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$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 workHourly payFull timeWork from homeHome officeOscar Health
Dallas, TX2 days ago$35 - $41 per hour
...Utilization Review - Fully Remote This role involves performing precertification and medical necessity reviews for designated referrals and targeted outpatient procedures, services, and inpatient admissions. The position requires telephonic reviews to assess medical...Remote workPermanent employmentContract workTemporary workWork at officeWork from homeActalent
Mission Viejo, CA2 days 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, NY25 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, PA18 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, CA4 days ago - ...Description &##128205; Location: Fully Remote – Must reside in Texas (Central Time... ...and detail-oriented Clinical Review Nurses (RNs) to join the Prior Authorization... ...members. In this role, you will perform utilization reviews, evaluate medical necessity, and...Remote workHourly payPermanent employmentFull timeFlexible hoursShift work
IMCS Group
Dallas, TX7 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, AZ7 days ago - ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities... ...Certified (CMGT-BC) Expectations Comfortable with remote work arrangements and virtual collaboration tools Physical...Remote workFull timeWork at officeShift workWeekend workWeekday work
Netsmart
Winston Salem, NC3 days ago - ...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 workWork at office
Maine Staffing
Portland, ME1 day ago - ...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 workTemporary workFor contractorsWork at officeShift work
Alura Workforce Solutions
Azusa, CA1 day 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 & Service
Mission Hills, CA1 day ago$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 workFull timeContract workPart timeLocal areaImmediate startShift workSupplemental Health Care
United States2 hours agonew- ...PRN Clinical Review Nurse Children's is one of the nation's leading children's hospitals... ...applicable patients as stated in system utilization management plan. Oversees Clinical... ...days/week for 8-10 weeks. This role can be remote, including training but occasional...Remote workRelief3 days per week
Children's Healthcare of Atlanta
Atlanta, GA1 day ago $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 workWork at officeLocal areaHome officeCommonwealth Care Alliance
Boston, MA3 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, MI4 days ago $20.57 - $36.27 per hour
...Utilization Review Technician 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 patient outcomes...MedStar Good Samaritan Hospital
Baltimore, MD1 day ago- ...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 workFlexible hours
AmeriHealth Caritas
Long Beach, CA2 days ago - ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles*** Required: * CA RN License * 2 years of statistical/data analytic... ...healthcare setting * ACLS Primary Duties and Responsibilities • Review occurrence reports and the related pertinent medical records to...Remote work
Zenex Partners
Los Angeles, CA1 day 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 workFull timeWork at officeFlexible hours
$72k - $80k
Description Join Our Team as a Utilization Review Specialist (RN or Social Worker) Are you a compassionate nurse or social worker looking to make a real difference in behavioral health? AllHealth Network is seeking a dedicated Utilization Review Specialist to help...Remote workTemporary workAllHealth Network
Littleton, CO4 days 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 workFull timePart timeWork at officeWork from homeFlexible hours2 days per weekConcentric Energy Advisors
Washington DC3 days ago$35 - $50 per hour
...experienced RN or LVN with an active license to join our team as a Utilization Review Nurse . In this role, you will conduct retrospective reviews... ...Review Nurse Work Environment: Hybrid (onsite & remote) Schedule: Full-time, Monday–Friday, flexible start between...Remote workPermanent employmentFull timeContract workTemporary workMonday to FridayFlexible hoursShift work- ...Utilization Management Nurse Reviewer The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information...ReliefWork at officeWork from homeFlexible hoursShift workWeekend work
Dane Street
Chicago, IL2 days 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, CA3 days 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 timeImmediate startWork from homeMaxion Research
Texas6 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 areaImmediate startWork from homeFlexible hoursMaxion Research
California5 days ago$23 per hour
...weeks for training, then would be fully remote Must have an active LPN License in the... ...Job at a Glance Title: Medical Claims Reviewer Location: SC (preferably within SC)... ...using established criteria and managing utilization of professional, inpatient, or outpatient...Remote jobFor contractorsWork from homeCEI
Columbia, SC5 days ago$90k - $110k
...yourself with people who care about making a difference – come join us! We have an exciting opportunity for a full-time Utilization Review Manager RN to join our Utilization Review team. The Utilization Review Manager RN oversees and directs all operations of the...Hourly payFull timeMonday to FridayFlexible hoursChristian Health
Wyckoff, NJ26 days ago$185.48k - $211.67k
...Join to apply for the Principal Utility Electrical Engineer role at New Leaf Energy,... ...ideally based in a New Leaf office, although remote applicants will be considered.... ...deliver on NLE deadlines (including scoping, reviewing, and holding them accountable). Own the...Remote workFull timeWork at officeLocal areaImmediate startWork from homeNew Leaf Energy, Inc.
Boston, MA1 day 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 workFull timeContract workWork at officeWork from homeFlexible hours
