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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, NY9 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, MN8 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 workAfternoon shift
MSSI
Minneapolis, MN8 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, NY11 days 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
- ...care enablement company based in the U.S. is seeking a Utilization Management Nurse to conduct medical necessity and benefit reviews in a remote capacity. The ideal candidate will be a Licensed Practical Nurse or Registered Nurse, with experience in utilization review and...Remote job
- 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
- A health care enablement company is seeking a Utilization Management Nurse to perform medical necessity reviews while working remotely. The ideal candidate will be a licensed nurse with at least 2 years of managed care experience, strong organizational and communication...Remote jobFull timeWork at office
- 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, PA22 days 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, NY8 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, NY21 days ago$43 - $47 per hour
...Roles, MA, Phlebotomist, CNA|| Passionate ||… Home Health RN - Remote (CA License Required) Facility: Compassus Providence... ...Torrance, CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN - Back Office Chart Review Start Date: 11/03/2025 Duration: 13 Weeks Pay: $4...Remote workContract work- ...Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely... ...’s Degree Required Licensing (must have) RN Desired Licensing (nice to have) CCM (... ...This position is available to remote employees residing in Massachusetts. Applicants...Remote workWork at officeLocal areaHome office
$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, MN13 days ago- ...is hiring a Physician, Medical Document Review. This pivotal role focuses on reviewing clinical... ...without direct patient care, emphasizing chart review, clinical assessment evaluation,... ...Hybrid work environment with 1-2 days remote per week. Opportunity to make a...Remote workWork at office2 days per week1 day per week
TAL Healthcare
New York, NY27 days ago $78k - $85k
Nurse Reviewer - Massachusetts RN License Date: Sep 5, 2025 Location: Any city, MA, US, 99999 Work Mode: Virtual (Exception only) It takes great... ...demands. What you should expect in this role This is a fully remote position. Candidates may reside anywhere within the United...Remote workPermanent employmentFull timeContract workTemporary workImmediate startMonday to FridayFlexible hours$50 - $53 per hour
A healthcare organization is seeking a Clinical Reviewer RN for School Based Programs to conduct audits on maternal health programs. This position offers a unique 90% remote setup with occasional site visits in New York. The ideal candidate will have a strong clinical background...Remote jobFull time- A healthcare solutions company is seeking a Clinical Reviewer - RN (Personal Care) to review medical records for compliance and assist in prior authorization processes. This is a fully remote role based in Arkansas, requiring an active RN license and 2+ years of clinical...Remote jobRelief
$26.41 - $59.21 per hour
JOB DESCRIPTION Job Summary The Care Review Clinician (RN) provides support for clinical member services review assessment processes. Responsible... ...details to be discussed during our interview process. Remote position preferably in Washington State. Work schedule:...Remote jobHourly payWork experience placementWork at office- ...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 workPart timeFlexible hoursWeekend work
IntePros
Phoenix, AZ11 days ago $49.4k - $82.33k
...Description Summary:** The Quality Assurance Chart Review Nurse is responsible for the review of... ...unrestricted license as an LPN/LVN or RN + IV certified for LPN/LVN candidates +... ...Basic Qualifications** + Ability to work remotely and achieve target goals. + Proficiency...Remote workFlexible hours- A leading managed care organization is seeking a self-motivated RN for a fully remote Utilization Review Nurse position. Responsibilities include assessing member needs, ensuring medical necessity of services, and collaborating with healthcare professionals. Candidates...Remote job
- ...Job Title: Quality Review Specialist Location: Remote in IL, TX, NM, OK Duration: December 2025 to May 2026 contract to hire Pay: $46.50/hr on W2 or $93k conversion salary Description: This is a M-F shift 40 hours per week, but mandatory to work holidays...Remote workContract workPart timeShift workWeekend work
Innovative Systems Group
Chicago, IL1 day ago - ...week ago Be among the first 25 applicants Job Title:Clinical Review Nurse (RN) - Utilization Management Location:Oregon or bordering states... ...Nurse (Future Opportunities) Clinical Program Coordinator RN *Remote* Clinical Program Coordinator RN *Remote* Medford, OR $2,266....Remote workContract work
- ...health and healing across our broad footprint. Remote Facility Location: Remote, WI Shift: 8... ...Range: 31.00 - 49.50 Job Summary The Peer Review Specialist facilitates provider peer... ...NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where...Remote workFull timePart timeWork from homeShift workDay shift
- A leading health solutions company is seeking a Behavioral Health Clinical Reviewer to evaluate treatment plans and support optimal healthcare outcomes. The ideal candidate will have an active clinical license, strong psychiatric experience, and proficiency in Electronic...Remote jobFlexible hours
- A workforce solutions company is seeking a Registered Nurse-Case Review Specialist to provide support for Federal Occupational Health. This remote position requires extensive nursing experience and strong communication skills to ensure timely handling of medical records...Remote job
