Average salary: $228,787 /yearly

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  • Physician / Surgery - Plastic / Vermont / Permanent / Plastic Surgeon - Utilization Review Physician

     ...Dane Street , a nationally recognized Independent Review Organization (IRO) and leading provider of Utilization Review (UR) services, is expanding its panel of physician reviewers. We are currently seeking Board-Certified Plastic Surgeons with an active Louisiana medical... 
    Suggested
    Permanent employment
    Remote work
    Flexible hours

    Dane Street

    Frederick, MD
    1 day ago

  • Registered Nurse (RN) - Manager, Utilization Review

    $43.95 per hour

     ...Job Description Children's Mercy is seeking a Registered Nurse (RN) Manager, Utilization Review for a nursing job in Kansas City, Missouri. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: Ongoing ~40 hours... 
    Suggested
    Work experience placement
    Seasonal work
    Shift work

    Children's Mercy

    Kansas City, MO
    5 days ago

  • Nurse Manager, Utilization Review/Clinical Appeal Management, Hybrid, 40 Hours (Days)

    $72.5k - $105k

     ...POSITION SUMMARY: The Nurse Manager for Utilization Review and Clinical Appeal Management is responsible for overseeing the daily operations of the Utilization Management (UM) and Clinical Appeal teams. This role ensures compliance with hospital policies, regulatory... 
    Suggested
    Fixed term contract
    Flexible hours
    Weekend work
    Afternoon shift

    Boston Medical Center

    Boston, MA
    1 day ago

  • Nurse Practitioner / Physician Assistant Transition Utilization Review Team Per Diem

    $75.12 per hour

     ...Overview The Per Diem Advanced Practice Nurse (APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration... 
    Suggested
    Hourly pay
    Daily paid
    Full time
    Part time
    Apprenticeship
    Work experience placement
    Work at office
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    Hackensack Meridian Health

    Hackensack, NJ
    4 days ago

  • Nurse Practitioner / Physician Assistant Transition Utilization Review Team Per Diem

     ...The Per Diem Advanced Practice Nurse (APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration, coaching... 
    Suggested
    Daily paid

    HACKENSACK UNIVERSITY MED CNTR

    Hackensack, NJ
    4 days ago

  • Utilization Review Surgery Nurse - RN

     ...Utilization Review Surgery Nurse - RN Pascagoula Hospital | Full-Time | Monday-Friday rotating weekends/Holidays | 2809 Denny Ave Pascagoula, Mississippi United States Position Overview: The Case Manager focuses on clinical quality and resource... 
    Suggested
    Full time
    Work at office
    Monday to Friday
    Shift work
    Day shift

    Singing River Health System

    Pascagoula, MS
    1 day ago

  • Physician Advisor - Centralized Utilization Review - FT Days - MHS

     ...documentation, data capture and opportunities for utilization are compliant, accurate and consistent....  ...to the medical staff for Utilization Review activities. Educates and communicates to...  ...) - State of Florida (FL), Osteopathic Physician License (OS LICENSE) - State of Florida... 
    Suggested
    Work experience placement
    Work at office
    Shift work
    Weekend work

    Memorial Health Care System

    Fort Lauderdale, FL
    4 days ago

  • Clinical Supervisor Utilization Review - Remote

     ...Great Place to Work" since 2015. Position Summary The Supervisor is responsible for day-to-day operations of the utilization review clinical team, in the areas of authorization requests, organizational determinations/ disputes, and auditing/training of... 
    Suggested
    Work at office
    Remote work

    Martins Point Health Care

    Portland, ME
    4 days ago

  • Utilization and Clinical Review - Medical Director - Orthopedic Surgery - Remote

    $269.5k - $425.5k

     ...quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects...  ...and services and may serve as a liaison between physicians, and other medical service providers in selected situations... 
    Suggested
    Minimum wage
    Full time
    Work experience placement
    Local area
    Remote work
    Weekend work

    UnitedHealth Group

    Minneapolis, MN
    2 days ago

  • Physician Reviewer - Orthopedic Spine Surgery (Utilization Review) MS

     ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers . We are currently seeking Board-...  ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work

    Dane Street

    Drew, MS
    2 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review)

     ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-...  ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    United States
    4 days ago

  • Registered Nurse - Case Manager/Utilization Review - Part Time Days

     ...more than 30 locations and more than 860 physicians and advanced care practitioners offering...  ...the activities of Case Management and Utilization Management to facilitate the collaborative...  ...and discharge planning. Performs timely review and delivery of necessary clinical... 
    Suggested
    Part time
    Work at office
    Flexible hours
    Shift work
    Weekend work

    Williamson Health

    Nashville, TN
    23 hours ago

  • Clinical Review/Utilization Registered Nurse (RN) - PRN

     ...PRN Clinical Review Nurse Children's is one of the nation's leading children's hospitals...  ...applicable patients as stated in system utilization management plan. Oversees Clinical...  ...business day. Initiates and facilitates physician communications relative to utilization... 
    Suggested
    Relief
    Remote work
    3 days per week

    Children's Healthcare of Atlanta

    Atlanta, GA
    5 days ago

  • LCSW, LPC, LMFT - Utilization Review - Arizona

    Join Optum/UnitedHealth Group to support behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing role, you'll help ensure they receive the right level of care at the right time. This is a fully remote... 
    Suggested
    Remote work
    Monday to Friday

    Optum

    Phoenix, AZ
    2 days ago

  • Hospital Reviewer/Utilization Manager

     ...Position Purpose: Works in partnership with physicians, nurse case managers, and other...  ...appropriateness for the corresponding level of care utilizing evidence-based criteria....  ...Discharge Planning, and Case Management. Reviews the appropriateness of Severity Index/Intensity... 
    Suggested
    Contract work
    Work experience placement
    Flexible hours

    DOCTORS HEALTHCARE PLANS, INC.

    Miami, FL
    4 days ago

  • Registered Nurse -Utilization Review Case Manager - 8 Hour Days

    $52.47 - $83.95 per hour

     ...Summary of Essential Duties: The Utilization Management (UM) Registered Nurse - Medicare...  ...supports post-discharge clinical reviews for Medicare Short Stay cases and assists...  ...timelines. The UM RN collaborates with physicians, revenue integrity, and payer partners... 
    Shift work

    Cedars-Sinai

    Los Angeles, CA
    1 day ago

  • Registered Nurse (RN) - Case Manager (Utilization Review)

    $2,500 - $3,000 per week

     ...Job Title: Registered Nurse (RN) – Case Manager (Utilization Review) Location: Santa Clara, CA - 95051 Duration: 3 Months (Possibility of...  ...medical necessity and payer requirements. · Collaborate with physicians, interdisciplinary teams, and insurance providers for care coordination... 
    Local area
    Shift work
    Day shift

    Careers Integrated Resources Inc

    Santa Clara, CA
    3 days ago

  • Registered Nurse Case Manager, Utilization Review, Chart Abstractor PRN

     ...Registered Nurse Case Manager, Utilization Review, Chart Abstractor PRN The RN Case Manager is responsible for comprehensive coordination...  ...role in the multidisciplinary team to achieve patient and physician satisfaction and optimal outcomes. Must be able to work with... 
    Temporary work
    Relief
    Flexible hours
    Weekend work

    USPI, INC.

    Oklahoma City, OK
    2 days ago

  • Utilization Review Assistant (Workers Compensation)

     ...Utilization Review Assistant The Utilization Review Assistant ensures the timely and accurate collection of data and documents necessary for the utilization review process as well as independent medical review. This is a hybrid opportunity, requiring initial onsite... 
    Work at office
    Immediate start
    Work from home
    2 days per week
    3 days per week

    Berkshire Hathaway Homestate Companies

    Omaha, NE
    4 days ago

  • Assistant Director, Utilization Review (On-site)

     ...Job Description Job Description Description: Job Summary The Assistant Director, Utilization Review is responsible for assisting the Director, Utilization Review with the leadership, supervision and training of the Utilization Review and Quality Departments, as... 
    Work at office
    Local area

    Nexus

    Schertz, TX
    22 days ago

  • Travel Nurse RN - Utilization Review Specialist

     ...Malone Healthcare - Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Sacramento, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week... 
    Weekly pay
    Shift work

    Malone Healthcare - Nursing

    Sacramento, CA
    5 days ago

  • Spine Surgeon Telecommute Medical Review Stream Physician

     ...Spine Surgeon Telecommute Medical Review Stream Physician Location US-CA-San Diego Job ID 346302 Pos. Category...  ...* Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness... 
    Contract work
    Temporary work
    For contractors
    Remote work
    Monday to Friday
    Flexible hours

    Concentra

    United States
    2 days ago

  • Travel Nurse RN - Case Manager, Utilization Review - $1,670 per week

    $1,670 per week

     ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Knoxville, Tennessee. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 01/12/2026 ~ Duration: 13 weeks ~... 
    Hourly pay
    Weekly pay
    For contractors
    Shift work

    GQR Healthcare

    Knoxville, TN
    1 day ago

  • Physician / Surgery - Neurological / Vermont / Permanent / Physician Reviewer - Neurological Surgery

     ...Description Dane Street, a leading national provider of Utilization Review (UR) and Independent Review Organization (IRO) services, is expanding our panel of physician reviewers. We are seeking Board-Certified Neurological Surgeons with an active Louisiana medical license... 
    Extra income
    Permanent employment
    Contract work
    Remote work
    Flexible hours

    Dane Street

    Frederick, MD
    1 day ago

  • Physician Medical Director - Competitive Salary

    $90k - $130k

     ...~ Enables regular peer consultation forums for clinicians to review patient cases and to solicit input and support from colleagues....  ...and hiring strategy. ~ Facilitates clinician interviews and utilizes associated clinical competence assessment to guide hiring decisions... 
    Full time
    Temporary work
    Work at office
    Local area

    LifeStance Health

    Brandon, FL
    6 days ago

  • Physician Medical Director - Competitive Salary

     ...is an outstanding leadership role for a physician passionate about improving outcomes,...  ...overseeing clinical activities across utilization management, quality initiatives, pharmacy...  ...Key Responsibilities Include: ~ Reviewing prior authorizations and appeals for medical... 
    Local area

    MD Staff Pointe, LLC

    Dallas, TX
    6 days ago

  • Physician Medical Director - Competitive Salary

     ...Position Type: Locum Tenens Specialty: Physician - OB/GYN Location: Texas Rate:...  ...Population: Setting: Managed Care / Utilization Management Responsibilities: Clinical oversight, prior authorization reviews, peer-to-peer reviews, utilization management... 
    Permanent employment
    Locum
    Monday to Friday
    Shift work
    Weekend work

    Med Ninjas

    Dallas, TX
    5 days ago

  • Physician Medical Director - Competitive Salary

     ...services to support patient care needs. Review and approve clinical protocols, policies...  ...-formulary medications as necessary. Utilize in-house resources to address patient...  ...religion, age, sexual orientation, disability, or veteran status. Category: Physician... 
    Full time

    YesCare

    Las Cruces, NM
    2 days ago

  • Physician Medical Director - Competitive Salary

     ...Job Description Physician Advisor opening in TexasLocated in Beaumont, TX - Houston 85...  ...patterns, documentation, over- and under-utilization of resources, medical necessity, compliance...  ...of Quality Assurance and Utilization Review Physicians, Inc (ABQUARP) – preferred.... 
    Local area
    Relocation package
    Monday to Friday

    Source Medical, LLC.

    Beaumont, TX
    6 days ago

  • RN Peer Review Specialist

     ...Salary Range: 31.00 - 49.50 Job Summary The Peer Review Specialist facilitates provider peer review processes at a...  ...settings through focused studies and assigned routine monitoring, utilizing defined guidelines and criteria of the Medical Staff. Gathers... 
    Full time
    Part time
    Work from home
    Shift work
    Day shift

    Sanford Health

    Hines, MN
    16 hours ago