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- ...Job Title: Quality Review Specialist Location: Remote in IL, TX, NM, OK Duration: December 2025 to May... ...providers requirements are met at all times. 14.Communicate and interact effectively... ...health care experience. 5 years utilization management, appeals, claims and...Part timeRemote workContract workShift workWeekend work
Innovative Systems Group
Chicago, IL2 days ago $40k - $45k
...Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week) Travel: Once per year to Carson...Part timeRemote workWork at officeFlexible hoursShift workCCMSI
United States3 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 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
Tampa, FL4 days 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
San Francisco, CA3 days ago - ...insurance company is seeking a Clinical Review Nurse to assess medical necessity and appropriateness... ...with claims adjusters and conducting Utilization Review activities. Applicants must have... ...and excellent benefits, including 401k and paid time off. #J-18808-Ljbffr...Remote work
AmTrust Financial
United States4 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... ...prioritization skills. # Registered Nurse (RN) with unrestricted license in the state...Remote workContract workHireOps Staffing, LLC
United States4 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 workContract workWork at officeShift work
Integrated Resources
Long Beach, CA4 days ago - ...Utilization Management Specialist This position supports... .... Job Duties: Reviews medical records... ...right status at the right time. Collaborate with CDI... ...Knowledge of Medicare Part A. Familiar with Medicare... ...Associate degree in Nursing Preferred:...Part timeWork at officeWeekend work
Mercy Cedar Rapids
Cedar Rapids, IA3 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, CA2 days ago$53.3k - $92.5k
...A fast-growing insurance company is seeking a Clinical Review Nurse to assess medical necessity for Workers' Compensation claims. This role offers a remote or office location option and requires an active RN license along with 5+ years of related experience. Candidates...Remote workWork at officeAmTrust Financial
United States8 hours ago- ...REMOTE Psychiatrist needed for a OP part-time role. Approximately 8-16 hours per week. Work with a team of experienced professionals, state-of-the-art technology, and a commitment to personalized treatment plans. Offer TMS treatments (will train if needed). Must be in...Part timeRemote work16 hours
Fcs Co
Newark, NJ2 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 timeRemote workFull timeWork at officeWork from homeRelocation packageLifeStance Health
Poulsbo, WA3 days ago- ...Title: Psychiatrist Location: Hybrid (1 day onsite 1 day remote possible) Schedule: 16 hours per week Start Date: ASAP (... ...our practice, treating patients primarily adults (ages 6+). This part-time role offers flexibility with one remote day per week and...Part timeRemote work16 hoursImmediate startFlexible hours1 day per week
Consilium
Philadelphia, PA19 days ago - ...Location: Part-time role, on-site in West Orange, NJ Reasonable Patient... ...Healthcare is seeking a Nurse Practitioner or Physician Assistant... ...balance of direct patient care and remote responsibilities, such as prescription refills, lab reviews, and patient communication,...Part timeRemote work16 hoursMonday to FridayFlexible hours
Seniority Healthcare
Orange, NJ2 days ago $50 - $100 per hour
...health facility in Pennsylvania is seeking a Nurse Practitioner AGNP or FNP or Psychiatric... ...a locum tenens basis. This is a flexible part-time opportunity ideal for a provider... ...Telemedicine with potential in office (Patient specific) This is a remote position....Part timeRemote workHourly pay16 hoursContract workLocumWork at officeFlexible hoursShift workElders Choice of PA
Willow Grove, PA8 hours ago$35 - $40 per hour
...Recruiter @ IntePros | Technology Staffing Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources... ...Review Physician Advisor. Maintain accurate and timely records of authorizations, communications, and payer...Remote workContract workFlexible hoursWeekend work- Job Title: Utilization Management RN Location: Remote must reside within the PA/NJ/DE tri-state... ...potential conversion to full-time License Requirement:... ...Pennsylvania RN license or Nurse Licensure Compact (including... ...through detailed medical record review to determine medical...Remote workFull time
$35 - $43 per hour
....00/hr Location Location: Fully Remote - Must reside in Texas (Central Time Zone preferred) Assignment Duration... ...and detail‑oriented Clinical Review Nurses (RNs) to join the Prior Authorization... .... In this role, you will perform utilization reviews, evaluate medical...Remote workHourly payPermanent employmentFull timeContract workFlexible hoursShift work- 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
- ...Description Job Description Psychiatrist | Part Time | Inpatient | Remote Psychiatrist | Part Time |... ...supervision for the psychiatric nurse practitioner (NP) on staff. Key Responsibilities... ...and treatment planning Review and sign collaborative practice...Part timeRemote job
Integrated Psychiatric Consultants
Nevada, MO29 days 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 timeRemote workHourly payFull timeLocum
Northeast Healthcare Recruitment
Boston, MA13 days ago $25 - $32 per hour
...apply for the Registered Nurse role at FEHE... ...prescribed by the physician. Review the ISP Attend ISP... ...ADLs Complete timely Nursing Assessments... ...~ Employment type Part-time Job function... ...ago Registered Nurse (Remote Patient Monitoring and...Part timeRemote workHourly pay16 hoursFull timeShift workNight shiftFEHE ENTERPRISES, INC Defunct
Atlanta, GA4 days ago- Utilization Review Nurse - Berkshire Hathaway GUARD Insurance Companies Position... ...company match Generous paid time off, including 9½ paid holidays... ...(3 days in office, 2 days remote) Longevity awards and... ...work autonomously as well as part of a team. Well‑developed time...Remote workFull timeWork at office
$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$68.8k - $118k
...every member feels valued. The Utilization Review RN will review and document... ...Medica’s Utilization Review Nurses are responsible for reviewing... ...required This position is a Remote role. To be eligible for consideration... ..., Holidays, paid volunteer time off, 401K contributions,...Remote workWork experience placement$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 jobFull timeContract workWork at officeWork from homeFlexible hours$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 timeRemote workFull timeWork from homeLap of Love
Jacksonville, FL20 days ago$33.97k - $47.55k
...mission of supporting elders to remain independent and active. Part time: 16 hours, Thursdays and Fridays Core Competencies:... ...Employee Handbook. Performs other related duties as required or directed. Remote Type Salary Range: $33,966.00 - $47,552.00Part timeRemote work16 hoursWork at officeNight shiftHebrew SeniorLife
Revere, MA2 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 workFull timeContract workTemporary workLocal area
