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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
    5 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
    5 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
    5 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 time
    Remote work
    Full time
    Temporary work
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    Hines

    Rockford, IL
    3 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

    Dallas, TX
    10 hours 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
  •  ...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

    San Francisco, CA
    1 day 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
    11 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
    2 days ago
  •  ...Job Description Job Description RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri-State...  ...for VillageCare. If you are someone who likes being part of a team, enjoys a highly competitive benefits package... 
    Remote work
    Full time
    Local area
    Work from home

    Village Care

    New York, NY
    18 days 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
    26 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
    17 days 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...  ...Requirements: # Registered Nurse (RN) with unrestricted license in state... 
    Remote work
    Contract work

    HireOps Staffing, LLC

    United States
    4 days 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
    5 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 time
    Immediate start

    Imperial Health Plan of California, Inc.

    Pasadena, CA
    5 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
    10 hours ago
  • $35 - $41 per hour

     ...Utilization Review - Registered Nurse Job Description This role involves performing precertification and medical...  ...~ Employee Assistance Program ~ Time Off/Leave (PTO, Vacation or Sick...  ...Workplace Type: This is a fully remote position. Application Deadline:... 
    Remote work
    Contract work
    Temporary work

    Atlanta Staffing

    Atlanta, GA
    10 hours 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
    4 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

    Sultan, WA
    2 hours ago
  • $16 per hour

     ...Coordinator working from home, you’ll become part of a diverse and dynamic team that...  ...customer service calls in a work from home/ remote environment Demonstrate dependability,...  ...our veterinarians Must be punctual and timely in meeting all requirements of... 
    Part time
    Remote work
    Full time
    Work from home

    Lap of Love

    Jacksonville, FL
    3 days ago
  •  ...provides after-hours exchange and nurse triage services for over 400...  ...areas.  Answer Line RNs utilize triage guidelines, critical thinking...  ...Almost all staff work remote, though we do have office space...  ...(Saturday and Sunday) Part-time; 8hr shifts; 16 hours per pay... 
    Part time
    Remote work
    16 hours
    Seasonal work
    Work at office
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work
    Afternoon shift

    BJC

    Saint Louis, MO
    a month 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
    26 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
    5 days ago
  •  ...at UPMC provides outstanding practice opportunities for full-time or part-time ID physicians. These unique positions are primarily for...  ...advantages of the positions include working from home including remote (out of state) residence, along with competitive compensation... 
    Part time
    Remote work
    Full time
    Work from home

    UPMC

    Pittsburgh, PA
    6 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, WA
    2 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 time
    Remote work
    Full time
    Relocation package

    LifeStance Health

    Snohomish, WA
    4 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, WA
    2 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 work
    Full time
    Contract work
    Temporary work
    Local area

    Akkodis

    California, MO
    3 days 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 job
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies

    Raleigh, NC
    3 days ago
  • $60k

     ...Job Description Remote work offered with a private practice in Mission Viejo, CA. California licensed LCSW needed to work from home on a part time basis. Benefits offered at 25 patient contact hours a week. Salary range starts at $60,000/year. The private practice... 
    Part time
    Remote work
    Private practice
    Work from home

    FCS, Inc

    Mission Viejo, CA
    26 days ago