•  ...NC Job Type: Permanent Full-Time Remote Employment: Remote Optional...  ...PM Eastern Job Class Title: Nurse Consultant I Position Number...  ...If so, please consider the Utilization Review Nurse Consultant position located...  ...programs that will repay part or all of your outstanding student... 
    Part time
    Remote job
    Permanent employment
    Full time
    Contract work
    Temporary work
    Work experience placement
    Relocation bonus
    Flexible hours
    Monday to Friday

    State of North Carolina

    Wilmington, NC
    4 days ago
  •  ...Job Job Overview SUMMARY The Utilization Review RN participates as a member...  ...Review Job Status: part time, 24 hours per week, eligible...  ...position will be primarily remote but there may be occasions when...  ...Education: Bachelor of Science in Nursing (BSN) Experience: Three years... 
    Part time
    Remote job
    Temporary work
    Shift work
    Weekend work
    Afternoon shift
    Monday to Friday
    All shifts

    Children's Hospital Colorado

    Aurora, CO
    4 days ago
  •  ...Description Now Hiring: Part-Time Remote Utilization Review Nurse (AZ Residents Only) Work From Home | Weekends | Registered Nurse (RN) Opportunity Are you a Registered Nurse (RN) looking for a flexible, part-time opportunity that allows you to work from the comfort... 
    Part time
    Remote job
    Immediate start
    Flexible hours
    Shift work

    Santa Barbara Cottage Hospital

    Chicago, IL
    3 days ago
  • **Department Name:** Utilization Mgmt **Work Shift:** Day **Job Category...  .... Better Than Ever for Nurses. When we make things better...  ...Management Care Reviewer,** you will be working in partnership...  ...Reviewer position is a part - time fully remote position with a work schedule... 
    Part time
    Remote job
    Shift work
    Weekend work

    Banner Health

    Arizona
    15 days ago
  •  ...Focus Staff is seeking a travel nurse RN Case Management for a travel nursing job in...  ...Santa Barbara, CA looking for a Travel Utilization Review RN Registered Nurse! Focus Staff is seeking...  ...RN – Travel Utilization Review RN, Part-Time, Contract, Travel, Temporary, 13 Weeks,... 
    Part time
    Permanent employment
    Contract work
    Temporary work
    Work experience placement
    Relief
    Shift work

    Focus Staff

    Santa Barbara, CA
    2 days ago
  •  ...apply for the CLINICAL REVIEW NURSE role at ProMed...  ...Candidates With Experience In Utilization Review. Location:...  ...Setting: Hybrid (In-office/remote work) Bill Rate: $92....  ...for review and ensure timely decision-making....  ...level Employment type: Part-time Job function: Healthcare... 
    Part time
    Remote job
    Contract work
    Monday to Friday

    ProMed Staffing Resources

    New York, NY
    2 days ago
  •  ...experienced Registered Nurse with a passion for ensuring...  ...a skilled Medical Review Nurse (MRN) to join our...  ...rewarding opportunity to utilize your clinical expertise...  ...reviewing Medicare Part A and B claims, including...  ...employment (full or part-time). Fraud, Waste, and... 
    Part time
    Remote job
    Hourly pay
    Full time
    Local area

    Get It - Healthcare

    Baltimore, MD
    15 days ago
  •  ...Performs concurrent reviews, including...  ...systems according to utilization management policies...  ...plans to ensure a timely discharge between...  ...Accredited School of Nursing or Bachelor's degree...  ...to work with remote, hybrid, field or...  ...including full-time or part-time status. Total... 
    Part time
    Remote job
    Hourly pay
    Holiday work
    Full time
    Flexible hours

    Centene Corporation

    Phoenix, AZ
    10 days ago
  •  ...team as a Concurrent/ Acute Review Nurse RN, where you'll play a vital...  ...the right care at the right time. As a CRN, you'll build strong...  ...and appropriate level of care utilizing member benefits and InterQual...  ...performed. Benefits for intern, part-time and seasonal employees... 
    Part time
    Remote job
    Holiday work
    Temporary work
    Work experience placement
    Internship
    Seasonal work

    WebTPA Employer Services, LLC

    Irving, TX
    2 days ago
  • Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License Should Have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously... 
    Remote job

    LanceSoft

    Michigan Center, MI
    4 days ago
  •  ...unrestricted New York State nursing license. 8:30am-5...  ...and clinical reviews of authorization...  ...team to ensure timely review of services...  ...interdepartmental teams on utilization processes to...  ...to work with remote, hybrid, field or...  ...including full-time or part-time status. Total... 
    Part time
    Remote job
    Hourly pay
    Holiday work
    Full time
    Flexible hours
    Monday to Friday

    Centene Corporation

    New York, NY
    4 days ago
  • ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred... 
    Remote job
    Local area
    Weekend work

    Zenex Partners

    Beverly Hills, CA
    3 days ago
  • Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift: Day 5x8-Hour...  ...staff is needed) Day Shift 0800-1630, (UR positions will be remote) Need to have UR experience, specifically with InterQual... 
    Remote job
    Holiday work
    Shift work
    Weekend work
    Sunday
    Day shift
    Saturday

    Zenex Partners

    Apple Valley, CA
    5 days ago
  •  ...Facility Compliance Review (FCR) team reviews post...  ...events. The Manager, Utilization Management Nurse Management will...  ...office at least two (2) times per month (for roles...  ...of-state roles remain remote. o Employees living...  ...Environment - roles involving part to full time schedule... 
    Part time
    Remote job
    Full time
    Contract work
    Local area
    Home office

    Blue Shield Of California

    Long Beach, CA
    3 days ago
  • APR Consulting, Inc. has been engaged to identify an Nurse Coordinator . Location: Los Angeles, CA 90045 Position: Nurse Coordinator...  ...extension Expected Shift: 8am-5pm, 40hrs/week JOB SUMMARY Utilization Review Nurse Remote 2 month contract with probable extension Job Description:... 
    Remote job
    Contract work
    Shift work

    APR Consulting, Inc

    Los Angeles, CA
    2 days ago
  • NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB, Colorado...  ...weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S....  ...in Utilization Management, Utilization Review, or Case Management • Preferred Certifications... 
    Remote job
    Holiday work
    Contract work
    Immediate start
    Monday to Friday

    J Edward Staffing LLC

    Aurora, CO
    3 days ago
  •  ...the Chief Clinical Officer, the Utilization Management Nurse ("UM RN") is responsible for ensuring timely, high quality, and cost-...  ...Core Values. Your clinical care review determinations for our hematology...  ...utilization management Fully remote position The estimate... 
    Remote job
    Hourly pay

    The Oncology Institute of Hope and Innovation

    Cerritos, CA
    4 days ago
  •  ...Medical Review Nurse Job No: 533913 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Healthcare...  ...improve compliance related to utilization management process standards...  ...your 1st day (prorated for part-time employees) •Paid Parental... 
    Part time
    Remote job
    Holiday work
    Full time
    Internship
    Home office
    Flexible hours

    Arizona Department of Administration

    Phoenix, AZ
    3 days ago
  • $38 per hour

     ...REMOTE - Candidates must be based in Texas: Austin area - Travis...  ...performing initial, concurrent review activities; discharge care...  ...Provides information regarding utilization management requirements and operational...  ...(Required): ~ Registered Nurse (RN) with a valid, current,... 
    Remote job
    Hourly pay
    Contract work

    Bracane Company, Inc.

    Richardson, TX
    12 days ago
  •  ...Job Summary: As a Utilization Management Nurse/Social Worker, you'll...  ...Proficient in Utilization Review processes, you'll...  ...government. 100% Remote - However, Only Nevada...  ...Care team to facilitate timely patient progression...  ...dynamic team and be part of our commitment to... 
    Remote job

    Morgan Stephens

    Remote
    4 days ago
  •  ...flexibility. POSITION IS REMOTE WITH POTENTIAL FOR...  ...8AM- 5PM PST TIME ZONE IDEAL...  ...Performs a clinical review and assesses care...  ...quality and appropriate utilization of services...  ...Accredited School Nursing or Bachelor's degree...  ...including full-time or part-time status. Total... 
    Part time
    Remote job
    Hourly pay
    Holiday work
    Full time
    Flexible hours
    Weekend work

    Centene Corporation

    Olympia, WA
    3 days ago
  •  ...Purpose:** Performs reviews of member's care...  ...quality and appropriate utilization of services +...  ...Accredited School Nursing or Bachelor's...  ...reimbursement, paid time off plus holidays,...  ...approach to work with remote, hybrid, field or...  ...full-time or part-time status. Total... 
    Part time
    Remote job
    Hourly pay
    Holiday work
    Full time
    Flexible hours

    Centene Corporation

    Sacramento, CA
    4 days ago
  •  ...sick days and accrued vacation time provides 5+ weeks of paid...  ...match up to 4% for all full and part time employees...  ...seeking to fill the position of Utilization Review to work a 35-hour week . This...  ...witness victories. Healing Happens Together! remote work
    Part time
    Remote job
    Holiday work
    Full time

    Balance Treatment Center

    Calabasas, CA
    17 days ago
  •  ...Partners is seeking a full-time Utilization Review Medical Director to support...  ...cases throughout the day as part of routine operations. Evaluate...  ...the Utilization Management Nurse will route the case to the...  ...Expectations:  This is a remote full-time position, but requires... 
    Part time
    Remote job
    Holiday work
    Full time
    Temporary work
    Local area

    Integra Partners

    Troy, MI
    18 days ago
  •  ...Job Summary: We are seeking a Part-Time Utilization Review Nurse to join our dedicated healthcare team. In this role, you will play a critical part in ensuring that patients receive appropriate and effective medical care while adhering to established clinical guidelines... 
    Part time

    Surgery Partners

    Bryan, TX
    1 day ago
  • Salary: $2280 / Week The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a...  ...Minimum Requirements: + Current license for the state in which the nurse practices if nursing licensure is required by contract + A... 
    Remote job
    Weekly pay
    Contract work
    Local area

    Amergis

    Oakland, CA
    13 days ago
  •  ...development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,...  ...on business needs. #LI-AC1 #LI-REMOTE This position is for pipeline purposes...  ...career development. All salaried, full-time candidates are eligible for our generous... 
    Remote job
    Full time
    Contract work
    Flexible hours

    Gainwell Technologies

    Orono, ME
    4 days ago
  •  ...Utilization Review Nurse – RN or LVN (Remote, $43/hr, Temp-to-Hire) Join one of the nation’s leading managed care organizations, committed to transforming...  ...ensure members receive the right care at the right time — every time. We are seeking experienced Registered... 
    Remote job
    Hourly pay
    Permanent employment
    Full time
    Temporary work
    Monday to Friday

    Morgan Stephens

    Remote
    3 days ago
  •  ...Description: Manager of Clinical Utilization Management - Denial...  ...Type: Hybrid (85% remote, 15% onsite in Northridge, CA); Full-Time Salaried Position Company...  ...tasks, performance reviews, and any necessary disciplinary...  ...accredited Registered Nursing Program; RN preferred.... 
    Remote job
    Permanent employment
    Full time
    Temporary work
    Flexible hours

    Vivo HealthStaff

    Burbank, CA
    3 days ago
  •  ...for the participants through Utilization Review and Utilization Management...  ...education. The Utilization Review Nurse is responsible for...  ...management of medical costs through timely prospective, concurrent and...  ...(37.5 hours per week) as a remote opportunity. We reward... 
    Remote job
    Holiday work
    Temporary work
    Work experience placement
    Flexible hours
    Monday to Friday

    UNITE HERE HEALTH

    Las Vegas, NV
    2 days ago