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- ...provider is seeking a Licensed Practical Nurse (LPN) to join their Health Plan Medical Management Team. This fully remote position involves independent chart reviews and clinical assessments. Candidates should possess a valid LPN license and BLS certification. The role...Remote jobFlexible hours
$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 workPart timeLive outWork at officeMedix
Jericho, NY7 days ago- ...Nurse Reviewer Job Purpose: The Nurse Reviewer reviews appeals against medical records to ensure accuracy and thoroughness. All appeals... ...or appeal review experience. ~ Experienced in medical chart review. ~3-5 years of hospital nursing experience. ~ Proficiency...Remote workWork at officeLocal area
NY Staffing
United States4 days ago - ...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, AZ2 days ago - ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description... ...subject to confirmation). Posted job title: Utilization Review - remote About MSSI Consistently ranked as one of the top travel...Remote workShift work
MSSI
Minneapolis, MN7 days ago $43 - $47 per hour
...Roles, MA, Phlebotomist, CNA|| Passionate || Home Health RN Remote (CA License Required) Facility: Compassus Providence... ...CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN Back Office Chart Review Start Date: 11/03/2025 Duration: 13 Weeks...Remote workContract workPacer Group
Torrance, CA12 hours ago- ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description... ...subject to confirmation). Posted job title: Utilization Review - remote About MSSI Consistently ranked as one of the top travel...Remote workShift workAfternoon shift
MSSI
Minneapolis, MN7 days ago $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, NY10 days ago$72.48k - $108.72k
...Nurse Utilization Management Reviewer Position Summary: Reporting to the Manager Utilization... ...Required Licensing (must have): RN Desired Licensing (nice to have): CCM... ...environment This position is available to remote employees residing in Massachusetts. Applicants...Remote workWork at officeLocal areaHome officeBoston Staffing
Boston, MA1 day ago$50 per hour
...RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25293) Location: Hybrid (Remote to Office-Based) - Jericho, NY Employment... ...up to and including the appeal level. This includes chart screen, compiling regulatory guidance, researching...Remote workHourly payFull timeTemporary workPrivate practiceWork at officeFlexible hours- Job Title: Medical Review Nurse Duration: 3 Months Location: Remote Requirements Active Florida Nursing License with two (2) years of related... ...multiple systems and reports. 2026 HEDIS Chart Chase. Open to both LPN's and RN's. Must have experience related to HEDIS or...Remote workWork experience placementWork at office
$2,538.42 per month
...Plan Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 34868793 Job Title RN - Chart Review (000298) Weekly Pay $2538.42 Shift Details Shift Day - 7....SuggestedWeekly payShift workMetroPlus Health Plan
New York, NY3 days ago$446.28 per month
...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...SuggestedWeekly payShift workAfternoon shiftNYC HEALTH + HOSPITALS New York City 10004
New York, NY4 days ago- ...Explore the Possibilities and Advance with Us. Nurse Reviewer - REMOTE Job Number : 2025-47793 Category: Nursing Location : Shrewsbury... ...duties as required. REQUIRED QUALIFICATIONS: # RN/OT/SW licensed to practice in the Commonwealth of...Remote workFull timeShift work
University of Massachusetts Medical School
United States1 day ago $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 workContract workImmediate startWork from homeMonday to FridayKMG Healthcare
Cleveland, OH2 days ago- ...The Utilization Review Nurse for Workers' Compensation evaluates medical treatment requests to ensure they are appropriate, necessary,... ...regulations. This role supports high-quality care delivery while manag Nurse, Remote, Insurance, Healthcare, Certification, Education...Remote work
W. R. Berkley
United States12 hours ago - A national risk management solutions provider seeks a remote Utilization Review Case Manager in California to assess patient admissions and treatment. Responsibilities include certifying medical necessity and collaborating with healthcare teams. Applicants should have nursing...Remote job
- ...Healthcare Inc. is seeking a travel nurse RN Case Management for a travel nursing job... ...Position: RN-Case Management (Utilization Review) Location: Chandler, AZ, 85224... ...specific orientation: 4 days webinar on charting. 2 days preceptor as well. Additional...Weekly payContract workCasual workWork at officeRelocation packageFlexible hoursShift workNight shiftWeekend work
3B Healthcare Inc.
Chandler, AZ3 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
Anaheim, CA1 day ago - Location: Detroit, MI ( Remote / Must be local to the state of Michigan... ...local to Michigan and have MI RN licensure Role Summary... ...concurrent and retrospective review of inpatient, outpatient, ambulatory... ...utilize multiple programs for chart review and documentation Two...Remote workContract workLocal area
- ...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, PA21 days ago - ...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, NY2 days ago - ...Utilization Review Nurse (RN) - Per Diem Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute... ...Center. Incumbents perform clinically oriented medical chart reviews and other administrative tasks to meet the requirements...Hourly payDaily paidWork at officeLocal area
Kern Medical
Bakersfield, CA1 day ago $45 - $50 per hour
...Registered Nurse Clinical Reviewer / CPD - Remote (#25295) Location: Remote Employment Type: Full... ...unrestricted New York State Registered Nurse (RN) license. Experience: 1-3 years of... ...including the appeal level, including chart screens, completing electronic...Remote workHourly payFull timeTemporary workGreenlife Healthcare Staffing
New York, NY7 days 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, NY20 days ago- ...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 workWork at office
Maine Staffing
Portland, ME4 days ago $40.9 - $41.92 per hour
...CCIU), you will function as a Complaint Intake and Triage Nurse Reviewer performing clinical reviews and triage complaints and incident reports... ...EXPERIENCE: New York State Registered Professional Nurse (RN). Two (2) years' experience performing utilization review,...Hourly payWork at officeRelocation packageIPRO
Albany, NY1 day ago$130k
...continuous need within our organization. Applications will be reviewed as positions become available.*** Come join a company that strives... .... **Teleworking Permitted?** Yes **Teleworking Details** 100% Remote- Occasional Travel to Rockville, MD **Estimated Salary/Wage**...Remote workContract workFor contractorsWork at officeLocal areaChenega Corporation
Rockville, MD3 days ago$54 per hour
...strong (2+ years) of Utilization Resource experience. Shift: REMOTE 8 hour day shift, with weekend requirement OR REMOTE 8... ..., ED, or case management) Strong understanding of utilization review/utilization management principles Familiarity with InterQual,...Remote workShift workWeekend workDay shiftAfternoon shiftMSSI - Medical Staffing Solutions, Inc.
Minneapolis, MN12 days ago$26.41 - $59.21 per hour
...JOB DESCRIPTION Job Summary The Care Review Clinician (RN) provides support for clinical member services review assessment processes.... ...Further details to be discussed during our interview process. Remote position preferably in Washington State. Work schedule:...Remote workHourly payWork experience placementWork at officeMolina Healthcare
Everett, WA13 hours ago
