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  • $2,520 per week

     ...United Staffing Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Jackson, Mississippi. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 01/26/2026 ~ Duration... 
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    United Staffing Solutions

    Jackson, MS
    4 days ago
  • $40 per hour

     ...hour. About the Role The Clinical Support Manager is responsible for creating, driving and...  ...issues related to physician advisor case review or hospitalist teams). Triage case...  ...Resourcefulness: Proactive willingness to utilize available information and tools to figure... 
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    Hourly pay
    16 hours
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours
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    Sound Physicians, Inc.

    Nashville, TN
    4 days ago
  • $40 per hour

    Clinical Support Manager (temporary) Utilization Review RN/LPN Job Category : Advisory Services Requisition Number : CONSU005289 Posted : November 25, 2025 Full-Time Remote Locations Showing 1 location Remote United States Description About Sound Physicians: Headquartered... 
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    Sound Physicians, Inc.

    Tacoma, WA
    5 days ago
  • $30 - $45 per hour

     ...talented Operations Specialist III – Medicaid / Medi-Cal (Epic + Utilization Review. This is a 06+months contract opportunity with long-term...  ...and abstract data within Epic (HealthConnect preferred) ~ Manage assigned review queues and documentation workflows ~ Track... 
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    Immediate start
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    Pyramid Consulting, Inc

    Long Beach, CA
    12 days ago
  •  ...use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity and identify the need for authorization... 
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    Full time
    Temporary work
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    Worldwide

    The University of Miami

    United States
    8 hours ago
  •  ...Immediate need for a talented RN - Case Manager/ Utilization Review. This is a 03+ months contract opportunity with long-term potential and is located in Santa Clara, CA (Onsite). Please review the job description below and contact me ASAP if youare interested. Job ID:... 
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    Pyramid Consulting

    Santa Clara, CA
    1 day ago
  •  ...benefited) position supporting our Case Management UR department at Northwestern Medicine Catherine...  ...provide direct patient care. Chart review is used to assess for appropriate level...  .... Evaluates and analyzes quality/utilization cases, admission/discharge criteria,... 
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    Casual work
    Local area
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    Relocation package
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    Northwestern Memorial Healthcare

    Lake Forest, IL
    2 days ago
  •  ...Clinical Services Utilization Supervisor Hamilton & Surrounding CountiesCompany: CareStar...  ...recognized leader in long-term care case management and population health. With a mission...  ...determination is supported by medical necessity; reviews prior authorizations prior to... 
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    Full time
    Local area
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    CareStar

    Hamilton, OH
    4 hours agonew
  • A healthcare performance company is seeking a Clinical Care Manager to advance patient-centered care through precise Utilization Review. The role involves evaluating healthcare services, ensuring medically necessary care, and collaborating with providers. Candidates should... 
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    Remote job

    Guidehealth

    Chicago, IL
    3 days ago
  • A data-powered healthcare company is looking for a Clinical Care Manager to ensure high-quality, patient-centered care through effective utilization review. The candidate will be responsible for evaluating healthcare services, collaborating with providers, and supporting... 
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    Guidehealth

    Saint Louis, MO
    5 days ago
  • A healthcare technology company is seeking a Clinical Care Manager based in Milwaukee. This role emphasizes high-quality patient-centered care through detailed Utilization Review. Responsibilities include managing healthcare service evaluations, collaborating with medical... 
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    Remote job

    Guidehealth

    Milwaukee, WI
    4 days ago
  • Responsibilities Utilization Review Coordinator PRN/Per Diem Weekend Shifts Via Linda Behavioral Hospital is a behavioral health provider...  ...Behavioral Health Position Description The Utilization Management Coordinator reports to the Utilization Management Director.... 
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    Universal Hospital Services Inc.

    Scottsdale, AZ
    2 days ago
  • Responsibilities Utilization Review (UR) Coordinator - Full‑Time Daytime position. Calvary Healing Center has served the Phoenix area and...  ...music. Summary of UR Coordinator Duties: The UR Coordinator manages treatment activities, including clinical screening of... 
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    Full time
    Local area

    Universal Health Services

    Phoenix, AZ
    3 days ago
  • Overview Responsibilities Utilization Review (UR) Coordinator — Position: Full-Time — Shift: Daytime For over 60 years, Calvary Healing Center...  ...Coordinator Duties: The UR Coordinator is responsible for managing the treatment activities offered to the patient, including... 
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    Full time
    Local area
    Shift work

    Universal Hospital Services Inc.

    Phoenix, AZ
    3 days ago
  • $81.29k - $122.03k

     ...secure your future. ResponsibilitiesThe Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the...  ...care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical... 
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    Flexible hours
    Weekend work

    Mayo Clinic

    Eau Claire, WI
    4 hours agonew
  • Water/Wastewater Project Manager - Transmissions and Utilities page is loaded## Water/Wastewater Project Manager - Transmissions and Utilitieslocations...  ..., designers, drafters and field representatives* Reviewing progress to provide continuity, conformity, and quality... 
    For contractors
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    Freese and Nichols, Inc.

    Fort Worth, TX
    2 days ago
  • A national risk management solutions provider seeks a remote Utilization Review Case Manager in California to assess patient admissions and treatment. Responsibilities include certifying medical necessity and collaborating with healthcare teams. Applicants should have nursing... 
    Remote job

    CorVel Corporation

    Rancho Cucamonga, CA
    5 days ago
  • A leading risk management company in Massachusetts seeks a Utilization Review Case Manager for a hybrid position. The role involves gathering clinical information, certifying medical necessity, and analyzing treatment data. Candidates should have a nursing degree, active... 
    Remote job

    CorVel

    Boxborough, MA
    5 days ago
  • $250k

    The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra’s Utilization Management (UM) operations. This full-time, salaried role functions within a structured, high... 
    Full time
    Temporary work
    Local area
    Remote work

    Integra Partners

    Troy, MI
    5 days ago
  • A leading healthcare provider is searching for a Medical Director to support the Medical Management staff with utilization reviews, appeals, and pharmacy oversight. This role requires an MD or DO with at least 3-5 years of clinical experience and a current medical license... 
    Remote job
    Full time
    Work from home

    Hispanic Alliance for Career Enhancement

    Chicago, IL
    5 days ago
  • A healthcare administrative solutions provider is seeking an experienced Utilization Review Manager to lead its UR department in Pikesville, MD. The role emphasizes compliance with state guidelines, team leadership, and process optimization. Candidates should have at least... 
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    Walker Health Services, LLC

    Pikesville, MD
    4 days ago
  •  ...seeking a Medical Director to oversee quality and effectiveness of medical review services. This role entails conducting coverage reviews related to musculoskeletal services and managing utilization review staff. Candidates must have a current medical license, board... 
    Remote job

    Salem Health Hospitals & Clinics

    Minneapolis, MN
    4 days ago
  • $82.99k - $122.85k

     ...Environmental Consultants is actively seeking a qualified Lead Project Manager - Utility Permitting with strong interpersonal skills and experience...  ...-time position. Application deadline: Our team will begin reviewing applications immediately, and interviews will be scheduled... 
    Full time
    Work at office
    Local area
    Immediate start

    SWCA, Incorporated

    Southborough, MA
    4 days ago
  • $110.45k - $138.06k

     ...Epc Project Manager SOLV Energy is an engineering, procurement, construction (EPC) and solar services provider for utility solar, high voltage substation and energy storage markets across...  ...collection of aged receivables and review their status regularly in Owner meetings... 
    Contract work
    For subcontractor
    Local area
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    SOLV Energy

    Charlottesville, VA
    4 days ago
  • $104.1k - $138k

     ...Senior Project Manager-UtilitiesWSP is looking for a Senior Project Manager-Utilities to join our Rail & Transit team, preferably located in the GTA (Greater Toronto...  ...applicable codes and legislation.CAD experience to review Utility Conflict plans with key impacting... 
    Work from home
    Relocation
    Flexible hours

    WSP

    Minneapolis, MN
    4 hours agonew
  • Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions...  .... Exact Billing Solutions - Innovative revenue cycle management and advanced billing support systems for healthcare providers... 
    Work at office
    Remote work
    Flexible hours

    Exact Billing Solutions

    Florida, NY
    5 days ago
  •  ...Services is a leading insurance claims investigation and medical management company committed to providing better data that translates...  ...: Our Ethos Medical Management Team is seeking a full-time Utilization Review Specialist (REMOTE) to play a key role in ensuring the... 
    Full time
    Work at office
    Remote work

    EmergencyMD

    Las Vegas, NV
    4 days ago
  •  ...Medical Director (Physician Advisor) Full-Time | Remote (U.S.-Based) Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions for more than 43 years . We are... 
    Full time
    Part time
    Remote work
    Shift work

    Medical Review Institute

    New York, NY
    8 hours ago
  • A leading medical management firm is seeking a full-time Utilization Review Specialist to ensure efficient processing of Utilization Management requests. Responsibilities include reviewing cases, maintaining compliance, and providing exceptional client service. Candidates... 
    Remote job
    Full time

    EmergencyMD

    Las Vegas, NV
    3 days ago
  • A recognized Independent Review Organization is seeking Board-Certified Orthopedic Spine Surgeons for a fully remote position. This role involves conducting Utilization Reviews based on objective, evidence-based opinions, with no patient contact. Ideal candidates will possess... 
    Remote job
    Extra income
    Flexible hours

    Dane Street

    New York, NY
    1 day ago