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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 time
    Remote work
    Full time

    IntePros

    Philadelphia, PA
    6 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 time
    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    6 days ago
  • $26.5 - $47.59 per hour

    Utilization Review Nurse I You could be the one who changes everything for our 28...  ...tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work...  ...law, including full‑time or part‑time status. Total... 
    Part time
    Remote work
    Hourly pay
    Full time
    Work at office
    Flexible hours

    Fidelis Care - New York

    New York, NY
    1 day 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 time
    Remote work
    Full time
    Temporary work
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    Hines

    Rockford, IL
    4 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 work
    Hourly pay
    Full time
    Work from home
    Home office

    Oscar Health

    Providence, RI
    1 day ago
  •  ...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 work
    Immediate start

    Enterprise Engineering

    Los Angeles, CA
    a month ago
  •  ...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 work
    Local area

    Winston Medical Staffing

    Newark, NJ
    12 days ago
  •  ...12 weeks Minimum Qualifications: Masters degree in nursing or related field. If the Masters degree is in a related field...  ...) years clinical experience A minimum of one (1) year of utilization review experience MN RN license Preferred Qualifications:... 
    Part time

    MSSI - Medical Staffing Solutions, Inc.

    Minneapolis, MN
    5 hours 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 work
    16 hours
    Relief
    Work at office
    Shift work
    Weekend work
    Afternoon shift

    Netsmart

    Lancaster, PA
    2 days ago
  •  ...Medicare criteria. Responsibilities: Reviews and evaluates medical or behavioral...  ...health management program interventions. Utilizes clinical proficiency and claims...  ...Associate Degree - Associate Degree - Nursing, or Graduate of Accredited School of Nursing... 
    Part time
    Contract work
    Work at office

    US Tech Solutions

    Columbia, SC
    5 hours ago
  • $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 job
    Hourly pay
    Immediate start
    Monday to Friday

    Anchor Staffing Inc.

    Chicago, IL
    27 days ago
  •  ...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 work
    Work from home

    Elite

    Houston, TX
    18 days ago
  •  ...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 work
    Contract work
    Work at office
    Shift work

    Integrated Resources

    Long Beach, CA
    3 days ago
  •  ...Utilization Review Nurse Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage...  ...the appropriate level of care at the appropriate place and time. Mentors new staff as assigned. Maintains quality audit... 
    Remote work
    Work at office

    Martins Point Health Care

    Portland, ME
    1 day ago
  • $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 work
    Full time
    Weekend work

    Clever Care Health Plan

    Huntington Beach, CA
    1 day 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 time
    Immediate start

    Imperial Health Plan of California, Inc.

    Pasadena, CA
    6 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 time
    Hourly pay
    Temporary work
    Flexible hours

    Personify Health

    Sacramento, CA
    2 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 time
    Remote work
    Full time
    Work at office
    Work from home
    Relocation package

    LifeStance Health

    Belfair, WA
    4 hours ago
  •  ...from payors to ensure accomplishment of utilization management activities Oversees the management...  ...are completed and followed up on in a timely manner Department Data and PI...  ...concurrent and retrospective medical record review Staff Development Participates in... 
    Part time

    Mount Sinai Medical Center

    Miami Beach, FL
    5 hours ago
  • $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 time
    Remote work
    Full time
    Relocation package

    LifeStance Health

    Gig Harbor, WA
    4 hours 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 time
    Remote work
    Hourly pay
    Full time
    Locum

    Northeast Healthcare Recruitment

    Boston, MA
    27 days ago
  • $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 time
    Remote work
    Full time
    Work at office
    Relocation package

    LifeStance Health

    Gig Harbor, WA
    4 hours 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 time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Spokane, WA
    3 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 time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Mead, WA
    3 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 time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Rosalia, WA
    3 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 time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Spokane Valley, WA
    3 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 time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Reardan, WA
    3 days ago
  • $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 work
    Full time

    VillageCare

    New York, NY
    4 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 work
    Contract work

    SPECTRAFORCE

    Washington DC
    1 day 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 time
    Remote work
    Full time
    Relocation package
    Monday to Friday
    Flexible hours
    Weekend work

    LifeStance Health

    Spokane, WA
    3 days ago