Get new jobs by email
- ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri... ...potential conversion to full-time License Requirement:... ...RN license or Nurse Licensure Compact (including... ...detailed medical record review to determine medical necessity...Part timeRemote workFull time
IntePros
Philadelphia, PA14 days ago - ...Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating... ...Review Physician Advisor. Maintain accurate and timely records of authorizations, communications, and payer...Part timeRemote workFlexible hoursWeekend work
IntePros
Phoenix, AZ14 days ago - ...Job Title: Quality Review Specialist Location: Remote in IL, TX, NM, OK Duration: December 2025 to May... ...providers requirements are met at all times. 14.Communicate and interact effectively... ...health care experience. 5 years utilization management, appeals, claims and...Part timeRemote workContract workShift workWeekend work
Innovative Systems Group
Chicago, IL4 days ago $1,966 per week
...first 25 applicants Nurses - are you looking... ...from home 50% of the time once trained? Check... ...Work-life balance. Remote/hybrid setting (... ...This individual will utilize clinical knowledge... ...to a second level reviewer. This individual interfaces... ...Registered Nurse - Part Time Utilization...Part timeRemote workFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hours- ...Managed Care Utilization Review Nurse Date: Nov 10, 2025 Location: FORT WORTH, TX 1501 Circle Dr. Other potential locations: Arlington... ...Travel: Up to 75% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt MOS Codes...Part timeRemote workFull timeContract workTemporary workWork at officeShift work
Texas Health and Human Services
Fort Worth, TX13 hours agonew $89.07k - $162.8k
...and retrospective case reviews to ensure appropriate admit... ...and level of care by utilizing the nationally approved... .... Must live in area. Remote after completion of orientation... ...party payors in a timely fashion to ensure... ...Associate's degree in Nursing required Bachelor's...Remote workLive inRelocationMedStar Health
Clinton, MD2 days ago$54 per hour
...an accredited school of nursing as a registered nurse. · Must have ED utilization management experience or... ...experience. Shift: REMOTE 8 hour day shift, with... ...of utilization review/utilization management principles... ...will be discussed as part of individual professional...Remote workShift workWeekend workDay shiftAfternoon shiftMSSI - Medical Staffing Solutions, Inc.
Minneapolis, MN16 days ago$35 - $45.94 per hour
...Utilization Review Nurse Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization... ...Review. Work Location: This is a remote position, open to candidates who... ...skills, education, and experience. Full-time employees are eligible for benefits...Remote workHourly payFull timeWork from homeHome officeOscar Health
Victorville, CA21 hours ago$68.8k - $118k
...member feels valued. The Utilization Review RN will review and document member... ...Medica's Utilization Review Nurses are responsible for reviewing... ...This position is a Remote role. To be eligible for consideration... ..., Holidays, paid volunteer time off, 401K contributions,...Remote workWork experience placementMedica
Hopkins, MN3 days ago- ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities:... ...Certified (CMGT-BC). Expectations: Comfortable with remote work arrangements and virtual collaboration tools. Physical...Remote work16 hoursReliefWork at officeShift workWeekend workAfternoon shift
Netsmart
Nashville, TN21 hours ago $41 per hour
...Remote position, however, candidates must reside in the State of TX or State of IL.... ...responsible for performing accurate and timely medical review of claims suspended for medical necessity... ...prioritization skills. # Registered Nurse (RN) with unrestricted license in the state...Remote workContract workHireOps Staffing, LLC
United States1 day ago$30.38 - $37.98 per hour
...professional assessment and review for the medical... ...substance abuse, skilled nursing, and rehabilitation for... ...documentation software. Utilize guidelines in... ...quality, and turnaround times daily. Ability to pass... ...experience. This position is part time and therefore not...Part timeHourly payTemporary workFlexible hoursPersonify Health
New York, NY21 hours ago- ...REMOTE Psychiatrist needed for a OP part-time role. Approximately 8-16 hours per week. Work with a team of experienced professionals, state-of-the-art technology, and a commitment to personalized treatment plans. Offer TMS treatments (will train if needed). Must be in...Part timeRemote work16 hours
Fcs Co
Freehold, NJ4 days ago $90k - $115k
...professionally. Working from your home or office Wanting to part of a community What we offer Therapists: ~ Competitive... ...~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~ Malpractice...Part timeRemote workFull timeWork at officeWork from homeRelocation packageLifeStance Health
Federal Way, WA3 days ago- 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... ...VillageCare. If you are someone who likes being part of a team, enjoys a highly competitive benefits package...Remote workFull timeLocal areaWork from home
- ...a general radiologist with additional fellowshiptraining/experience (preferably in Body Imaging, MSK or Neuro). Full-time; part-time and/or remote employment opportunitiesare available. Hospital-based group providingcomprehensive imaging services and are clinically...Part timeRemote workHourly payFull timeLocum
Northeast Healthcare Recruitment
Boston, MA5 days ago $90k - $115k
...program ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~... ...Experienced in working with adult, and/or child and adolescent populations. MUST reside in Washington state for fully remote...Part timeRemote workFull timeRelocation packageLifeStance Health
Redmond, WA3 days ago$350k
...you for taking the time to explore a career... ...excellence. Full-time or Part-time plus Work From Home via remote Telehealth -... ..., psychiatric nurse practitioners, and... ...Additionally, our recruiters utilize email addresses... ...they will not be reviewed or responded to. To...Part timeRemote workFull timeWork from homeRelocation packageFlexible hoursLifeStance Health
Cincinnati, OH5 days ago$90k - $115k
...bonus ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~... ...balance and personal schedules Hybrid Model with In-person & Remote flexibility Therapist are a critical part of our clinician team...Part timeRemote workFull timeRelocation packageMonday to FridayFlexible hoursWeekend workLifeStance Health
Spokane, WA3 days ago- Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration:... ...Authorization Review to join our Utilization Management team. In this role... ...Prior Authorization role as part of our utilization management...Remote workContract work
$35 - $43 per hour
....00/hr Location Location: Fully Remote - Must reside in Texas (Central Time Zone preferred) Assignment Duration... ...and detail‑oriented Clinical Review Nurses (RNs) to join the Prior Authorization... .... In this role, you will perform utilization reviews, evaluate medical...Remote workHourly payPermanent employmentFull timeContract workFlexible hoursShift work$80 per hour
...Health *Department: *Therapy *Position Type:* 1099 Contractor | Part-Time | minimum of 5 hours of treatment/and or evaluations conducted... ...clients at home, in a clinic and school setting, or through remote options. We prioritize adaptability and are committed to...Part timeRemote workHourly payFull timeContract workFor contractorsReliefFlexible hoursArizona Autism
Yuma, AZ1 day ago$65k - $78k
...learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and... ..., learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation...Remote jobFull timeContract workWork at officeWork from homeFlexible hours- ...their symptoms and cut medication usage. Job Type: Contract and Part Time positions available (minimum 16 hours per week)Location:... ...microbiome, inflammation, and behavior changeComfortable working remotely and using digital tools (e.g., Oura, Fitbit, CGM)Curious, collaborative...Part timeRemote work16 hoursContract work
Ciba Health Inc.
Cambridge, MA3 days ago $55 per hour
...Akkodis is hiring a Concurrent Review Nurse to support our client in the... ...Healthcare space. Location: Remote (must be based in California... ...when necessary. Make timely and appropriate recommendations... ...Experience in case management, utilization management, or discharge...Remote workFull timeContract workTemporary workLocal area$350k
...you for taking the time to explore a career... ...excellence. Full-time or Part-time plus Work From Home via remote Telehealth -... ..., psychiatric nurse practitioners, and... ...Additionally, our recruiters utilize email addresses... ...they will not be reviewed or responded to. To...Part timeRemote workFull timeWork from homeRelocation packageFlexible hoursLifeStance Health
Dayton, OH26 days ago$90k - $115k
...plan ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~... ...balance and personal schedules Hybrid Model with In-person & Remote flexibility Therapist are a critical part of our clinician team...Part timeRemote workFull timeWork at officeRelocation packageMonday to FridayFlexible hoursWeekend workLifeStance Health
Sammamish, WA3 days agoUtilization Review Nurse (PRN) - All Shifts Avaliable (Morning, Evenings and Weekends) (Working[...]
This position is a critical part of utilization management within the emergency... .... Responsibilities Review and evaluate electronic medical... ...care and/or medical/surgical nursing At least 2 years utilization... ...Comfortable with remote work arrangements and virtual...Remote work16 hoursFor contractorsReliefWork at officeAll shiftsShift workWeekend workDay shiftAfternoon shift- Job Description JOB TITLE Utilization Review Nurse REPORTS TO Utilization Review, Manager... ...Utilization Management WORK LOCATION Remote (occasional travel as required)... ..., applying nursing judgment to ensure timely, cost-effective, and high-quality care...Remote workFull timeContract workApprenticeshipWork at officeLocal areaImmediate startFlexible hours
$90k - $115k
...employed position ~ Sign-on bonus ~ Cash based incentive program ~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~ Malpractice insurance provided Licensed Therapists are a critical...Part timeRemote workFull timeWork at officeRelocation packageLifeStance Health
Gig Harbor, WA3 days ago
