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  •  ...seeking a licensed Nurse Practitioner (NP) to serve as a Clinical Chart Reviewer and Evaluator, responsible for conducting patient evaluations...  ...and care protocols. Comfortable working independently in a remote environment, with proficiency in navigating Electronic Health... 
    Remote work
    Flexible hours

    FitOn and FitOn Health

    Tampa, FL
    17 days ago
  •  ...FM or IM Physician Position in Arkansas; 100% Telehealth and Chart Review at CompHealth summary: This is a 100% telehealth physician...  ...Internal Medicine doctors in Arkansas, focusing on chart review and remote clinical support. The role involves ensuring compliance,... 
    Remote work
    Contract work
    Relocation package
    Live in
    Flexible hours

    CompHealth

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

    Integrated Healthcare Services

    New York, NY
    2 days ago
  •  ...Certification Details BLS New York State RN License Job Details Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned from Consultation reports, History and Physical reports, Operative reports, Progress reports... 
    Suggested

    New York City Health and Hospitals Corporation - 50 Water St...

    New York, NY
    2 days ago
  •  ...Day & Zimmermann Company is seeking a local contract nurse RN Utilization Review Level I for a local contract nursing job in Fairfield, California...  ...Utilization Management Nurse (RN) needed for a remote contract opportunity with Yoh’s client located in Fairfield... 
    Remote work
    Hourly pay
    Weekly pay
    Contract work
    Local area
    Immediate start
    Shift work

    Yoh, A Day & Zimmermann Company

    Fairfield, CA
    4 days ago
  •  ...We're Hiring: Utilization Review Nurse - RN! We are seeking a dedicated and experienced Utilization Review Nurse (RN) to join our team....  ...managing resource utilization effectively. Location: 100% remote - but ust be residing and licensed in IL or TX Role: Utilization... 
    Remote work
    Contract work

    24HRPO

    Richardson, TX
    21 days ago
  •  ...General Brigham - Internal Travel is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description...  ...Organization Mass General Brigham Schedule Full-time, Remote Employee Status Temporary Mass General Brigham is... 
    Remote work
    Weekly pay
    Full time
    Temporary work
    Flexible hours
    Shift work
    Weekend work

    Mass General Brigham - Internal Travel

    Boston, MA
    3 days ago
  •  ...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,...  ...on clinical guidelines. Maintain RN license and meet continuing education requirem...  ...based on business needs.   #LI-AC1 #LI-REMOTE   This position is for pipeline purposes... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies LLC

    Maine
    4 hours ago
  • Join to apply for the Utilization Review Nurse - RN role at TapTalent.ai Join to apply for the Utilization Review Nurse - RN role at TapTalent...  ...managing resource utilization effectively. Location: 100% remote - but ust be residing and licensed in IL or TX Role: Utilization... 
    Remote work
    Full time
    Contract work
    Night shift

    TapTalent.ai

    Chicago, IL
    1 day ago
  •  ...Title: UMCM Coordinator Location: Alb NM - Remote and occasional onsite meetings Pay...  ...is responsible for performing concurrent review in accordance with accepted department criteria...  ...JOB REQUIREMENTS: - Register Nurse (RN) with current, valid, unrestricted license... 
    Remote work

    Innovative Systems Group

    Albuquerque, NM
    2 days ago
  • ***** RN licensure must be valid for California. California is not a compact state.** **Candidates who do not live in California must...  ...requested treatments and/or procedures. + Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and... 
    Remote work
    Hourly pay
    Work experience placement
    Live in
    Weekend work

    Molina Healthcare

    San Jose, CA
    more than 2 months ago
  •  ...for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer - LPN/LVN/RN (Remote U.S.) to join our growing team. Job Summary: The purpose of this position is to review medical records against appropriate... 
    Remote job
    Contract work
    Local area
    Flexible hours
    1 day per week
    Monday to Friday

    Davita Inc.

    Mc Lean, VA
    12 hours ago
  • $36.46 - $43.75 per hour

     ...supervision, complete internal clinical record reviews to assess hospice’s compliance with its...  ...Weatherbee tools. Must be familiar with REMOTE CLIENT, AMBULATORY and INPATIENT Modules...  ...EPIC (majority of the work is electronic chart review). Participate in feedback meetings... 
    Remote work
    Full time
    Work at office

    GBMC

    Hunt Valley, MD
    a month ago
  •  ...The Utilization Management (UM) department reviews clinical documentation for medical...  ...insurers in hopes of overturning the denial. The RN UM interfaces with insurance payers. His/her...  ...the employee to work on site. There is no remote ability, for this position *CM/UM... 
    Remote work
    Full time
    Shift work
    Monday to Friday

    BronxCare Hospital Center

    Bronx, NY
    12 hours ago
  •  ...findings on completed clinical validation reviews to verify the accuracy of DRG assignment and...  ...degree (or higher) + Active, unrestricted RN (Registered Nurse) license in the state of...  ...+ Ability to work independently in a remote environment and deliver exceptional results... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    United States
    18 days ago
  •  ...direction of a supervisor, the Clinical Care Reviewer – Utilization Management evaluates...  ...An active compact state Registered Nurse (RN) license in good standing is required....  ...Package Flexible work solutions include remote options, hybrid work schedules, competitive... 
    Remote work
    Work at office
    Flexible hours
    Monday to Friday

    Amerihealth Caritas

    Newark, DE
    4 days ago
  •  ...Management Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure...  ...Current unrestricted Florida RN or LPN License. Minimum of one year of...  ...shadowing a team member on-site on Tuesdays and remote shadowing via Teams. Pay and Benefits... 
    Remote work
    Temporary work
    Work at office

    Actalent

    Fort Lauderdale, FL
    14 days ago
  •  ...Description Job Description CMA/Clinical Reviewer needed for busy medical practice in...  ...Clinical Reviewer will review the patient’s chart to ensure that all information is...  ...CONDITIONS: Combination of office and remote work. PHYSICAL/MENTAL DEMANDS : Varied... 
    Remote work
    Temporary work
    Work at office
    Weekend work
    Monday to Thursday

    Carolina Health Specialists

    Myrtle Beach, SC
    14 days ago
  •  ...Job Opportunity: LVN / LPN - Utilization Review Facility: CSMN - 1101017 Nursing...  ...supervised and receive assignments from a remote RN Mileage reimbursement provided Schedule...  ...Outpatient/Urgent Care Scrub Color: Burgundy Charting: Epic Parking Cost: Free or validated... 
    Remote work
    Hourly pay
    Contract work
    Local area
    Shift work
    Weekend work
    Monday to Friday

    Zenex Partners

    Beverly Hills, CA
    2 days ago
  • Concurrent Review/Transition of Care Nurse RN - Sacramento Or Remote (Southern California) - 25-136 Join to apply for the Concurrent Review/Transition of Care Nurse RN - Sacramento Or Remote (Southern California) - 25-136 role at Hill Physicians Medical Group Concurrent... 
    Remote job
    Full time

    Hill Physicians Medical Group

    Sacramento, CA
    1 day ago