...Remote work
Pacer Group
Torrance, CA1 day ago - ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience... ...or urgent care * Utilization review experience * Knowledge of... ...Hospital Highlights Type of Facility: Outpatient Charting: Epic...Remote workLocal areaWeekend work
Zenex Partners
Beverly Hills, CA3 days ago $56.44 - $87.63 per hour
...Description This position is a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care...Remote workFull timeWork at officeLocal areaWork from homeShift workProvidence Health and Services
Anaheim, CA2 days ago- ...Medical Review Nurse (RN) Our client, a mutual insurance holding company, is looking for a Medical Review Nurse (RN) for their remote location. Responsibilities: The essential functions listed represent the major duties of this role, additional duties may be assigned...Remote work
ICONMA
Salida, CA14 hours ago $45 - $50 per hour
...Registered Nurse/Medicaid Clinical Reviewer - Remote (#25291) Location: Remote Employment... ...accredited nursing program Licensure: Active RN State license and active NY State... ...the appeal level. This includes chart screen, completing electronic worksheets...Remote workHourly payFull timeMonday to FridayGreenlife Healthcare Staffing
New York, NY9 days ago$8 per hour
...Registered Nurse - Utilization Review Facility: CSMN - 8714024 -... ...Additional Information: ***Hybrid/Remote within a commutable distance... ...*** Required: * CA RN License * 2 years of... ...compliance requirements • Perform chart abstraction and analysis of...Remote workHourly payContract workShift workZenex Partners
Los Angeles, CA2 days ago- ...Summary and Responsibilities This is a remote position The CommonSpirit RRP RN ensures regulatory compliance for... ...accurate medical necessity reviews and proper claim submission. This... ...criteria completing thorough clinical chart reviews. Conduct and complete Care...Remote work
- ...Job Description Job Description We are seeking an experienced RN Case Manager to join our Utilization Review team. This is a 100% remote role requiring strong skills in inpatient case management and utilization management. Schedule: Monday–Friday, 8-hour shifts...Remote jobMonday to FridayShift workWeekend work
$43 - $47 per hour
...Roles, MA, Phlebotomist, CNA|| Passionate ||… Home Health RN - Remote (CA License Required) Facility: Compassus Providence... ...Torrance, CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN - Back Office Chart Review Start Date: 11/03/2025 Duration: 13 Weeks Pay: $4...Remote workContract work- ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential... ...members’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced...Remote workFull time
IntePros
Philadelphia, PA9 days ago - ...Utilization Management Nurse Reviewer About the Position HealthSmart... .... # Current unrestricted RN or LVN License to practice in... ...(s) according to timeliness chart. Maintain coordination of services... ...in person, telephone, and remote meetings · Constant mental...Remote workFull timeTemporary workWork at officeFlexible hours
$70.72k
...Seeking candidates with RN//or behavioral health license in the... ...experience preferred. This is a remote position. Applies clinical... ...standardized independent reviews of case management and provider... ...internally and externally. Reviews charts and analyzes clinical record...Remote workContract workTemporary workWork experience placementMagellan Health
Albuquerque, NM4 days ago- ...Job Description JOB DESCRIPTION Fully remote opportunity for a TX licensed RN with Utilization Management experience to join our Prior Authorization reviewing team. Previous UM experience with MCG/Interqual guidelines as well as working within UM in an MCO...Remote workWork at officeMonday to Friday
Molina Healthcare
Long Beach, CA22 hours ago - ...Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely... ...’s Degree Required Licensing (must have) RN Desired Licensing (nice to have) CCM (... ...This position is available to remote employees residing in Massachusetts. Applicants...Remote workWork at officeLocal areaHome office
- ...Hybrid structure: primarily remote with field visits as needed... .... You are a Registered Nurse (RN) who operates with great attention... ...Quality Assurance & Compliance: Review and approve client... ...accuracy and compliance. Complete chart audits and QA reviews. Maintain...Remote workWork from homeFlexible hoursWeekday work
KALCARE HEALTH CARE
Conyers, GA3 days ago - ...Job Title: RN Case Manager/Utilization Review Location: Tuba City, AZ Job Type: Contract (13 weeks) Position Details:... ...for discharge planning and care transitions. Perform chart reviews for clinical documentation, claims denials, and peer...Contract workMonday to FridayWeekend work
InstantServe LLC
Tuba City, AZ1 day ago $34 - $52.7 per hour
...:MILWAUKEE at our FROEDTERT HOSPITAL facility. This job is Remote. FTE: 0.875000 Standard Hours: 35.00 Shift: Shift 1... ...cases to the physician advisor, PA moonlighter, for a second level review as needed. Facilitates communication with service based...Remote workHourly payTemporary workShift workWeekend workFroedtert Health
Milwaukee, WI1 day ago- ...Description JOB DESCRIPTION Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United... ...Looking for a RN with experience with appeals, claims review, and medical coding. Job Summary Provides...Remote workWork at officeMonday to Friday
Molina Healthcare
Long Beach, CA22 hours ago $78k - $85k
...Summary We are seeking a talented individual for a Nurse Reviewer (RN) to support our Massachusetts contract. Due to recent turnover... ...What you should expect in this role This is a fully remote position. Candidates may reside anywhere within the United States...Remote workPermanent employmentFull timeContract workTemporary workImmediate startMonday to FridayFlexible hours$70 - $74 per hour
...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description... ...: Local Contract Hybrid position: in-person and remote. Must have Interqual criteria experience. Must have...Remote workHourly payContract workLocal areaMonday to FridayShift workDay shifttalent4health
Cambridge, MA23 hours ago- ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension) Shift timings... ...: ~ Active, unrestricted State Nursing (RN, LVN, LPN) license in good standing....Remote workContract workWork at officeShift work
Integrated Resources
Long Beach, CA14 hours ago $89.07k - $162.8k
Join to apply for the RN Utilization Review Case Manager role at MedStar Health 3 days ago Be among the first 25 applicants About The Job The... ...‑Friday, 8:30 AM‑5:00 PM; two days onsite and three days remote), this position focuses primarily on inpatient utilization review...Remote workFull timeContract workWork at officeMonday to Friday- ...Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating... ...vocational nursing. Current, active nursing license (RN, LPN, or LVN) in good standing with the Arizona Board of...Remote workPart timeFlexible hoursWeekend work
IntePros
Phoenix, AZ3 days ago $56.44 - $87.63 per hour
...Description Join our exceptional team as a Utilization Review Nurse at Providence Holy Cross Medical Center. This full-time position... ...upon hire. Minimum of 2 years experience working in a remote Utilization Review environment or as an acute hospital case manager...Remote workFull timeShift workDay shiftProvidence Health and Services
Mission Hills, CA14 hours ago$56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full- time and will work... ...Registered Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager....Remote workFull timeShift workDay shiftProvidence Health & Service
Mission Hills, CA2 days ago- ...Health is seeking a travel nurse RN Med Surg for a travel nursing... ...&##127973; Facility & Charting Hospital: UMMC Charting... ...documentation) Fingerprinting: Remote process = allow 10 days In-... ...& Epic), unit tour, schedule review Additional: 2 shifts with...Remote workShift workNight shiftWeekend workWeekday work
Talent4Health
Jackson, MS9 days ago
