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

    $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
    Part time
    Work at office

    Quadrant Health Group

    Boca Raton, FL
    3 days 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
    3 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
    5 days ago

  • Clinical Resource Coordinator and Utilization Review RN REMOTE ROLE

     ...our future each day. Are you living your life's work? We are excited to share this rewarding and REMOTE RN role! This role will focus primarily on utilization review which is why we are seeking individuals who have between 3 to 5 years experience in UR . We hope... 
    Remote work

    Pennsylvania Medicine

    Philadelphia, PA
    4 days 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
    1 day ago

  • Outcomes Manager, Utilization Review RN, Part Time, Remote

    $77.41k - $123.57k

     ...Remote work environment after successful completion of in-office training Summary:...  ...process. Position Responsibilities: Utilization Management • Utilizes Payer specific...  ...and complete documentation of clinical review and denial management in the case management... 
    Remote work
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Flexible hours

    Virtua, Inc.

    Pennsauken, NJ
    3 days ago

  • Medical Director, Utilization Management - Concurrent Review

     ...Your Role The Medical Director, Utilization Management - will report to the Sr. Medical...  ...will deliver and collaborate on clinical review activities, which includes management of...  ...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

    El Dorado Hills, CA
    2 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
    4 days ago

  • Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week

    $2,690 per week

     ...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse...  ...manager, utilization review, healthcare staffing, patient care, clinical review, nursing, healthcare travel, remote nursing jobs... 
    Remote work
    Weekly pay
    Full time
    Immediate start
    Shift work

    Travel Nurses, Inc.

    Bozeman, MT
    1 day 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

    Los Angeles, CA
    5 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
    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
    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, LLC

    New York, NY
    20 days ago

  • Remote RN - Prior Authorization & Utilization Review

    $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
    Immediate start
    Shift work

    Manpower

    Austin, TX
    1 day ago

  • Occupational Medicine Physician - Utilization Reviewer (MUST be licensed in New

     ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert...  ...independent medical reviews on a flexible, remote basis. This non-clinical, contract-based role... 
    Remote work
    Extra income
    Contract work
    Flexible hours

    Dane Street, LLC

    New York, NY
    a month 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
    3 days ago

  • Medical Director for Utilization Review

     ...(Time Zone: EST, CST, PST) Location: Remote Note: Flexible hours are being...  ...Responsibilities: Provide medical leadership in utilization management, cost containment, and...  ...initiatives. Conduct medical review activities for utilization review, quality... 
    Remote work
    Local area
    Flexible hours
    Shift work
    Weekend work
    Sunday
    Saturday

    Pacer Group

    Las Vegas, NV
    2 days ago

  • Utilization Review Clinician - Behavioral Health

    $26.5 - $47.59 per hour

     ...workplace flexibility. * POSITION IS REMOTE WITH POTENTIAL FOR WEEKEND AND HOLIDAY ROTATIONS...  ...Position Purpose: Performs a clinical review and assesses care related to mental...  ...data to improve quality and appropriate utilization of services Provides education to... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours
    Weekend work

    Centene Corporation

    Raleigh, NC
    5 days ago

  • Medical Director Utilization Review

     ...reside within (EST, CST, PST) Location - Remote Note : Flexible hours are...  ...Provides medical leadership of all for utilization management, cost containment, and medical...  ...improvement activities. Performs medical review activities pertaining to utilization... 
    Remote work
    Contract work
    Flexible hours
    Shift work
    Weekend work
    Sunday
    Saturday

    Pacer Group

    Austin, TX
    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 Clinician

     ...Grow with us! 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 that blends medically sophisticated care with a personalized treatment... 
    Remote work
    Full time
    Temporary work
    Flexible hours

    Walden Behavioral Care

    Miami, FL
    2 days ago

  • Utilization Review RN - Hybrid

     ...and/or level Job Summary You will review patient cases for medical necessity and...  ...Schedule You will work primarily remote.  Will be required to work onsite at a...  ...management referral standards, reviewing utilization, and categorizing levels of care. Excellent... 
    Remote work
    Work at office
    Immediate start

    Baylor Scott & White Health

    University Park, TX
    8 days 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
    Live in
    Local area
    Shift work
    Day shift

    Swedish Health Services

    Seattle, WA
    1 day ago

  • Utilization Review Nurse (RN)

     ...patient experience. Learn more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse...  ...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

  • Utilization Review Clinical Manager - Denials (Registered Nurse)

     ...Description Job Description: Manager of Clinical Utilization Management - Denial Compliance...  ...Burbank, CA Position Type: Hybrid (85% remote, 15% onsite in Northridge, CA); Full-...  ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.... 
    Remote work
    Permanent employment
    Full time
    Temporary work
    Flexible hours

    Vivo HealthStaff

    Burbank, CA
    17 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
    3 days ago

  • Behavioral Health Utilization Review Nurse

    $35 - $38 per hour

     ...Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing...  ...on-site on Tuesdays and will be logged into Teams for remote shadowing. Job Type & Location This is a Contract to Hire... 
    Remote work
    Contract work
    Temporary work
    Work at office

    Actalent

    Sunrise, FL
    1 day ago

  • Document Reviewer (Eden Prairie)

    $28 per hour

     ...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review...  ...litigation! Position Details ~ Remote work-from-home opportunity ~ Pay rate...  ...later is required. ~ Proficiency in utilizing modern technology, especially computers... 
    Remote work
    Hourly pay
    Temporary work
    Part time
    Work from home
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Eden Prairie, MN
    1 day ago

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

     ...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
    Part time
    Work experience placement
    Local area
    Home office
    Monday to Friday

    UnitedHealth Group

    Maryland Heights, MO
    7 hours ago

  • Travel Case Management (utilization Review) Social Worker In Yakima, Wa

     ...A facility in Yakima, WA is seeking its next amazing Social Worker to work in Case Management (Utilization Review). Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you... 

    Medical Solutions

    Omaha, NE
    2 days ago