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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, NY11 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 workHourly payFull timePrivate practiceWork at officeFlexible hoursGreenlife Healthcare Staffing
Jericho, NY12 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 workExtra incomeFull timeFor contractorsReliefFlexible hours
Matrix Medical Netowrk
Scottsdale, AZ2 hours agonew $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, NY13 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, MN10 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, MN10 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 workContract workPacer Group
Torrance, CA4 days ago$72.48k - $108.72k
...Nurse Utilization Management Reviewer Position Summary: Reporting to the Manager Utilization... ...Required Licensing (must have): RN Desired Licensing (nice to have): CCM... ...environment This position is available to remote employees residing in Massachusetts. Applicants...Remote workWork at officeLocal areaHome officeBoston Staffing
Boston, MA8 hours ago$2,538.42 per month
...Plan Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 34868793 Job Title RN - Chart Review (000298) Weekly Pay $2538.42 Shift Details Shift Day - 7....SuggestedWeekly payShift workMetroPlus Health Plan
New York, NY2 days ago$446.28 per month
...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...SuggestedWeekly payShift workAfternoon shiftNYC HEALTH + HOSPITALS New York City 10004
New York, NY2 days ago$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...Remote workFull timeMedix
United States3 days ago- 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
$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 workContract workImmediate startWork from homeMonday to FridayKMG Healthcare
Cleveland, OH8 hours ago- ...Explore the Possibilities and Advance with Us. Nurse Reviewer - REMOTE Job Number : 2025-47793 Category: Nursing Location : Shrewsbury... ...duties as required. REQUIRED QUALIFICATIONS: # RN/OT/SW licensed to practice in the Commonwealth of...Remote workFull timeShift work
University of Massachusetts Medical School
United States2 hours agonew - 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
- ...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
- ...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
Nashville, TN2 hours agonew - ...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 payDaily paidWork at officeLocal area
Kern Medical
Bakersfield, CA4 days 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 workFull time
IntePros
Philadelphia, PA24 days ago $45 - $50 per hour
Registered Nurse Clinical Reviewer / CPD - Remote (#25295) Location: Remote Employment Type: Full-Time... ...including the appeal level, including chart screens, completing electronic worksheets... ...New York State Registered Nurse (RN) license. Experience: 1-3 years of experience...Remote workHourly payFull timePrivate practice$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, NY23 days ago- ...Job Description 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...Remote workContract workShift workWeekend work
Innovative Systems Group
Chicago, IL3 days ago $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, MN15 days ago$72.48k - $108.72k
Utilization Manager Registered Nurse (RN) Reviewer - MA Only! Join to apply for the Utilization Manager Registered Nurse (RN) Reviewer -... ...working in a team‑based environment. This position is available to remote employees residing in Massachusetts. Applicants residing in...Remote workWork at officeHome office$35 - $45.94 per hour
...Utilization Review Nurse Hi, we're Oscar. We're hiring a Utilization Review Nurse to join... ...Review. Work Location: This is a remote position, open to candidates who reside in... ...Requirements ~ Active, unrestricted RN licensure from the United States in [state...Remote workHourly payFull timeWork from homeHome officeOscar Health
Dallas, TX4 days ago$130k
...continuous need within our organization. Applications will be reviewed as positions become available.*** Come join a company that strives... .... **Teleworking Permitted?** Yes **Teleworking Details** 100% Remote- Occasional Travel to Rockville, MD **Estimated Salary/Wage**...Remote workContract workFor contractorsWork at officeLocal areaChenega Corporation
Rockville, MD1 day ago$26.41 - $61.79 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- requires RN license Work schedule: Saturday 8:am-12:00pm,...Remote workHourly payWork experience placementWork at officeMonday to FridayMolina Healthcare
Corona, NY1 day ago
