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- ...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 workShift work
MSSI
Minneapolis, MN10 days ago - ...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 workShift workAfternoon shift
MSSI
Minneapolis, MN10 days ago - ...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 jobPrice workExtra incomeFor contractors
- ...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
- ...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 workFull time
IntePros
Philadelphia, PA24 days ago - 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 workPermanent employmentFull timeContract workTemporary workMonday to FridayFlexible hoursShift work
- ...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 workFull timeWork at officeFlexible hours
$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 workHourly payFull time- 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 workFor contractorsWork from homeFlexible hours
- ...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, NYa month ago $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 workShift workWeekend workDay shiftAfternoon shiftMSSI - Medical Staffing Solutions, Inc.
Minneapolis, MN15 days ago$1,099 per month
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 of medical...Remote jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours- 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 workFull timeFor contractorsWork from homeFlexible hours
$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 job- ...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 workContract workShift workWeekend work
Innovative Systems Group
Chicago, IL3 days ago $65k - $78k
...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent... ...applications on an ongoing basis. #LI-AC1 #LI-REMOTE The pay range for this position is $65,000.00 - $78,000...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...Title: Utilization Review Manager (URM) FLSA Status: Exempt Location: Fully Remote or Remote/In-Office Hybrid Approved by: Executive Leadership Skyway Behavioral Health is an innovative behavioral health center that goes beyond the treatment of psychiatric...Remote workTemporary workWork at officeLocal area
- ...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 compliant delivery of...Remote workPart timeFlexible hoursWeekend work
IntePros
Phoenix, AZ13 days ago $1,966 per week
...and nights! 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 workFull timeTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours- ...POSITION Customer Solutions Representative II Utilities Company Position Type: Temporary/Remote Schedule : M-F, 8:00 am - 5:00 pm (Shift may... ...and program databases (e.g., PV, SBP, MAR). Review submitted MSA applications for completeness and...Remote workTemporary workFor contractorsWork at officeShift work
Alura Workforce Solutions
Azusa, CA2 days ago $72.48k - $108.72k
...Nurse Utilization Management Reviewer Position Summary: Reporting to the Manager Utilization Management, the Nurse Utilization Management Reviewer... ...team-based environment This position is available to remote employees residing in Massachusetts. Applicants residing...Remote workWork at officeLocal areaHome officeBoston Staffing
Boston, MA4 days ago- A leading managed care organization is seeking a self-motivated RN for a fully remote Utilization Review Nurse position. Responsibilities include assessing member needs, ensuring medical necessity of services, and collaborating with healthcare professionals. Candidates...Remote job
- A healthcare organization is seeking a Utilization Clinical Reviewer to work remotely. The role involves reviewing beneficiary care levels and ensuring proper utilization of resources in accordance with clinical guidelines. Candidates must have a valid RN license and at...Remote job
- ...to 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 jobMonday to Friday
- A healthcare company is seeking a virtual Nurse Reviewer I responsible for conducting preauthorization and appropriateness reviews for... ...have a minimum of 3 years of clinical experience and familiarity with Utilization Management Guidelines. #J-18808-Ljbffr Elevance HealthRemote jobFull timeFlexible hours
$70.72k - $113.15k
A healthcare management company is looking for a Clinical Reviewer III to conduct treatment record reviews and manage case analysis.... ...should have clinical credentials and extensive experience in utilization management. The role emphasizes organizational, analytical, and...Remote jobTemporary work$55 per hour
...leading talent solutions agency is seeking a Pharmacist for a fully remote contract position in Albuquerque, NM. This entry-level role involves utilizing clinical skills for utilization management reviews and meeting productivity goals. Ideal candidates will have a...Remote jobContract work- ...excellent customer service. Candidates preferred experience is 2–5 years of utility customer support experience, strong communication and data entry skills, and be tech-savvy. This is a remote, work from home role. Responsibilities: Handles inquiries and complaints...Remote workFull timeWork from home
Atlas Field Services
Dearborn Heights, MI8 days ago - 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 workPrice workExtra incomeFor contractorsFlexible hours
- A health care enablement company is seeking a Utilization Management Nurse to perform medical necessity reviews while working remotely. The ideal candidate will be a licensed nurse with at least 2 years of managed care experience, strong organizational and communication...Remote jobFull timeWork at office
