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$60k - $75k
...Quadrant Health Group, i s seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital... ...office position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be...Remote workFull timeWork at officeQuadrant Health Group
Boca Raton, FL2 days ago- ...Paid Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills... ...individual will defer decision to a second level reviewer. This individual interfaces with case...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
JobTarget
Freeport, IL8 hours ago $23.15 - $30.03 per hour
...members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review... ...will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The...Remote workFull timeWork at officeLocal areaShift workPrime Healthcare
Ontario, CA5 days ago$275k - $300k
Remote or hybrid Medical Director for MediCare service line 100% administrative, non-clinical role Work from home, but candidate... ...CME, PTO Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA license...Remote workPermanent employmentFull timeWork from homeMonday to FridayIntegrity Healthcare...
Sacramento, CA8 hours ago$2,690 per week
...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse... ...manager, utilization review, healthcare staffing, patient care, clinical review, nursing, healthcare travel, remote nursing jobs...Remote workWeekly payFull timeImmediate startShift workTravel Nurses, Inc.
Bozeman, MT3 days ago$59.24k - $76k
...real difference. Job Description This is a full-time remote position that can be located anywhere in the U.S. PA RN license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization...Remote workFull timePart timeLocal areaWork from homeFlexible hoursEnlyte
Arlington, TX2 days ago$51.43 - $79.84 per hour
...Description This is a remote role. You MUST live in the state of Washington (WA) to be considered Care Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge...Remote workDaily paidFull timeLive inLocal areaShift workDay shiftProvidence Health and Services
Seattle, WA1 day ago- ...and/or level Job Summary You will review patient cases for medical necessity and... ...Schedule You will work primarily remote. Will be required to work onsite at a... ...management referral standards, reviewing utilization, and categorizing levels of care. Excellent...Remote workWork at officeImmediate start
Baylor Scott & White Health
Highland Park, TX10 days ago $40 per hour
...months Must reside in TX Full time remote Candidates must be based in TX. RN... ...for performing initial, concurrent review activities; discharge care coordination... ...guidelines. Provides information regarding utilization management requirements and operational...Remote workFull timeContract workWork at officeHireOps Staffing LLC
Dallas, TX5 days ago- ...Job Description Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and...Remote workFlexible hoursWeekend work
IntePros
Phoenix, AZ4 days ago $51.43 - $79.84 per hour
...Job Description Description This is a remote role. You MUST live in the state of Washington (WA) to be considered Care Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed...Remote workDaily paidLive inLocal areaShift workDay shiftProvidence Health and Services
Seattle, WA6 days ago- ...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:...SuggestedFull timeImmediate startWork from homeShift work
Medical Solutions Direct Hire
White Plains, NY4 days ago $41.04 per hour
...Now Hiring: Remote RN – Prior Authorization & Utilization Review (Texas Medicaid) &##128313; &##128188; Contract | Up to $41.04/hr &##128205; Remote (Must reside near in TX) &##128338; Full-time | Primary shift: 10 AM – 7 PM Are you a detail-oriented RN looking...Remote workFull timeContract workImmediate startShift workManpower
Austin, TX3 days ago- ...Grow with us! Utilization Review Clinician Monte Nido Remote Monte Nido has been delivering treatment for eating disorders for over two decades. Our programs offer a model of treatment that blends medically sophisticated care with a personalized treatment...Remote workFull timeTemporary workFlexible hours
Walden Behavioral Care
Miami, FL4 days ago $26.5 - $47.59 per hour
...flexibility. Position Purpose: Performs reviews of member's care and health status of... ...data to improve quality and appropriate utilization of services Interacts with BH... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workHourly payFull timePart timeWork at officeFlexible hoursCentene Corporation
Atlanta, GA1 day ago- ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient... ...will also be counted upon to: Work Arrangement: Remote role. Availability to work Monday through Friday, 8 AM...Remote workMonday to FridayFlexible hoursAfternoon shift
AmeriHealth Caritas
Newtown Square, PA3 days ago $26.5 - $47.59 per hour
...License or Identification card. Position Purpose: The Utilization Review Nurse I provides first level clinical review for all outpatient... ...time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be...Remote workHourly payFull timePart timeWork at officeFlexible hoursCentene Corporation
New York, NY5 days ago- ...patient experience. Learn more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse... ...provides timely verbal and written reports as directed. **Remote position but MUST be able to work pacific standard time (PST)...Remote workLocal area
UHS
Reno, NV4 days ago $78.54k - $121.72k
...Employment Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. *...Full timeWork at officeLocal areaShift workDay shiftTrinity Health
Maywood, IL4 days ago$38.49 - $47.05 per hour
...healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may... ..., Mobile, and Resident personas. This position can be fully remote, with the expectation to work in our Hingham office 1x month...Remote workHourly payWork at officeFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA3 days ago$86k - $110k
...We offer remote work opportunities (AR, AZ, CO, FL, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC... ...Affiliated are encouraged to apply! Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness...Remote workContract workTemporary workInterim roleWork at officeLocal areaShift workTriwest Healthcare
Phoenix, AZ1 day ago$45 - $62 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...Hourly payImmediate startWork from homeShift workMedical Solutions Direct Hire
White Plains, NY2 days ago- ...Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract for about 9 months.... ...Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract...Remote workContract work
HireOps Staffing LLC
Chicago, IL3 days ago - ...A facility in Yakima, WA is seeking its next amazing Social Worker to work in Case Management (Utilization Review). Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you...
Medical Solutions
Omaha, NE4 days ago $40 per hour
...Solutions is currently looking for an RN Review Analyst for a contract opportunity with... ...Analyst Location: Detroit, MI (Remote however must be local to Michigan)... ...discharge planning, case management, and utilization review, etc. Demonstrated clinical knowledge...Remote workContract workWork at officeLocal areaStrategic Staffing Solutions
Detroit, MI20 hours ago- ...Ardurra Company) is seeking an experienced Utilities Project Engineer/Project Manager in our... ..., Booster Pump & Storage Tank Design and Remote SCADA System Design. Primary Function... ...employment laws.For further information, please review the Know Your Rights notice from the...Remote workFull timeWork at officeLocal areaWork from home
Ardurra Group, LLC
Knoxville, TN1 day ago - ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist... ...in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities:...Remote workWork at officeFlexible hours
- ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist... ...in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities:...Remote workFull timeWork at officeFlexible hours
- ...person band for producing weekly YouTube videos and accompanying review articles. You will be creating video similar to this channel:... ...super high-quality written articles. You will have the support of a remote video editor and a web-developer. Key Responsibilities...Remote workWork at office
eNNOVATION Brands
El Segundo, CA7 days ago - ...: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary: We are seeking a detail... ...Work Environment: Standard office setting or remote work, depending on location. Regular use of...Remote workFull timeWork at officeFlexible hours
