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- 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...SuggestedRemote jobFor contractors
- .... 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
- Independent Contractor Physician Opportunity (1099) - Flexible 20-40 Hours/Week Applicants... ...Medicine physicians to support our clinical review services. In this role, you’ll evaluate... ...a leading provider of technology-driven utilization management and clinical review services....SuggestedFor contractorsReliefWork at officeRemote workWork from homeFlexible hours2 days per week1 day per week
$29.62 - $45.31 per hour
Associate Utilization Review Specialist - Remote Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department Investigate, review, and...SuggestedRemote jobWork experience placementLocal area- ...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 - Job Description Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be a part‑time position. The Utilization Review Advisor (Advisor) position conducts timely and compliant medical necessity...SuggestedPart timeRemote workFlexible hours
- A healthcare company is seeking a Clinical Care Manager to advance high-quality, patient-centered care through Utilization Review. The ideal candidate will have an active RN license in Illinois and 5+ years of diverse healthcare experience. Responsibilities include evaluating...SuggestedRemote job
- A leading healthcare provider in Virginia is seeking a part-time physician advisor to join the Utilization Review Advisor team. This role involves conducting compliance reviews, managing denials, and collaborating with medical staff. Candidates must have completed an accredited...SuggestedRemote jobPart timeFlexible 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...SuggestedExtra incomeContract workFor contractorsRemote workFlexible hours
- ...is hiring for a part-time remote position focusing on medical review activities related to pediatric services. The ideal candidate... ...responsibilities include improving quality of care, managing utilization, and providing educational support. This role requires board certification...SuggestedRemote jobPart time
- A leading health insurance provider is hiring a Utilization Review Nurse to perform case reviews and make care recommendations. Responsibilities include reviewing medical necessity and applying clinical guidelines. Candidates must have an active RN license, a nursing degree...SuggestedRemote job
- ...Medicine and Sciences (CDU), DHS hospitals are training sites for physicians completing their Graduate Medical Education in nearly every... ...and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the...SuggestedWork at officeShift workNight shiftAfternoon shift
$35 - $45.94 per hour
Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the...SuggestedHourly payFull timeRemote workWork from homeHome office- Rheumatology (MD/DO) Utilization Review - Remote Contract (1099) Apply for this independent contractor position with Medical Review Institute... .... The Opportunity We are seeking board‑certified physicians in rheumatology to conduct independent utilization reviews....SuggestedRemote jobContract workFor contractorsFlexible hours
- 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...SuggestedRemote jobFull timeWork from home
$250k
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests... ..., and regulatory requirements. This role is best suited for physicians who thrive in a process-driven environment and are committed...Full timeTemporary workLocal areaRemote work- 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...Work at officeRemote work
- ...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
- A leading health service provider is seeking an Associate Utilization Review Specialist to handle core functions in the Prior Authorization Department. This remote role requires strong critical thinking and experience in healthcare to assess and prepare prior authorization...Remote job
- A recognized Independent Review Organization is seeking Board-Certified Orthopedic Spine... ...position. This role involves conducting Utilization Reviews based on objective, evidence-... ...with flexible scheduling to cater to the physician's availability. Apply today to join our...Remote jobExtra incomeFlexible hours
- A healthcare management company is seeking a full-time Utilization Review Specialist for a remote position. The role focuses on efficiently processing Utilization Management and Independent Review requests, reviewing case requests, maintaining compliance, and delivering...Remote jobFull timeWork at office
$18 - $20 per hour
...therapeutic programs located in Utah. We have 25+ years of experience using evidence-based practices to help families heal. As our Utilization Review Specialist, you will be responsible for maintaining organizational compliance and following all HIPAA regulations while...Full timeRemote workHome office$18 - $22 per hour
Our Ethos Medical Management Team is seeking a full-time Utilization Review Specialist (REMOTE) to play a key role in ensuring the efficient... ...compliance with applicable regulations, supporting Physician Advisors with case materials and scheduling, and delivering...Hourly payFull timeWork at officeRemote work- 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 jobFull time
$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...Hourly payReliefLocal areaRemote workCNSI
United States3 days ago- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental...Work at officeRemote workFlexible hours
- A recognized Independent Review Organization is seeking Board-Certified Orthopedic Spine Surgeons for a remote Physician Reviewer role. This non-clinical position focuses on conducting utilization reviews without direct patient interaction. Responsibilities include reviewing...Remote jobExtra incomeFlexible hours
- A leading medical service provider seeks a Spine Telecommute Medical Review Stream Physician to review health claims and provide medical interpretations. The flexible schedule allows for custom caseloads, and compensation is on a per-case basis. Ideal candidates should...Remote jobContract workFlexible hours
- A healthcare organization is seeking Board Certified physicians for a telecommute role in Albuquerque, NM. This position allows you to customize your schedule while reviewing medical claims and ensuring compliance with standards and guidelines. Ideal candidates must hold...Remote jobFor contractorsFlexible hours
$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...Weekly payPermanent employmentContract workTemporary workLocal areaRemote workShift workWeekend workUnited Staffing Solutions
Jackson, MS2 days ago
