Get new jobs by email
- ...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
IntePros
Philadelphia, PA6 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 timeRemote workFlexible hoursWeekend work
IntePros
Phoenix, AZ6 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 timeRemote workHourly payFull timeWork at officeFlexible hours$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 timeRemote workFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hours$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 workHourly payFull timeWork from homeHome officeOscar Health
Providence, RI1 day 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, MN11 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 work16 hoursReliefWork at officeShift workWeekend workAfternoon shift
Netsmart
Lancaster, PA2 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 timeContract workWork at office
US Tech Solutions
Columbia, SC11 hours 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 workContract workWork at officeShift work
Integrated Resources
Long Beach, CA3 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 workWork at office
Martins Point Health Care
Portland, ME1 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 timeImmediate start
Imperial Health Plan of California, Inc.
Pasadena, CA6 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 workFull timeWeekend workClever Care Health Plan
Huntington Beach, CA1 day 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 timeHourly payTemporary workFlexible hoursPersonify Health
Los Angeles, CA3 days 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, FL11 hours 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 workFull time- 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
$65k - $78k
...development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,... ...based on business needs. #LI-AC1 #LI-REMOTE The pay range for this position is$65,... ...career development. All salaried, full-time candidates are eligible for our...Remote jobFull timeContract workWork at officeWork from homeFlexible hours$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$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 packageLifeStance Health
Spanaway, WA2 hours agonew$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- 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
- ...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
$110.8k - $138.24k
...committed to clinical excellence. \nWe offer Clinical Psychologists: ~ Sign-On Bonus! ~ Full-Time/Part-Time W2 positions. ~ Flexible work schedules. ~ Remote, Hybrid Model or In-person flexibility. ~ Collegial work environment. ~ Full administrative...Part timeRemote workFull timeRelocation packageFlexible hoursLifeStance Health
Baltimore, MD1 day ago- ...services across multiple healthcare facilities, primarily working remotely. The position offers teaching opportunities, possible in-... ...at UPMC provides outstanding practice opportunities for full-time or part-time ID physicians. These unique positions are primarily...Part timeRemote workFull timeWork from homeFlexible hours
UPMC
Pittsburgh, PA19 hours ago - ...Job Type Part-time Description 16 hours a month, hybrid, remote, and on-site Must have NDTR/RD credential awarded from the Commission on Dietetic... ...Dietitian in a consulting role for skilled nursing facilities and/or behavioral health. Are you interested...Part timeRemote work16 hoursFlexible hours
DiningRD
Clarksville, IN1 day ago $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$118k
...genuinely cared for. About the role Medica's Utilization Review Nurses are responsible for reviewing and... ...multiple computer applications. Remote work This position is a remote role. Candidates... ...vision, PTO, holidays, paid volunteer time off, 401K contributions, caregiver...Remote work$30 - $34 per hour
Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation: $30.00 - $34.00 / hour Department: HS - UM This is a fully remote position. Description Astrana Health is looking for an experienced...Remote jobHourly payMonday to Friday$30 - $38 per hour
...Job Description Part-Time/Hybrid Registered Dietitian Position RD Nutrition Consultants... ...balance with a blend of in-person and remote work options. Facility Type: Acute... ...communicate effectively with physicians, nurses, pharmacists, speech-language pathologists...Part timeRemote workHourly pay16 hoursFlexible hoursWeekend workRD NUTRITION CONSULTANTS LLC
Hamilton, OH3 days ago- Responsibilities Review and evaluate electronic medical... ...and ensure proper utilization of healthcare resources... ...and/or medical/surgical nursing At least 2 years utilization... ...Comfortable with remote work arrangements and virtual... ...shifts. All Full-Time required to work 4 Holidays...Remote workFull timeFor contractorsWork at officeShift workWeekend workWeekday work
