•  ...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
    7 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

    Arizona
    5 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
    4 days 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
    2 days ago
  •  ...Description Your Role The Utilization Management team reviews the inpatient stays...  ...Management Nurse will report to the Utilization...  ...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

    Rancho Cordova, 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
    5 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
    2 days 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
    3 days ago
  •  ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Oakland,...  .... 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
    Night shift

    Supplemental Health Care

    Oakland, 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
    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
    17 hours ago
  •  ...Description: Nurses – are you looking for a change...  ...work from home 50% of the time once trained? Check out...  ...Work-life balance. ~ Remote/hybrid setting (once...  ...This individual will utilize clinical knowledge and...  ...decision to a second level reviewer. This individual interfaces... 
    Remote job
    Holiday work
    Temporary work
    Flexible hours
    Night shift
    Monday to Friday

    Hines & Associates Inc

    Rockford, IL
    18 hours ago
  •  ...months Must reside in TX Full time remote Candidates must be based in...  ...initial, concurrent review activities; discharge care coordination...  ...information regarding utilization management requirements and operational...  ...and facilities. Registered Nurse (RN) with valid, current,... 
    Remote job
    Full time
    Contract work

    HireOps Staffing LLC

    Dallas, 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
    4 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
    14 hours 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
    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

    Detroit, MI
    4 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
    1 day 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

    Arlington, VA
    5 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
    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
    2 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
    4 days ago
  • Job Type Full-time Description Position Summary: The Utilization Review Nurse Trainer plays a vital role in onboarding and developing clinical staff to ensure high...  ...a high-performing clinical team. This is a remote position; however, occasional in-office attendance... 
    Remote job
    Hourly pay
    Full time
    Work experience placement

    Innovative Care Management Inc

    Portland, OR
    3 days ago
  • Job Type: Regular Time Type: Part time Work Shift: Day (United States...  ...Duties/Responsibilities: Reviews admission data to establish...  ...licensure Bachelor’s Degree in Nursing or advanced degree in healthcare...  ...setting Experience with utilization management within the last 3... 
    Part time
    Holiday work
    Flexible hours
    Shift work

    Beth Israel Lahey Health

    Plymouth, MA
    1 day ago
  •  ...the Chicago, IL area for the following position: Registered Nurse - Utilization Review. Nurses with experience in any of the following areas are...  ..., night shift, and mid shift Job types available: full time, part time, and per diem Employer features: Level 2 trauma center... 
    Part time
    Full time
    Shift work
    Night shift
    Day shift

    Incredible Health

    Chicago, IL
    4 days ago
  •  ...Summary The Utilization Management (UM) Consultant...  ...professional nurse, qualified by education...  ...skills in reviewing, assessing and evaluating...  ...awards Paid Time Off: 50 days of...  ...position is full-time, part-time or...  ...and administrative, remote and onsite, paid and... 
    Part time
    Remote job
    Holiday work
    Permanent employment
    Full time
    Temporary work
    For contractors
    Traineeship
    Local area
    Immediate start
    Relocation
    Monday to Friday

    Veterans Health Administration

    Hines, IL
    3 days ago
  •  ...great opportunity for a local remote position. Schedule PRN (As...  ...Requirements: 2 years of staff nurse experience performing care...  ...hospitalized patients. 2 years of utilization review (UR) experience reviewing...  ...Flexible Spending Accounts Paid Time Off benefit combines vacation... 
    Remote job
    Holiday work
    Relief
    Local area
    Flexible hours
    Shift work
    Sunday
    Monday to Friday

    BJC HealthCare

    Saint Louis, MO
    2 days ago
  • Details Department: Utilization Management Schedule: Part-time. Monday-Friday, 8:00AM-4:30PM. Facility: St. Agnes...  ...discharge planning and utilization review. Responsibilities: Review...  ...Certification / Registration: Registered Nurse credentialed from the Maryland Board... 
    Part time
    Temporary work
    Local area
    Monday to Friday

    Ascension

    Baltimore, MD
    4 days ago
  •  ...Description: PURPOSE OF JOB: To review each admission for...  ...Perform effective application of utilization criteria and methodologies and...  ...ALLSCRIPTS/Meditech/XSOLIS in a timely manner. Collaborate with physician...  ...: Education: Registered Nurse: must have a current license... 
    Part time
    Contract work

    Doylestown Health

    Doylestown, PA
    4 days ago
  •  ...Job Description Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Torrance, California...  ...This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Remote UTILIZATION MGMT-CA ADMIN,2901.875000.29282 . The ideal candidate will... 
    Remote job
    Weekly pay
    Holiday work
    Contract work
    Shift work

    Assured Nursing

    Torrance, CA
    21 days ago