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  • Utilization Review Analyst

     ...efficient use of resources via concurrent reviews of acute care authorizations. The scope...  ...and regulations. Understanding of utilization management Preference for knowledge of...  ...standard office hours. Hybrid (onsite/remote) work schedule available. The ideal candidate... 
    Remote work
    Work at office

    Oakland Community Health Network

    Troy, MI
    17 days ago

  • Utilization Review Specialist (in-office only) (Boca Raton)

    $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
    Part time
    Work at office

    Quadrant Health Group

    Boca Raton, FL
    2 days ago

  • Utilization Review RN

     ...and nights! 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
    2 days ago

  • Cardiologist Needed for Remote Utilization Review Work

     ...Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What Youll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 12 hours... 
    Remote work
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    4 days ago

  • 1099 Utilization Review work for Radiation Oncologists

     ...Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...) to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 12 hours per week, possibly more... 
    Remote work
    Full time
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute

    Dallas, TX
    4 days ago

  • PRN - Remote ENT Utilization Review Work

     ...Join to apply for the PRN - Remote ENT Utilization Review Work role at Medical Review Institute of America Flexible Independent Contractor (1099) Opportunity FOR PHYSICIANS ONLY Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO or INDIANA Medical License... 
    Remote work
    Full time
    For contractors
    Relief
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    4 days ago

  • PRN - Remote Utilization Review Work for a Neurosurgery

     ...Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be among the first 25 applicants Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical... 
    Remote work
    Full time
    For contractors
    Relief
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    4 days ago

  • Michigan Utilization Review Nurse - LPN (100% Remote)

     ...carriers; third party administrators (TPAs); and government entities we serve. Position: Michigan Utilization Review Nurse (Precertification) - LPN Location: Remote FMLA: Non- Exempt, Full-Time Schedule: M-F 8am-4:30pm Overview: The role of... 
    Remote job
    Full time
    Work at office
    Local area
    Work from home

    MEDLOGIX, LLC

    Lansdale, PA
    7 days ago

  • Physician Reviewer - Orthopedic Spine Surgery (Utilization Review) MS

     ...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 work
    Price work
    Extra income
    For contractors

    Dane Street, LLC

    Parchman, MS
    20 days ago

  • Travel Utilization Review Registered Nurse

     ...RN for a contract position in Apple Valley California . This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Remote Utilization Review,3223.861060.27035 . The ideal candidate will possess a current state license as a RN and have at least 2 years of recent... 
    Remote work
    Weekly pay
    Contract work
    Zero hours contract
    Shift work

    Assured Nursing

    Apple Valley, CA
    11 days ago

  • Travel Nurse RN - Case Manager, Utilization Review

     ...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description...  ...requires attendance in the area on Friday and includes both remote and onsite components Expect to function as core staff... 
    Remote work
    Daily paid
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Fort Myers, FL
    7 days ago

  • Travel Nurse RN - Utilization Review

     ...Description First Connect Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts,...  ...Behavioral Health / Utilization Review (Hybrid Position: In-Person & Remote)   Position: Registered Nurse – Behavioral Health /... 
    Remote work
    Weekly pay
    Daily paid
    Long term contract
    Temporary work
    Local area
    Immediate start
    Flexible hours
    Shift work

    First Connect Health

    Cambridge, MA
    8 days ago

  • Registered Nurse - Utilization Review

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

    Zenex Partners

    Apple Valley, CA
    2 days ago

  • Utilization Review Nurse

    $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 work
    Hourly pay
    Full time
    Work from home
    Home office

    Oscar Health

    Dallas, TX
    5 days ago

  • Registered Nurse/Utilization Review

     ...Hour (08:30 - 17:00) Description: ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills,...  ...years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity... 
    Remote work
    Local area
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    4 days ago

  • 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

    New York, NY
    3 days ago

  • Physician Reviewer - Psychiatry (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

    United States
    3 days ago

  • Physician Reviewer - Psychiatry (Utilization Review) NY

     ...About Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking... 
    Remote work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    United States
    1 day ago

  • Utilization Review Nurse

     ...Overview Title: Clinical Review Nurse Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential...  ...for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct... 
    Remote work
    Contract work

    SPECTRAFORCE

    Washington DC
    4 days ago

  • Travel Nurse RN - Utilization Review - $3,307 per week

    $3,307 per week

     ...Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job Description & Requirements...  ...Employment Type: Travel Hybrid position: in-person and remote.   Must have Interqual criteria experience. Must have... 
    Remote work
    Monday to Friday
    Shift work
    Day shift

    Talent4Health

    Cambridge, MA
    3 days ago

  • Utilization Review RN

     ...Note: This employer is open to candidates who want to work remote. At BayCare, we are proud to be one of the largest employers...  ...dignity, respect, responsibility and clinical excellence. The Utilization Review Specialist Senior/RN responsibilities include: Functions... 
    Remote work
    Full time
    Relief
    Weekend work

    BayCare Health System

    Tampa, FL
    4 days 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

    Elmira, NY
    2 hours agonew

  • Registered Nurse-Utilization Review

    $8 per hour

     ...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los...  ...% Holiday Pay: 1.5% Additional Information: ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles***... 
    Remote work
    Hourly pay
    Contract work
    Shift work

    Zenex Partners

    Los Angeles, CA
    4 days ago

  • Occupational Therapist - Utilization Review

     ...Job Description Job Description Occupational Therapist – Utilization Review Location: Remote Licensure: Current, active, and unrestricted Occupational Therapy license issued by the Arkansas State Medical Board. Job SummaryAstyra is seeking a licensed Occupational... 
    Remote work

    Astyra Corporation

    Little Rock, AR
    21 days ago

  • Assistant Project Manager - Utility Design Reviewer

    $110k - $203.51k

     ...deliver a better world. Join us. **Job Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to work **remotely** . However, the client is located in Sacramento, CA and thus it's expected that this individual's working hours... 
    Remote work
    For contractors
    For subcontractor
    Local area
    Worldwide
    Relocation
    Visa sponsorship
    Flexible hours

    AECOM

    Sacramento, CA
    4 days ago

  • Utilization Review RN

    $46.01 - $67.57 per hour

     ...Job Details Job Location STAYTON, OR Remote Type Hybrid Salary Range $46.01 - $67.57 Hourly Description...  ...talented medical professionals and make a difference as our next Utilization Review Nurse . You will play an instrumental role in improving... 
    Remote work
    Hourly pay

    Santiam Hospital & Clinics

    Stayton, OR
    5 days ago

  • Utilization Management Physician Reviewer Pediatric Medicaid ACO

     ...Overview The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens ensures that pediatric Medicaid members receive medically necessary...  ...into population health initiatives. This position is remote with a schedule of Monday through Friday 8:00am-5:00pm... 
    Remote work
    Monday to Friday
    Weekend work

    Academy of Managed Care Pharmacy

    Cincinnati, OH
    4 days ago

  • RN Utilization Review Full-time Day

    $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 work
    Full time
    Shift work
    Day shift

    Providence Health & Service

    Santa Monica, CA
    3 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
    1 day ago

  • Clinical Review/Utilization Registered Nurse (RN) - PRN

     ...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 work
    Relief
    3 days per week

    Children's Healthcare of Atlanta

    Atlanta, GA
    4 days ago