•  ...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
    8 days ago
  • $36.46 - $43.75 per hour

     ...supervision, complete internal clinical record reviews to assess hospice’s compliance with its...  ...Weatherbee tools. Must be familiar with REMOTE CLIENT, AMBULATORY and INPATIENT Modules...  ...EPIC (majority of the work is electronic chart review). Participate in feedback meetings... 
    Remote job
    Full time

    GBMC

    Hunt Valley, MD
    a month ago
  •  ...General Brigham - Internal Travel is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description...  ...Organization Mass General Brigham Schedule Full-time, Remote Employee Status Temporary Mass General Brigham is... 
    Remote job
    Weekly pay
    Holiday work
    Full time
    Temporary work
    Flexible hours
    Shift work
    Weekend work

    Mass General Brigham - Internal Travel

    Boston, MA
    14 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
    16 days ago
  •  ...75.00/hr Hmong Chinese Language Document Reviewer Employment Type: Full Time, Mid-Level Department...  ...produced by database applications and charts and graphs produced by electronic...  ...Litigation Support Specialist/Paralegal (FULLY REMOTE) - Temporary Greater Chicago Area $49,000... 
    Remote job
    Holiday work
    Full time
    Temporary work
    Flexible hours

    CGS Federal (Contact Government Services)

    Chicago, IL
    2 days ago
  •  ...analysis, audit, provider relations and more. Position Purpose RN Utilization Review MCHP is responsible for the coordination of the medical care...  ...and concisely report medical utilization and medical chart audit results. Ability to compare approved criteria with clinical... 
    Remote job
    Full time
    Local area
    Immediate start
    Relocation package
    Shift work

    Mount Carmel Health System

    Columbus, OH
    1 day ago
  •  ...Inc. is seeking a travel nurse RN MICU - Medical Intensive Care...  ...Nurse - MICU Location (On-site, Remote, or Hybrid?): Columbus, OH (...  ...needs. Shift assignments are reviewed every 4-week scheduling period...  ...• Iv Starts COMPUTERIZED CHARTING • EPIC REQUIRED Techlink Systems... 
    Remote job
    Contract work
    Temporary work
    Shift work
    Night shift

    Techlink Systems Inc.

    Columbus, OH
    3 days ago
  •  ...Inc. is seeking a travel nurse RN Med Surg for a travel nursing...  ...Surgical Location (On-site, Remote, or Hybrid?): Columbus, OH (Onsite...  ...needs. Shift assignments are reviewed every 4-week scheduling period...  ...• ONS Chemo COMPUTERIZED CHARTING • EPIC Floating required to... 
    Remote job
    Permanent employment
    Contract work
    Temporary work
    Immediate start
    Shift work
    Night shift
    Weekend work
    Day shift

    Techlink Systems Inc.

    Columbus, OH
    1 day ago
  •  ...Inc. is seeking a travel nurse RN Med Surg for a travel nursing...  ...Surgical \nLocation (On-site, Remote, or Hybrid?): Columbus, OH (...  ...needs. Shift assignments are reviewed every 4-week scheduling period...  ...ONS Chemo \n \nCOMPUTERIZED CHARTING \n• EPIC \n \nFloating... 
    Remote job
    Permanent employment
    Contract work
    Temporary work
    Immediate start
    Shift work
    Night shift
    Day shift

    Techlink Systems Inc.

    Columbus, OH
    6 days ago
  •  ...Job Description Internal Medicine Physician (Chat Review Specialist) - Suwanee, GA Job Type: Full-time (Remote Option Available) Shifts: Days (Monday 8am to Friday 5pm) Position Summary: We are seeking a board-certified Internal Medicine Physician (MD only... 
    Remote job
    Holiday work
    Full time
    Immediate start
    Relocation package
    Flexible hours
    Shift work
    Weekend work
    Monday to Friday

    ProTouch Staffing

    Suwanee, GA
    18 days ago
  • Job Title: RN Clinical Auditor - Claims and Coding Review (Outpatient Focus) Location: Remote Industry: National Managed Care Organization Employment Type: Contract to Permanent Pay : $40.00 per hour Position Overview: A leading healthcare organization specializing in... 
    Remote job
    Hourly pay
    Permanent employment
    Contract work

    Morgan Stephens

    Atlanta, GA
    2 days ago
  •  ...Inc. is seeking a travel nurse RN MICU - Medical Intensive Care...  ...- MICU \nLocation (On-site, Remote, or Hybrid?): Columbus, OH (Onsite...  ...needs. Shift assignments are reviewed every 4-week scheduling period...  ...\n \n \nCOMPUTERIZED CHARTING \n• EPIC REQUIRED Techlink... 
    Remote job
    Contract work
    Temporary work
    Shift work
    Night shift

    Techlink Systems Inc.

    Columbus, OH
    6 days ago
  • ***** 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

    Los Angeles, CA
    more than 2 months ago
  •  ...opportunities and a better community. As a **Registered Nurse RN Utilization Management Care Reviewer,** you will be working in partnership with the Medical...  ...Management Care Reviewer position is a fully remote position with a work schedule of Monday - Friday 8am -... 
    Remote job
    Shift work
    Monday to Friday

    Banner Health

    Remote
    a month ago
  •  ...findings on completed clinical validation reviews to verify the accuracy of DRG assignment and...  ...degree (or higher) + Active, unrestricted RN (Registered Nurse) license in the state of...  ...+ Ability to work independently in a remote environment and deliver exceptional results... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    United States
    9 days ago
  •  ...nurses in the field. This is a hybrid remote Clinical Supervisor position for the Kingman...  ...Havasu area.   If you are an RN who is passionate about helping children...  ...demeanor. • Familiarity with electronic charting and review to ensure accurate and timely submission... 
    Remote job
    Relocation package

    Thrive Skilled Pediatric Care LLC

    Kingman, AZ
    1 day ago
  •  ...Inc. is seeking a travel nurse RN Case Management for a travel...  ...Auto Offer Location (On-site, Remote, or Hybrid?): Olympia, WA (...  ...Christopher McDougal/ 1-UTILIZATION REVIEW WA PSPH OLYMPIA MAIN 2ND FLOOR...  ...Total Staffed Beds: 325 Charting: EPIC Certfications:Certs marked... 
    Remote job
    Contract work
    Temporary work
    Local area
    Immediate start
    Shift work
    Weekend work

    Techlink Systems Inc.

    Olympia, WA
    1 day ago
  •  ...Schedule : Monday–Friday, 8:00 AM – 5:00 PM Location : Remote (U.S. – Work from home) Remote Work Requirements :...  ...the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team . This role involves conducting pre- and post-payment... 
    Remote job
    Full time
    For contractors
    Home office
    Monday to Friday

    Broadway Ventures

    Nashville, TN
    23 days ago
  •  ...appropriate cases to the Medical Director for review. Refer to and work closely with Case...  ...Levels: Associates degree and active NYS RN license required. Bachelors degree preferred...  ...Please note: There may be opportunity for remote work within all jobs posted by the Excellus... 
    Remote job
    Holiday work
    Contract work

    Excellus Health Plan, Inc.

    Baltimore, MD
    20 hours ago
  •  ...according to appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet...  ...requirements for various payers, both commercial and government. 100% Remote - However, Only Nevada Licenses are Considered Key... 
    Remote job

    Morgan Stephens

    Remote
    20 days ago
  •  ...is seeking a Registered Nurse (RN) Home Health Case Management...  ...work ethic and ambition off the charts? Do you inspire others with...  ...load by providing onsite and remote planning, clinical group leadership...  ...at ChenMed and/or utilization review or discharge planning in a... 
    Remote job
    Holiday work
    Work experience placement
    Home office

    ChenMed

    North Miami, FL
    2 days ago
  • $36.46 - $43.75 per hour

     ...serving agencies. The Clinical Reviewer will support the...  ...development of tools. This is a remote position based anywhere in Louisiana...  ...and external reporting. Reviews charts and analyzes clinical record documentation...  .... Other Job Requirements: RN/BSN or clinical credentials in... 
    Remote job
    Full time

    Magellan Health, Inc.

    Baton Rouge, LA
    13 days ago
  •  ...sustainability-driven data analyses? Do you thrive in reviewing and refining complex hydrological...  .... Location : Americas or Europe, remote. Language: Fluency in English...  ...love to get to know you. Apply today and help chart the course to a water-secure world.... 
    Remote job
    Part time
    For contractors

    Waterplan

    Remote
    more than 2 months ago
  •  ...Medstaff is currently seeking candidates in the RN, Case Manager profession for a 13 week...  ...of those recognitions are fueled by real reviews by real travel nurses and allied...  ...since a lot of our team has been working remote since the pandemic), but you are part of the... 
    Remote job
    Hourly pay
    Contract work
    Shift work
    Weekend work

    BluePipes

    Winchester, VA
    5 days ago
  • $20.4 - $31.88 per hour

     ...Acentra Health is looking for a Medical Claims Reviewer to join our growing team. Job...  ...or Operations Manager.   **This is a remote position based within the State of Oregon...  ...and work under direct supervision Audit charts and adjudicate claims while ensuring all... 
    Remote job
    Full time
    Local area

    Acentra Health, LLC

    Oregon, OH
    7 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
    more than 2 months ago
  •  ...We're Hiring: Utilization Review Nurse - RN! We are seeking a dedicated and experienced Utilization Review Nurse (RN) to join our team....  ...managing resource utilization effectively. Location: 100% remote - but ust be residing and licensed in IL or TX Role: Utilization... 
    Remote job
    Contract work

    TapTalent.ai

    Richardson, TX
    12 days ago
  •  ...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,...  ...on clinical guidelines. Maintain RN license and meet continuing education requirem...  ...based on business needs.   #LI-AC1 #LI-REMOTE   This position is for pipeline purposes... 
    Remote job
    Full time
    Contract work
    Work from home
    Flexible hours

    Gainwell Technologies LLC

    Maine
    2 days ago
  •  ...experience — talk with your recruiter to learn more. Base pay range $70.00/hr - $70.00/hr Hebrew Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in Hebrew Familiarity with document... 
    Remote job
    Full time
    Work from home

    CGS Federal (Contact Government Services)

    San Francisco, CA
    4 days ago
  •  ...experience — talk with your recruiter to learn more. Base pay range $27.00/hr - $40.00/hr English Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Familiarity with document review workflows... 
    Remote job
    Full time
    Contract work
    Work from home

    CGS Federal (Contact Government Services)

    San Francisco, CA
    4 days ago