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  •  ...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 work
    Flexible hours

    FitOn and FitOn Health

    Tampa, FL
    22 days ago
  •  ...Certification Details BLS New York State RN License Job Details Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned from Consultation reports, History and Physical reports, Operative reports, Progress reports... 
    Suggested

    New York City Health and Hospitals Corporation - 50 Water St...

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

    Integrated Healthcare Services

    New York, NY
    2 days ago
  •  ...Day & Zimmermann Company is seeking a local contract nurse RN Utilization Review Level I for a local contract nursing job in Fairfield, California...  ...Utilization Management Nurse (RN) needed for a remote contract opportunity with Yoh’s client located in Fairfield... 
    Remote work
    Hourly pay
    Weekly pay
    Contract work
    Local area
    Immediate start
    Shift work

    Yoh, A Day & Zimmermann Company

    Fairfield, CA
    4 days ago
  • CMA/Clinical Reviewer needed for busy medical practice in Myrtle Beach. Must have excellent...  ...Clinical Reviewer will review the patient's chart to ensure that all information is...  ...CONDITIONS: Combination of office and remote work. PHYSICAL/MENTAL DEMANDS :... 
    Remote work
    Temporary work
    Work at office
    Weekend work
    Monday to Thursday

    Carolina Health Specialists

    Myrtle Beach, SC
    3 days ago
  • A client of Innova Solutions is immediately hiring for a RN - Chart Review Position type: Contract/ Full time Duration: 6-month Location: 50 Water Street, FL 7, New York City New York 10004 United States Shift: Hybrid 9-5 As a RN - Chart Review, you will: Review medical... 
    Suggested
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    Full time
    Contract work
    Temporary work
    Work experience placement
    Immediate start
    Worldwide
    Flexible hours
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    Innova

    New York, NY
    14 hours 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 work
    Contract work

    24HRPO

    Richardson, TX
    26 days ago
  •  ...is seeking a Registered Nurse (RN) OR - Operating Room Level II...  ...Major Responsibilities: Reviews medical documentation at a proficient...  ...other related duties. #REMOTE #LI -REMOTE Advocate Aurora...  ...our team and be inspired to chart a course for Advocate Aurora to... 
    Remote work
    Hourly pay
    Work at office
    Shift work

    Advocate Aurora Health

    Allenton, WI
    4 hours agonew
  •  ...is seeking a Registered Nurse (RN) Clinic OR - Operating Room...  ...documentation and coding processes. Review clinical documentation and...  ...organizational and divisional remote work policy and guidelines....  ...Join our team and be inspired to chart a course for Advocate Aurora... 
    Remote work
    Hourly pay
    Work at office
    Local area
    Shift work

    Advocate Aurora Health

    Theresa, WI
    5 hours agonew
  •  ...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 work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies LLC

    Maine
    4 days 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 work
    Weekly pay
    Full time
    Temporary work
    Flexible hours
    Shift work
    Weekend work

    Mass General Brigham - Internal Travel

    Boston, MA
    28 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 work
    Hourly pay
    Work experience placement
    Live in
    Weekend work

    Molina Healthcare

    Los Angeles, CA
    more than 2 months ago
  •  ...Title: UMCM Coordinator Location: Alb NM - Remote and occasional onsite meetings Pay...  ...is responsible for performing concurrent review in accordance with accepted department criteria...  ...JOB REQUIREMENTS: - Register Nurse (RN) with current, valid, unrestricted license... 
    Remote work

    Innovative Systems Group

    Albuquerque, NM
    2 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 work
    Full time
    Temporary work
    Work at office
    Flexible hours

    HealthSmart MSO

    Cypress, CA
    a month ago
  • Join to apply for the QUALITY PEER REVIEW (RN) role at The George Washington University Hospital...  ...research or medical records. Clinical chart review and abstraction experience required...  ...ago Contact Center Quality Analyst (Remote Opportunity) Manual/Test Automation Analyst... 
    Remote work
    Full time
    16 hours
    Local area

    The George Washington University Hospital

    Washington DC
    1 day 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 work
    Full time
    Work at office

    GBMC

    Hunt Valley, MD
    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 work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    United States
    23 days ago
  •  ...direction of a supervisor, the Clinical Care Reviewer – Utilization Management evaluates...  ...license required A Registered Nurse (RN) license in the District of Columbia in good...  ...Package Flexible work solutions include remote options, hybrid work schedules,... 
    Remote work
    Work at office
    Flexible hours
    Afternoon shift
    Monday to Friday

    Amerihealth Caritas

    Washington DC
    1 day ago
  • Cottage Health seeks a Utilization Review Manager, Registered Nurse for their Clinical Denials...  ...Health has elected not to appeal based on chart documentation/support, and 4) identified...  ...direct patient care experience as an RN in an acute care setting. Cottage Health... 
    Permanent employment
    Full time
    Work experience placement

    Cottage Health

    Goleta, CA
    9 hours agonew
  •  ...Medical, Dental, Vision and Life Insurance. Position: Utilization Review Nurse - Case Management Compensation The estimated pay for...  ...Medical Center. Incumbents perform clinically oriented medical chart reviews and other administrative tasks to meet the requirements... 
    Full time
    Work at office
    Local area

    Kern Medical

    Bakersfield, CA
    19 days ago
  • Registered Nurse / Med/Surg (Tier 3) / VA Reviewer - Remote (#25240) Location: Remote Employment Type: Contract (Case-Based) Compensation...  ...✔️ Nursing Degree (ADN or higher) ✔️ Active, unrestricted RN license in any U.S. state or territory ✔️ Current hospital privileges... 
    Remote work
    Hourly pay
    Contract work
    Temporary work
    Flexible hours

    Greenlife Healthcare Staffing

    Washington DC
    7 days ago
  • Join to apply for the Continuing Care Utilization Review Coordinator RN role at Kaiser Permanente 6 months ago Be among the first 25 applicants...  ...10K) Quality Coordinator RN- Utilization Review Home Health Remote Registered Nurse - Clinical Nurse Educator San Leandro, CA $... 
    Remote work
    Hourly pay
    Full time
    Relocation package

    Kaiser Permanente

    Redwood City, CA
    1 day ago
  •  ...Job Description Job Title: Review & Evaluation RN (MUST BE ABLE TO COMMUTE TO HARRISBURG, PA AS NEEDED) Location: Remote with 1 day a month onsite in Harrisburg, PA Shift: Mon-Fri 7:30am-4pm Pay: $31.00/hr. Scheduled Pay: Weekly... 
    Remote work
    Weekly pay
    Temporary work
    Shift work

    A-Line Staffing Solutions

    New Cumberland, PA
    2 days ago
  •  ...features. Job Summary Conducts utilization review for in-house patients and/or those members...  ...in Redwood City, CA . Registered Nurse (RN) Home Health (Sign-on bonus of up to $10K)...  ...Coordinator RN- Utilization Review Home Health Remote Registered Nurse - Clinical Nurse Educator... 
    Remote work
    Hourly pay
    Full time
    Relocation package

    Health eCareers

    Redwood City, CA
    1 day ago
  • Salary: $2280 / Week The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state... 
    Remote work
    Weekly pay
    Contract work
    Work at office
    Local area

    Amergis

    Oakland, CA
    a month ago
  •  ...dedicated to helping you with every step of the hiring process. Contact Gordon Diaz ****@*****.*** (***) ***-****. ~100% remote; open to FM and IM physicians ~ Work at your own pace; must have an active state license ~ Great salary to supplement current... 
    Remote work
    Contract work
    Relocation package
    Live in

    CompHealth

    Deridder, LA
    14 hours ago
  •  ...Registered Nurse/Utilization Review role at Emonics LLC 6 months ago...  ...7:00) Description ***Hybrid/Remote*** Orientation Location: 8501...  ...Beverly Hills, CA Required RN license in CA 3 years of clinical...  ...Type of Facility: Outpatient Charting: Epic Seniority level... 
    Remote work
    Full time
    Contract work
    Part time
    Local area
    Relocation package
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    1 day ago
  •  ...is seeking a Registered Nurse (RN) Med Surg for a nursing job in...  ...& Specialty Area: Prospective Review RN Department: Utilization...  ...Dallas Shift: Day Job Type: Remote (This position does require on...  ...base. * Utilizes EPIC for chart review to obtain pertinent... 
    Remote work
    Hourly pay
    Work experience placement
    Shift work

    Children's Health (Dallas)

    Dallas, TX
    4 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 work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    Irvine, CA
    more than 2 months ago
  •  ...office/field 3 days a week and remote/home 2 days a week. This does...  .... Clinical Quality Consultant RN will drive consistency, efficient...  ...and/or Annual business Review meetings related to STAR activities...  ...data analysis and/or quality chart reviews. Ability to review data... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Night shift
    2 days per week
    3 days per week

    Optum

    Henderson, NV
    2 days ago