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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
- ...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
- ...Job Title: Nurse Liaison | UM&QR Location: Naperville IL | Hybrid Duration: November 2025 to June 2026 (possible... ...is responsible for ensuring compliance of the Utilization Management (UM) and Quality Review (QR) functions performed by the Medical Groups/IPAs participating...Part timeContract workNight shift
- ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension) Shift timings: Standard hours - 8:00 AM to 5:00 PM... ...policy for Client members as part of the Utilization Management...Remote workContract workWork at officeShift work
- ...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
$56.44 - $87.63 per hour
...Description Join our exceptional team as a Utilization Review Nurse at Providence Holy Cross Medical Center. This full-time position offers an engaging work environment... ...Minimum of 2 years experience working in a remote Utilization Review environment or as an acute...Remote workFull timeShift workDay shift$75k - $85k
...Office - Huntington Beach, CA Remote Type Fully Remote Position Type Full Time Salary Range $75000.00... ...future of healthcare, and be part of a fast-moving, game-... ...innovation. Job Summary The Utilization Review Nurse will evaluate medical records...Remote workFull timeWeekend work$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 package$65 per hour
...hours ~ Employment Type: Travel Part-Time Speech-Language Pathologist (SLP) \n... ...Services must be provided in person ; no remote work is available \n\t\n\t \n\t The... ...staffing agency specializing in travel nursing, travel allied health, interim leadership...Part timeRemote workWeekly payDaily paid16 hoursPermanent employmentInterim roleImmediate startFlexible hoursShift work- ...Job Description Job Title: UM Nurse (California License) – Must be licensed in California- Remote Opportunity Term : RTH... ...patient facing, they will be reviewing patient records and providing... ...Ensure discharge planning is timely and appropriately communicated...Remote workImmediate start
$35 - $45.94 per hour
...Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team.... ...Review. Work Location: This is a remote position, open to candidates who... ...skills, education, and experience. Full-time employees are eligible for benefits including...Remote workHourly payFull timeWork from homeHome office- 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
$90k - $115k
...plan ~ 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 package$68.8k - $118k
...every member feels valued. The Utilization Review RN will review and document... ...Medica's Utilization Review Nurses are responsible for reviewing... ...required This position is a Remote role . To be eligible for consideration... ..., Holidays, paid volunteer time off, 401K contributions,...Remote workWork experience placement$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- ...Authorization experience. Remote but will need to come... ..., completes audits, reviews and updates reports and... ...to coordinate resource utilization and evaluation of services... ...degree (or higher) in nursing and/or a health related... ...Solving - Team Player - Time Management - Written/...Remote workLocal area
$95k - $105k
Utilization Review Nurse VillageCare is looking for a self‑motivated and passionate RN for a full‑time, 100% remote position. Location: Must reside within the New York Tri‑State Area (NY, NJ, or CT). From the comfort of your own home, you will be responsible for the assessment...Remote workFull time$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 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
$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 work$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- ...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
$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 package$90k - $115k
...~ Comprehensive benefits package ~401K with 4% match ~ Part-time and full-time options ~ CEUs ~ Paid parental leave ~ Malpractice... ...and personal schedules Hybrid Model with In-person & Remote flexibility Therapist are a critical part of our clinician...Part timeRemote workFull timeWork at officeRelocation packageMonday to FridayFlexible hoursWeekend work$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 work$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 (IL) WHAT WE OFFER : Medical PTO Accrual Holiday Pay Seeking RN who is familiar with MCG and ASAM criteria...Remote jobHourly payImmediate startMonday to Friday$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- ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted... ...for this position) Location - Remote "Work from Home" but must have a multi... ...Ability to work in a fast-paced and time-sensitive environment Ability to meet...Remote workWork from home
$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 work



