•  ...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 job
    Flexible hours

    FitOn and FitOn Health

    Tampa, FL
    23 days ago
  •  ...LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut. Job Description & Requirements...  ...0am to 4:30pm. After orientation/training the positions are remote. No on-call #HCRR About LanceSoft Established in 2000,... 
    Remote job
    Weekly pay
    Permanent employment
    Fixed term contract
    Local area
    Shift work

    LanceSoft

    Hartford, CT
    1 day ago
  •  ...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Hartford, Connecticut. Job Description...  ...Contract After orientation/training the positions are remote. Local candidates only 5 years nursing experience preferred... 
    Remote job
    Hourly pay
    Weekly pay
    Permanent employment
    Contract work
    Fixed term contract
    Local area
    Shift work

    LanceSoft

    Hartford, CT
    1 day ago
  • Utilization Review Nurse / Nurse Case Manager This Role is REMOTE but, CONNECTICUT RESIDESNTS ONLY ! Registered Nurse License...  ...Review / Case Management / Chart Review. This role will be 100% remote...  ...and years as a Nurse. Required: CT RN License in good standing Strong... 
    Remote job
    Hourly pay
    Holiday work
    Contract work
    Night shift
    Monday to Friday

    J. Morrissey

    Hartford, CT
    3 days ago
  •  ...flexibility. This position requires RN California Licensure and for candidates to...  .... Position Purpose: Performs clinical reviews needed to resolve and process appeals by...  ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.... 
    Remote job
    Hourly pay
    Holiday work
    Flexible hours

    Centene

    California
    4 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 job
    Full time
    For contractors
    Relief
    Flexible hours

    Matrix Medical Netowrk

    Scottsdale, AZ
    6 hours ago
  •  ...Job Description LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut. Job Description...  ...to 4:30pm. After orientation/training the positions are remote. No on-call #HCRR About LanceSoft Established in 2000,... 
    Remote job
    Weekly pay
    Permanent employment
    Fixed term contract
    Local area
    Shift work

    LanceSoft

    Hartford, CT
    11 days ago
  •  ...Description LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Hartford, Connecticut....  ...Contract After orientation/training the positions are remote. Local candidates only\n5 years nursing experience preferred... 
    Remote job
    Weekly pay
    Permanent employment
    Contract work
    Fixed term contract
    Local area
    Shift work

    LanceSoft

    Hartford, CT
    11 days ago
  •  ...4Health is seeking a local contract nurse RN Clinical Document Improvement Specialist for a local contract nursing job in Remote, Wisconsin. Job Description & Requirements...  ...: Conducts comprehensive chart reviews using CDI software. Identifies and acts... 
    Remote job
    Hourly pay
    Contract work
    Local area
    Shift work

    Talent4Health

    Wisconsin
    2 days ago
  •  ...The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring...  .... Holds an unrestricted LVN/RN license from an accredited vocational nursing...  ...and a media stipend are provided for remote workspace.  ABOUT DANE STREET: A fast... 
    Remote job
    Full time
    Temporary work
    Shift work
    Weekend work
    Afternoon shift

    Dane Street, LLC

    West Palm Beach, FL
    7 days ago
  •  ...Utilization Management Nurse Reviewer About the Position HealthSmart...  .... # Current unrestricted RN or LVN License to practice in...  ...(s) according to timeliness chart. Maintain coordination of services...  ...in person, telephone, and remote meetings · Constant mental... 
    Remote job
    Holiday work
    Full time
    Temporary work
    Flexible hours

    HealthSmart MSO

    Cypress, CA
    a month ago
  •  ...Paid Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained) ROLE DESCRIPTION...  ...will defer decision to a second level reviewer. This individual interfaces with case...  ...licensure includes but is not limited to RN, LMSW, LMHC. # Successful completion of... 
    Remote job
    Holiday work
    Temporary work
    Flexible hours
    Night shift
    Monday to Friday

    Hines & Associates Inc

    Freeport, IL
    16 hours ago
  •  ...Documentation Integrity (CDI) Specialist- 2nd Level Reviewer- Remote Join to apply for the Clinical...  ...for comprehensive secondary clinical chart reviews, identifying documentation gaps,...  ...health-related field. Current license as RN, MD, or credentialed medical coder (CCS,... 
    Remote job

    Guidehouse

    Washington DC
    4 days ago
  •  ...Information: Job title: Utilization Review/Quality Associate (RN) Schedule: Full-time, 80 hours per...  ...None required Additonal Information: Remote eligible position, however, must hold...  ...requested. Quality Associate: Complete chart reviews, data entry, and correspond... 
    Remote job
    Holiday work
    Full time
    Work experience placement
    Relocation
    Weekend work

    Mile Bluff Medical Center

    Mauston, WI
    29 days ago
  • Senior Technical Reviewer (Part-Time, Project-Based) - Remote - Americas or Europe Join to apply for the Senior Technical Reviewer (Part-Time, Project-Based...  ...we'd love to get to know you. Apply today and help chart the course to a water-secure world. Seniority level Seniority... 
    Remote job
    Part time
    For contractors

    Waterplan

    San Francisco, CA
    4 days ago
  •  ...We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have...  ...discussed during our interview process. **Remote position, must reside in Arizona.** **Work...  ...treatments and/or procedures. + Conducts inpatient reviews to determine financial responsibility for... 
    Remote job
    Hourly pay
    Holiday work
    Work experience placement
    Weekend work
    Monday to Friday

    Molina Healthcare

    Phoenix, AZ
    27 days ago
  • RN Quality Reviewer Why You'll Love This Role: Competitive Pay - $77K - $100K per year based on experience Mostly Remote - Report on site only a couple times per month Great Work-Life Balance - Work a consistent Monday-Friday schedule Top Workplace Recognition - 5-time... 
    Remote job
    Second job
    Monday to Friday

    Professional Staffing Group

    Boston, MA
    2 days ago
  •  ...Mostly Remote - RN Safety & Quality Reviewer The Quality Reviewer - OASIS & ICD-10 Coding ensures compliance and accuracy in OASIS documentation and ICD-10 coding for home health and hospice services. This role supports quality assurance, conducts audits, and trains... 
    Remote job
    Full time
    Second job

    ProPivotal Staffing

    Boston, MA
    6 days ago
  •  ...Description & Requirements Maximus is seeking a dedicated Clinical Review RN or LPN to join our team! In this role, you'll perform document...  ...short- or long-term nursing facility placement. This is a remote role that follows Central Time Zone business hours. About... 
    Remote job
    Minimum wage
    Holiday work
    Contract work
    Temporary work
    Work experience placement
    Home office

    Maximus

    Wilmington, DE
    4 hours agonew
  •  ...Description & Requirements Maximus is seeking a dedicated Clinical Review RN or LPN to join our team! In this role, you'll perform document...  ...short- or long-term nursing facility placement. This is a remote role that follows Central Time Zone business hours. About... 
    Remote job
    Minimum wage
    Holiday work
    Permanent employment
    Contract work
    Temporary work
    Work experience placement
    Home office

    Maximus

    North Platte, NE
    4 hours agonew
  • ***** 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 job
    Hourly pay
    Holiday work
    Work experience placement
    Weekend work

    Molina Healthcare

    San Jose, CA
    more than 2 months ago
  •  ...Tenet Massachusetts is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in Cherry Valley, Massachusetts. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: Ongoing ~36 hours per week... 
    Hourly pay
    Local area
    Shift work

    Tenet Massachusetts

    Cherry Valley, MA
    2 days ago
  •  ...:00) Description: ***Hybrid/Remote*** Orientation Location: 8501...  ...Beverly Hills, CA Required: * RN license in CA * 3 years of clinical...  ...or urgent care * Utilization review experience * Knowledge of ICD1...  ...Highlights Type of Facility: Outpatient Charting: Epic Emonics LLC
    Remote job
    Local area
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    3 days ago
  •  ...Job Summary Schedule: Per Diem Why YOU should be our newest Case Review Coordinator: Performs the six essential activities of Case...  ...employees call it home. Additional Job Details (if applicable) Remote Type Onsite Work Location 1153 Centre Street Scheduled Weekly... 
    Remote job
    Shift work

    Mass General Brigham

    Jamaica Plain, MA
    1 day ago
  •  ...of Oregon. This job is responsible for reviewing medical records for medical necessity. The...  ...therapy experience. Preferred Qualifications: RN, PT, OT Compact License highly preferred....  ...extended periods of time. #LI-PG1 #LI-Remote WellSky is where independent thinking... 
    Remote job
    Holiday work
    Full time
    Work experience placement

    WellSky

    Oregon City, OR
    2 days ago
  •  ...HealthCare is seeking a Registered Nurse (RN) Assistant Manager, Neuro PCU - Progressive...  ...techs. Bedside, central monitoring, and remote telemetry are standard for all PCU patients...  ...and medical treatment. May support the review of staff hours worked vs scheduled hours and... 
    Remote job
    Holiday work
    Full time
    Flexible hours
    Night shift
    Weekend work
    Day shift

    BJC HealthCare

    Saint Louis, MO
    2 days ago
  •  ...Job Title: Registered Nurse – Medical Claims Reviewer (FES Claims) Location: Remote (Must reside in or near Phoenix, AZ 85034) Duration: 13...  ...Certifications Required: Active Registered Nurse (RN) License – Arizona Basic Life Support (BLS) Certification... 
    Remote job
    Monday to Friday

    NavitsPartners

    Tucson, AZ
    11 days ago
  •  ...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,...  ...updated on clinical guidelines. Maintain RN license and meet continuing education requirements...  ...%) based on business needs. #LI-AC1 #LI-REMOTE This position is for pipeline purposes,... 
    Remote job
    Full time
    Contract work
    Flexible hours

    Gainwell Technologies

    Orono, ME
    6 hours ago
  •  ...Health (Dallas) is seeking a Registered Nurse (RN) Manager, Program Manager for a nursing...  ...Job Type: This position is primarily remote, but does require on site attendance as needed...  ..., publication, translation, and 3yr review. Monitors that the resources follow the identified... 
    Remote job
    Hourly pay
    Holiday work
    Work experience placement
    Shift work
    Monday to Friday

    Children's Health (Dallas)

    Dallas, TX
    3 days ago
  •  ...us to start **Caring. Connecting. Growing together.** As an RN, Preservice Review Nurse, you will be responsible for performing pre-service...  ...licensed in state of CA, you will have the flexibility to work remotely* as you take on some tough challenges. **Primary... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    Irvine, CA
    28 days ago