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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
    2 days ago

  • Regulatory Review Program RN

    $41.14 - $61.2 per hour

     ...And Responsibilities This is a remote position The CommonSpirit RRP RN ensures regulatory compliance for Care...  ..., accurate medical necessity reviews, and proper claim submission. This...  ...criteria, completing thorough clinical chart reviews. Conduct and complete... 
    Remote work

    CommonSpirit Health

    Englewood, CO
    9 hours 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
    16 days 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
    8 hours ago

  • Nurse Reviewer - Massachusetts RN License

    $78k - $85k

     ...Summary We are seeking a talented individual for a Nurse Reviewer (RN) to support our Massachusetts contract. Due to recent turnover...  ...demands. What You Should Expect In This Role This is a fully remote position. Candidates may reside anywhere within the United... 
    Remote work
    Permanent employment
    Full time
    Contract work
    Temporary work
    Immediate start
    Monday to Friday
    Flexible hours

    Gainwell Technologies

    Massachusetts
    2 days ago

  • Physician / Other / Georgia / Permanent / Physician for chart review Job

     ...Physician / Other / Georgia / Permanent / Physician for chart review Job at myMDcareers summary: A well-established Health and Wellness...  ...practice in Atlanta seeks a BE/BC physician for a part-time remote chart review role. The physician will supervise mid-level providers... 
    Remote work
    Permanent employment
    Part time
    Flexible hours

    myMDcareers

    Atlanta, GA
    7 hours 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 and Services

    Anaheim, CA
    19 hours ago

  • Utilization Review Nurse- Remote

    $65k - $78k

     ...development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and...  ...provide feedback, and stay updated on clinical guidelines. Maintain RN license and meet continuing education requirements. What We're... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies

    North Carolina
    2 days ago

  • Utilization Review Specialist Nurse (RN) | Case Management | Part Time

     ...Hospital At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry...  ...of the progression of care process. Conducts chart audits and performs peer-to-peer evaluations... 
    Suggested
    Permanent employment
    Part time
    Work experience placement
    Work at office
    Local area

    Houston Methodist

    Houston, TX
    9 hours ago

  • Clinical Reviewer RN - PRN

    $28.37 - $37 per hour

     ...Responsibilities Acentra Health is looking for a Clinical Reviewer RN - PRN to join our growing team. Job Summary: The...  ...in conjunction with contract requirements. ***Position is remote*** ** Required Work Hours: On-call weekends, holidays and evenings... 
    Remote work
    Contract work
    Relief
    Work at office
    Local area
    Flexible hours
    Weekend work
    Afternoon shift

    Acentra Health

    McLean, VA
    1 day ago

  • Utilization Review RN

     ...Responsibilities Are you a Utilization Review Nurse who loves making a real impact from...  ...problem-solver to join our collaborative remote team. We're looking for someone who's completely...  ...of 1 year of experience California RN license. Certified Case Manager (CCM),... 
    Remote work

    Unavailable

    Glendale, CA
    1 day ago

  • Utilization Review Nurse RN - Grace Medical Center

     ...JOB SUMMARY: Conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides...  ...review case not met with criteria. Requirements Current RN license in MD (or Compact State as applicable) Associate's... 
    Suggested
    Shift work

    LifeBridge Health

    Baltimore, MD
    9 hours ago

  • Registered Nurse/Utilization Review

     ...Description: ***Hybrid/Remote*** Orientation Location: 850...  ..., CA Required: * RN license in CA * 3 years of...  ...urgent care * Utilization review experience * Knowledge of ICD...  ...Highlights Type of Facility: Outpatient Charting: Epic... 
    Remote work
    Local area
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    4 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

    Spokane, WA
    1 day ago

  • Travel Nurse RN - Case Manager, Utilization Review - $2,163 per week

    $2,163 per week

     ...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description...  ...requires attendance in the area on Friday and includes both remote and onsite components Expect to function as core... 
    Remote work
    Daily paid
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Fort Myers, FL
    4 days ago

  • Travel Nurse RN - Case Manager, Utilization Review

     ...Description American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Rapid City, South Dakota....  ...weekends per 13-week contract No on-call requirements Charting is done in Epic; experience required Floating to... 
    Daily paid
    Permanent employment
    Contract work
    Shift work
    Weekend work
    Day shift

    American Traveler

    Rapid City, SD
    10 days ago

  • RN Care Review Clinician Critical Care Remote in WA state

    $26.41 - $59.21 per hour

     ...JOB DESCRIPTION Job Summary The Care Review Clinician (RN) provides support for clinical member services review assessment processes....  ...Further details to be discussed during our interview process. Remote position preferably in Washington State. Work schedule:... 
    Remote work
    Hourly pay
    Work experience placement
    Work at office

    Molina Healthcare

    Washington State
    8 hours ago

  • Utilization Review Nurse

     ...Registered Nurse – Utilization Review (Remote) Need RN CA license 📍 Location: Apple Valley, CA (Remote) 🗓️ Start Date: November 17, 2025 (Tentative) ⏳ Duration: 16 Weeks 💼 Position Type: Travel/Contract 🕗 Shift: Day, 5x8 Hours (08:00 AM – 04:3... 
    Remote work
    Contract work
    Shift work

    Accede Solutions Inc (accedesolution.com)

    California
    2 days ago

  • Clinical Quality Nurse Reviewer, Sr. Specialist

    $64.5k - $92.2k

     ...individual for a Clinical Quality Nurse Reviewer, Sr. Specialist who is responsible for performing...  ...'re Looking For ~ Active, unrestricted RN license in the U.S. and in the candidate’...  ...Expect In This Role Work Arrangement: Remote within the United States Travel... 
    Remote work
    Full time
    Flexible hours

    Gainwell Technologies

    Kentucky
    2 days ago

  • Nurse Practitioner-Contract Medical Reviewer (CMR)

    $130k

     ...company, is looking for a Nurse Practitioner-Contract Medical Reviewer (CMR) to support the Department of Health and Human Services (HHS...  ...Teleworking Permitted? Yes Teleworking Details 100% Remote- Occasional Travel to Rockville, MD Estimated Salary/Wage... 
    Remote work
    Contract work
    For contractors
    Work at office
    Local area

    Chenega Professional Services Strategic Business Unit

    Rockville, MD
    8 hours ago

  • Limited Term - Clinic RN chart extractors

     ...is seeking Limited Term positions for Clinic RN Chart Extractors! In this role, you will be responsible for accurately reviewing and extracting clinical data from patient...  ...the flexibility to work either in person or remotely. Qualifications: Wisconsin RN license... 
    Remote work
    Full time
    Part time
    Local area
    Work from home
    Monday to Friday

    BELLIN

    Green Bay, WI
    11 hours 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
    4 days ago

  • RN Concurrent Review - Kelsey Seybold Clinic - Remote

    $58.8k - $105k

     ...Connecting. Growing together. The Concurrent Review Case Manager is responsible for...  ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take...  ...Associate Degree in Nursing or higher ~ Texas RN License ~5+ years of nursing experience... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Local area

    Lensa

    Pearland, TX
    8 hours ago

  • REMOTE RN - Case Manager - Utilization Review

     ...Job Description Job Description We are seeking an experienced RN Case Manager to join our Utilization Review team. This is a 100% remote role requiring strong skills in inpatient case management and utilization management. Schedule: Monday–Friday, 8-hour shifts... 
    Remote job
    Monday to Friday
    Shift work
    Weekend work

    Alpha Rae Personnel, Inc.

    Fort Wayne, IN
    a month ago

  • Registered Nurse/Medicaid Clinical Reviewer

    $45 - $50 per hour

     ...Registered Nurse/Medicaid Clinical Reviewer - Remote (#25291) Location: Remote Employment...  ...accredited nursing program Licensure: Active RN State license and active NY State...  ...the appeal level. This includes chart screen, completing electronic worksheets... 
    Remote work
    Hourly pay
    Full time
    Monday to Friday

    Greenlife Healthcare Staffing

    New York, NY
    5 days ago

  • Utilization Review Nurse

     ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to full-time...  ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced... 
    Remote work
    Full time

    IntePros

    Philadelphia, PA
    8 hours ago

  • Registered Nurse Home Health/Reviewer

    $43 - $47 per hour

     ...Roles, MA, Phlebotomist, CNA|| Passionate ||… Home Health RN - Remote (CA License Required) Facility: Compassus Providence...  ...Torrance, CA (5315 Torrance Blvd, Ste 169-B) Role Type: Remote Reviewer RN - Back Office Chart Review Start Date: 11/03/2025 Duration: 13 Weeks Pay: $4... 
    Remote work
    Contract work

    Pacer Group

    Torrance, CA
    2 days 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
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    8 hours 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 & Services

    Los Angeles, CA
    9 hours 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
    1 day ago