Get new jobs by email
$108k
...Experienced Utilization Review Nurse UW Medical Center has an outstanding opportunity for an experienced Utilization Review Nurse to join our team. Work schedule includes fully remote/work from home, availability to work day shifts during Pacific Standard Time, and...Remote workFull timeWork experience placementWork from homeShift workDay shift1 day per weekIntelyCare
Seattle, WA1 day ago- ...nights! * Paid Holidays * Work-life balance. * Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills... ...will defer decision to a second level reviewer. This individual interfaces with case managers...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
Hines and Associates
Elgin, IL6 hours agonew - ...Our Client, a Healthcare company, is looking for a RN - Case Manager - Utilization Review for their Remote location. Responsibilities: Collaborative work with the Care Team. Completion of comprehensive patient assessment including patient status to...Remote workLocal area
ICONMA
Indianapolis, IN6 hours agonew $35 - $45.94 per hour
...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the... ...Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Texas, Georgia, Arizona...Remote workHourly payFull timeWork from homeHome officeOscar Health
Dallas, TX23 days ago- ...Workday to 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...Remote workFull timeTemporary workWork at officeWorldwide
The University of Miami
United States3 days ago $211.2k - $277.2k
...Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance... ...Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in: Arizona;...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health
Tampa, FL28 days ago- ...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime... ...case information within a database system Performs chart review/audits monthly or as needed Participates in monthly case...Remote workWeekly payContract workLocal area
Amergis Healthcare Staffing
Aberdeen, MD2 days ago - ...Physician Review Panel Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO),... ...Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible...Remote workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
New York, NY2 days ago - ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New Jersey for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for...Remote job
Vivo HealthStaff
Newark, NJ4 days ago - ...Registered Nurse – Utilization Review Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract to full-time hire Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN...Remote workFull timeContract work
IntePros
Pittsburgh, PA4 days ago $35 - $40 per hour
...Urgent Hiring for Remote Clinical Review Nurses Review approximately 20 cases a day for medical necessity. Advocate for and protect... ...other and complete cases. Qualifications: 3+ years of utilization management, concurrent review, prior authorization, utilization...Remote workContract workTemporary workActalent
Mobile, AL1 day ago- ...Find your calling at Mercy! Overview Utilization Management for the assigned inpatient Care Management population. This position is designed... .... Preferred Experience: Care Management or Utilization Review experience, Preferred Certifications: Case Management or Utilization...Remote workRelief
Mercy
Arnold, MO6 hours agonew $28 per hour
...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...! Position Details ~ Remote work-from-home opportunity ~ Pay... ...later is required. ~ Proficiency in utilizing modern technology, especially computers...Remote workTemporary workWork from homeHome officeMonday to ThursdayFlexible hoursKLDiscovery
Sioux Falls, SD3 days ago$38.49 - $47.05 per hour
...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex... ...Mobile, and Resident personas. This position can be fully remote with an in-office requirement to work 1-3x/month at our...Remote workHourly payFull timeWork at officeFlexible hoursBlue Cross Blue Shield of Massachusetts
Hingham, MA4 days ago- ...Manager RN -Days As an integrated care manager, specializing in Utilization review, the registered nurse will be responsible for utilization... ...verbal communication of pertinent clinical information. Virginia Remote, must be available to come into Virginia Beach office as...Remote workFull timeTemporary workWork at officeShift work
Sentara Health
Norfolk, VA6 hours agonew - ...Utilization Review Advisor Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor... ...time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. MD Physician Advisor Job...Remote workFull timeFlexible hours
Inova Health System
Ashburn, VA1 day ago - ...as a "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 utilization...Remote workWork at office
Martins Point Health Care
United States3 days ago - ...Martin's Point Health Care Utilization Review Nurse Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point...Remote workWork at officeWeekend work
Portland Staffing
Portland, ME3 days ago $18 - $21 per hour
...Tax Documentation Reviewers Cherry Bekaert is gearing up for tax busy season! We are seeking multiple temporary, remote Tax Documentation Reviewers to support our Validation Center... .... In this role you will: Utilizing your keen attention to detail to provide...Remote workHourly payTemporary workWork experience placementSeasonal workMonday to FridayLos Angeles Staffing
Los Angeles, CA2 days ago$58.66k - $142.45k
...Utilization Management Clinical Manager Mass General Brigham relies on a wide range of professionals... ..., to determine the need for physician review as well as complete determinations... ...6 months after hire. This is a remote role with occasional onsite team meetings...Remote workShift workIntelyCare
Somerville, MA4 days ago$46 per hour
...Job Description Job Description Position Overview: Job Title: Utilization Management Review Nurse Location: MLK Avenue Office - 4 days onsite, 1 remote day Salary: $46.00/hour (Willing to negotiate depending on the extent of relevant experience) Work...Remote workPermanent employmentContract workWork at officeLocal areaMonday to FridayMedix
Washington DC7 days ago$26.5 - $47.59 per hour
...flexibility. Position Purpose: Performs reviews of member's care and health status of... ...with ABA guidelines. This is a remote position however must reside in Arizona.... ...data to improve quality and appropriate utilization of services Interacts with BH healthcare...Remote workHourly payFull timePart timeWork at officeFlexible hoursPhoenix Staffing Services
Phoenix, AZ2 days ago$48.52 - $72.78 per hour
...divh2Registered Nurse Utilization Management (UM) Reviewer/h2pPeaceHealth is looking for a skilled and motivated Registered Nurse Utilization Management... ...patients receive the right care at the right time, this remote opportunity may be the perfect next step in your nursing...Remote workFull timeLocal areaDay shiftWashington Staffing
Vancouver, WA3 days ago$65 - $82 per hour
...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: Ongoing 37 hours per week...Hourly payImmediate startWork from homeShift workMedical Solutions Direct Hire
White Plains, NY2 days ago- ...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests... ...Working Conditions and Additional Expectations: Full-time remote role requiring consistent availability during standard...Remote workFull timeTemporary workLocal area
Integra Partners
Troy, MI1 day ago - ...Job Description Job Description Registered Nurse (Utilization Review / Medical Review) #74950 Employment Type: Full-Time Location: Remote, local candidates Candidate Location Preference: Austin and surrounding areas Schedule and Work Hours Required...Remote jobFull timeLocal areaShift work
MMC Group LP
Austin, TX14 days ago - ...Hmong Document Reviewer Boston, MA / Remote / Hybrid / Philadelphia, PA Employment Type: Full Time, Mid-Level Department: Legal As a... ...Produces a variety of written documents and materials utilizing a wide range of office software applications; Establishes...Remote workFull timeWork at officeFlexible hours
Contact Government Services LLC
Boston, MA6 hours agonew - ...Overview If you are a Registered Nurse who has strong hospital Utilization Review (UR) experience and are ready to take the next step into a... ...offers a hybrid schedule , with most work performed remotely, offering both flexibility and impact. In this role, you will...Remote workFlexible hoursNight shift
VHC Health
Arlington, VA11 days ago - ...opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight of utilization review activities across the health system, including the academic...Full timeContract workWork from homeShift work
The University of Chicago Medical Center
Harvey, IL1 day ago $85k - $110k
...new ways to optimize their business and manage costs effectively utilizing people, process, and technology advancements. If you enjoy... ...for you! Job Description The Sr. Consultant - Invoice Review role is critical to the delivery of high impact spend consulting...Remote workLocal areaEpiq
United States3 days ago
