•  ...Job Description LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut. Job Description...  ...to 4:30pm. After orientation/training the positions are remote. No on-call #HCRR About LanceSoft Established in 2000,... 
    Remote job
    Weekly pay
    Permanent employment
    Fixed term contract
    Local area
    Shift work

    LanceSoft

    Hartford, CT
    4 days ago
  •  ...Job Description LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Hartford, Connecticut....  ...Contract After orientation/training the positions are remote. Local candidates only\n5 years nursing experience... 
    Remote job
    Weekly pay
    Permanent employment
    Contract work
    Fixed term contract
    Local area
    Shift work

    LanceSoft

    Hartford, CT
    4 days ago
  •  ...Job Summary: As a Utilization Management Nurse, you'll play a crucial role in our multidisciplinary...  ...statuses. Proficient in Utilization Review processes, you'll maintain effective...  ...both commercial and government. 100% Remote - However, Only candidates on EST Time... 
    Remote job

    Morgan Stephens

    Remote
    6 days ago
  •  ...and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and...  ...travel (up to 10%) based on business needs. #LI-AC1 #LI-REMOTE This position is for pipeline purposes, and we welcome applications... 
    Remote job
    Full time
    Contract work
    Flexible hours

    Gainwell Technologies

    Orono, ME
    2 days ago
  •  ...LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut. Job Description & Requirements...  ...am to 4:30pm. After orientation/training the positions are remote. No on-call #HCRR About LanceSoft Established in 200... 
    Remote job
    Weekly pay
    Permanent employment
    Fixed term contract
    Local area
    Shift work

    LanceSoft

    Hartford, CT
    1 day ago
  •  ...Utilization Review Nurse – LTSS (Contract-to-Perm) Location: Remote however Candidates must reside in one of the following states: AZ, FL, GA, ID, IA, KY, MI, NE, NM, NY, OH, TX, UT, WA, or WI Schedule: Monday–Friday | 8:00 AM – 4:30 or 5:00 PM EST Pay Rate:... 
    Remote job
    Hourly pay
    Permanent employment
    Contract work
    Monday to Friday

    Morgan Stephens

    Remote
    a month ago
  •  ...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Registered Nurse to join our Clinical Review team. Oscar is the first...  ...at least two days each week. Otherwise, this is a remote / work-from-home role. You must reside in one of the... 
    Remote job
    Hourly pay
    Holiday work
    Full time
    2 days per week
    1 day per week

    Oscar Health

    Yuma, AZ
    9 days ago
  •  ...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Hartford, Connecticut. Job Description...  ...Contract After orientation/training the positions are remote. Local candidates only 5 years nursing experience preferred... 
    Remote job
    Hourly pay
    Weekly pay
    Permanent employment
    Contract work
    Fixed term contract
    Local area
    Shift work

    Hiring Now!

    Hartford, CT
    1 day ago
  •  ...The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately...  .... Apple equipment and a media stipend are provided for remote workspace.  ABOUT DANE STREET: A fast-paced, Inc.... 
    Remote job
    Full time
    Temporary work
    Shift work
    Weekend work
    Afternoon shift

    Dane Street, LLC

    West Palm Beach, FL
    13 hours agonew
  •  ...Job Description Job Description Utilization Management Nurse Reviewer About the Position HealthSmart Management Services Organization, Inc....  ...· Regularly speak and listen in person, telephone, and remote meetings · Constant mental alertness must possess planning... 
    Remote job
    Holiday work
    Full time
    Temporary work
    Flexible hours

    HealthSmart MSO

    Cypress, CA
    23 days ago
  • RN Utilization Review Nurse (Washington D.C. Medicaid) JR149756 Location : This role requires associates to be in-office 4 days per week, Monday...  ...combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. The... 
    Remote job
    Holiday work
    Temporary work
    Work experience placement
    Local area

    Elevance Health

    Washington DC
    2 days ago
  •  ...direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity...  ...Experience:** + Associate's Degree in Nursing (ASN) required; Bachelor's Degree in...  ...** Flexible work solutions include remote options, hybrid work schedules,... 
    Remote job
    Holiday work
    Flexible hours
    Monday to Friday

    AmeriHealth Caritas

    United States
    9 days ago
  • Title: Clinical Reviewer Utilization Management RN Location: : Remote Duration: 03 months contract (with the possibility of extension) * Employment Type: W-2 Job Description : **Active, unrestri... US Tech Solutions
    Remote job
    Contract work
    Second job

    US Tech Solutions

    New York, NY
    4 days ago
  • $94k

     ...services. Responsibilities: Performs utilization review in accordance with all state mandated regulations. Maintains...  ...with members of the healthcare team regarding the level of nursing care and collaborates with other departments in evaluation of... 
    Remote job
    Holiday work
    Temporary work
    Immediate start
    Outdoor
    Flexible hours

    Alaska Native Tribal Health Consortium

    Anchorage, AK
    27 days ago
  •  ...Description: Manager of Clinical Utilization Management - Denial...  ...Position Type: Hybrid (85% remote, 15% onsite in Northridge, CA...  ...managing daily tasks, performance reviews, and any necessary disciplinary...  ...from an accredited Registered Nursing Program; RN preferred. 2. Minimum... 
    Remote job
    Permanent employment
    Full time
    Temporary work
    Flexible hours

    Vivo HealthStaff

    Burbank, CA
    25 days ago
  •  ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of...  ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible... 
    Remote job
    Price work
    For contractors
    Second job
    Flexible hours

    Dane Street, LLC

    New York, NY
    22 days ago
  •  ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers...  ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with... 
    Remote job
    Price work
    Contract work
    For contractors
    Second job
    Flexible hours

    Dane Street, LLC

    New York, NY
    28 days ago
  • ezURs is a URAC accredited Independent Review Organization. ezURs affords our clients true...  ...perform a wide variety of world-class utilization review, disability, peer reviews...  ...and auto liability -Opportunity to work remotely. -Flexible work schedules -Training... 
    Remote job
    Hourly pay
    For contractors
    Immediate start
    Flexible hours

    ezURs

    Richardson, TX
    5 hours agonew
  •  ...Responsibilities: Acentra Health is looking for a Clinical Reviewer to join our growing team. Job Summary As a Utilization Clinical Reviewer, you'll harness your expertise...  ...Authority (CalMHSA). In this full-time remote Clinical Reviewer role based in California, you’... 
    Remote job
    Hourly pay
    Full time
    Local area

    Acentra Health, LLC

    Adin, CA
    5 days ago
  •  ...Job Description Job Description The Utilization Review Case Manager gathers demographic and...  ...: ~ Graduate of accredited school of nursing with a diploma/Associates degree (Bachelor...  ...free workplace, and complies with ADA regulations as applicable. #LI-Remote... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Local area
    Work from home
    Flexible hours

    CorVel Healthcare Corporation

    Rancho Cucamonga, CA
    4 days ago
  •  ...Manager – Reports of Investigation (“ROI”) and the Utilities Senior Project Manager, the Utility Design Reviewer contributes alongside a team of Utility Design...  ...Other duties as assigned Job ID: 150082BR City: Remote State: California Country: United States... 
    Remote job
    Relocation

    Fluor Corporation

    California
    20 hours ago
  • JOB SUMMARY The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally recognized medical necessity criteria...  ...of admission and prevention of denials. Position offers remote days but requires 3 days per week in the Abilene office.... 
    Remote job
    Work experience placement
    3 days per week

    Hendrick Health

    Abilene, TX
    1 day ago
  • 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 state.... 
    Remote job
    Contract work

    HireOps Staffing LLC

    Chicago, IL
    1 day ago
  •  ...the Supervisor, the Behavioral Health Utilization Management Reviewer is responsible for completing medical...  .../Experience: While this is a remote role, qualified candidates will reside...  ...LCMHC, LMHC, LMFT or RN (Registered Nurse graduated from an accredited institution... 
    Remote job
    Holiday work
    Flexible hours
    Monday to Friday

    AmeriHealth Caritas

    Charleston, SC
    3 days ago
  •  ...(LTSS) Supervisor, the LTSS Reviewer is responsible for completing...  ...received, nature of the request, utilization determination (and events...  ...provided does not support the nurse review process for giving approval...  ...work solutions include remote options, hybrid work schedules... 
    Remote job
    Holiday work
    Flexible hours

    AmeriHealth Caritas

    United States
    20 days ago
  • ezURs is a URAC accredited Independent Review Organization. ezURs affords our clients true...  ...perform a wide variety of world-class utilization review, disability, peer reviews...  ...and auto liability -Opportunity to work remotely. -Flexible work schedules -Active, unrestricted... 
    Remote job
    Hourly pay
    For contractors
    Immediate start
    Flexible hours

    ezURs

    Richardson, TX
    5 hours agonew
  •  ...Department is looking for a Full Time Utilization Review to work closely with patients, providers...  .... Collaborate with Case Management, Nursing, Therapy and other departments to support...  ...hospitals in Georgia designated as a Remote Treatment Stroke Center, our ER is equipped... 
    Remote job
    Full time
    Temporary work

    Morgan Medical Center

    Madison, GA
    11 days ago
  •  ...Job Description Job Description Full-Time Remote Entry Level Qualifications: A current RN, LPC, LMFT, LMSW, or LCSW license preferred. Two years minimum experience in utilization review preferred. Must possess good grammatical and communication skills. Must be... 
    Remote job
    Full time
    Shift work

    ADDICTION AND MENTAL HEALTH SERVICES, LLC

    Warrior, AL
    9 days ago
  •  ...THIS IS AN IN-PERSON OPPORTUNITY. NO HYBRID OR REMOTE OPTIONS ARE AVAILABLE. Adolescent Growth, a network...  ...marriage and family therapist, registered nurse, or clinical social worker to conduct utilization reviews at our corporate office in Pasadena, California.... 
    Remote job
    Holiday work

    Adolescent Growth, Inc

    Pasadena, CA
    29 days ago
  •  ...Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to be based in **Sacramento or Fresno, CA.** **JOB...  ...work options. Whether you're working from an AECOM office, remote location or at a client site, you will be working in a... 
    Remote job
    For contractors
    For subcontractor
    Worldwide
    Relocation
    Visa sponsorship

    AECOM

    Sacramento, CA
    more than 2 months ago