Average salary: $232,650 /yearly
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- ...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...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States4 days ago $248.5k - $373k
...deliver clinical coverage and medical claims reviews. Our role is to empower providers and... ...costs. The Medical Director provides physician support to Enterprise Clinical Services... ...application of clinical knowledge in various utilization management activities with a focus on...SuggestedMinimum wageWork experience placementLocal areaRemote work- ...The Utilization Review (UR) Clinical Lead is responsible for overseeing and guiding the utilization review process to ensure medical necessity, regulatory compliance, and appropriate use of healthcare resources. This role provides clinical leadership to the UR team, supports...SuggestedLocal area
Hurc LLC
Short Hills, NJ19 hours agonew - ...Job Description Job Summary: Key Job Responsibilities The Post-Procedure Utilization Management (UM) Registered Nurse is responsible for performing real-time utilization review for surgical and procedural patients immediately following procedures. This role ensures...SuggestedImmediate startNight shift
Cedars-Sinai
Los Angeles, CA1 day ago $70.97 - $125 per hour
...sector. Job Description Acentra seeks a Psychiatrist Physician Reviewer (PRN) to join our growing team. Job Summary: The Psychiatrist... ...to operations relating to the peer review process, utilization review activities, and other activities requiring clinical...SuggestedHourly payReliefLocal areaRemote workCNSI
United States3 days ago- ...maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a... ...may be needed JOB SUMMARY Utilizes clinical expertise and reviews insurance... ...and retrospective claims. The Physician Reviewer will provide an interpretation...SuggestedFor contractors
Dane Street
Bellevue, WA3 days ago - ...Position Summary: Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial Insurance. Qualifications: A. Education: Must have a high...SuggestedWork experience placement
Medical Center Hospital
Odessa, TX1 day ago - ...drive our mission forward, keep reading! About You As a Utilization Review Nurse Case Manager, you combine strong clinical judgment... ...support safe, appropriate care. Coordinate referrals to physician advisors, communicate with providers, peer review physicians...SuggestedMonday to Friday
Texas Association of School Boards
Austin, TX1 day ago $2,479 per week
Travel Nurses, Inc. is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: 13 weeks 40 hours per week Shift: 8...SuggestedWeekly payImmediate startShift workTravel Nurses, Inc.
Villa Park, CA2 days ago$1,769 per week
GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Washington, District of Columbia. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 05/11/2026 Duration: 13 weeks 36 hours per...SuggestedHourly payWeekly payContract workWork at officeShift workDay shiftGQR Healthcare
Mount Rainier, MD1 day ago- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for...SuggestedRemote job
- ...with standards. The ideal candidate is a board-certified MD or DO with at least 6 years of clinical experience and 1 year in utilization review. Responsibilities include timely medical reviews, clinical determinations, and accurate documentation. Licensure in Florida or...SuggestedFull time
- .... ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally... ...(IRO) specializing in technology‑driven utilization management and clinical medical review... ...Sports Medicine/Family Medicine physician to assist in Utilization Review work, which...SuggestedFor contractorsRemote workWork from homeFlexible hours
- A leading medical review organization is seeking a Board-Certified Sports Medicine/Family Medicine physician for a remote Independent Contractor role. The physician will perform utilization review work, ensuring healthcare services are necessary and compliant. Responsibilities...SuggestedFor contractorsRemote work
- A recognized Independent Review Organization is seeking a Board-Certified Psychiatrist for a fully remote role conducting Utilization Reviews. Candidates should have an active New York medical license and Workers’ Compensation Board Certification. Responsibilities include...SuggestedExtra incomeRemote workFlexible hours
- ...Description Job Description: Manager of Clinical Utilization Management - Denial Compliance... ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.... ...communication and collaboration with physician reviewers, medical directors, and other...Permanent employmentFull timeTemporary workRemote workFlexible hours
$2,142 per week
...Travel Nurses, Inc. is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Kinston, North Carolina. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 04/27/2026 ~ Duration...Weekly payShift workTravel Nurses Inc
Kinston, NC4 days ago- ...Orthopedic Surgeon Telecommute Medical Review Stream Physician Location US-CA-West Sacramento Job ID 335970 Pos.... ...* Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness...Contract workTemporary workFor contractorsRemote workMonday to FridayFlexible hours
Concentra
United States2 days ago - Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full‑time and on‑site. It is also available as a remote/hybrid position. The Utilization Review Physician Advisor (Advisor) conducts...Full timeRemote workFlexible hours
- A healthcare review organization seeks a Physician Reviewer/Advisor in Delaware, Ohio. This role involves utilizing clinical expertise to review insurance appeals and claims while ensuring compliance with established guidelines. Responsibilities include thorough medical...Extra income
- The Per Diem Advanced Practice Nurse (APN) for Utilzation Review utilizes a patient-centered coordinated care model, demonstrating competencies... ...to New Jersey state law. Collaborative agreement with physicians on staff. Excellent written and verbal communication skills...Daily paidWork at office
- ...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 officeImmediate startWork from home2 days per week3 days per week
- About Dane Street Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking supplemental...Extra incomeFor contractorsRemote workFlexible hours
- ...among the first 25 applicants Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician panel. We are seeking Board-Certified Orthopedic Surgeons with an active...Extra incomeContract workFor contractorsRemote workFlexible hours
- Job Summary and Responsibilities As the Utilization Management (UM) Physician Reviewer, you will report to the Medical Director of UM and provide clinical expertise to ensure high‑quality, medically necessary, and efficient patient care aligned with regulatory requirements...Part timeLocal areaRemote workFlexible hours
- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...For contractorsRemote workMonday to FridayFlexible hours
$230.85k - $282.15k
A leading health insurance company in Hingham is seeking a Physician Reviewer responsible for evaluating pre and post-service clinical service requests. The ideal candidate will utilize clinical judgment to assess appropriateness in coverage decisions, working closely...Full timeFlexible hours$174.07k - $374.92k
...bigger - helping to simplify health care one person, one family and one community at a time. Job Profile Summary The Utilization Management Physician Reviewer ensures timely and clinically sound coverage determinations for inpatient and outpatient services using evidence-...Hourly payFull timeLocal areaFlexible hoursWeekend work- A healthcare management firm is seeking a Physician Reviewer to join their remote team. The role involves performing real-time case reviews... ...The position offers flexibility and requires knowledge in utilization management and experience with Medicare and Medicaid. #J-18...Remote work
$172.9k - $230.5k
...nonprofit healthcare organization in New York is seeking an experienced medical professional to oversee utilization management for members. The role includes reviewing clinical information, ensuring compliance with guidelines, and contributing to quality care...
