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  • Utilization Review Specialist (in-office only)

    $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 considered... 
    Remote work
    Full time
    Work at office

    Quadrant Health Group

    Boca Raton, FL
    5 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description...  ...to confirmation). Posted job title: Utilization Review - remote About MSSI Consistently ranked as one of the top travel nurse... 
    Remote work
    Shift work

    MSSI

    Minneapolis, MN
    11 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description...  ...to confirmation). Posted job title: Utilization Review - remote About MSSI Consistently ranked as one of the top travel nurse... 
    Remote work
    Shift work
    Afternoon shift

    MSSI

    Minneapolis, MN
    11 days ago

  • Urology - Utilization Review - Contract (1099), Remote

     ...Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review Institute of America . Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing... 
    Remote work
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute

    Dallas, TX
    4 days ago

  • Remote RN Utilization Manager Reviewer (MA Only)

    $72.48k - $108.72k

     ...A healthcare organization is seeking a Utilization Manager Registered Nurse to join their team...  .... The role involves conducting clinical reviews for service authorizations and ensuring...  ...of $72,480 $108,720 and is open to remote employees residing in Massachusetts only... 
    Remote work

    Commonwealth Care Alliance

    United States
    3 days ago

  • Remote - Contract (1099) - Otolaryngology (MD or DO) - Utilization Review

     ...Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review Institute of America . 1 day ago Be among the first 25 applicants. The Opportunity MRIoA is a national Independent Review Organization that facilitates the review... 
    Remote work
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    5 days ago

  • Remote RN Utilization Review Case Manager I

     ...A national risk management provider is seeking a remote Utilization Review Case Manager. This role involves gathering clinical information, certifying medical necessity, and managing stakeholder communications. Ideal candidates will have a nursing degree, licensing, and... 
    Remote work

    CorVel

    United States
    2 days ago

  • Utilization Review Nurse

     ...RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare is looking for a self-motivated... 
    Remote work
    Full time
    Local area
    Work from home

    VillageCare

    New York, NY
    2 days ago

  • PRN - Remote UROLOGY Utilization Review

     ...Overview Join to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of America . Flexible Independent Contractor (1099) Opportunity Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO Medical License Required About... 
    Remote work
    For contractors
    Relief
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    22 hours ago

  • Utilization Review Nurse

    $35 - $45.94 per hour

     ...Utilization Review Nurse Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first...  ...Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida;... 
    Remote work
    Hourly pay
    Full time
    Work from home
    Home office

    Oscar Health

    Tampa, FL
    22 hours ago

  • Orthopedic Surgery Specialist (Mississippi) - Remote Utilization Review Opportun

     ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of...  ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed to offer supplemental income with complete... 
    Remote job
    Price work
    Extra income
    For contractors

    Dane Street, LLC

    Jackson, MS
    2 days ago

  • ABA Utilization Review (UR) Specialist

     ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist...  ...in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities Review... 
    Remote work
    Work at office
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    2 days ago

  • Virtual Utilization Review Specialist - WEEKENDS

    $35.45 per hour

     ...reimbursement Flexible weekend work schedules with remote work options Recognized as a top...  ...What to Expect (Job Responsibilities) Utilize proactive triggers to identify potential...  ...healthcare services Conduct medical necessity reviews for admissions and collaborate with the... 
    Remote work
    Immediate start
    Flexible hours
    Weekend work

    Ensemble Health Partners

    Columbus, OH
    1 day ago

  • Utilization Review Nurse

     ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to...  ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced... 
    Remote work
    Full time

    IntePros

    Philadelphia, PA
    25 days ago

  • Utilization Review Physician - New York (Mostly Remote)

     ...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... 
    Remote job

    Vivo HealthStaff

    New York, NY
    2 days ago

  • Behavioral Health Utilization Review - Remote in Arizona

     ...support behavioral health and substance abuse case management through utilization reviews and care coordination. You'll ensure members receive the right level of care at the right time. ***Remote role. Typical hours are Monday - Friday, 8:00am - 5:00pm. Licensure and... 
    Remote work
    Monday to Friday

    Optum

    Tempe, AZ
    7 hours ago

  • Utilization Review Specialist

    About the Role Utilization Review Nurse - join TEKsystems to provide detail‑oriented RN or LVN support in a managed care environment. Conduct...  ...analytical skills. Work Environment & Schedule Hybrid (onsite & remote). Full‑time Monday-Friday, flexible start between 7:00-8:00... 
    Remote work
    Permanent employment
    Full time
    Contract work
    Temporary work
    Monday to Friday
    Flexible hours
    Shift work

    TEKsystems

    Los Angeles, CA
    1 day ago

  • Utilization Review Specialist (Behavioral Health -...

     ...Type: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary We are seeking a detail-oriented...  .... Work Environment Standard office setting or remote work, depending on location. Regular use of... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Recruiting Choices

    Houston, TX
    3 days ago

  • Behavioral Health Utilization Review Representative

    $21 - $26 per hour

    Behavioral Health Utilization Review Representative Location Remote : JOB SUMMARY: The Utilization Review Representative position assists the Medusind team in utilization review. This position must demonstrate exceptional customer service skills with the ability to effectively... 
    Remote work
    Hourly pay
    Full time

    Medusind Inc,

    Remote
    1 day ago

  • Remote UM Care Manager: Proactive Utilization Review

     ...healthcare provider organization is seeking a Utilization Management Clinical Manager to analyze...  ..., along with 2-3 years of utilization review experience. Responsibilities include...  ...stakeholders. This position allows for remote work with occasional onsite meetings in... 
    Remote job

    Mass General Brigham Incorporated.

    Somerville, MA
    4 days ago

  • Utilization Review Nurse

    $54 per hour

     ...nursing as a registered nurse. · Must have ED utilization management experience or strong (2+...  ...Resource experience. Shift: REMOTE 8 hour day shift, with weekend requirement...  ...) Strong understanding of utilization review/utilization management principles Familiarity... 
    Remote work
    Shift work
    Weekend work
    Day shift
    Afternoon shift

    MSSI - Medical Staffing Solutions, Inc.

    Minneapolis, MN
    16 days ago

  • Utilization Manager Reviewer, RN (Multiple Openings!)

     ...coordinating, integrating, and monitoring the utilization of physical health (PH) medical and...  ...cases to the Medical Director for review. Refer to and work closely with Case Management...  .... Please note: The opportunity for remote work may be possible for all jobs posted... 
    Remote work
    Contract work
    Live in
    Work at office

    Univera Healthcare

    Binghamton, NY
    4 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review)

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

    Dane Street

    New York, NY
    2 days ago

  • Utilization Review Registered Nurse (RN) - Relocation Offered!

    $89.07k - $162.8k

     ...Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines....  ...*UR experience required. Must live in area. Remote after completion of orientation. *   Primary... 
    Remote work
    Live in
    Relocation

    MedStar Health

    Clinton, MD
    2 days ago

  • Hematology/Oncology Physician - Utilization Review work for

    Hematology/Oncology Physician - Utilization Review Remote - Flexible Independent Contractor (1099) Opportunity Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology‑driven utilization management... 
    Remote work
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    4 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review) NY

     ...Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our...  ...perform independent medical reviews on a flexible, remote (telework) basis. This is a non-clinical,... 
    Remote work
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street

    New York, NY
    2 days ago

  • Utilization Review Nurse

     ...Job Description Job Title: Quality Review Specialist Location: Remote in IL, TX, NM, OK Duration: December 2025 to May 2026 contract to hire...  ...Degree OR 4 years in health care experience. 5 years utilization management, appeals, claims and mainframe system... 
    Remote work
    Contract work
    Shift work
    Weekend work

    Innovative Systems Group

    Chicago, IL
    4 days ago

  • 1099 Utilization Review work for Radiation Oncologists

    Overview 1099 Utilization Review work for Radiation Oncologists - Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...) to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 1-2 hours per week, possibly more... 
    Remote work
    Full time
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    5 days ago

  • Assistant Project Manager - Utility Design Reviewer

     ...purpose to deliver a better world. Join us. **Job Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to work **remotely** . The client is located in Sacramento, CA and thus it's expected that this individual's working hours align... 
    Remote work
    For contractors
    For subcontractor
    Local area
    Worldwide
    Relocation
    Flexible hours

    AECOM

    Sacramento, CA
    4 days ago

  • Nurse for Utilization Review

    $35 - $45.94 per hour

     ...Join our innovative team at Oscar as a Nurse specializing in Utilization Review. At Oscar, we are not just a health insurance company; we are...  ...Supervisor of Utilization Review. Work Location: This is a remote position for candidates residing in various states. While... 
    Remote work
    Hourly pay
    Full time
    Home office

    Oscar Health

    Dallas, TX
    4 days ago