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$43 - $47 per hour
...Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year... ...an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a contractual role...Remote workPacer Group
Torrance, CA4 hours ago- FitOn is looking for a licensed Nurse Practitioner to serve as a Clinical Chart Reviewer. This remote role requires conducting patient evaluations and reviewing clinical documentation. The ideal candidate will have a strong focus on ensuring effective and evidence-based...Remote job
- ...Job Title In this remote role, you will perform utilization reviews, ensuring compliance with clinical guidelines and patient care standards. Collaborate... ...necessity determination and familiarity with charting systems like Epic will be essential. This position offers...Remote workWeekly pay
Slate Healthcare
United States5 days ago - ...HonorHealth is seeking an Utilization Review RN Specialist to review medical necessity, monitor care, and coordinate UR reviews for Medicare... ...and records teams to ensure accurate documentation and data reporting, including chart reviews and denial appeals. #J-18808-LjbffrRemote work
HonorHealth
Arizona4 hours ago - ...To support a mission-driven health organization, the full-time Utilization Review Nurse - RN will conduct medical necessity reviews, escalate non-certifications for secondary clinical review, and analyze clinical records to ensure timely and compliant care determinations...Remote workFull time
Virtual Vocations Inc
United States2 days ago $30 - $38 per hour
...A healthcare organization is seeking a part-time Utilization Review Nurse RN to conduct assessments and reviews for medical necessity of treatment requests. This role involves working 28 hours per week with responsibilities such as providing reviews for pre-certification...Remote workHourly payPart timeSanta Barbara Cottage Hospital
United States3 days ago$17.37 - $28.95 per hour
...Clinical Chart Review Explore opportunities with Holston Medical Group, part of the Optum family of businesses. Holston Medical Group combines the personal feel of a community-based practice with the strength, resources and career opportunities of a leading national...SuggestedWork at officeHolston Medical Group
Kingsport, TN2 days ago- ...Chart Desktop Management Registered Nurse The Chart Desktop Management... ...Nurse is a full-time, remote clinical support position responsible... ...provider staff buckets. The RN prioritizes work according to... ...organizational workflows. Reviews and manages clinical messages,...Remote workFull timeImmediate start
$48 - $65 per hour
Remote Registered Nurse - Clinical Review Fully Remote | $48-$65/hr | Monday-Friday, 9:00 AM-6:00 PM ET Medix is... ...work What we’re looking for Active RN license BSN preferred 3+ years of... ...prior authorization, population health, chart review, or digital health is...Remote jobLong term contractMonday to Friday$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 hours ago$47 - $52 per hour
100% REMOTE PAY: $47-$52/hr REQUIRED: ~ Must have current RN licensing ~ Post market medical device experience in either medical assessment, complaint handling... ...'s absence. Job Description: Collect, review, assess and process complaints/reports with...Remote workThe Fountain Group
United States3 days ago- ...support discharge planning across care teams. This fully remote, full-time role requires an active RN license, nursing degree, and experience with InterQual... ...with physicians and care management to ensure timely reviews, document outcomes, and maintain regulatory compliance...Remote workFull time
Well Sense Health Plan
United States2 days ago - ...TEEMA is seeking a Registered Nurse for a remote role with Arizona hours (1st shift). You will review medical records for quality, safety, and utilization issues... ...collaboration with Medical Directors. Must hold an active RN license, have 3+ years of clinical experience in...Remote workDay shift
TEEMA
United States4 days ago $36 - $47.52 per hour
...for a per diem, part time, or full time Registered Nurse (RN) CODER/OASIS Reviewer to join our interdisciplinary Home Care team! Employment... ...a local agency that compares to us! Flexibility to work remote What you will do: The role of the coding/OASIS position...Remote workHourly payDaily paidFull timePart timeLocal areaFlexible hoursShift workDay shift- ...Cohere Health seeks an experienced RN Reviewer to perform prospective, concurrent, and retrospective reviews ensuring medical necessity... ...Commercial, Medicare, and Medicaid lines. The role is fully remote, requires strong communication, and entails 40 hours per week...Remote workFlexible hours
Cohere Health
United States3 days ago $29 - $52 per hour
...Telephonic Oncology Preservice Review Nurse Optum is a global organization that delivers... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take... ...Qualifications: ~ Current, unrestricted RN license in your state of residence ~...Remote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeHome officeWeekend workAfternoon shift- ...seeking experienced nursing professionals to review medical records and ensure appropriate... .... Candidates must have a valid California RN license and at least two years of clinical... ...degree in a related field. The position offers remote work with emphasis on critical thinking...Remote work
Santa Barbara Cottage Hospital
United States5 days ago - ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant... ...team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization...Remote workWork at office
HealthHelp
New York, NY4 days ago - ...improve care delivery and patient outcomes. Our talented remote workforce spans the country and plays a vital role in our... ...professionally. Position Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member will serve as the...Remote workContract work
Comagine
United States1 day ago - ...Responsibilities Provide timely review and determination of medical claims, including prior... ...unrestricted State license as a Registered Nurse (RN) as required by contract(s) 1+ years... ...; coding, utilization, and/or medical chart review preferred Professional Coding Certification...Contract workFor contractorsWork at officeLocal area
FHAS, Inc.
Wilkes Barre, PA5 days ago - ...Providing timely and evidence-based utilization review services, the full-time Utilization Review RN will work remotely to manage complex medical conditions, treatment planning, and recovery for injured employees while advocating for effective medical treatment. Key responsibilities...Remote workFull timeWork experience placement
Virtual Vocations Inc
United States1 day ago $85k - $92k
...Hourly Equivalent: ~$41–$44/hr Location: Remote Schedule: Must work AZ hours (typically... ...) Active, unrestricted license: RN Minimum 3+ years clinical experience... ...Desired) Clinical Quality / Utilization Review / Case Review experience Experience...Remote workHourly payDay shiftLynn Rodens
United States2 days ago- ...Description: Ascension Texas Utilization Management Department (Fully Remote)Job Summary:• Provides health care services regarding admissions, case management, discharge planning and utilization review.Responsibilities:• Reviews admissions and service requests within...Remote work
First Connect Health
Austin, TX1 day ago - ...Washington, DC is seeking a DME Medical Reviewer to ensure compliance with nursing standards... ...The ideal candidate must hold an active RN license and have at least two years of clinical... ...quality audits. The role emphasizes remote work capabilities and adherence to...Remote work
BROADWAY VENTURES, LLC
Washington DC4 hours ago $40 per hour
PT (20-30 hours week) - Remote Work Environment Non-Exempt: $40.00 hour Supports Medical Review Services. The Nurse Reviewer plays a critical... ...and regulations. The RN will work closely with the Team... ...Utilization/Medical record review and chart abstraction Current standards...Remote workContract workWork at officeLocal areaImmediate start$45 - $50 per hour
...Description Registered Nurse Medical Reviewer/Safety Reviewer III - Medical Device Safety... ...and Adverse Events \n Location: 100% remote. Candidates must be located in the US and... ...compliance with global regulations. A current RN license is required. \n \n Collect,...Remote workWork at officeWorldwideVisa sponsorshipWork visaOrion Group
West Virginia3 days ago$63k - $94k
...Remote Utilization Review Registered Nurse (UR RN) Are you an experienced RN looking to transition away from the bedside while still making a massive impact on patient care? We are seeking a dedicated Utilization Review Nurse to join our remote team. In this role, you...Remote workWork at office10 hours per weekFlexible hoursShift workWeekend workAfternoon shift3 days per weekMedix
United States1 day ago$1,949.74 per month
...Registered Nurse Specialty Utilization Review Job ID 17979666 Job Title Utilization Review RN Weekly Pay $1949.74 Shift... ...13 Week(s) Job Description Remote Utilization Review RN responsible for concurrent...Remote workWeekly payShift workProvidence Health and Services
Eureka, CA4 days ago- Position Summary: The RN Integrated Care Coordinator (UM) provides comprehensive care... ...hours are required to address utilization review cases. Roles and Responsibilities Prepares... ...Telecommuting Requirements This is a remote position. Our whole company works remotely...Remote workLive inFlexible hoursWeekday work
$2,300 per month
...The Clinical Review Nurse (RN) supports the organization’s care management function by conducting clinical reviews, ensuring appropriate utilization... ...cost-effective healthcare outcomes for members. This is a remote role open to candidates residing in Utah, Texas, or Arizona....Remote workWork at officeMotivHealth
Utah2 days ago
