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  • 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
    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 Fort Myers, Florida. Job...  ...attendance in the area on Friday and includes both remote and onsite components Expect to function as core staff... 
    Remote work
    Daily paid
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Fort Myers, FL
    5 days 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

  • 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
    4 days 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...  ...What you should expect in this role This is a fully remote position. Candidates may reside anywhere within the United States... 
    Remote work
    Permanent employment
    Full time
    Contract work
    Temporary work
    Immediate start
    Monday to Friday
    Flexible hours

    Gainwell Technologies

    Boston, MA
    3 days ago

  • Utilization Management Nurse Reviewer

     ...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 work
    Full time
    Temporary work
    Work at office
    Flexible hours

    HealthSmart MSO

    Cypress, CA
    12 days ago

  • Travel Nurse RN - Utilization Review

     ...Description First Connect Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts,...  ...Behavioral Health / Utilization Review (Hybrid Position: In-Person & Remote)   Position: Registered Nurse – Behavioral Health /... 
    Remote work
    Weekly pay
    Daily paid
    Long term contract
    Temporary work
    Local area
    Immediate start
    Flexible hours
    Shift work

    First Connect Health

    Cambridge, MA
    6 days ago

  • Part-Time / Per Diem Pharmacist - Behavioral Health Chart Review & Med

    $70 per hour

     ...LLC About Us: PharmD USA, LLC is a leading provider of remote and on-site clinical pharmacy consulting services to hospitals...  ...medication management, regulatory compliance support, and clinical chart reviews to ensure patient safety and quality of care. Position... 
    Remote work
    Hourly pay
    Daily paid
    Part time
    Local area
    Flexible hours

    PharmD USA

    Chico, CA
    24 days ago

  • Travel Utilization Review Registered Nurse

     ...Job Description Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Apple Valley,...  ...This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Remote Utilization Review,3223.861060.27035 . The ideal candidate will possess a current... 
    Remote work
    Weekly pay
    Contract work
    Zero hours contract
    Shift work

    Assured Nursing

    Apple Valley, CA
    9 days 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
    5 days 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
    2 days ago

  • RN Clinical Review Nurse - Concurrent Review

    $26.5 - $47.59 per hour

     ...perspective on workplace flexibility. This is a fully remote position that requires NY RN Licensure. The team processes Medicare, Medicaid and...  ...Christmas Eve) Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    New York, NY
    2 days 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
    2 days ago

  • Nursing Facility Resolution Reviewer (RN req'd)

    $40.9 - $41.92 per hour

     ...State Department of Health (DOH). As a Nursing Facility Resolution Reviewer, you will interface with the resident and/or resident’s...  ...concise, legal, and defensible document. If approved to work remotely, must have secure internet that meets the speed required to perform... 
    Remote work
    Hourly pay
    Work at office
    Relocation package

    ISLAND PEER REVIEW CORP

    Albany, NY
    28 days 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
    3 days ago

  • Travel Nurse RN - Utilization Review - $3,307 per week

    $3,307 per week

     ...Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job Description & Requirements...  ...Type: Travel Hybrid position: in-person and remote.   Must have Interqual criteria experience. Must have... 
    Remote work
    Monday to Friday
    Shift work
    Day shift

    Talent4Health

    Cambridge, MA
    1 day ago

  • Utilization Review Nurse RN, FT, Case Management

     ...knowledge and a current Arkansas licensure as a RN. Preferably experienced in the use of ICD-...  ...in written format with the Medical Staff, review organizations, administration and others...  ...acuity levels and appropriate care by chart review. 4. Safety Sensitive: NO In the... 
    Work at office

    Unity Health

    Searcy, AR
    5 days ago

  • Travel Medical Chart Review RN - $2,638 per week

    $2,638 per week

     ...Integrated Healthcare Services is seeking a travel nurse RN Utilization Review for a travel nursing job in New York, New York. Job Description...  ...: Travel Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned... 
    Shift work

    Integrated Health Care LLC

    New York, NY
    1 day ago

  • RN Utilization Review Full-time Day

    $56.44 - $87.63 per hour

     ...RN Utilization Review Full-time Day at Providence Health and Services summary: The RN Utilization Review position at Providence Holy Cross...  ...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 and Services

    Santa Clarita, CA
    2 days ago

  • RN Medical Claim Review Nurse Remote

    $26.41 - $61.79 per hour

    Job Summary The Medical Claim Review Nurse provides support for medical...  ...position we are seeking an RN with previous Inpatient...  ...CPT/HCPCS codes, record review, chart audit, provider disputes, appeals...  ...during the interview process. Remote position Work hours: Monday -... 
    Remote job
    Hourly pay
    Work experience placement
    Work at office
    Monday to Friday

    Molina Healthcare

    Tacoma, WA
    5 days ago

  • Utilization Review RN

    $46.01 - $67.57 per hour

     ...Details Job Location STAYTON, OR Remote Type Hybrid Salary Range $46.0...  ...a difference as our next Utilization Review Nurse . You will play an instrumental role...  ...optimizing resources. If you're a dedicated RN with a strong background in clinical... 
    Remote work
    Hourly pay

    Santiam Hospital & Clinics

    Stayton, OR
    3 days ago

  • RN UM Care Review Clinician

     ...Description AltaStaff is a staffing agency currently looking for an RN Care Review Clinician I to work with our Managed Care Client! Pay Rate:...  ...-2pm PST or 2pm-11pm PST, Monday-Friday ***This is a fully remote role but candidates must have an RN License in Nevada***... 
    Remote work
    Hourly pay
    Local area
    Monday to Friday

    AltaStaff, LLC

    Las Vegas, NV
    20 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 at Providence...  ...Candidates must hold a California RN license and have experience in remote utilization review or hospital case management within a... 
    Remote work
    Part time
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, 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

    UnitedHealth Group

    Pearland, TX
    1 day ago

  • Clinical Reviewer (RN)

    $38.46k - $43.27k

     ...Job Description Job Description As a Clinical Reviewer, you will complete the full spectrum of activities related to Utilization or...  ...utilization reviews up to and including the appeal level. This includes chart screen, complete electronic worksheets, enter required... 
    Hourly pay
    Flexible hours

    ISLAND PEER REVIEW ORGANIZATION INC

    Jericho, NY
    16 days ago

  • Preservice Review Nurse RN - Remote Hawaii

    $28.27 - $50.48 per hour

     ...is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate...  .... Required Qualifications: ~ Valid RN license in Hawaii ~3+ years of RN...  ...management *All employees working remotely will be required to adhere to UnitedHealth... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealth Group

    Honolulu, HI
    4 days ago

  • Preservice Review Nurse RN - Remote in Hawaii

    $28.27 - $50.48 per hour

     ...current, unrestricted nursing license (i.e. RN) in the applicable state, as indicated in...  ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take...  ...is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Flexible hours
    Weekend work

    UnitedHealth Group

    Honolulu, HI
    3 days ago

  • Travel Remote Home Health RN - Back Office OASIS Reviewer - $1,924 per week

    $342 per month

     ...Travel Remote Home Health RN – Back Office OASIS Reviewer - $1,924 per week at Assured Nursing summary: This position is for a travel registered nurse specializing in home health care, providing back-office OASIS review and patient care coordination. The role requires... 
    Remote work
    Weekly pay
    Contract work
    Zero hours contract
    Shift work
    Day shift

    Assured Nursing

    Torrance, CA
    17 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job...  ...float between Hospitals.  Hybrid position: in person and remotely. MUST float between Hospitals. \nHybrid position: in... 
    Remote work
    Monday to Friday
    Shift work

    Talent4Health

    Cambridge, MA
    6 days ago

  • Clinical Reviewer (LPN or RN)

    $28.37 - $39.19 per hour

     ...Acentra Health is looking for a Clinical Reviewer to join our growing team. Job Summary: The...  ...appropriateness. This position is remote within the United States but must work Eastern...  ...Nurse (LPN) license or Registered Nurse (RN) license for the State of Virginia or compact... 
    Remote work
    Contract work
    Local area
    Flexible hours
    Weekend work

    Acentra Health

    Mc Lean, VA
    2 days ago