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- ...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 workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
Hines & Associates Inc
Freeport, IL3 days ago $17 - $18 per hour
...work-life balance. Here, there's no limit to what you can achieve. We are hiring a Customer Service Representative to handle utilization review calls from injured workers. This role requires strong communication skills and a customer-focused approach to ensure callers...SuggestedFull timeCurrently hiringWork at officeLocal areaMonday to FridayFlexible hoursShift work- ...Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity and identify the need for...Remote workFull timeTemporary workWork at officeWorldwide
The University of Miami
United States17 hours ago $35 - $45.94 per hour
...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the... ...Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Texas, Georgia, Arizona...Remote workHourly payFull timeWork from homeHome officeOscar Health
Dallas, TX25 days ago- ...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime... ...case information within a database system Performs chart review/audits monthly or as needed Participates in monthly case...Remote workWeekly payContract workLocal area
Maryland Staffing
United States17 hours ago $211.2k - $277.2k
...Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance... ...Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in: Arizona;...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health
Tampa, FLa month ago- ...Physician Reviewer Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding... ...Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with...Remote workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
Pittsburgh, PA4 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, NY6 days ago $2,520 per week
...Staffing Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Jackson, Mississippi. Job... ...exemption only w/ documentation) + fingerprinting (allow ~10 days remote or in-person the week prior) Orientation: ~2 weeks with...Remote workWeekly payPermanent employmentContract workTemporary workLocal areaShift workWeekend workUnited Staffing Solutions
Jackson, MS4 days ago$28 per hour
...divh2Document Reviewers/h2pKLDiscovery, one of the largest national eDiscovery providers, is currently... ...version 16 or later is required./ppProficiency in utilizing modern technology, especially computers and related remote work equipment, is required./ppStrong attention...Remote workHourly payTemporary workWork from homeHome officeMonday to ThursdayKLDiscovery
San Diego, CA1 day ago$50 - $54 per hour
...JOB TITLE: Clinical Review RN (Medicaid Cost Outlier) GENERAL RESPONSIBILITIES: This... ...full spectrum of activities related to Utilization or Quality reviews as assigned. They will... ...review. LOCATION: position starts remote for ~1-2 months and then nurses will be...Remote workWeekly payLong term contractWork at officeMonday to FridayFlexible hoursMedix™
Jericho, NY3 days ago$50 per hour
...Remote RN- Utilization review - Torrance, CA Start Date: 02/23/2026 Job Duration: 8 (With Extension) Shift: Day 5x8-Hour (08:00 - 16:30) Block Schedules: No Years of Experience: 3 year(s) (Note: at least 3 years acute CM/UM experience) Special Procedures...Remote workContract workShift workWeekend workPacer Staffing
Moreno Valley, CA4 hours agonew- ...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 workFlexible hoursWeekend work
IntePros
Phoenix, AZ17 hours ago $38 - $40 per hour
...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance, California. Job Description... ...Type: Local Contract Registered Nurse – Utilization Review (REMOTE | CA) Contract Length: 8 Weeks 100% Remote – Must Work PST Hours...Remote workHourly payWeekly payLong term contractPermanent employmentContract workTemporary workWork at officeLocal areaShift workWeekend workDay shiftLanceSoft
United States1 day ago- ...Utilization Review Advisor Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor... ...time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. MD Physician Advisor Job...Remote workFull timeFlexible hours
Inova Health System
Ashburn, VA3 days ago $65 - $82 per hour
...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in Ardsley, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: Ongoing 37 hours per week Shift...Hourly payImmediate startWork from homeShift workMedical Solutions Direct Hire
Ardsley, NY4 days ago$18 - $21 per hour
...Tax Documentation Reviewers Cherry Bekaert is gearing up for tax busy season! We are seeking multiple temporary, remote Tax Documentation Reviewers to support our Validation Center... .... In this role you will: Utilizing your keen attention to detail to provide...Remote workHourly payTemporary workWork experience placementSeasonal workMonday to FridayChicago Staffing
Chicago, IL4 days ago- ...as a "Great Place to Work" since 2015. Position Summary The Supervisor is responsible for day-to-day operations of the utilization review clinical team, in the areas of authorization requests, organizational determinations/ disputes, and auditing/training of utilization...Remote workWork at office
Martins Point Health Care
United States17 hours ago $2,700 per week
...HonorVet Technologies is seeking a travel nurse RN Utilization Review for a travel nursing job in Costa Mesa, California. Job Description &... ...days Employment Type: Travel UM Nurse Manager – Direct Hire (Remote) Client: Hoag Memorial Hospital Presbyterian Department: Hoag...Remote workMonday to FridayShift workHonorVet Technologies
United States1 hour agonew- ...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests... ...Working Conditions and Additional Expectations: Full-time remote role requiring consistent availability during standard...Remote workFull timeTemporary workLocal area
Integra Partners
Troy, MI3 days ago - ...Hmong Document Reviewer Atlanta, GA / Remote / Hybrid / Charlotte, NC eDiscovery Document Review / Full Time Remote As a CGS Hmong Chinese... ...Produces a variety of written documents and materials utilizing a wide range of office software applications Establishes...Remote workFull timeWork at officeFlexible hours
Contact Government Services LLC
Charlotte, NC1 day ago - ...Job Description Job Description Registered Nurse (Utilization Review / Medical Review) #74950 Employment Type: Full-Time Location: Remote, local candidates Candidate Location Preference: Austin and surrounding areas Schedule and Work Hours Required...Remote jobFull timeLocal areaShift work
MMC Group LP
Austin, TX16 days ago - ...opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight of utilization review activities across the health system, including the academic...Full timeContract workWork from homeShift work
The University of Chicago Medical Center
Harvey, IL3 days ago - ...Physical Therapist - Documentation Review Specialist Location: Remote Job Description: We are seeking an experienced and detail-oriented Physical... ...assurance role Knowledge of best practices for EMR utilization and documentation in healthcare Ability to work...Remote work
Remote VA
Albany, NY2 days ago - ...Overview If you are a Registered Nurse who has strong hospital Utilization Review (UR) experience and are ready to take the next step into a... ...offers a hybrid schedule , with most work performed remotely, offering both flexibility and impact. In this role, you will...Remote workFlexible hoursNight shift
VHC Health
Arlington, VA13 days ago $85k - $110k
...new ways to optimize their business and manage costs effectively utilizing people, process, and technology advancements. If you enjoy... ...for you! Job Description The Sr. Consultant - Invoice Review role is critical to the delivery of high impact spend consulting...Remote workLocal areaEpiq
United States17 hours ago- ...university and one of largest health delivery systems in California, seeks an accomplished Utilization Review Nurse. ______________________________________ NOTE- THIS IS 100% REMOTE ROLE & ONLY W2 CANDIDATES/NO C2C/1099 *** Candidate must be authorized to work in...Remote workTemporary workWork at officeLocal area
Amerit Consulting
Fontana, CA4 hours agonew $269.5k - $425.5k
...quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects... ...situations. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some...Remote workMinimum wageFull timeWork experience placementLocal areaWeekend workUnitedHealth Group
United States17 hours ago- ...Job Description Job Description Description: Job Summary The Assistant Director, Utilization Review is responsible for assisting the Director, Utilization Review with the leadership, supervision and training of the Utilization Review and Quality Departments, as...Work at officeLocal area
Nexus
Schertz, TX19 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 homeFlexible hoursMaxion Research
Dixon, CA4 days ago
