Get new jobs by email

  • 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... 
    Remote work
    Full time
    Work at office

    Quadrant Health Group

    Boca Raton, FL
    4 days ago

  • Utilization Review RN

     ...Paid Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills...  ...individual will defer decision to a second level reviewer. This individual interfaces with case... 
    Remote work
    Temporary work
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    Hines & Associates Inc

    Freeport, IL
    1 day ago

  • Utilization Review Technician III

    $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 work
    Full time
    Work at office
    Local area
    Shift work

    Prime Healthcare Management Inc

    Ontario, CA
    2 days ago

  • Utilization Review Nurse

     ...RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare is looking for a self-motivated... 
    Remote work
    Full time
    Local area
    Work from home

    VillageCare

    New York, NY
    3 days ago

  • Cardiologist Needed for Remote 1099 Utilization Review Work

    Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 1-2 hours per week. Contribute... 
    Remote job
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    5 days ago

  • Utilization Review Nurse- Remote

    $65k - $78k

     ...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent...  ...we welcome applications on an ongoing basis. #LI-AC1 #LI-REMOTE The pay range for this position is $65,000.00 - $78,000.00... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies

    Wilmington, NC
    4 days ago

  • Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)

     ...Your Role The Commercial Post Service Review team is responsible for clinically...  ...Outpatient Program (IOP). The RNs perform reviews utilizing the Blue Shield of California Medical...  ...facing and approved out-of-state roles remain remote. o Employees living more than 50 miles... 
    Remote work
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    1 day per week

    Blue Shield Of California

    Rancho Cordova, CA
    4 days ago

  • Utilization Reviewer 2

    $59.24k - $76k

     ...real difference. Job Description This is a full-time remote position that can be located anywhere in the U.S. PA RN license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization... 
    Remote work
    Full time
    Part time
    Local area
    Work from home
    Flexible hours

    Enlyte

    Arlington, TX
    4 days ago

  • RN Utilization Review Part- time Day

    $56.44 - $87.63 per hour

     ...Description Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review...  ...Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager.... 
    Remote work
    Part time
    Local area
    Shift work

    Providence Health and Services

    Santa Clarita, CA
    1 day ago

  • Manager Long Term Services & Support Utilization Management Review

     ...Community Health Choices Long Term Services and Supports (LTSS) Review Utilization Management program and staff under the supervision of the...  ...Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time... 
    Remote work
    Live in
    Work at office
    Flexible hours

    AmeriHealth Caritas

    Newtown Square, PA
    5 days ago

  • Travel Utilization Review RN - $1,975 per week

    $343 per month

     ...Travel Utilization Review RN - $1,975 per week at Assured Nursing summary: A travel nurse Registered Nurse (RN) specializing in case management...  ...a 13-week contract in Eureka, California. The role involves remote utilization review, working 40 hours per week during daytime... 
    Remote work
    Weekly pay
    Full time
    Contract work
    Zero hours contract
    Shift work
    Day shift

    Assured Nursing

    Eureka, CA
    1 day ago

  • Utilization Review Nurse

     ...Job Description 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... 
    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    6 days ago

  • Outcomes Manager, Utilization Review, RN, Per Diem

    $37.21 - $57.68 per hour

     ...Pennsauken - 6991 North Park Dr. Remote Type: On-Site Employment Type:...  ...process. Position Responsibilities: Utilization Management • Utilizes Payer specific screening...  ...and complete documentation of clinical review and denial management in the case... 
    Remote work
    Hourly pay
    Daily paid
    Full time
    Temporary work
    Part time
    Summer work
    Local area
    Flexible hours
    Shift work
    Day shift

    Virtua Health

    Pennsauken, NJ
    2 days ago

  • staff - Registered Nurse (RN) - Case Manager, Utilization Review - $45-62 perhour

     ...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration:... 
    Suggested
    Full time
    Immediate start
    Work from home
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    1 day ago

  • Utilization Review Nurse-Remote-Contract

    $40 per hour

     ...months Must reside in TX Full time remote Candidates must be based in TX. RN...  ...for performing initial, concurrent review activities; discharge care coordination...  ...guidelines. Provides information regarding utilization management requirements and operational... 
    Remote work
    Full time
    Contract work
    Work at office

    HireOps Staffing LLC

    Dallas, TX
    2 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
    2 days ago

  • Remote RN Prior Authorization & Utilization Review (Austin)

    $41.04 per hour

     ...Now Hiring: Remote RN Prior Authorization & Utilization Review (Texas Medicaid) &##128313; &##128188; Contract | Up to $41.04/hr &##128205; Remote (Must reside near in TX) &##128338; Full-time | Primary shift: 10 AM 7 PM Are you a detail-oriented RN looking... 
    Remote work
    Full time
    Contract work
    Part time
    Immediate start
    Shift work

    Manpower

    Austin, TX
    1 day ago

  • Plastic Surgeon - Utilization Review Physician (Remote, LA Licensed)

     ...Dane Street, a nationally recognized Independent Review Organization (IRO) and leading provider of Utilization Review (UR) services, is expanding its panel of physician...  ...to perform Utilization Reviews on a flexible, remote basis. This is a non-clinical, contract... 
    Remote job
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street

    Los Angeles, CA
    1 day ago

  • Utilization Review RN

    $51.43 - $79.84 per hour

     ...Description This is a remote role. You MUST live in the state of Washington (WA) to be considered Care Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge... 
    Remote work
    Daily paid
    Full time
    Live in
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Seattle, WA
    2 days ago

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

    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
    11 hours ago

  • After Hours Behavioral Health Utilization Management Reviewer

     ...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non-traditional hours to provide...  ...clarification when necessary.; Work Arrangement: Remote role. Saturday through Wednesday from 4:00p EST to 12... 
    Remote work
    Flexible hours
    Saturday

    AmeriHealth Caritas

    Newtown Square, PA
    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 a member of a team responsible for ensuring the receipt of high quality, cost efficient medical outcomes for... 
    Remote work
    Work at office

    Martins Point Health Care

    United States
    2 days ago

  • Behavioral Health Care Advocate (Utilization Review, Outpatient) - Remote

     ...Advocate will complete telephonic clinical reviews directly with Providers to ensure...  ...position is inbound-queue based, and is fully remote, with a Monday-Friday, 10:30am - 7:00pm...  ...~ Telephone queue experience ~ Utilization review/management experience Explore... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Local area
    Home office
    Monday to Friday

    UnitedHealth Group

    Maryland Heights, MO
    3 days ago

  • Utilization Review Clinician - Behavioral Health

    $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
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Atlanta, GA
    4 days ago

  • Pediatric Utilization Management Reviewer

     ...agencies to ensure the approved services are provided. Our Utilization Management Reviewers cultivate and maintain relationships with our members'...  ...reaches their 21st birthday. ; Work Arrangement:; Remote role. Monday through Friday from 8:30a EST to 5:00p EST... 
    Remote work
    Contract work
    Monday to Friday
    Flexible hours
    Shift work

    AmeriHealth Caritas

    Newtown Square, PA
    1 day ago

  • Utilization Review Clinician

     ...We save lives while providing the opportunity for people to realize their healthy selves. Utilization Review Clinician Monte Nido Remote Monte Nido has been delivering treatment for eating disorders for over two decades. Our programs offer a model of treatment... 
    Remote work
    Full time
    Temporary work
    Flexible hours

    Monte Nido

    Miami, FL
    1 day ago

  • Utilization Management Reviewer

     ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient...  ...will also be counted upon to: Work Arrangement: Remote role. Availability to work Monday through Friday, 8 AM... 
    Remote work
    Monday to Friday
    Flexible hours
    Afternoon shift

    AmeriHealth Caritas

    Newtown Square, PA
    5 days ago

  • Utilization Review Nurse I

    $26.5 - $47.59 per hour

     ...License or Identification card. Position Purpose: The Utilization Review Nurse I provides first level clinical review for all outpatient...  ...time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    New York, NY
    2 days ago

  • Regional Utilization Review Documentation Specialist (RN)

    $78.54k - $121.72k

     ...Employment Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. *... 
    Full time
    Work at office
    Local area
    Shift work
    Day shift

    Trinity Health

    Maywood, IL
    2 days ago

  • Utilization Review Nurse (RN)

     ...patient experience. Learn more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse...  ...provides timely verbal and written reports as directed. **Remote position but MUST be able to work pacific standard time (PST)... 
    Remote work
    Local area

    UHS

    Reno, NV
    1 day ago