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- ...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, PA9 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, AZ9 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$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, MN11 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
Dallas, TX4 days ago- Managed Care Utilization Review Nurse Date: Nov 10, 2025 Location: FORT WORTH, TX - 1501 Circle Dr. Other potential locations: Arlington; Bedford... ...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
- ...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
Dayton, OH5 days ago - ...Imperial is currently seeking a Registered Nurse with 2 to 3 years of clinical nursing background and 2 to 3 years of Utilization Review experience. The ideal nurse for this role... ...to improve the provision of efficient and timely patient care. Identifies process issues...Part timeImmediate start
Imperial Health Plan of California, Inc.
Pasadena, CA9 days ago - ...Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high quality... ...the appropriate level of care at the appropriate place and time. Mentor new staff as assigned. Maintain quality audit...Remote workWork at office
Maine Staffing
Portland, ME3 days 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
Houston, TX1 day ago$5,797.66 - $9,508.25 per month
Utilization Review Nurse Manager Apply for the Utilization Review Nurse Manager role at Texas Health and... ...employee health insurance for full‑time eligible employees, a defined benefit pension... ...Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non‑Exempt...Part timeRemote workFull timeTemporary workWork at officeShift work- ...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
Newark, NJ2 days ago - ...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, MAa month 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
- ...Location: Part-time role, on-site in West Orange, NJ Reasonable Patient... ...Healthcare is seeking a Nurse Practitioner or Physician Assistant... ...balance of direct patient care and remote responsibilities, such as prescription refills, lab reviews, and patient communication,...Part timeRemote work16 hoursMonday to FridayFlexible hours
Seniority Healthcare
Orange, NJ4 days ago $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- 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
$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 hour agonew$65k - $78k
...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective... ...ongoing basis. #LI-AC1 #LI-REMOTE The pay range for this position... ...career development. All salaried, full-time candidates are eligible for our...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...services across multiple healthcare facilities, primarily working remotely. The position offers teaching opportunities, possible in-... ...at UPMC provides outstanding practice opportunities for full-time or part-time ID physicians. These unique positions are primarily...Part timeRemote workFull timeWork from homeFlexible hours
UPMC
Pittsburgh, PA3 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$50 - $100 per hour
...health facility in Pennsylvania is seeking a Nurse Practitioner AGNP or FNP or Psychiatric... ...a locum tenens basis. This is a flexible part-time opportunity ideal for a provider... ...Telemedicine with potential in office (Patient specific) This is a remote position....Part timeRemote workHourly pay16 hoursContract workLocumWork at officeFlexible hoursShift workElders Choice of PA
Willow Grove, PA3 days ago- ...great opportunity for a local remote position. Schedule PRN (As... ...Requirements: 2 years of staff nurse experience performing care for... ...patients. 2 years of utilization review (UR) experience reviewing hospital... ...Flexible Spending Accounts. Paid Time Off benefit combines vacation...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
- 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
$61.76k
Join to apply for the Utilization Review Nurse role at Berkshire Hathaway Homestate Companies - Workers... ...applicable legal requirements. This is a full-time, permanent position within our Medical... .../wk) Registered Nurse (RN) - Pre/Post (Part-Time) (20hr/wk) Papillion, NE $61,763.0...Part timePermanent employmentFull timeCasual workReliefWork at officeRelocation packageNight shift$41 per hour
Remote position, however, candidates must reside in the State of TX or State of IL. This... ...for performing accurate and timely medical review of claims suspended for medical necessity... ...and prioritization skills. Registered Nurse (RN) with unrestricted license in the state...Remote jobContract work$47.04 - $65.86 per hour
...disabilities associated with them. Audiologists utilize evaluation, assessment, patient education... ...Minnesota and/or Wisconsin to perform remote telehealth hearing tests from their home... ...we provide flexible scheduling, generous time off, and wellness resources focused on...Part timeRemote workHourly payCasual workWork from homeHome officeRelocation packageMonday to FridayFlexible hoursShift workWeekend workEssentia Health
Duluth, MNa month ago- Responsibilities Review and evaluate electronic medical... ...and ensure proper utilization of healthcare resources... ...and/or medical/surgical nursing At least 2 years utilization... ...Comfortable with remote work arrangements and virtual... ...shifts. All Full-Time required to work 4 Holidays...Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
- ...Healthcare Staffing LLC is seeking a travel nurse RN PCU - Progressive Care Unit for a... ...verification \n• Cannot be employed full-time, part-time, or PRN with CommonSpirit facilities... ...along with dedicated respiratory therapy and remote telemetry monitoring capabilities. \n\n...Part timeRemote workFull timeContract workReliefShift workNight shiftWeekend work
ADEX Healthcare Staffing LLC
Omaha, NE3 days ago - Responsibilities Review and evaluate electronic medical records of... ...to assess and ensure proper utilization of healthcare resources Participate... ...care and/or medical/surgical nursing At least 2 years utilization... ...Comfortable with remote work arrangements and virtual...Remote workFor contractorsReliefWork at office
