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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 work
    Shift work

    MSSI

    Minneapolis, MN
    9 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 work
    Shift work
    Afternoon shift

    MSSI

    Minneapolis, MN
    9 days 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 work
    Full time
    Work at office
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    a month 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 work
    Full time

    IntePros

    Philadelphia, PA
    23 days ago
  • $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
  •  ...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
    a 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 work
    Shift work
    Weekend work
    Day shift
    Afternoon shift

    MSSI - Medical Staffing Solutions, Inc.

    Minneapolis, MN
    14 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 work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies LLC

    North Carolina
    17 hours ago
  •  ...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 work
    Temporary work
    Work at office
    Local area

    Skyway Behavioral Health

    Downers Grove, IL
    a month 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 work
    Part time
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    12 days ago
  •  ...Job Title: Quality Review Specialist Location: Remote in IL, TX, NM, OK Duration: December 2025 to May 2026 contract to hire Pay: $46.50/hr...  ...Degree OR 4 years in health care experience. 5 years utilization management, appeals, claims and mainframe system experience... 
    Remote work
    Contract work
    Part time
    Shift work
    Weekend work

    Innovative Systems Group

    Chicago, IL
    1 day 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 complaints... 
    Remote work
    Full time
    Work from home

    Atlas Field Services

    Dearborn Heights, MI
    7 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 work
    Price work
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street, LLC

    New York, NY
    more than 2 months ago
  •  ...About Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking... 
    Remote work
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street, LLC

    New York, NY
    more than 2 months ago
  •  ...Drug Utilization Review Pharmacist – Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a...  ...pharmacy. Flexibility: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary, benefits, and... 
    Remote work

    Pharmacy Careers

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

    Dane Street, LLC

    Parchman, MS
    more than 2 months ago
  •  ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert...  ...independent medical reviews on a flexible, remote basis. This non-clinical, contract-based role... 
    Remote work
    Extra income
    Contract work
    Flexible hours

    Dane Street, LLC

    New York, NY
    17 days ago
  •  ...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
    a month ago
  • $114k - $161k

     ...Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Join to apply for the Principal Consultant - Utility Return...  ...Washington, DC Position Type : Hybrid 3 days in office, 2 remote days per week 2025 Salary Range: $114,000 - $161,000 plus... 
    Remote work
    Full time
    Part time
    Work at office
    Work from home
    Flexible hours
    2 days per week

    Concentric Energy Advisors

    Washington DC
    8 days ago
  •  ...CDCN teams with routing/processing and reviewing documents as they flow through the document...  ...for completeness and accuracy. Utilize a range of software to enter data and meet...  ...their own reliable internet if working a remote/hybrid position. The incumbent typically... 
    Remote work
    Work at office
    Local area

    Montana Staffing

    Missoula, MT
    2 days ago
  • $26.5 - $47.59 per hour

     ...Position Purpose:** Performs a clinical review and assesses care related to mental health...  ...data to improve quality and appropriate utilization of services + Provides education to...  ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Sacramento, CA
    23 days ago
  •  ...Job Description Internal Medicine Physician (Chat Review Specialist) - Suwanee, GA Job Type: Full-time (Remote Option Available) Shifts: Days (Monday 8am to Friday 5pm) Position Summary: We are seeking a board-certified Internal Medicine Physician (MD only... 
    Remote work
    Full time
    Work at office
    Relocation package
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work

    ProTouch Staffing

    Suwanee, GA
    13 days ago
  • Registered Nurse RN Utilization Management Care Reviewer Remote Location Remote in Phoenix, AZ : Primary City/State: Arizona, Arizona Department Name: Utilization Mgmt Work Shift: Day Job Category: Clinical Care Find your path in health care. At Banner Health... 
    Remote work
    Full time
    Monday to Friday
    Shift work

    Banner Health

    Phoenix, AZ
    1 day ago
  • $15 per hour

     ...large language model builders. We’ve built a best-in-class remote work platform for our freelance contributors to provide valuable...  ...user needs in a structured way. \n Evaluate AI outputs by reviewing and ranking reasoning and problem-solving responses from large... 
    Remote job
    Weekly pay
    Freelance
    Work from home
    Flexible hours

    Outlier AI

    Los Angeles, CA
    4 days ago
  •  ...supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for patients...  .... Excellence in Practice: Performs preadmission review on admissions when required by insurance companies/agencies to... 
    Full time

    West River Health Services

    Hettinger, ND
    18 days ago
  •  ...the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews....  ...clinical judgment in their application **Work Arrangement** + Remote position + Monday through Friday 8:00 AM to 5:00 PM... 
    Remote work
    Work at office
    Monday to Friday
    Flexible hours
    Weekend work

    AmeriHealth Caritas

    United States
    11 days ago
  •  ...across our broad footprint.** **Facility:** Remote WI **Location:** Remote, WI **Address:*...  ...* 31.00 - 49.50 **Job Summary** The Peer Review Specialist facilitates provider peer...  ...studies and assigned routine monitoring, utilizing defined guidelines and criteria of the Medical... 
    Remote work
    Full time
    Part time
    Work from home
    Shift work
    Day shift

    Sanford Health

    Remote
    a month ago
  • $38.5k

     ...Utilization Review Specialist  About the Position:   Under general direction of the Director of Operations, the Utilization Review (UR)...  ...meetings, and other duties as assigned. This position is not remote and does require patient interaction.   Job Type/Salary:... 
    Hourly pay
    Full time
    Work at office
    Monday to Friday
    Flexible hours
    Shift work

    Oklahoma Department of Mental Health and Substance Abuse Ser...

    Norman, OK
    12 days ago
  •  ...Job Title: Utilization Review Specialist Location: Chicago Job Type: Full-Time Reports to: Director of Revenue Cycle Manager; In Direct Reporting to Chief Clinical Officer Direct Reports: none subject to change in future About Us: God Restoring... 
    Full time
    Work at office

    GRO Community

    Chicago, IL
    3 days ago
  • $47.67 - $71.51 per hour

     ...timely information to justify acute hospital admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for concurrent review on specific patients. Develops, coordinates and monitors systems for the appeal/denial... 
    Full time
    Work at office
    Local area
    Monday to Friday
    Shift work
    Weekend work

    Sutter Health

    Berkeley, CA
    a month ago