• Director, Utilization Management Review (, PA, United States)

     ...practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us...  ...The Director, Utilization Management Review will lead and oversee the development,...  ...employees and applicants for employment. Remote employees are expected to maintain a... 
    Remote job
    Full time

    Side Hamburg

    Pennsylvania
    2 days ago

  • Orthopedic Surgery Specialist (Mississippi) - Remote Utilization Review Opportun

     ...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 job
    Price work
    For contractors
    Second job

    Dane Street, LLC

    Parchman, MS
    3 days ago

  • AVP, Utilization Review & Pharmacy

     ...Zurich Insurance is seeking an AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the flexibility of a home-based office. As the AVP of Utilization Review & Pharmacy, you will lead and direct a team of Utilization Review an Pharmacy, Customer... 
    Remote job
    Work from home
    Home office

    Zurich Insurance Group, Ltd.

    Schaumburg, IL
    2 days ago

  • Utilization Review Specialist

     ...office position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be...  ...substance abuse treatment centers is seeking an experienced Utilization Review (UR) Specialist to join our dynamic and fast-paced team. This... 
    Remote job

    Quadrant Health Group

    Boca Raton, FL
    19 days ago

  • Utilization Review Specialist

     ...company for healthcare organizations. We are looking to add a Utilization Review Specialist to our growing team. The Utilization Review...  ...working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Responsibilities include:... 
    Remote job
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    13 days ago

  • Utilization Review Technician III

     ...Privacy Notice for California Applicants: 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 job
    Local area

    Prime Healthcare Management Inc

    Ontario, CA
    3 days ago

  • Utilization Review Specialist

     ...of this position is to ensure that the utilization process is thorough, organized and streamlined...  ...virtual IOP caseload Completes peer reviews on cases with insurance Collaborates...  ...Health-sponsored benefits. #LI-REMOTE Note to Colorado applicants: Applications... 
    Remote job
    Full time
    Local area

    Charlie Health

    Nashville, TN
    10 days ago

  • Utilization Review Clinician - Behavioral Health

     ...this role have the flexibility to work remotely from their home anywhere in the Eastern...  ...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 providers... 
    Remote job
    Hourly pay
    Holiday work
    Work from home
    Flexible hours

    Centene Corporation

    Austin, TX
    4 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

    Lakewood, NJ
    16 days ago

  • CA Utilization Review Case Manager I

    The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions...  ..., and complies with ADA regulations as applicable. #LI-Remote Equal Opportunity Employer This employer is required to... 
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Local area
    Work from home
    Flexible hours

    CorVel

    Rancho Cucamonga, CA
    1 day ago

  • Travel Utilization Review Case Manager

     ...New York . This is a 7a-7:30p, 07:00:00-19:30:00, 12.00-3 position in the CARE MANAGEMENT, 220.7920 type:Case Management (Utilization Review) . The ideal candidate will possess a current state license as a RN and have at least 2 years of recent experience as a Case... 
    Suggested
    Weekly pay
    Holiday work
    Contract work
    Shift work

    Assured Nursing

    White Plains, NY
    6 days ago

  • Utilization review Nurse

    Job Description: This position will be remote role for Nurses in Michigan Should have a valid MI RN License Should Have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings previously... 
    Remote job

    LanceSoft

    Michigan Center, MI
    5 days ago

  • Registered Nurse - Utilization Review

    ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred... 
    Remote job
    Local area
    Weekend work

    Zenex Partners

    Beverly Hills, CA
    4 days ago

  • Utilization Review Case Manager - Home Care

    43034441 Utilization Review Case Manager Home Health PRN, Days Why work as a Utilization Review Case Manager at Visiting Nurse...  ...discussed with hiring manager. Locations: ~ Fully remote work in all states except : CA, CT, MA, MD, NJ, NY, OH, RI,... 
    Remote job
    Relief
    Immediate start
    Flexible hours
    Shift work
    Monday to Friday

    Dartmouth Health

    Hartford, VT
    3 days ago

  • AVP, Utilization Review & Pharmacy

    AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the flexibility of a home-based office. As the AVP of Utilization Review & Pharmacy, you will lead and direct a team of... 
    Remote job
    Full time
    Temporary work
    Local area
    Work from home
    Home office
    Visa sponsorship

    Zurich NA

    Montgomery, AL
    28 days ago

  • Registered Nurse - Utilization Review

    Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift: Day 5x8-...  ...staff is needed) Day Shift 0800-1630, (UR positions will be remote) Need to have UR experience, specifically with InterQual Possibly... 
    Remote job
    Holiday work
    Shift work
    Weekend work
    Sunday
    Day shift
    Saturday

    Zenex Partners

    Apple Valley, CA
    1 day ago

  • Utilization Review Nurse(Austin/Richardson TX) (Remote)

    $38 per hour

     ...REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or...  ...responsible for performing initial, concurrent review activities; discharge care coordination...  .... Provides information regarding utilization management requirements and operational... 
    Remote job
    Hourly pay
    Contract work

    Bracane Company, Inc.

    Richardson, TX
    8 days ago

  • Travel RN Case Manager - Utilization Review

     ...week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $115 - (8751-62500) - TO About Anders Group WHY ANDERS? \n Anders Group... 
    Shift work

    Anders Group

    Greenbrae, CA
    28 days ago

  • Registered Nurse - Utilization Review (Nursing)

    NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson AFB,...  ...No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S. Citizenship...  ...in Utilization Management, Utilization Review, or Case Management • Preferred... 
    Remote job
    Holiday work
    Contract work
    Immediate start
    Monday to Friday

    J Edward Staffing LLC

    Aurora, CO
    4 days ago

  • Travel Case Manager (Utilization Review) - $3,070 per week

     ...Travel Case Manager (Utilization Review) - $3,070 per week at Solomon Page summary: This role is for a Travel Registered Nurse (RN) specializing in Case Management, providing patient care coordination for a 13-week assignment in Bronx, New York. The position requires... 
    Remote job
    Weekly pay
    Full time
    Locum
    Immediate start
    Flexible hours
    Shift work

    Solomon Page

    Bronx, NY
    2 days ago

  • Travel Utilization Review Case Manager - $2,431 per week

     ...Travel Utilization Review Case Manager - $2,431 per week at Solomon Page summary: This role involves providing case management services as a registered nurse in a travel nursing assignment based in White Plains, New York. The position requires a current New York RN... 
    Remote job
    Weekly pay
    Full time
    Locum
    Immediate start
    Flexible hours
    Shift work

    Solomon Page

    White Plains, NY
    2 days ago

  • Physician Reviewer - Orthopedic Spine (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 job
    Price work
    For contractors
    Second job
    Flexible hours

    Dane Street

    New York, NY
    5 days ago

  • Utilization Review Nurse

     ...directly to the Chief Clinical Officer, the Utilization Management Nurse ("UM RN") is...  ...Vision, and Core Values. Your clinical care review determinations for our hematology and oncology...  ...in utilization management Fully remote position The estimate displayed represents... 
    Remote job
    Hourly pay

    The Oncology Institute of Hope and Innovation

    Las Vegas, NV
    3 days ago

  • Physician Reviewer - Orthopedic Surgery (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 job
    Price work
    Contract work
    For contractors
    Second job
    Flexible hours

    Dane Street, LLC

    New York, NY
    more than 2 months ago

  • Orthopedic Surgeons - Peer to Peer/Utilization Reviewers - Position is Fully Remote

    ezURs is a URAC accredited Independent Review Organization. ezURs affords our clients true...  ...perform a wide variety of world-class utilization review, disability, peer reviews...  ...and auto liability -Opportunity to work remotely. -Flexible work schedules -Active, unrestricted... 
    Remote job
    Hourly pay
    Contract work
    For contractors
    Immediate start
    Flexible hours

    ezURs

    Richardson, TX
    10 days ago

  • Assistant Project Manager - Utility Design Reviewer

     ...Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to be based in **Sacramento or Fresno, CA.** **JOB...  ...work options. Whether you're working from an AECOM office, remote location or at a client site, you will be working in a... 
    Remote job
    For contractors
    For subcontractor
    Worldwide
    Relocation
    Visa sponsorship

    AECOM

    Sacramento, CA
    more than 2 months ago

  • Physical Medicine and Rehabilitation Physicians- Peer/Utilization Reviewer - Remote position

    ezURs is a URAC accredited Independent Review Organization. ezURs affords our clients true...  ...perform a wide variety of world-class utilization review, disability, peer reviews...  ...and auto liability -Opportunity to work remotely. -Flexible work schedules -Training... 
    Remote job
    Hourly pay
    Contract work
    For contractors
    Immediate start
    Flexible hours

    ezURs

    Richardson, TX
    14 days ago

  • Utilization Review Nurse (Remote)

    Salary: $2280 / Week The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state... 
    Remote job
    Weekly pay
    Contract work
    Local area

    Amergis

    Oakland, CA
    9 days ago

  • UTILIZATION REVIEW ASSISTANT

     ...UTILIZATION REVIEW ASSISTANT ~ Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~Full-time w/Weekend Commitment - Day/Evening...  ...and internal revenue cycle partners. *This is a partially remote position and will be scheduled weekly for 3-10 hour shifts, 1... 
    Remote job
    Full time
    Shift work
    Rotating shift
    Weekend work
    Afternoon shift

    LifeBridge Health

    Baltimore, MD
    13 hours ago

  • DIRECTOR - UTILIZATION REVIEW / CASE MGMT (Washington)

     ...offices, clinics, a community space, a 500-car garage and a helipad for emergency transports. We are seeking a Director of Utilization Review /Case Management: The Director will have 24-hour 7 day a week responsibility for the operational management and strategic... 
    Full time
    Local area
    Immediate start

    ignoredontpost

    Washington DC
    2 days ago