- ***REMOTE - Candidates must be based in Texas: Austin area - Travis... ...initial, concurrent review activities; discharge care coordination... ...information regarding utilization management requirements and operational... ...(Required): Registered Nurse (RN) with a valid, current, unrestricted...Remote jobHourly payContract work
- 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
- ***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 jobLocal areaWeekend work
- 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 jobHoliday workShift workWeekend workSundayDay shiftSaturday
- ...professionals. Apply via Lensa today! Salary: $2280 / Week The Utilization Review Specialist is responsible for the assessment and review of... ...Requirements Current license for the state in which the nurse practices if nursing licensure is required by contract A...Remote jobWeekly payContract workLocal area
Lensa
Oakland, CA7 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 jobHoliday workContract workImmediate startMonday to Friday
- ...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent,... ...travel (up to 10%) based on business needs. #LI-AC1 #LI-REMOTE This position is for pipeline purposes, and we...Remote jobFull timeContract workFlexible hours
- Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los Angeles, CA... ...Back: 1% Holiday Pay: 1.5% Additional Information: ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles**...Remote jobHourly payHoliday workContract workShift work
- Location: Remote, US Shift: Weekend Evening schedule Fri/Sat/Sun/Mon 2 PM - 12:30 AM EST with some flexibility R1 is the leading... ...automation, and workflow orchestration. As our Utilization Review Nurse , you will help our hospital clients by working alongside our...Remote jobHourly payLocal areaShift workWeekend workAfternoon shift
- ...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 jobHoliday workFull timeTemporary workFlexible hours
HealthSmart MSO
Cypress, CAa month ago - Job Description LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance (Remote), California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 06/30/2025 Duration: 13 weeks 40...Remote jobWeekly payPermanent employmentContract workFixed term contractLocal areaShift work
- ...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 jobHoliday workFlexible hoursMonday to Friday
- ...possible care for the participants through Utilization Review and Utilization Management services,... ...education. The Utilization Review Nurse is responsible for conducting utilization... ...hours per day (37.5 hours per week) as a remote opportunity. We reward great work with...Remote jobHoliday workTemporary workWork experience placementFlexible hoursMonday to Friday
- ...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 jobPermanent employmentFull timeTemporary workFlexible hours
Vivo HealthStaff
Burbank, CA28 days ago - Join to apply for the RN / Nurse Utilization Review (Medicaid) role at Elevance Health 1 week ago Be among the first 25 applicants Join to apply... ...combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. The...Remote jobHoliday workFull timeTemporary workWork experience placementLocal areaFlexible hoursDay shift
- Job Type Full-time Description Position Summary: The Utilization Review Nurse Trainer plays a vital role in onboarding and developing clinical... ...in developing a high-performing clinical team. This is a remote position; however, occasional in-office attendance may be...Remote jobFull timeWork experience placement
- 43034441 Utilization Review Case Manager Home Health PRN, Days Why work as a Utilization Review Case Manager at Visiting Nurse and Hospice for Vermont and New Hampshire?... ...Locations: ~ Fully remote work in all states except : CA,...Remote jobReliefImmediate startFlexible hoursShift workMonday to Friday
- **Department Name:** Utilization Mgmt **Work Shift:** Day **Job Category... ...Rules. Better Than Ever for Nurses. When we make things better... ...Utilization Management Care Reviewer,** you will be working in partnership... ...Reviewer position is a fully remote position with a work schedule...Remote jobShift workMonday to Friday
- ...audit, provider relations and more. Position Purpose RN Utilization Review MCHP is responsible for the coordination of the medical care... ...Education: Associate or Bachelor's Degree in Nursing Licensure / Certification: Current license to practice as...Remote jobFull timeLocal areaRelocation packageShift work
- 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 jobPrice workFor contractorsSecond jobFlexible hours
- ...Description Job Opportunity: LVN / LPN - Utilization Review Facility: CSMN - 1101017 Nursing Clinical Support Location: Beverly Hills, CA Employment... ...will be supervised and receive assignments from a remote RN Mileage reimbursement provided...Remote jobHourly payHoliday workContract workLocal areaShift workWeekend workMonday to Friday
- ...position is responsible for timely review of request for post-acute... ...of requested services. The Utilization Review Clinician will comply... ...experience 4-6 years of clinical nursing or therapy experience RN, PT... ...of time. #LI-PG1 #LI-Remote WellSky is where independent...Remote jobHoliday workFull timeWork experience placement
- ...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 jobPrice workContract workFor contractorsSecond jobFlexible hours
- ...of the Supervisor, the BH UM Reviewer is responsible for completing... ...treatment delivered is appropriately utilized and meets the member's needs... .../Experience:** - Registered Nurse required OR Master's Degree... ...work solutions including remote options, hybrid work schedules...Remote jobHoliday workFlexible hours
- 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 jobHourly payContract workFor contractorsImmediate startFlexible hours
- ...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 We are an...Remote jobRelocation
- The Utilization Review Case Manager gathers demographic and clinical information on prospective,... ...EXPERIENCE: Graduate of accredited school of nursing with a diploma/Associates degree (... ...with ADA regulations as applicable. #LI-Remote Equal Opportunity Employer This...Remote jobHourly payMinimum wageFull timeLocal areaWork from homeFlexible hours
- ...have the flexibility to work remotely from their home anywhere in the... ...Purpose: Performs a clinical review and assesses care related to... ...quality and appropriate utilization of services Provides education... ...Graduate of an Accredited School Nursing or Bachelor's degree and 2 -...Remote jobHourly payHoliday workWork from homeFlexible hours
- 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 jobContract work
- Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Torrance, California. Job Description &... ...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 possess...Remote jobWeekly payHoliday workContract workShift work
