Get new jobs by email
  •  ...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
    2 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
    17 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
  •  ...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
  • $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
  • ***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
    16 hours 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 work
    Full time
    Work at office
    Local area
    Work from home
    Shift work

    Providence Health & Service

    Anaheim, CA
    3 days ago
  •  ...Assesses resident through physical assessment, interview and chart review Discusses resident care needs with care givers, including physician...  ...(AANAC) requirements Qualifications: Registered Nurse (RN) or Licensed Practical Nurse (LPN) AANC certification a plus.... 
    Suggested
    Monday to Friday
    Flexible hours
    Shift work

    THE LAURELS OF UNIVERSITY PARK, LLC

    Richmond, VA
    9 hours agonew
  •  ...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, CA
    2 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 work
    Hourly pay
    Contract work
    Shift work

    Zenex Partners

    Los Angeles, CA
    4 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 work
    Work at office
    Monday to Friday

    Molina Healthcare

    Long Beach, CA
    3 days ago
  •  ...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 work
    Work from home
    Flexible hours
    Weekday work

    KALCARE HEALTH CARE

    Conyers, GA
    1 day ago
  •  ...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 work
    Full time

    IntePros

    Philadelphia, PA
    11 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... 
    Suggested
    Contract work
    Monday to Friday
    Weekend work

    InstantServe LLC

    Tuba City, AZ
    3 days 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 work
    Work at office
    Monday to Friday

    Molina Healthcare

    Long Beach, CA
    3 days 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 work
    Contract work
    Work at office
    Shift work

    Integrated Resources

    Long Beach, CA
    2 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 work
    Full time
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    2 days 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 work
    Full time
    Shift work
    Day shift

    Providence Health & Service

    Mission Hills, CA
    4 days ago
  •  ...Case Review Coordinator Performs the six essential activities of Case Management: Assessment, Planning, Implementation, coordinating...  ...care. Our employees call it home. Additional Job Details: Remote Type: Onsite Work Location: 1153 Centre Street Scheduled Weekly... 
    Remote work
    Hourly pay
    Shift work

    Salem Hospital NSMC

    Jamaica Plain, MA
    3 days ago
  •  ...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 work
    Part time
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    17 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 job
    Hourly pay
    Immediate start
    Monday to Friday

    Anchor Staffing Inc.

    Chicago, IL
    21 days ago
  • $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
    16 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 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
    16 hours ago
  •  ...Clinical Quality team is responsible for reviewing and abstracting medical records to capture...  ...degree preferred Current California RN license is required. Requires at least...  ...facing and approved out-of-state roles remain remote. o Employees living more than 50 miles... 
    Remote work
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    1 day per week

    Blue Shield Of California

    Long Beach, CA
    1 day ago
  •  ...assessors, complete quality assurance audits, inter-rater-reliability reviews, and may be involved in process improvement initiatives....  ...with complex health needs preferred. Current and unrestricted RN licensure in Colorado or a compact nursing license preferred.... 
    Remote work

    Telligen

    Edmond, OK
    4 days ago
  • $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

    Albuquerque, NM
    16 hours ago
  •  ...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
    2 days ago
  •  ...manner according to department standards. Maintains and reviews patient records, charts, and other pertinent information. Compiles tests and examination...  ...Facing Options ~ Position is Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-... 
    Remote work
    Full time
    Shift work

    Stormont-Vail HealthCare

    Topeka, KS
    3 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 work
    Shift work
    Night shift
    Weekend work
    Weekday work

    Talent4Health

    Jackson, MS
    11 days ago
  •  ...LLC is seeking a travel nurse RN Med Surg for a travel nursing...  ...certification: BLS \n• EPIC charting system \n• Any color scrubs...  ...unit needs are met \n• Profile review and manager interview required...  ..., respiratory therapy, and remote telemetry monitoring. The facility... 
    Remote work
    Shift work
    Night shift
    Weekend work

    ADEX Healthcare Staffing LLC

    Bismarck, ND
    16 days ago