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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 job$40.12 - $62.19 per hour
...Sinai Hospital's Utilization Review operates as a distinct specialty... ...concurrent and retrospective chart review for clinical, financial... ...information. This is a Full-time remote position.... ...: The Utilization Review RN reviews the medical record by...Remote workFull timeLIFEBRIDGE HEALTH SYSTEM
Baltimore, MD5 days ago- ...Description Provide timely review and determination of medical claims... ...as a Registered Nurse (RN),as required by contract(s).... ..., utilization, and/or medical chart review preferred. ~ Professional... ...essential for this position Remote but need to be local to 18702...Remote workContract workFor contractorsWork experience placementWork at officeLocal area
Federal Hearings And Appeals
Wilkes Barre, PA17 days ago - ...Florida. This position requires strong experience in performing chart audits and reviewing medical records, particularly with HEDIS standards.... ...Microsoft Office tools. Educational qualifications may include an RN/LVN with an associate or bachelor degree, although HEDIS...SuggestedWork at office
Shell Lubricants Hub Hamburg
Florida, NY2 days 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
$65 per hour
...Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift... ...both campuses Scrub Color: Any (no reddish orange permitted) Charting: EPIC Parking Cost: Facility PaidRemote workLocal areaImmediate startMonday to FridayShift workWeekend workPacer Group
Everett, WA3 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, AZ3 days ago $30 - $34 per hour
...A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...Remote workHourly payAstrana Health
California, MO1 day ago- ...TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews,...Remote work
TurningPoint Healthcare Solutions
Florida, NY1 day ago - ...Centene Management Company LLC is hiring for a remote RN/LPN utilization reviewer. You will evaluate patient care, determine appropriate level of care, and contribute to discharge planning while coordinating with Medical Affairs. Role requires 2+ years acute care and...Remote workMonday to Friday
Centene Management Company LLC
Lansing, MI2 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, CA2 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, TN3 days 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... ...guidelines and regulations. The RN will work closely with the Team... .../Medical record review and chart abstraction Current standards...Remote workContract workWork at officeLocal areaImmediate startHQSI
Tampa, FL4 days ago$35 - $45 per hour
...Position: RN / Utilization Review Nurse Location: Sacramento, CA (ON-SITE) Employment Type: Potential contract to hire Pay Range: $35.00 – $4... ...-paced environment. Comfortable working independently in a remote or office-based setting. Working Conditions May be exposed...Remote workWeekly payContract workWork at officeMonday to FridayNeier Inc
Sacramento, CA3 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... ...experience Telecommuting Requirements This is a remote position. Our whole company works remotely...Remote workLive inFlexible hoursWeekday work
Evry Healthcare Inc.
Dallas, TX2 days ago $45 per hour
...Specialist to handle member-generated appeal processes remotely from California. The role involves reviewing medical records and ensuring compliance with clinical... ..., and effective communication skills. A California RN license and ADN are required. The position offers a competitive...Remote workHourly paySPECTRAFORCE
California, MO5 days ago- ...Registered Nurse (RN) | Utilization Review Location: Pennsylvania Agency: Pyramid Consulting, Inc. Pay: Competitive weekly pay (... ...ASAP About the Position Key Responsibilities ~100% REMOTE role but candidate has to be in (PA, NJ or DE) ~ Equipment...Remote workWeekly payFull timeImmediate start
Pyramid Consulting, Inc.
Pennsylvania2 days ago $85k - $92k
...Solutions Group is seeking a Clinical Quality Reviewer to support a federal healthcare program.... ...standards. Candidates must have a valid RN or LCSW license with at least three years... ...clinical experience. The position may be remote or onsite based on business requirements....Remote workWork at officeHome officeTEEMA Solutions Group
Phoenix, AZ4 days ago$2,000 per week
...RadHealth+ is seeking a travel nurse RN Remote Case Manager, Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~ Shift...Remote workWeekly payFor contractorsLocal areaShift workNight shift- ...PRN Utilization Management RN Reviewer NEJoin Cleveland Clinic Weston Hospital's team of caregivers... ..., concurrent review, retrospective chart review and clinical systems review to... ...:30 p.m. with weekend requirements.This remote role is limited to Florida, Ohio, and Nevada...Remote workFull timeReliefWeekend work
IntelyCare
Fort Lauderdale, FL1 day ago - ...A healthcare consulting company is seeking a remote Dietitian to conduct quality reviews for the U.S. Department of Veterans Affairs. The role involves evaluating clinical cases and producing structured assessments. Candidates must have an RDN credential and at least 3...Remote workFull timeFlexible hours
Visual Connections LLC
Annapolis, MD1 day ago - ...Comagine Health seeks Clinical Utilization Review Nurses (RN) to assess medical necessity and quality of care through prospective, concurrent, and retrospective reviews. This full-time, remote position requires Alabama licensure and focuses on compliant, cost-effective...Remote workFull timeContract work
Palo Verde Community College District
Brooklyn, NY3 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
New York, NY2 days ago - ...Supporting the WISeR Prior Authorization Program, the full-time RN Clinical Quality Reviewer will perform comprehensive clinical reviews, validate... ...in physician determination activities, all while working remotely within the US. Key responsibilities Conduct clinical reviews...Remote workFull time
Virtual Vocations Inc
United States5 days ago - ...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 States4 days ago - ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Minimum of 3 years acute medical Care...Remote work
3B Healthcare, Inc.
Torrance, CA3 days ago - A leading healthcare organization is seeking a full-time remote RN responsible for validating medical necessity in the insurance industry. This role involves performing medical reviews on claims and requires a nursing license, alongside experience in claims processing and...Remote workFull time
Innovative Systems Group
Richardson, TX2 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 States2 days ago $24 - $31.5 per hour
...Atterro is hiring a Registered Nurse for a remote, USA-wide role. The position offers flexible hours (Mon–Fri, 8:00 AM–5:00 PM) and competitive... ...compliance skills are essential. This role focuses on quality review, regulatory adherence, and independent prioritization within a...Remote workHourly payFlexible hoursAtterro Human Capital Group
Atlanta, GA1 day ago- ...To support effective utilization management, the full-time remote Utilization Review RN will examine medical records, develop clinical reviews for authorization, and collaborate with interdisciplinary teams to optimize reimbursement and prevent payment denials. Key responsibilities...Remote workFull time
Virtual Vocations Inc
United States2 days ago
