•  ...Description LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance (Remote), California. Job Description &...  ...team of experienced career specialists takes the time to understand your needs and match you with the... 
    Remote job
    Weekly pay
    Permanent employment
    Contract work
    Fixed term contract
    Local area
    Shift work

    LanceSoft

    Torrance, CA
    8 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

    Remote
    6 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
    3 days ago
  •  ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Louisville...  .... No matter where you are or what time it is, Supplemental Health Care is...  ...Savings Program to both full-time and part-time employees with a wide range of investment... 
    Part time
    Weekly pay
    Full time
    Contract work
    For contractors
    Local area
    Immediate start
    Shift work

    Supplemental Health Care

    Louisville, KY
    2 days ago
  •  ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Las Cruces...  .... No matter where you are or what time it is, Supplemental Health Care is...  ...Savings Program to both full-time and part-time employees with a wide range of investment... 
    Part time
    Weekly pay
    Full time
    Contract work
    For contractors
    Local area
    Immediate start
    Shift work

    Supplemental Health Care

    Las Cruces, NM
    3 days ago
  •  ...facility to staffing, training, and operations. Job Summary Our client is seeking a strong, detail-oriented Utilization Review Registered Nurse (RN) to join their team. The Utilization Review Nurse plays a critical role in evaluating the appropriateness and necessity... 
    Part time
    Local area

    Medix™

    Houston, TX
    1 day 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
    6 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
    5 hours 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
    4 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
    1 day 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
    4 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
    4 days ago
  •  ...Job Description Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure...  ...providers. Work Location: Remote Work Schedule: M-F, 8am-5pm...  ...: • Minimum 3 years clinical nursing experience. • Minimum one year... 
    Remote job
    Hourly pay

    Professional Management Enterprises

    Houston, TX
    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
    3 days ago
  • Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS...  ...Compensation: Rate Type: Hourly Over Time: Default Multiplier: None; 8 Hour Multiplier...  ...5% Additional Information: ***Hybrid/Remote within a commutable distance to... 
    Remote job
    Hourly pay
    Holiday work
    Contract work
    Shift work

    Zenex Partners

    Los Angeles, CA
    5 hours ago
  •  ...might be a perfect fit for you! Position Summary: As the Utilization Review Coordinator, you will develop and implement systems for...  ...individuals with disabilities and if you need reasonable accommodation during any time of the employment process, please reach out.
    Part time
    Remote job
    Local area
    Immediate start

    Meadows Behavioral Healthcare

    Phoenix, AZ
    5 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
    2 days ago
  •  ...RESPONSIBILITIES: The Inpatient Utilization Management (UM) RN is...  ...include: Review of prospective, inpatient...  ...services. Perform timely concurrent reviews for...  ...California Registered Nurse License required. Bachelor...  ..., AZ, NV, TX, WA, OR; remote and on site in Alameda... 
    Part time
    Remote job
    Full time
    Local area
    Immediate start
    Weekend work
    2 days per week
    3 days per week
    Monday to Friday

    Alameda Alliance for Health

    Alameda, CA
    5 days ago
  • Location: Remote, US Shift: Weekend Evening schedule Fri/Sat/Sun/Mon 2 PM - 12:30...  ..., and workflow orchestration. As our Utilization Review Nurse , you will help our hospital clients by...  ...reasonable accommodation to complete any part of the job application process, please... 
    Remote job
    Hourly pay
    Local area
    Shift work
    Weekend work
    Afternoon shift

    R1 RCM

    Salt Lake City, UT
    5 days 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
    4 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
    8 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
    8 days ago
  • RN Utilization Review Nurse (Washington D.C. Medicaid) JR149756 Location : This...  ...engagement with the autonomy of remote work, promoting a dynamic...  ...compensation for this role at the time of this posting. This range...  ...onsite will be discussed as part of the hiring process. The... 
    Remote job
    Holiday work
    Temporary work
    Work experience placement
    Local area

    Elevance Health

    Woodbridge, VA
    4 days ago
  • $36.46 - $43.75 per hour

     ...self-funded Commercial plans. Utilization Review nurses at Select Health proactively...  ...benefits is at the right time, right place, right provider...  ...practice in all states that are part of the compact and may be...  ...working successfully working in a remote environment or using... 
    Remote job
    Full time
    Flexible hours

    SelectHealth

    Salt Lake City, UT
    24 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
    5 hours ago
  • $31.25 - $37.5 per hour

     ...Duties/Responsibilities: Reviews admission data to establish the appropriate level of care...  ...MA RN licensure. Bachelor’s Degree in Nursing or advanced degree in healthcare preferred...  ...the hospital setting. Experience with utilization management within the last 3 years required... 
    Part time

    Beth Israel Deaconess Hospital Plymouth

    Plymouth, MA
    29 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
    24 days ago
  •  ...Summary The Utilization Management (UM) Registered Nurse (RN) is responsible for UM reviews for patients who receive hospital...  ...awards Paid Time Off: 50 days of paid...  ...position is full-time, part-time or intermittent....  ...and administrative, remote and onsite, paid and... 
    Part time
    Remote job
    Holiday work
    Permanent employment
    Full time
    Temporary work
    For contractors
    Traineeship
    Immediate start
    Relocation
    Flexible hours
    Shift work
    Weekend work

    Veterans Health Administration

    Gainesville, FL
    4 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
    3 days ago
  •  ...supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical...  ...established turnaround times, quality benchmarks, and efficiency...  ...: Associate’s Degree in Nursing (ASN) required; Bachelor’s...  ...Flexible work solutions include remote options, hybrid work... 
    Remote job
    Holiday work
    Flexible hours
    Monday to Friday

    AmeriHealth Caritas

    Dover, DE
    5 hours ago