•  ...seeking a licensed Nurse Practitioner (NP) to serve as a Clinical Chart Reviewer and Evaluator, responsible for conducting patient evaluations...  ...and care protocols. Comfortable working independently in a remote environment, with proficiency in navigating Electronic Health... 
    Remote work
    Flexible hours

    FitOn and FitOn Health

    Tampa, FL
    12 days ago
  •  ...Day & Zimmermann Company is seeking a local contract nurse RN Utilization Review Level I for a local contract nursing job in Fairfield, California...  ...Utilization Management Nurse (RN) needed for a remote contract opportunity with Yoh’s client located in Fairfield... 
    Remote work
    Weekly pay
    Contract work
    Local area
    Shift work

    Yoh, A Day & Zimmermann Company

    Fairfield, CA
    19 days ago
  •  ...General Brigham - Internal Travel is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description...  ...Organization Mass General Brigham Schedule Full-time, Remote Employee Status Temporary Mass General Brigham is... 
    Remote work
    Weekly pay
    Full time
    Temporary work
    Flexible hours
    Shift work
    Weekend work

    Mass General Brigham - Internal Travel

    Boston, MA
    18 days ago
  •  ...The Utilization Management (UM) department reviews clinical documentation for medical...  ...insurers in hopes of overturning the denial. The RN UM interfaces with insurance payers. His/her...  ...the employee to work on site. There is no remote ability, for this position *CM/UM... 
    Remote work
    Full time
    Shift work
    Monday to Friday

    BronxCare Hospital Center

    Bronx, NY
    3 hours agonew
  •  ...&##127775; We're Hiring: Utilization Review Nurse - RN! &##127775; We are seeking a dedicated and experienced Utilization Review Nurse (...  ...utilization effectively. &##128205; Location: Albuquerque, NM - 100% remote -  but may need to be onsite for occasional meetings &##128... 
    Remote work
    Permanent employment

    TapTalent.ai

    Albuquerque, NM
    18 hours ago
  •  ...We're Hiring: Utilization Review Nurse - RN! We are seeking a dedicated and experienced Utilization Review Nurse (RN) to join our team....  ...managing resource utilization effectively. Location: 100% remote - but ust be residing and licensed in IL or TX Role: Utilization... 
    Remote work
    Contract work

    TapTalent.ai

    Richardson, TX
    15 days ago
  •  ...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,...  ...on clinical guidelines. Maintain RN license and meet continuing education requirem...  ...based on business needs.   #LI-AC1 #LI-REMOTE   This position is for pipeline purposes... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies LLC

    Maine
    15 hours ago
  • Join to apply for the Utilization Review Nurse - RN role at 24HRPO Continue with Google Continue with Google 3 days ago Be among the first 2...  ...while managing resource utilization effectively. Location: 100% remote - but ust be residing and licensed in IL or TX Role:... 
    Remote work
    Full time
    Contract work
    Night shift

    24-Hour HR Process Outsourcing, Inc.

    Chicago, IL
    2 days ago
  •  ...according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet...  ...requirements for various payers, both commercial and government. 100% Remote - However, Only Nevada Licenses are Considered Key... 
    Remote work

    Morgan Stephens

    Remote
    23 days ago
  • ***** RN licensure must be valid for California. California is not a compact state.** **Candidates who do not live in California must...  ...requested treatments and/or procedures. + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and... 
    Remote work
    Hourly pay
    Work experience placement
    Live in
    Weekend work

    Molina Healthcare

    San Jose, CA
    more than 2 months 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 work
    Full time
    Temporary work
    Work at office
    Flexible hours

    HealthSmart MSO

    Cypress, CA
    20 days ago
  • Join to apply for the Peer Reviewer - Clinical - Physician, Physician...  ...to: Reviewing x-rays, patient charts and other patient records to...  ...Term) - Europe/North America - Remote Research Study Assistant II_ Full...  ...Health - 40 hrs/wk - Detroit RN - Clinical Oncology Research... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Temporary work
    Fixed term contract

    Advantage Health Centers

    Detroit, MI
    1 day ago
  • $36.46 - $43.75 per hour

     ...supervision, complete internal clinical record reviews to assess hospice’s compliance with its...  ...Weatherbee tools. Must be familiar with REMOTE CLIENT, AMBULATORY and INPATIENT Modules...  ...EPIC (majority of the work is electronic chart review). Participate in feedback meetings... 
    Remote work
    Full time
    Work at office

    GBMC

    Hunt Valley, MD
    a month ago
  •  ...Medstaff is currently seeking candidates in the RN, Endo profession for a 13 week contract in...  ...of those recognitions are fueled by real reviews by real travel nurses and allied...  ...since a lot of our team has been working remote since the pandemic), but you are part of the... 
    Remote work
    Hourly pay
    Contract work
    Work at office
    Shift work
    Weekend work

    BluePipes

    Danbury, CT
    11 days ago
  •  ...Focus Staff is seeking a travel nurse RN Case Management for a travel nursing job in Santa...  ..., CA looking for a Travel Utilization Review RN Registered Nurse! Focus Staff is seeking...  ...reviews on all patients Review current charts for appropriateness and correct admission... 
    Suggested
    Permanent employment
    Contract work
    Temporary work
    Part time
    Work experience placement
    Relief
    Shift work

    Focus Staff

    Santa Barbara, CA
    4 hours ago
  •  ...Medstaff is currently seeking candidates in the RN, NICU profession for a 13 week contract in...  ...of those recognitions are fueled by real reviews by real travel nurses and allied...  ...since a lot of our team has been working remote since the pandemic), but you are part of the... 
    Remote work
    Hourly pay
    Contract work
    Work at office
    Shift work
    Night shift
    Weekend work

    BluePipes

    Columbus, OH
    3 days ago
  •  ...Medstaff is currently seeking candidates in the RN, CVOR profession for a 13 week contract in...  ...of those recognitions are fueled by real reviews by real travel nurses and allied...  ...since a lot of our team has been working remote since the pandemic), but you are part of the... 
    Remote work
    Hourly pay
    Contract work
    Work at office
    Shift work
    Weekend work

    BluePipes

    Kent, WA
    10 days ago
  •  ...findings on completed clinical validation reviews to verify the accuracy of DRG assignment and...  ...degree (or higher) + Active, unrestricted RN (Registered Nurse) license in the state of...  ...+ Ability to work independently in a remote environment and deliver exceptional results... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    United States
    13 days ago
  •  ...Description Job Description CMA/Clinical Reviewer needed for busy medical practice in...  ...Clinical Reviewer will review the patient’s chart to ensure that all information is...  ...CONDITIONS: Combination of office and remote work. PHYSICAL/MENTAL DEMANDS : Varied... 
    Remote work
    Temporary work
    Work at office
    Weekend work
    Monday to Thursday

    Carolina Health Specialists

    Myrtle Beach, SC
    9 days ago
  •  ...direction of a supervisor, the Clinical Care Reviewer – Utilization Management evaluates...  ...An active compact state Registered Nurse (RN) license in good standing is required....  ...Package Flexible work solutions include remote options, hybrid work schedules, competitive... 
    Remote work
    Work at office
    Flexible hours
    Monday to Friday

    Amerihealth Caritas

    Newark, DE
    4 days ago
  •  ...is seeking a Registered Nurse (RN) Home Health Case Management...  ...work ethic and ambition off the charts? Do you inspire others with...  ...load by providing onsite and remote planning, clinical group leadership...  ...at ChenMed and/or utilization review or discharge planning in a... 
    Remote work
    Work experience placement
    Home office

    ChenMed

    Winter Park, FL
    5 hours ago
  •  ...Talent4Health is seeking a travel nurse RN Oncology for a travel nursing job in Jackson...  ...upon submittal Fingerprinting: Remote option: Requires a minimum of 10 days processing...  ...Experience & Certifications Epic Charting: Required BLS: Required ACLS:... 
    Remote work
    Shift work
    Night shift
    Weekend work
    Weekday work

    Talent4Health

    Jackson, MS
    2 days ago
  •  ...is seeking a Registered Nurse (RN) Home Health Case Management...  ...work ethic and ambition off the charts? Do you inspire others with...  ...hospital daily from 9am-3pm, working remote for the remaining hours. The...  ...EMR system and onsite reviews. Acute Care Nurse follows the... 
    Remote work
    Full time
    Work experience placement
    Work at office
    Weekend work
    Monday to Friday

    ChenMed

    Camden, NJ
    4 days ago
  •  ...dedicated to helping you with every step of the hiring process. Contact Gordon Diaz ****@*****.*** (***) ***-****. ~100% remote; open to FM and IM physicians ~ Work at your own pace; must have an active state license ~ Great salary to supplement current... 
    Remote work
    Contract work
    Relocation package
    Live in

    CompHealth

    Deridder, LA
    4 hours ago
  •  ...features. Job Summary Conducts utilization review for in-house patients and/or those members...  ...in Redwood City, CA . Registered Nurse (RN) Home Health (Sign-on bonus of up to $10K)...  ...Coordinator RN- Utilization Review Home Health Remote Registered Nurse - Clinical Nurse Educator... 
    Remote work
    Hourly pay
    Full time
    Relocation package

    Health eCareers

    Redwood City, CA
    1 day ago
  •  ...nurses in the field. This is a hybrid remote Clinical Supervisor position for the Kingman...  ...Havasu area.   If you are an RN who is passionate about helping children...  ...demeanor. • Familiarity with electronic charting and review to ensure accurate and timely submission... 
    Remote work
    Relocation package

    Thrive Skilled Pediatric Care LLC

    Kingman, AZ
    25 days ago
  •  ...Medical, Dental, Vision and Life Insurance. Position: Utilization Review Nurse - Case Management Compensation The estimated pay for...  ...Medical Center. Incumbents perform clinically oriented medical chart reviews and other administrative tasks to meet the requirements... 
    Full time
    Work at office
    Local area

    Kern Medical

    Bakersfield, CA
    9 days ago
  • Join to apply for the Continuing Care Utilization Review Coordinator RN role at Kaiser Permanente 6 months ago Be among the first 25 applicants...  ...10K) Quality Coordinator RN- Utilization Review Home Health Remote Registered Nurse - Clinical Nurse Educator San Leandro, CA $... 
    Remote work
    Hourly pay
    Full time
    Relocation package

    Kaiser Permanente

    Redwood City, CA
    1 day ago
  •  ...Talent4Health is seeking a travel nurse RN Oncology for a travel nursing job in Jackson...  ...upon submittal Fingerprinting: Remote option: Requires a minimum of 10 days processing...  ...Experience & Certifications Epic Charting: Required BLS: Required ACLS:... 
    Remote work
    Shift work
    Night shift
    Weekend work
    Weekday work

    Talent4Health

    Jackson, MS
    23 days ago
  •  ...Registered Nurse/Utilization Review role at Emonics LLC 6 months ago...  ...7:00) Description ***Hybrid/Remote*** Orientation Location: 8501...  ...Beverly Hills, CA Required RN license in CA 3 years of clinical...  ...Type of Facility: Outpatient Charting: Epic Seniority level... 
    Remote work
    Full time
    Contract work
    Part time
    Local area
    Relocation package
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    1 day ago