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  •  ...Description American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job...  ...attendance in the area on Friday and includes both remote and onsite components Expect to function as core staff... 
    Remote work
    Daily paid
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Fort Myers, FL
    6 days ago
  • $40 per hour

    Overview Join to apply for the Remote MCO Utilization Review Nurse (RN) IL ONLY role at Anchor Staffing Remote MCO Utilization Review Nurse (RN) IL ONLY...  ...years of clinical experience Experience in Hospital ER Chart Review Preferred Job Requirements Utilization management... 
    Remote job
    Hourly pay
    Full time
    Immediate start
    Monday to Friday

    Anchor Staffing

    Chicago, IL
    5 days ago
  •  ...Description First Connect Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts,...  ...Behavioral Health / Utilization Review (Hybrid Position: In-Person & Remote)   Position: Registered Nurse – Behavioral Health /... 
    Remote work
    Weekly pay
    Daily paid
    Long term contract
    Temporary work
    Local area
    Immediate start
    Flexible hours
    Shift work

    First Connect Health

    Cambridge, MA
    7 days 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
    9 hours ago
  • $78k - $85k

     ...Summary We are seeking a talented individual for a Nurse Reviewer (RN) to support our Massachusetts contract. Due to recent turnover...  ...What you should expect in this role This is a fully remote position. Candidates may reside anywhere within the United States... 
    Remote work
    Permanent employment
    Full time
    Contract work
    Temporary work
    Immediate start
    Monday to Friday
    Flexible hours

    Gainwell Technologies

    Boston, MA
    4 days ago
  •  ...Job Description Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Apple Valley,...  ...This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Remote Utilization Review,3223.861060.27035 . The ideal candidate will possess a current... 
    Remote work
    Weekly pay
    Contract work
    Zero hours contract
    Shift work

    Assured Nursing

    Apple Valley, CA
    10 days ago
  •  ...nights! Paid Holidays Work-life balance. Remote/hybrid setting (once trained) ROLE DESCRIPTION...  ...will defer decision to a second level reviewer. This individual interfaces with case...  ...licensure includes but is not limited to RN, LMSW, LMHC. Successful completion of UR... 
    Remote work
    Temporary work
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    Hines & Associates Inc

    Freeport, IL
    20 hours 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
    1 day ago
  •  ...Description: ***Hybrid/Remote*** Orientation Location: 850...  ..., CA Required: * RN license in CA * 3 years of...  ...urgent care * Utilization review experience * Knowledge of ICD...  ...Highlights Type of Facility: Outpatient Charting: Epic... 
    Remote work
    Local area
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    3 days ago
  •  ...Description American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Monroe, North Carolina....  ...required; first-time travelers will not be considered EPIC charting experience is required Care management skills... 
    Suggested
    Daily paid
    Immediate start
    Monday to Friday
    Shift work
    Weekend work
    Day shift

    American Traveler

    Monroe, NC
    6 days ago
  •  ...Description American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Concord, North Carolina....  ...pediatric cases ~ Use of Epic EMR is required for all charting and documentation ~ No weekend or on-call requirements... 
    Suggested
    Daily paid
    Immediate start
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Concord, NC
    6 days ago
  • $38.46k - $43.27k

     ...Job Description Job Description As a Clinical Reviewer you will complete the full spectrum of activities related to State Independent...  ...reviews up to and including the appeal level. This includes chart screening, writing case summaries, determining documentation adequacy... 
    Suggested
    Hourly pay
    Work at office
    Flexible hours

    ISLAND PEER REVIEW ORGANIZATION INC

    Jericho, NY
    17 days ago
  •  ...knowledge and a current Arkansas licensure as a RN. Preferably experienced in the use of ICD-...  ...in written format with the Medical Staff, review organizations, administration and others...  ...acuity levels and appropriate care by chart review. 4. Safety Sensitive: NO In the... 
    Suggested
    Work at office

    Unity Health

    Searcy, AR
    1 day ago
  •  ...is seeking Limited Term positions for Clinic RN Chart Extractors! In this role, you will be responsible for accurately reviewing and extracting clinical data from patient...  ...the flexibility to work either in person or remotely. Qualifications: Wisconsin RN license... 
    Remote work
    Full time
    Part time
    Local area
    Work from home
    Monday to Friday

    BELLIN

    Green Bay, WI
    5 days ago
  •  ...Job Description Job Description We are seeking an experienced RN Case Manager to join our Utilization Review team. This is a 100% remote role requiring strong skills in inpatient case management and utilization management. Schedule: Monday–Friday, 8-hour shifts... 
    Remote job
    Monday to Friday
    Shift work
    Weekend work

    Alpha Rae Personnel, Inc.

    Fort Wayne, IN
    a month ago
  • $26.5 - $47.59 per hour

     ...perspective on workplace flexibility. This is a fully remote position that requires NY RN Licensure. The team processes Medicare, Medicaid and...  ...Christmas Eve) Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    New York, NY
    3 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
    3 days ago
  •  ...Note: This employer is open to candidates who want to work remote. At BayCare, we are proud to be one of the largest...  ...responsibility and clinical excellence. The Utilization Review Specialist Senior/RN responsibilities include: Functions as the primary liaison... 
    Remote work
    Full time
    Relief
    Weekend work

    BayCare Health System

    Tampa, FL
    3 days ago
  • $3,307 per week

     ...Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job Description & Requirements...  ...Type: Travel Hybrid position: in-person and remote.   Must have Interqual criteria experience. Must have... 
    Remote work
    Monday to Friday
    Shift work
    Day shift

    Talent4Health

    Cambridge, MA
    2 days ago
  •  ...Job Description Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job...  ...float between Hospitals.  Hybrid position: in person and remotely. MUST float between Hospitals. \nHybrid position: in... 
    Remote work
    Monday to Friday
    Shift work

    Talent4Health

    Cambridge, MA
    7 days ago
  • $26.41 - $61.79 per hour

    Job Summary The Medical Claim Review Nurse provides support for medical...  ...position we are seeking an RN with previous Inpatient...  ...CPT/HCPCS codes, record review, chart audit, provider disputes, appeals...  ...during the interview process. Remote position Work hours: Monday -... 
    Remote job
    Hourly pay
    Work experience placement
    Work at office
    Monday to Friday

    Molina Healthcare

    Tacoma, WA
    4 days ago
  • $46.01 - $67.57 per hour

     ...Details Job Location STAYTON, OR Remote Type Hybrid Salary Range $46.0...  ...a difference as our next Utilization Review Nurse . You will play an instrumental role...  ...optimizing resources. If you're a dedicated RN with a strong background in clinical... 
    Remote work
    Hourly pay

    Santiam Hospital & Clinics

    Stayton, OR
    4 days ago
  • $2,638 per week

     ...Integrated Healthcare Services is seeking a travel nurse RN Utilization Review for a travel nursing job in New York, New York. Job Description...  ...: Travel Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned... 
    Shift work

    Integrated Health Care LLC

    New York, NY
    2 days 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
    13 days ago
  •  ...Description Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge,...  ...float between Hospitals.  Hybrid position: in person and remotely. MUST float between Hospitals. \nHybrid position: in person... 
    Remote work
    Contract work
    Local area
    Monday to Friday
    Shift work

    Talent4Health

    Cambridge, MA
    7 days ago
  • $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

    Optum

    Pearland, TX
    2 days ago
  • $28.27 - $50.48 per hour

     ...is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate...  .... Required Qualifications: ~ Valid RN license in Hawaii ~3+ years of RN...  ...management *All employees working remotely will be required to adhere to UnitedHealth... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealth Group

    Honolulu, HI
    1 day ago
  • $342 per month

     ...Travel Remote Home Health RN – Back Office OASIS Reviewer - $1,924 per week at Assured Nursing summary: This position is for a travel registered nurse specializing in home health care, providing back-office OASIS review and patient care coordination. The role requires... 
    Remote work
    Weekly pay
    Contract work
    Zero hours contract
    Shift work
    Day shift

    Assured Nursing

    Torrance, CA
    18 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 Service

    Santa Clarita, CA
    2 days ago
  • $28.27 - $50.48 per hour

     ...current, unrestricted nursing license (i.e. RN) in the applicable state, as indicated in...  ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take...  ...is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Flexible hours
    Weekend work

    UnitedHealth Group

    Honolulu, HI
    4 days ago