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  • Utilization Review Registered Nurse

     ...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

    Elgin, IL
    a month ago

  • Travel Nurse RN - Utilization Review

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

    Talent4Health

    Cambridge, MA
    4 days ago

  • Local Contract Nurse RN - Utilization Review

     ...Description Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts....  ...Type: Local Contract Hybrid position: in-person and remote.   Must have Interqual criteria experience. Must have... 
    Remote work
    Contract work
    Local area
    Monday to Friday
    Shift work

    Talent4Health

    Cambridge, MA
    4 days ago

  • Physician / Internal Medicine / California / Permanent / Remote Utilization Review Medical Director for Medicare Advantage - Sacramento, California Job

    $275k - $300k

     ...Remote or hybrid Medical Director for MediCare service line 100% administrative, non-clinical role Work from home, but candidate...  ...CME, PTO Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA license... 
    Remote work
    Permanent employment
    Full time
    Work from home
    Monday to Friday

    Integrity Healthcare...

    Sacramento, CA
    3 days ago

  • Utilization Review Nurse

     ...Job Description Utilization Review Nurse **This is a full-time, onsite role in El Monte, CA. No Hybrid No Remote** Schedule: 35-hour work week Hours: 8:30am-4:30pm with an hour lunch Annual Salary: $125,000 About the Role The Utilization Management... 
    Remote work
    Full time

    Los Angeles County Firefighters Local 1014 Health Plan

    El Monte, CA
    15 days 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
    27 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. Job...  ...Health / Utilization Review (Hybrid Position: In-Person & Remote)   Position: Registered Nurse – Behavioral Health / Utilization... 
    Remote work
    Weekly pay
    Daily paid
    Long term contract
    Temporary work
    Local area
    Immediate start
    Flexible hours
    Shift work

    First Connect Health

    Cambridge, MA
    4 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
    3 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

    Carteret, NJ
    29 days ago

  • RN Utilization Review Full-time Day

    $56.44 - $87.63 per hour

     ...Job Description Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full-...  ...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 and Services

    Burbank, CA
    2 days ago

  • Utilization Review Specialist (Remote)

    $70k - $90k

     ...Job Description Job Description Utilization Review Specialist – Behavioral Health (Remote) Location: Glendale, Arizona (Remote) Employment Type: Full-Time Work Environment: Behavioral Health Treatment Facility Compensation: $70,000 – $90,000 annually... 
    Remote job
    Full time
    Flexible hours

    HealthOp Solutions

    Glendale, AZ
    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
    3 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
    17 days ago

  • ABA Utilization Review (UR) Specialist

     ...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 work
    Full time
    Work at office
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    1 day 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
    13 hours ago

  • 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
    6 days ago

  • Utilization Review Specialist

     ...Job Description Job Description PRN position-Remote Entry Level Qualifications: A current RN, LPC, LMFT, LMSW, or...  ...preferred, but not required. Two years minimum experience in utilization review preferred. Must possess good grammatical and communication skills... 
    Remote work
    Relief
    Work at office
    Shift work

    ADDICTION AND MENTAL HEALTH SERVICES, LLC

    Lucedale, MS
    5 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

  • 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
    2 days ago

  • Utilization Review Specialist

    Overview Join to apply for the Utilization Review Specialist role at Odyssey House Louisiana . This is a full-time remote position (must reside in New Orleans or surrounding area) with hours Monday-Friday, 8:00 a.m. - 5:00 p.m. Job Summary Odyssey House Louisiana, Inc... 
    Remote work
    Full time
    Temporary work
    Monday to Friday

    Odyssey House Louisiana

    New Orleans, LA
    4 days ago

  • Utilization Review Specialist

     ...exceptional services to our customers. JOB SUMMARY: Our Ethos Medical Management Team is seeking a full-time Utilization Review Specialist (REMOTE) to play a key role in ensuring the efficient, accurate, and timely processing of Utilization Management and... 
    Remote work
    Full time
    Work at office

    Ethos Risk Services

    Spring Valley, NY
    2 days ago

  • Utilization Review Intake Specialist

     ...forms completion in addition to answering incoming telephone calls, supporting the goals of the Utilization Review / Case Management department, and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Takes calls relating to precertification... 
    Remote work
    Minimum wage
    Full time
    Local area
    Flexible hours

    CorVel Corporation

    Folsom, CA
    5 days ago

  • Utilization Review Specialist

     ...Company : Skyway Behavioral Health Title : Utilization Review Specialist (URS) FLSA Status : Exempt Location : Remote Skyway Behavioral Health is an innovative center that goes beyond the treatment of mood, anxiety, and eating disorders to address underlying... 
    Remote work
    Temporary work
    Local area

    Skyway Behavioral Health

    Remote
    24 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
    1 day ago

  • 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
    13 hours ago

  • Utilization Review Specialist

     ...Job Description JOB TITLEUtilization Review Specialist IREPORTS TOUtilization Review...  ...LOCATIONRoseburg, Or  POSITION PURPOSE The Utilization Review Specialist I provides support to...  ..., procedures, and workflows in a remote environment. ~ Ability to meet productivity... 
    Remote work
    Contract work
    Apprenticeship
    Local area
    Immediate start
    Monday to Friday
    Flexible hours
    Shift work

    Umpqua Health

    Roseburg, OR
    2 days ago

  • Remote - Urology - Utilization Review - Contract (1099)

    Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review Institute of America . Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology... 
    Remote job
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    3 days ago

  • Remote - Contract (1099) - Otolaryngology (MD or DO) - Utilization Review

    Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review Institute of America . 1 day ago Be among the first 25 applicants. The Opportunity MRIoA is a national Independent Review Organization that facilitates the review of medical... 
    Remote job
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    2 days ago

  • PRN - Remote UROLOGY Utilization Review

    Overview Join to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of America . Flexible Independent Contractor (1099) Opportunity Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO Medical License Required About MRIoA Founded in... 
    Remote job
    For contractors
    Relief
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    4 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
    2 days ago