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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, FL9 days 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 Management Inc
Ontario, CA2 days ago$56.44 - $87.63 per hour
...Description This position is a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care...Remote workFull timeWork at officeLocal areaWork from homeShift workProvidence Health and Services
Anaheim, CA4 days ago$26.5 - $47.59 per hour
...fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA... ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE, UNENCUMBERED...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursCentene Corporation
Sacramento, CA4 days ago- ...Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift... ...staff is needed) Day Shift 0800-1630, (UR positions will be remote) Need to have UR experience, specifically with InterQual...Remote workShift workWeekend workDay shift
Zenex Partners
Apple Valley, CA2 days ago - ...California Job Summary and Responsibilities Are you a Utilization Review Nurse who loves making a real impact from the comfort of your... ...critical thinker and problem-solver to join our collaborative remote team. We're looking for someone who's completely at home with...Remote work
Unavailable
Glendale, CA1 day ago - ...Hour (08:30 - 17:00) Description: ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills,... ...years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity...Remote workLocal areaShift workWeekend work
Emonics LLC
Beverly Hills, CA4 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
Dane Street
United States3 days ago - ...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, PA6 days ago $8 per hour
...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los... ...% Holiday Pay: 1.5% Additional Information: ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles***...Remote workHourly payContract workShift workZenex Partners
Los Angeles, CA4 days ago- ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension) Shift timings: Standard hours - 8:00 AM to 5:00 PM (Mon-Fri) Pay Rate - $47.14/hr on W2 Job Summary:...Remote workContract workWork at officeShift work
Integrated Resources
Long Beach, CA2 days ago - ...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, AZ20 hours ago $56.44 - $87.63 per hour
...Description Join our exceptional team as a Utilization Review Nurse at Providence Holy Cross Medical Center. This full-time position offers... ...upon hire. Minimum of 2 years experience working in a remote Utilization Review environment or as an acute hospital case manager...Remote workFull timeShift workDay shiftProvidence Health and Services
Mission Hills, CA2 days ago$34 - $52.7 per hour
...FROEDTERT HOSPITAL facility. This job is Remote. FTE: 0.875000 Standard Hours:... ..., PA moonlighter, for a second level review as needed. Facilitates communication... ...care nursing experience is required; Prior utilization management or case management experience...Remote workHourly payTemporary workShift workWeekend workFroedtert Health
Milwaukee, WI3 days ago$56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full- time and will work... ...Registered Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager....Remote workFull timeShift workDay shiftProvidence Health and Services
Mission Hills, CA2 days ago- ...HealthVine - Utilization Management Physician Reviewer Pediatric Medicaid ACO The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens... ...strategic input into population health initiatives. Remote Information ~ This position is remote with a...Remote workFull timeRelocation packageMonday to FridayShift workWeekend work
Cincinnati Children's
Cincinnati, OH4 days ago $56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part- time and will work... ...Nurse License upon hire. ~2 years - Experience working in a remote UR environment or working as an acute hospital case manager....Remote workPart timeLocal areaShift workDay shiftProvidence Health and Services
Mission Hills, CA2 days ago- ...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...Remote workFull timeWork from home
Iapetus Holdings LLC
Pontiac, MI2 days ago $32 - $36.5 per hour
...communities is seeking an experienced individual to proactively monitor utilization of services for patients to optimize reimbursement for the... ...and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance...Hourly payPart timeWork at officeAcadia Healthcare
Cathedral City, CA4 days ago$42.39k - $58.26k
...025 Closing Date: 11/14/2025 5:00 PM Pacific The Job Arrowhead Regional Medical Center is recruiting for Utilization Review Technicians who review and monitor medical records; recommend actions to assure patient care is appropriate, medically necessary...Full timeWork experience placementVisa sponsorshipAll shiftsShift workNight shiftCounty of San Bernardino, CA
Colton, CA1 day ago- ..., is seeking an Emergency Medicine physician to work in a non-clinical utilization review setting. Opportunity Highlights ~ Daytime Monday through Friday position. Potential to work remotely part of the time. ~ Strong CDI Program ~ Salary and incentive of $2...Remote workPart timeMonday to Friday
Enterprisemed
Abington, PA3 days ago $25.93 - $41.43 per hour
...Job Description KYC REVIEW ANALYST- OPS WHAT IS THE OPPORTUNITY? Conduct Enhanced... ...loan borrowers and prospect reviews utilizing a variety of internal bank systems and external... .... Unless otherwise indicated as fully remote, reporting into a designated City...Remote workHourly payWork at officeCity National Bank
Newark, DE1 day ago$18.8 - $30.34 per hour
...The Professional Review Analyst provides analysis of medical services to determine appropriateness... ...medical care. This position can be remote, but candidates must reside the greater... ..., concurrent and retrospective utilization review PAY RANGE: CorVel...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hoursCorVel
Charlotte, NC3 days ago$790 per week
...personnel to participate in our local in-person and nationwide remote research studies. Description This gig is perfect for those... ...exchange for your honest feedback of their products. You get to review and use new products or services before they are launched to the...Remote workFull timeTemporary workPart timeLocal areaWork from homeFlexible hoursMaxion Research
California1 day ago$3,000 per month
...clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity... ...efficiently. - Willingness to learn and develop skills for remote work success. What You'll Enjoy: - Participate in online...Remote workExtra incomeTemporary workPart timeWork from homeMaxion Research
Jamestown, NY1 day ago$19.5 - $26 per hour
...About the job Document Review and Data Entry Specialist Job details Salary $ 19.50 to $ 26.00 per hour Job Type... ...but not be limited to the following: Use TRAX program areas utilized for Maintenance personnel and perform setup and data entry of log...Hourly payFull timeWork experience placementWork at officeRemoteOnline
San Francisco, CA1 day ago- ...Position Purpose: Performs concurrent reviews, including determining member's overall... ...regulations preferred. Knowledge of utilization management processes preferred. License... ...with critical thinking in a fully remote environment. Team members have the opportunity...Remote workWork from homeFlexible hours
Mindlance
Texas City, TX2 days ago - ...Overview Job Title: Customer Account Representative - Water Utility Exp Required Location: Fremont, CA 94538 Duration:... ...Assignments are given in specific terms and are subject to frequent review while in progress and upon completion, except where tasks are well...Contract workTemporary workWork at officeMonday to FridayShift work
22nd Century Technologies
Fremont, CA4 days ago - ...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, CA2 days ago - ...Job Description Job Description Utilization Review Analyst II Licensed Practical Nurse Classification: Utilization Review Analyst (LPN) Reports To: Director of Health Benefit Operations Department: Administration Compensation: Hourly/Non-Exempt Compensation...Hourly pay
Northwood, Inc.
Madison Heights, MI4 days ago
