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  • Clinical Reviewer RN (School Based Programs) - 247884 (Jericho)

    $50 - $53 per hour

     ...Job Title: Clinical Review RN (school based) Hours: 40 hours a week between 7:30am-5:30...  ...Pay: $50-53/hr Location: 90% remote, 10% field (will travel to schools in NYC...  ...review documentation submitted as well as chart reviews. They are looking for RNs with... 
    Remote work
    Part time
    Live out
    Work at office

    Medix

    Jericho, NY
    1 day ago

  • Physician / Collaborating Physician-(Remote)Chart Reviews PRN Job

     ...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
    1 day ago

  • Clinical Review RN - 247797 (New York)

    $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 work
    Part time
    Live out
    Work at office
    Local area

    Medix

    New York, NY
    4 days ago

  • Utilization Manager Registered Nurse (RN) Reviewer - MA only!

    $72.48k - $108.72k

     ...Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely...  ...Required Licensing (must have): ~ RN Desired Licensing (nice to have):...  ...environment This position is available to remote employees residing in Massachusetts. Applicants... 
    Remote work
    Work at office
    Local area
    Home office

    Commonwealth Care Alliance

    Boston, MA
    4 days ago

  • RN - Chart Review

    $2,369.33 per week

     ...Plan Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 34868793 Job Title RN - Chart Review (000298) Weekly Pay $2369.33 Shift Details Shift Day - 7x... 
    Suggested
    Weekly pay
    Shift work

    MetroPlus Health Plan

    New York, NY
    2 days ago

  • RN Utilization Review

     ...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, CA
    3 days ago

  • RN Clinical Consultant - ADA Medical Accommodation Review - $85/hr (Remote)

    $85 per hour

     ...Immediate RN Clinical Consultant - ADA Medical Accommodation Review remote contract opportunity. This is a 100% remote/work from home position. Pay Rate: $85.00/hr Work Details: Monday to Friday / 40 hours per week Work from home/remote position... 
    Remote work
    Contract work
    Immediate start
    Work from home
    Monday to Friday

    KMG Healthcare

    Cleveland, OH
    1 day ago

  • Registered Nurse - Utilization Review

    ***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 work
    Local area
    Weekend work

    Zenex Partners

    Beverly Hills, CA
    4 days ago

  • RN - Chart Review

    $446.28 per week

     ...HEALTH + HOSPITALS New York City 10004 Job Type Travel Offering Nursing Profession RN Specialty Chart Review Job ID 17427880 Job Title RN - Chart Review (000298) Weekly Pay $446.28... 
    Suggested
    Weekly pay
    Shift work
    Afternoon shift

    NYC HEALTH + HOSPITALS New York City 10004

    New York, NY
    2 days ago

  • Medical Review Nurse (RN)

     ...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

    Spokane, WA
    1 day ago

  • Pre-Service Medical Review Nurse RN

     ...Pre-Service Medical Review Nurse RN Our client, a Healthcare company, is looking for a Pre-Service Medical Review Nurse RN for their remote location. Responsibilities: Conduct on-site review of subscriber's medical information in order to ensure appropriate benefit... 
    Remote work

    ICONMA

    Syracuse, NY
    1 day ago

  • Clinical Review/Utilization Registered Nurse (RN) - PRN

     ...PRN Clinical Review Nurse Children's is one of the nation's leading children's hospitals...  ...days/week for 8-10 weeks. This role can be remote, including training but occasional...  ...Support Center. Experience ~3 years of RN experience in a healthcare setting; pediatrics... 
    Remote work
    Relief
    3 days per week

    Children's Healthcare of Atlanta

    Atlanta, GA
    3 days ago

  • Utilization Review Nurse - Remote

     ...Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high...  ...Education/Experience 3+ years of clinical nursing experience as an RN, preferably in a hospital setting. Utilization management... 
    Remote work
    Work at office

    Portland Staffing

    Portland, ME
    11 hours ago

  • RN - Case Manager/Utilization Review

     ...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... 
    Suggested
    Contract work
    Monday to Friday
    Weekend work

    InstantServe LLC

    Tuba City, AZ
    3 days ago

  • Registered Nurse-Utilization Review

    $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 work
    Hourly pay
    Contract work
    Shift work

    Zenex Partners

    Los Angeles, CA
    3 days ago

  • RN UM Care Review Clinician Remote

     ...Description JOB DESCRIPTION Job Summary The RN Care Review Clinician provides support for clinical member services review...  ...8:00am- 5:pm with rotational weekend and holiday coverage Remote position MA RN licensure required Essential Job Duties... 
    Remote work
    Work at office
    Monday to Friday
    Weekend work

    Molina Healthcare

    Long Beach, CA
    2 days ago

  • Utilization Review Nurse

     ...Job Description Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a...  ...vocational nursing. Current, active nursing license (RN, LPN, or LVN) in good standing with the Arizona Board of... 
    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    20 days ago

  • Local Contract Nurse RN - Utilization Review - $85-90 per hour

    $85 - $90 per hour

     ...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Poughkeepsie, New York. Job Description...  ...SHIFT TIMES: 08:00:00 AM - 04:30:00 PM - Every other weekend - REMOTE *REMOTE* Utilization Review Nurse Case Manager position... 
    Remote work
    Hourly pay
    Weekly pay
    Long term contract
    Permanent employment
    Full time
    Contract work
    Temporary work
    Work at office
    Local area
    Shift work
    Weekend work

    LanceSoft

    Poughkeepsie, NY
    18 hours ago

  • Care review Clinician | Utilization review nurse

     ...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 work
    Contract work
    Work at office
    Shift work

    Integrated Resources

    Long Beach, CA
    1 day ago

  • Utilization Review Nurse (Philadelphia)

     ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to full-time...  ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced... 
    Remote work
    Full time
    Part time

    IntePros

    Philadelphia, PA
    4 days ago

  • RN UTILIZATION REVIEW

    $34 - $52.7 per hour

     ...US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility. This job is remote. Standard Hours: 35.00 Shift: Shift 1 Shift Details: 7/70 schedule...  ...to the physician advisor, PA moonlighter, for a second level review as needed. Facilitates communication with service based... 
    Remote work
    Hourly pay
    Temporary work
    Shift work
    Weekend work

    Froedtert Memorial Lutheran Hospital

    Albuquerque, NM
    3 days ago

  • RN Concurrent Review - Kelsey Seybold Clinic - Remote

    $58.8k - $105k

     ...Connecting. Growing together. The Concurrent Review Case Manager is responsible for...  ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. As you take...  ...Associate Degree in Nursing or higher ~ Texas RN License ~5+ years of nursing experience... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Local area

    Texas Health Institute

    United States
    11 hours ago

  • Utilization Review Nurse - Full-Time

     ...Utilization Review Nurse Responsible for utilization review work for emergency admissions...  ...Required Current and unrestricted RN license At least 3 years clinical...  ...Expectations Comfortable with remote work arrangements and virtual collaboration... 
    Remote work
    Full time
    Work at office
    Shift work
    Weekend work
    Weekday work

    Netsmart

    Winston Salem, NC
    11 hours ago

  • RN Utilization Review Full-time Remote

    $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 work
    Full time
    Shift work
    Day shift

    Providence Health & Service

    Mission Hills, CA
    3 days ago

  • Medical Review Nurse (RN)

    $29.05 - $67.97 per hour

     ...Medical Review Nurse (RN) at Molina Healthcare in Nampa, Idaho, United States Job 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 States. Work Schedule Monday to Friday... 
    Remote work
    Hourly pay
    Work experience placement
    Work at office
    Monday to Friday

    Idaho State Job Bank

    Nampa, ID
    11 hours ago

  • RN Complex Case Manager - Remote on PST

    $58.8k - $105k

     ...** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take...  ...systems, troubleshooting, electronic charting, accessing intranet and record management...  ...case management and/or utilization review functions within health plan or integrated... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Second job
    Local area

    UnitedHealth Group

    United States
    4 days ago

  • RN Case Review Coordinator - Faulkner

     ...40 hours Job Summary Why YOU should be our newest Case Review Coordinator: Performs the six essential activities of Case Management...  ...call it home. Additional Job Details (if applicable) Remote Type Onsite Work Location 1153 Centre Street... 
    Remote work
    Hourly pay
    Shift work

    Mass General Brigham

    Boston, MA
    3 days ago

  • Utilization Management Review Nurse

    $75k - $85k

     ...Huntington Beach Office - Huntington Beach, CA Remote Type Fully Remote Position Type...  .... Job Summary The Utilization Review Nurse will evaluate medical records to...  ...preferred. Active state's LPN/LVN or RN license. Three (3) years of utilization... 
    Remote work
    Full time
    Weekend work

    Clever Care Health Plan

    Huntington Beach, CA
    4 days ago

  • RN Utilization Review Part- time Remote

    $56.44 - $87.63 per hour

     ...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part- time and will work...  ...Nurse License upon hire. ~2 years - Experience working in a remote UR environment or working as an acute hospital case manager.... 
    Remote work
    Part time
    Local area
    Shift work
    Day shift

    Providence Service

    Mission Hills, CA
    4 days ago

  • CDE RN NICU Clinical Level of Care Reviewer - Corp

     ...Location: Winnie Palmer Hospital (Hybrid) Title: CDE RN Clinical Level of Care Review Summary: Provides concurrent review of the clinical documentation...  ...for the level of care services provided and reviews each chart daily. Direct involvement with clinical teams and uses... 
    Full time
    Part time
    Local area
    Shift work
    Night shift
    Afternoon shift

    Orlando Health

    Orlando, FL
    1 day ago