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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
    3 days ago

  • Remote RN Concurrent Review Case Manager

    $58.8k - $105k

     ...organization in Houston seeks a Concurrent Review Case Manager. This role involves...  ...possess an Associate Degree in Nursing, Texas RN License, and at least 5 years of nursing experience...  ...in concurrent review. The position offers remote work flexibility and an attractive salary... 
    Remote work

    Ohioleaguefornursing

    Houston, TX
    18 hours ago

  • Clinical Review RN

    $50 - $53 per hour

     ...Clinical Review RN (Independent Dispute Resolution) Base pay range : $50.00/hr - $53.0...  ...hr Pay : $5053/hr DOE Location : Remote (first 6?8 months), then officeJericho, NY...  ...and including the appeal levelincluding chart screening, regulatory guidance, insurer requirements... 
    Remote work
    Full time
    Monday to Friday
    Flexible hours

    Medix

    Jericho, NY
    2 days ago

  • Remote RN Utilization Review Case Manager I

     ...A national risk management provider is seeking a remote Utilization Review Case Manager. This role involves gathering clinical information, certifying medical necessity, and managing stakeholder communications. Ideal candidates will have a nursing degree, licensing, and... 
    Remote work

    CorVel

    United States
    4 days 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...  ...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 work
    Contract work

    Pacer Group

    Torrance, CA
    2 days ago

  • Medical Chart Reviewer/Donor Eligibility Associate

     ...Services is seeking a Donor Eligibility Associate / Medical Record Reviewer to join our team! This position will perform a medical record...  ...for fairness, belonging, and forward thinking. This is a remote position Key responsibilities this position will perform include... 
    Remote work
    Temporary work
    Local area

    DCI Donor Services

    Nashville, TN
    3 days ago

  • Part-Time Utilization Review Nurse (Remote Nevada RN)

    $40k - $45k

     ...Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday...  ...Required) Active, unrestricted Nevada nursing license (RN). Nursing degree (Associate's or Bachelor's). Prior... 
    Remote work
    Part time
    Work at office
    Flexible hours
    Shift work

    CCMSI

    Wichita, KS
    18 hours ago

  • Utilization Manager Registered Nurse (RN) Reviewer - MA only!

    $72.48k - $108.72k

     ...Management, the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely...  ...Required Licensing (must have): ~ RN Desired Licensing (nice to have):...  ...environment This position is available to remote employees residing in Massachusetts. Applicants... 
    Remote work
    Work at office
    Local area
    Home office

    Commonwealth Care Alliance

    Boston, MA
    2 days ago

  • Local Contract Nurse RN - Utilization Review

     ...Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia,...  ...under which they are currently working. This position is remote - Full-time ONLY during training - 2-3 weeks, Must be available... 
    Remote work
    Permanent employment
    Full time
    Contract work
    Part time
    Local area
    Shift work

    Pyramid Consulting (Travel)

    Philadelphia, PA
    9 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
    4 days ago

  • Remote RN Case Review Specialist

     ...healthcare service provider is seeking a Registered Nurse - Case Review Specialist to provide remote support in reviewing cases for Federal Occupational...  ...have at least 5 years of Nursing experience, a valid RN license, and strong communication skills. The role entails... 
    Remote work

    STGI

    United States
    4 days ago

  • Clinical Reviewer - LPN/LVN or RN - PRN (Remote U.S.)

    $28.37 - $39.19 per hour

     ...health solutions in the public sector. Job Summary and Responsibilities Acentra Health is seeking a Clinical Reviewer - LPN/LVN or RN - PRN (Remote U.S.) to join our growing team. Job Summary: ~ Utilizes clinical expertise for the review of medical... 
    Remote work
    Contract work
    Relief
    Work at office
    Local area
    Monday to Friday

    Acentra Health

    McLean, VA
    4 days ago

  • Remote Preservice Review Nurse RN MA LTSS Specialist

     ...A healthcare company is seeking a Preservice Review Nurse RN in Massachusetts to evaluate home health services for appropriateness of care. This role involves collaborating with a team, ensuring quality standards, and determining service eligibility based on clinical guidelines... 
    Remote work
    Hourly pay

    Optum

    United States
    3 days ago

  • RN - Chart Review

    $2,538.42 per month

     ...Plan Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 34868793 Job Title RN - Chart Review (000298) Weekly Pay $2538.42 Shift Details Shift Day - 7.... 
    Suggested
    Weekly pay
    Shift work

    MetroPlus Health Plan

    New York, NY
    18 hours ago

  • RN-Chart Review

    $60 - $65 per hour

     ...We are seeking a highly qualified candidate for a RN-Chart Review role within our client's Special Investigations Unit. The RN-Chart Review will support the organization in the detection, prevention and investigation of suspected fraud, waste, and abuse. Scope... 
    Suggested
    Hourly pay
    Work at office

    ATRIA Consulting

    New York, NY
    3 days ago

  • RN - Chart Review

    $446.28 per month

     ...HEALTH + HOSPITALS New York City 10004 Job Type Travel Offering Nursing Profession RN Specialty Chart Review Job ID 17427880 Job Title RN - Chart Review (000298) Weekly Pay $446.28... 
    Weekly pay
    Shift work
    Afternoon shift

    NYC HEALTH + HOSPITALS New York City 10004

    New York, NY
    18 hours ago

  • RN Clinical Consultant - ADA Medical Accommodation Review - $85/hr (Remote)

    $85 per hour

     ...Immediate RN Clinical Consultant - ADA Medical Accommodation Review remote contract opportunity. This is a 100% remote/work from home position. Pay Rate: $85.00/hr Work Details: Monday to Friday / 40 hours per week Work from home/remote position... 
    Remote work
    Contract work
    Immediate start
    Work from home
    Monday to Friday

    KMG Healthcare

    Cleveland, OH
    3 days ago

  • RN Utilization Review Part- time Day

    $56.44 - $87.63 per hour

     ...RN Utilization Review Part- time Day at Providence Health and Services summary: This part-time RN Utilization Review position involves conducting...  ...in California. Description RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift.... 
    Remote work
    Minimum wage
    Full time
    Part time
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    10 days ago

  • Utilization Review Nurse, RN - (PM) Shift

     ...Utilization Review Nurse, RN - (PM) Shift Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute...  ...Center. Incumbents perform clinically oriented medical chart reviews and other administrative tasks to meet the requirements... 
    Full time
    Work at office
    Local area
    Shift work

    Kern Medical

    Bakersfield, CA
    2 days ago

  • Remote Clinical Claim Review RN

    $28.27 - $50.48 per hour

     ...A healthcare organization is seeking a Clinical Review Clinician to perform forensic reviews and analyze hospital bills. The role includes...  ...of the claim review process. Candidates must hold an active RN license or LPN and possess clinical experience. This position offers... 
    Remote work
    Hourly pay

    Council Of State and Territorial Epidemiologists

    Honolulu, HI
    4 days ago

  • Remote RN: Concurrent Review & Care Utilization

     ...A diversified health organization is seeking a clinical professional for remote concurrent health reviews based in Oregon. The ideal candidate should have a nursing degree and 2+ years of acute care experience. Responsibilities include evaluating care delivery, collaborating... 
    Remote work
    Hourly pay

    Centene Corporation

    Salem, OR
    4 days ago

  • Pre-Service Medical Review Nurse RN

     ...Pre-Service Medical Review Nurse RN Our client, a Healthcare company, is looking for a Pre-Service Medical Review Nurse RN for their remote location. Responsibilities: Conduct on-site review of subscriber's medical information in order to ensure appropriate benefit... 
    Remote work

    ICONMA

    Birmingham, AL
    2 days ago

  • Remote RN Utilization Manager Reviewer (MA Only)

    $72.48k - $108.72k

     ...Massachusetts. The role involves conducting clinical reviews for service authorizations and ensuring...  ...must have an Associate's degree, a valid RN license, and experience in Utilization...  ...range of $72,480 $108,720 and is open to remote employees residing in Massachusetts only.... 
    Remote work

    Commonwealth Care Alliance

    United States
    18 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
    2 days ago

  • Nurse Practitioner-Contract Medical Reviewer (CMR)

    $130k

     ...continuous need within our organization. Applications will be reviewed as positions become available. Come join a company that strives...  ...Teleworking Permitted? Yes Teleworking Details 100% Remote- Occasional Travel to Rockville, MD Estimated Salary/Wage... 
    Remote work
    Contract work
    For contractors
    Work at office

    Chenega Corporation

    Rockville, MD
    4 days 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... 
    Contract work
    Monday to Friday
    Weekend work

    InstantServe LLC

    Tuba City, AZ
    18 hours ago

  • Travel Utilization Review Registered Nurse

    $88.35 per hour

     ...Healthcare - PH Division is seeking a travel nurse RN Case Management for a travel nursing job...  ...Employment Type: Travel Utilization Review Registered Nurse (RN) – Case Management...  ...n Perform concurrent review of patient charts with a focus on level-of-care... 
    Hourly pay
    Permanent employment
    Contract work
    Work at office
    Shift work
    Weekend work

    GHR Healthcare - PH Division

    Pennington, NJ
    6 days ago

  • Remote RN Appeals Reviewer - Contract with Extension

    $40.5 - $42.5 per hour

     ...A leading staffing company is hiring remote RN Appeals Reviewers for a four-month contract with potential for full-time. Candidates should have an Associates degree and an active RN license, along with over 5 years of clinical experience. Responsibilities include reviewing... 
    Remote work
    Hourly pay
    Full time
    Contract work

    Adecco US, Inc.

    Minneapolis, MN
    3 days ago

  • Utilization Review Nurse

     ...RN- Utilization Review Nurse . Inpatient - Full Time - 100% Remote Opportunity - . Must reside within the New York Tri-State Area - NY, NJ, or CT . COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! . VillageCare is loo Nurse, Medical Director, Healthcare... 
    Remote work
    Full time
    Local area

    VillageCare Senior Living

    New York, NY
    1 day ago

  • Utilization Review Nurse

     ...Job Description Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a...  ...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
    12 days ago