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  • Physician / Collaborating Physician-(Remote)Chart Reviews PRN Job

     ...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 work
    Extra income
    Full time
    For contractors
    Relief
    Flexible hours

    Matrix Medical Netowrk

    Scottsdale, AZ
    1 day ago

  • Clinical Review RN - 247797

    $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 work
    Part time
    Live out
    Work at office
    Local area

    Medix

    New York, NY
    4 days ago

  • Collaborative Physician (MD or DO) - Chart Reviewer

     ...with state specific requirements, as outlined below. This is a remote position. Responsibilities Enter into Written Collaborative...  ...Protocols, and in accordance with applicable state and federal law; Review a representative sample of CCS Practitioner Service records at... 
    Remote work
    Work from home

    ComplexCare Solutions

    Charleston, SC
    1 day ago

  • RN Utilization Review

     ...this dept is 100% remote, with a variety of service lines and levels of care (inpatient, Extended Hospital Outpatient and OBS). 3-year...  ...acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) •... 
    Remote work

    Pacer Group

    Torrance, CA
    2 days ago

  • Registered Nurse - Utilization Review

    ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience...  ...or urgent care * Utilization review experience * Knowledge of...  ...Hospital Highlights Type of Facility: Outpatient Charting: Epic... 
    Remote work
    Local area
    Weekend work

    Zenex Partners

    Beverly Hills, CA
    4 days ago

  • Utilization Review RN

    $56.44 - $87.63 per hour

     ...Description This position is a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care... 
    Remote work
    Full time
    Work at office
    Local area
    Work from home
    Shift work

    Providence Health & Service

    Anaheim, CA
    2 days ago

  • Medical Review Nurse (RN)

     ...Medical Review Nurse (RN) Our client, a mutual insurance holding company, is looking for a Medical Review Nurse (RN) for their remote location. Responsibilities: The essential functions listed represent the major duties of this role, additional duties may be assigned... 
    Remote work

    ICONMA

    Salida, CA
    1 day ago

  • Registered Nurse-Utilization Review

    $8 per hour

     ...Registered Nurse - Utilization Review Facility: CSMN - 8714024 -...  ...Additional Information: ***Hybrid/Remote within a commutable distance...  ...*** Required: * CA RN License * 2 years of...  ...compliance requirements • Perform chart abstraction and analysis of... 
    Remote work
    Hourly pay
    Contract work
    Shift work

    Zenex Partners

    Los Angeles, CA
    3 days ago

  • Utilization Review Nurse

     ...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 work
    Full time

    IntePros

    Philadelphia, PA
    10 days ago

  • Senior Quality Clinical Reviewer - BH - Remote, NM

    $70.72k

     ...Seeking candidates with RN//or behavioral health license in the...  ...experience preferred. This is a remote position. Applies clinical...  ...standardized independent reviews of case management and provider...  ...internally and externally. Reviews charts and analyzes clinical record... 
    Remote work
    Contract work
    Temporary work
    Work experience placement

    Magellan Health

    Albuquerque, NM
    15 hours ago

  • Care Review Clinician (RN) Prior Authorization - TX Residents ONLY

     ...Job Description JOB DESCRIPTION Fully remote opportunity for a TX licensed RN with Utilization Management experience to join our Prior Authorization reviewing team. Previous UM experience with MCG/Interqual guidelines as well as working within UM in an MCO... 
    Remote work
    Work at office
    Monday to Friday

    Molina Healthcare

    Long Beach, CA
    1 day ago

  • Registered Nurse RN Case Manager HybridFlexible Scheduling

     ...Hybrid structure: primarily remote with field visits as needed...  .... You are a Registered Nurse (RN) who operates with great attention...  ...Quality Assurance & Compliance: Review and approve client...  ...accuracy and compliance. Complete chart audits and QA reviews. Maintain... 
    Remote work
    Work from home
    Flexible hours
    Weekday work

    KALCARE HEALTH CARE

    Conyers, GA
    15 hours ago

  • RN - Case Manager/Utilization Review

     ...Job Title: RN Case Manager/Utilization Review Location: Tuba City, AZ Job Type: Contract (13 weeks) Position Details:...  ...for discharge planning and care transitions. Perform chart reviews for clinical documentation, claims denials, and peer... 
    Suggested
    Contract work
    Monday to Friday
    Weekend work

    InstantServe LLC

    Tuba City, AZ
    2 days ago

  • RN UTILIZATION REVIEW

    $34 - $52.7 per hour

     ...:MILWAUKEE at our FROEDTERT HOSPITAL facility. This job is Remote. FTE: 0.875000 Standard Hours: 35.00 Shift: Shift 1...  ...cases to the physician advisor, PA moonlighter, for a second level review as needed. Facilitates communication with service based... 
    Remote work
    Hourly pay
    Temporary work
    Shift work
    Weekend work

    Froedtert Health

    Milwaukee, WI
    2 days ago

  • Medical Review Nurse (RN)

     ...Description JOB DESCRIPTION Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United...  ...Looking for a RN with experience with appeals, claims review, and medical coding. Job Summary Provides... 
    Remote work
    Work at office
    Monday to Friday

    Molina Healthcare

    Long Beach, CA
    1 day ago

  • Care review Clinician | Utilization review nurse

     ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension) Shift timings...  ...: ~ Active, unrestricted State Nursing (RN, LVN, LPN) license in good standing.... 
    Remote work
    Contract work
    Work at office
    Shift work

    Integrated Resources

    Long Beach, CA
    1 day ago

  • Utilization Review Nurse

     ...Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating...  ...vocational nursing. Current, active nursing license (RN, LPN, or LVN) in good standing with the Arizona Board of... 
    Remote work
    Part time
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    4 days ago

  • Utilization Review Nurse - Full-time Day

    $56.44 - $87.63 per hour

     ...Description Join our exceptional team as a Utilization Review Nurse at Providence Holy Cross Medical Center. This full-time position...  ...upon hire. Minimum of 2 years experience working in a remote Utilization Review environment or as an acute hospital case manager... 
    Remote work
    Full time
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    1 day ago

  • Remote MCO Utilization Review Nurse (RN) IL ONLY

    $40 per hour

     ...Job Description Job Description Remote MCO Utilization Review Nurse (RN) IL ONLY   $40.00 per hour Monday – Friday 8:00 am – 4:30 pm Remote...  ...clinical experience · Experience in Hospital ER · Chart Review PREFERRED JOB REQUIREMENTS * Utilization management... 
    Remote job
    Hourly pay
    Immediate start
    Monday to Friday

    Anchor Staffing Inc.

    Chicago, IL
    20 days ago

  • RN Utilization Review Full-time Remote

    $56.44 - $87.63 per hour

     ...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full- time and will work...  ...Registered Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager.... 
    Remote work
    Full time
    Shift work
    Day shift

    Providence Health & Service

    Mission Hills, CA
    3 days ago

  • RN Case Review Coordinator - Faulkner

     ...40 hours Job Summary Why YOU should be our newest Case Review Coordinator: Performs the six essential activities of Case Management...  ...call it home. Additional Job Details (if applicable) Remote Type Onsite Work Location 1153 Centre Street... 
    Remote work
    Hourly pay
    Shift work

    Mass General Brigham

    Boston, MA
    3 days ago

  • RN Utilization Review Part- time Remote

    $56.44 - $87.63 per hour

     ...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part- time and will work...  ...Nurse License upon hire. ~2 years - Experience working in a remote UR environment or working as an acute hospital case manager.... 
    Remote work
    Part time
    Local area
    Shift work
    Day shift

    Providence Service

    Mission Hills, CA
    4 days ago

  • Governmental Audit Reviewers (RN)

     ...Summary The Governmental Audit Reviewer is responsible for the audit, submission, and appeal of clinical documentation associated...  ...be a Registered Nurse with active licensure. This position is remote. Responsibilities Conducts thorough clinical review of... 
    Remote work
    Work at office
    Local area
    Home office

    LHC Group

    Baton Rouge, LA
    3 days ago

  • Utilization Management Review Nurse

    $75k - $85k

     ...Huntington Beach Office - Huntington Beach, CA Remote Type Fully Remote Position Type...  .... Job Summary The Utilization Review Nurse will evaluate medical records to...  ...preferred. Active state's LPN/LVN or RN license. Three (3) years of utilization... 
    Remote work
    Full time
    Weekend work

    Clever Care Health Plan

    Huntington Beach, CA
    4 days ago

  • Assessor Reviewer RN - Oklahoma (Remote Work)

     ...assessors, complete quality assurance audits, inter-rater-reliability reviews, and may be involved in process improvement initiatives....  ...with complex health needs preferred. Current and unrestricted RN licensure in Colorado or a compact nursing license preferred.... 
    Remote work

    Telligen

    Edmond, OK
    3 days ago

  • Clinical Quality Reviewer - Nurse, Senior

     ...Clinical Quality team is responsible for reviewing and abstracting medical records to capture...  ...degree preferred Current California RN license is required. Requires at least...  ...facing and approved out-of-state roles remain remote. o Employees living more than 50 miles... 
    Remote work
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    1 day per week

    Blue Shield Of California

    Long Beach, CA
    15 hours ago

  • RN Complex Case Manager - Remote on PST

    $58.8k - $105k

     ...** You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take...  ...systems, troubleshooting, electronic charting, accessing intranet and record management...  ...case management and/or utilization review functions within health plan or integrated... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Second job
    Local area

    UnitedHealth Group

    United States
    4 days ago

  • Triage Nurse RN - OBGYN - Full Time 32hrs

     ...2500.00 sign on bonus**Hybrid remote offered after 6 month probation...  .... Consults patient's chart while talking to the patient....  ...patient for provider exam by reviewing medical records, weighing patient...  ...accredited school of nursing (RN) required. Experience... 
    Remote work
    Full time
    Temporary work
    Work at office
    Local area
    Trial period
    Relocation package
    Monday to Friday
    Flexible hours

    Methodist Health System

    Omaha, NE
    1 day ago

  • Travel Medical-Surgical RN (3CC Unit)

     ...LLC is seeking a travel nurse RN Med Surg for a travel nursing...  ...certification: BLS \n• EPIC charting system \n• Any color scrubs...  ...unit needs are met \n• Profile review and manager interview required...  ..., respiratory therapy, and remote telemetry monitoring. The facility... 
    Remote work
    Shift work
    Night shift
    Weekend work

    ADEX Healthcare Staffing LLC

    Bismarck, ND
    15 days ago

  • Registered Nurse (RN) Operating Room Surgery

     ...manner according to department standards. Maintains and reviews patient records, charts, and other pertinent information. Compiles tests and examination...  ...Facing Options ~ Position is Patient Facing Remote Work Guidelines Workspace is a quiet and distraction-... 
    Remote work
    Full time
    Shift work

    Stormont-Vail HealthCare

    Topeka, KS
    2 days ago