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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
    4 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
    10 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
    10 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
    2 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
    3 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
    1 day 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
    4 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
    15 hours agonew

  • 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
    16 hours agonew

  • 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
    24 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

    Phoenix, AZ
    52 minutes agonew

  • 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

    Carteret, NJ
    1 day 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
    15 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
    1 day 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
    3 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
    1 day 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
    1 day 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
    3 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
    3 days ago

  • Care review Clinician | Utilization review nurse

     ...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 work
    Contract work
    Work at office
    Shift work

    Integrated Resources

    Long Beach, CA
    1 hour agonew

  • Utilization Review Nurse

     ...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
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    1 day ago

  • Utilization Review Nurse (PRN)

     ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities...  ...Board Certified (CMGT-BC). Expectations: Comfortable with remote work arrangements and virtual collaboration tools.... 
    Remote work
    16 hours
    Relief
    Work at office
    Shift work
    Weekend work
    Afternoon shift

    Netsmart

    New Haven, CT
    4 days ago

  • Utilization Review Nurse - Remote

     ...find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees... 
    Remote work
    Work at office

    Maine Staffing

    Portland, ME
    3 days ago

  • Utilization Review Nurse

    $68.8k - $118k

     ...quality service is the norm, and every member feels valued. The Utilization Review RN will review and document member case history in compliance...  ..., unrestricted RN license required This position is a Remote role. To be eligible for consideration, candidates must have... 
    Remote work
    Work experience placement

    Medica

    Hopkins, MN
    2 days ago

  • Utilization Manager Registered Nurse (RN) Reviewer - MA only!

    $72.48k - $108.72k

    013650 CCA-Auth & Utilization Mgmt Position Summary: Reporting to the Manager Utilization...  ..., the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely...  ...environment This position is available to remote employees residing in Massachusetts.... 
    Remote work
    Work at office
    Local area
    Home office

    Commonwealth Care Alliance

    Boston, MA
    4 days ago

  • Travel Nurse RN - Utilization Review - $2,284 per week

    $2,284 per week

     ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description...  ...Supplemental Health Care is hiring experienced NPC Utilization Review, Remote RNs for contract opportunities at a leading Level 1 trauma... 
    Remote work
    Full time
    Contract work
    Part time
    Local area
    Immediate start
    Shift work

    Supplemental Health Care

    United States
    1 day ago

  • Customer Solutions Representative II - Utilities

     ...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 work
    Temporary work
    For contractors
    Work at office
    Shift work

    Alura Workforce Solutions

    Azusa, CA
    2 days ago

  • Long Term Services & Support Reviewer Utilization Management

     ...Caritas Long Term Services And Supports Reviewer Your career starts now. We are looking...  ...was received, nature of the request, utilization determination (and events leading up to...  ...Package Flexible work solutions include remote options, hybrid work schedules, competitive... 
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Augusta, GA
    3 days ago

  • Utilization Review Technician

    $20.57 - $36.27 per hour

     ...About this Job: Job Summary: ? MedStar Health is looking for a Utilization Review Technician to join our team at MedStar Harbor Hospital. ? The Utilization Review Technician will collaborate with and assist the multidisciplinary team to meet individualized... 

    MedStar Health

    Brooklyn, MD
    2 hours agonew

  • RN Utilization Management Reviewer

    $38.49 - $47.05 per hour

    ## **The Role** The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing...  ..., and Resident personas. This position can be fully remote with an in-office requirement to work 1-3x/month at our... 
    Remote work
    Work at office
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    1 day ago