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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... 
    Remote work
    Full time
    Work at office

    Quadrant Health Group

    Boca Raton, FL
    a month 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
    14 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
    14 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
    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
    5 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
    6 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
    3 days 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

    Victorville, CA
    3 days 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
    5 days 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
    28 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
    5 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
    3 days ago

  • Utilization Review Physician - New Jersey (Mostly Remote)

     ...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, NJ
    5 days ago

  • Case Manager - Utilization Review Specialist - REMOTE

    $32.15 - $48.05 per hour

     ...Rate: $32.15 - $48.05 Shift: Day Shift - Remote Hours Per Week: 40-hours Date Posted: 6/...  ...company reimbursement policies. Reviews application for patient admission and approves...  ...approves admission or refers case to facility utilization review committee for review and course... 
    Remote job
    Hourly pay
    Full time
    Shift work
    Day shift

    McKenzie-Willamette Medical Center

    Springfield, OR
    5 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
    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
    19 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
    4 hours 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
    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
    2 days ago

  • Physician Reviewer - Physical Medicine and Rehabilitation (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
    5 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

    Utica, NY
    1 day ago

  • Cardiologist Needed for Remote 1099 Utilization Review Work

    Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 1-2 hours per week. Contribute... 
    Remote job
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    2 days ago

  • Utilization Review Nurse- Remote

    $65k - $78k

     ...career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and... 
    Remote job
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies

    Raleigh, NC
    5 days ago

  • Remote Utilization Review Case Manager - RN

    A national risk management solutions provider is seeking a Utilization Review Case Manager. This remote position involves gathering demographic and clinical information, certifying medical necessity, and supporting case management goals. Ideal candidates should have a... 
    Remote job

    CorVel Corporation

    Folsom, CA
    1 day 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
    3 days ago

  • Utilization Review Nurse

     ...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 work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    3 days ago

  • Remote Utilization Review Case Manager (RN)

    A national risk management solutions provider seeks a remote Utilization Review Case Manager in California to assess patient admissions and treatment. Responsibilities include certifying medical necessity and collaborating with healthcare teams. Applicants should have nursing... 
    Remote job

    CorVel Corporation

    Rancho Cucamonga, CA
    4 days ago

  • Clinical Support Manager (temporary) Utilization Review RN/LPN

    $40 per hour

    Clinical Support Manager (temporary) Utilization Review RN/LPN Job Category : Advisory Services Requisition Number : CONSU005289 Posted : November 25, 2025 Full-Time Remote Locations Showing 1 location Remote United States Description About Sound Physicians: Headquartered... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Work from home
    Shift work
    Weekend work

    Sound Physicians, Inc.

    Tacoma, WA
    1 day ago

  • Utilization Review LVN

    $30.91 - $45.98 per hour

    Apply for the Utilization Review LVN role at Dignity Health (remote work in the Greater Sacramento, CA region). Job Summary The Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM) services. The focus is to provide high quality,... 
    Remote work
    Contract work
    Work from home

    Dignity Health

    Rancho Cordova, CA
    1 day 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
    2 days ago