- ...Yoh, A Day & Zimmermann Company is seeking a local contract nurse RN Utilization Review Level I for a local contract nursing job in Fairfield,... ...Contract Utilization Management Nurse (RN) needed for a remote contract opportunity with Yoh’s client located in...Remote jobHourly payWeekly payContract workLocal areaShift work
- ...Job Summary: As a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary... ...statuses. Proficient in Utilization Review processes, you'll maintain effective... ...commercial and government. 100% Remote - However, Only Nevada Licenses are...Remote job
- 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
$38 per hour
...REMOTE - Candidates must be based in Texas: Austin area - Travis... ...performing initial, concurrent review activities; discharge care... ...Provides information regarding utilization management requirements and operational... ...(Required): ~ Registered Nurse (RN) with a valid, current,...Remote jobHourly payContract workBracane Company, Inc.
Richardson, TX13 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 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, CA12 days ago - APR Consulting, Inc. has been engaged to identify an Nurse Coordinator . Location: Los Angeles, CA 90045 Position: Nurse Coordinator... ...extension Expected Shift: 8am-5pm, 40hrs/week JOB SUMMARY Utilization Review Nurse Remote 2 month contract with probable extension Job Description:...Remote jobContract workShift work
- ...Utilization Review Nurse – RN or LVN (Remote, $43/hr, Temp-to-Hire) Join one of the nation’s leading managed care organizations, committed to transforming health care for underserved communities. Our client is a mission-driven health plan known for delivering accessible...Remote jobHourly payPermanent employmentFull timeTemporary workMonday to Friday
- ...directly to the Chief Clinical Officer, the Utilization Management Nurse ("UM RN") is responsible for ensuring... ...and Core Values. Your clinical care review determinations for our hematology and... ...in utilization management Fully remote position The estimate displayed...Remote jobHourly pay
- ...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
- 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
- ...Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained)... ...: This individual will utilize clinical knowledge and... ...criteria sets and acceptable nursing practice guidelines for outpatient... ...decision to a second level reviewer. This individual interfaces...Remote jobHourly payHoliday workTemporary workFlexible hoursNight shiftMonday to Friday
- ...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
- ...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, CAmore than 2 months ago - ...possible care for the participants through Utilization Review and Utilization Management services,... ...education. The Utilization Review Nurse is responsible for conducting utilization... ...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
UNITE HERE HEALTH
Las Vegas, NV3 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 jobPermanent employmentFull timeTemporary workFlexible hours
Vivo HealthStaff
Burbank, CA4 days ago - ...Description Position Summary: The Utilization Review Nurse Trainer plays a vital role in onboarding and developing clinical staff to ensure... ...developing a high-performing clinical team. This is a remote position; however, occasional in-office attendance may be required...Remote jobWork experience placement
- Join to apply for the Utilization Review Nurse - Emergency Department - Days role at Houston Methodist 1 week ago Be among the first 25 applicants... ...Transfer Center Registered Nurse (RN) -Behavioral Health - Remote Dialysis Registered Nurse, Home Hemo & Peritoneal RN...Remote jobPermanent employmentFull timeWork experience placementLocal areaNight shiftDay shift
- **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
- ...County, NC Job Type: Permanent Full-Time Remote Employment: Remote Optional Job Number:... .../2025 5:00 PM Eastern Job Class Title: Nurse Consultant I Position Number: 60036322... ...schedule? If so, please consider the Utilization Review Nurse Consultant position located at Julian...Remote jobPermanent employmentFull timeContract workTemporary workPart timeWork experience placementRelocation bonusFlexible hoursMonday to Friday
- ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles*** Required: * CA RN License * 2 years of statistical/data analytic... ...healthcare setting * ACLS Primary Duties and Responsibilities • Review occurrence reports and the related pertinent medical records to...Remote job
- ...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 jobPrice workFor contractorsSecond jobFlexible hours
Dane Street, LLC
New York, NYa month 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 jobPrice workContract workFor contractorsSecond jobFlexible 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
- ...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
- ...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 jobHourly payMinimum wageFull timeLocal areaWork from homeFlexible hours
CorVel Healthcare Corporation
Rancho Cucamonga, CA13 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 jobHoliday workFlexible 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
