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  • $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 job
    Hourly pay
    Immediate start
    Monday to Friday

    Anchor Staffing Inc.

    Chicago, IL
    26 days ago
  • $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
    2 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 work
    Extra income
    Full time
    For contractors
    Relief
    Flexible hours

    Matrix Medical Netowrk

    Scottsdale, AZ
    2 days ago
  • $50 per hour

     ...Job Description Job Description RN Clinical Reviewer / IDR - Remote to Office-Based Setting - Jericho, NY (#25293) Location: Hybrid (Remote...  ...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
    4 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 work
    Part time
    Live out
    Work at office
    Local area

    Medix

    New York, NY
    5 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 work
    Contract work

    Pacer Group

    Torrance, CA
    13 hours ago
  • $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
    1 day ago
  • $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
    3 days ago
  • $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
    3 days ago
  • $35 - $41 per hour

     ...Utilization Review - Fully Remote This role involves performing precertification and medical necessity reviews for designated referrals and...  ...Management. Essential Skills: ~ Registered Nurse (RN) with a valid license in GA or Compact. ~1+ years of experience... 
    Remote work
    Permanent employment
    Contract work
    Temporary work
    Work at office
    Work from home

    Actalent

    Mission Viejo, CA
    13 hours ago
  •  ...Perform clinical coverage review services, which require interpretation of state and federal mandates, applicable benefit language...  .... Function as a member of a self-directed team to meet specific indi RN, Nurse, Remote, Health, Medical Director, Healthcare, Clinical... 
    Remote work

    UnitedHealth Group

    United States
    4 days 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, CA
    4 days 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 work
    Contract work
    Immediate start
    Work from home
    Monday to Friday

    KMG Healthcare

    Cleveland, OH
    2 days ago
  •  ...Job Description Job Description Position Summary We are seeking an experienced Registered Nurse (RN) to support clinical review and quality evaluation activities across healthcare operations. The RN will apply professional clinical judgment to review medical records... 
    Remote job

    NEXTPHASE HEALTH SOLUTIONS LLC

    Baltimore, MD
    6 days 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 work
    Local area
    Weekend work

    Zenex Partners

    Beverly Hills, CA
    5 hours ago
  • $28.37 - $37.5 per hour

     ...for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer - RN (Remote U.S.) to join our growing team. Job Summary: ~ Review medical records against criteria, contract requirements, and... 
    Remote work
    Contract work
    Work experience placement
    Work at office
    Local area
    Monday to Friday
    Flexible hours
    1 day per week

    Acentra Health

    McLean, VA
    3 days ago
  • ?? Now Hiring: Clinical Reviewer (RN)Location: Remote until there is space in the Jericho office and then they will be asked to come into the office...  ...reviews up to and including the appeal level, including chart screening, regulatory research, insurer requirement review... 
    Remote work
    Work at office
    Immediate start

    Medix

    Jericho, NY
    13 hours ago
  • $45 - $50 per hour

     ...Description Registered Nurse Clinical Reviewer / CPD - Remote (#25295) Location: Remote Employment...  ...New York State Registered Nurse (RN) license. Experience: 1-3 years of experience...  ...including the appeal level, including chart screens, completing electronic... 
    Remote work
    Hourly pay
    Full time
    Private practice

    Greenlife Healthcare Staffing

    New York, NY
    2 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

    Albany, NY
    1 day ago
  •  ...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
    4 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

    Sarasota, FL
    1 day 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 work
    Hourly pay
    Contract work
    Shift work

    Zenex Partners

    Los Angeles, CA
    4 days ago
  •  ...Overview This is a remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN Per diem / On call Day shift Responsibilities The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed... 
    Remote work
    Daily paid
    Live in
    Day shift

    Providence Health & Service

    Seattle, WA
    13 hours 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 pay
    Daily paid
    Work at office
    Local area

    Kern Medical

    Bakersfield, CA
    13 hours 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 work
    Monday to Friday
    Weekend work

    InstantServe LLC

    Tuba City, AZ
    4 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 work
    Hourly pay
    Full time
    Monday to Friday

    Greenlife Healthcare Staffing

    New York, NY
    15 days ago
  •  ...Utilization Review Nurse Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage...  ...: ~3+ years of clinical nursing experience as an RN, preferably in a hospital setting ~ Utilization management experience... 
    Remote work
    Work at office

    Martins Point Health Care

    Portland, ME
    13 hours ago
  •  ...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
    3 days ago
  •  ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must have a multi state compact license unencumbered Job Purpose: Review Workers Compensation... 
    Remote work
    Work from home

    Elite

    Houston, TX
    17 days ago
  • $28.27 - $50.48 per hour

     ...Preservice Review Nurse RN - Remote Hawaii Join to apply for the Preservice Review Nurse RN - Remote Hawaii role at Optum . Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Local area

    Optum

    Honolulu, HI
    13 hours ago