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  • Travel Nurse RN - Utilization Review

     ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description...  ...to confirmation). Posted job title: Utilization Review - remote About MSSI Consistently ranked as one of the top travel nurse... 
    Remote work
    Shift work
    Afternoon shift

    MSSI

    Minneapolis, MN
    7 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description...  ...to confirmation). Posted job title: Utilization Review - remote About MSSI Consistently ranked as one of the top travel nurse... 
    Remote work
    Shift work

    MSSI

    Minneapolis, MN
    7 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... 
    Remote work
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    19 hours 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... 
    Remote work
    For contractors
    Relief
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    1 day ago

  • Utilization Review Nurse

    $35 - $45.94 per hour

     ...Utilization Review Nurse Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first...  ...Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida;... 
    Remote work
    Hourly pay
    Full time
    Work from home
    Home office

    Oscar Health

    Dallas, TX
    1 day ago

  • Orthopedic Surgery Specialist (Mississippi) - Remote Utilization Review Opportun

     ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of...  ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed to offer supplemental income with complete... 
    Remote job
    Price work
    Extra income
    For contractors

    Dane Street, LLC

    Jackson, MS
    3 days ago

  • Utilization Review Specialist

    Join to apply for the Utilization Review Specialist role at Sonora Behavioral Health Hospital Responsibilities Provide consultation and guidance...  ...department operation. This is an on-site position. Non- Remote Qualifications Associate's degree required. Bachelor's or... 
    Remote work

    Sonora Behavioral Health Hospital

    Tucson, AZ
    5 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
    a month ago

  • Virtual Utilization Review Specialist - WEEKENDS

    $35.45 per hour

     ...reimbursement Flexible weekend work schedules with remote work options Recognized as a top...  ...What to Expect (Job Responsibilities) Utilize proactive triggers to identify potential...  ...healthcare services Conduct medical necessity reviews for admissions and collaborate with the... 
    Remote work
    Immediate start
    Flexible hours
    Weekend work

    Ensemble Health Partners

    Columbus, OH
    2 days ago

  • Utilization Review Nurse (Remote)

     ...The Utilization Review Nurse for Workers' Compensation evaluates medical treatment requests to ensure they are appropriate, necessary, and compliant...  .... This role supports high-quality care delivery while manag Nurse, Remote, Insurance, Healthcare, Certification, Education... 
    Remote work

    W. R. Berkley

    United States
    19 hours ago

  • Case Manager - Utilization Review Specialist - REMOTE

    $32.15 - $48.05 per hour

     ...Rate: $32.15 - $48.05 Shift: Day Shift - Remote Hours Per Week: 40-hours Date Posted: 6/...  ...company reimbursement policies. Reviews application for patient admission and approves...  ...approves admission or refers case to facility utilization review committee for review and course... 
    Remote job
    Hourly pay
    Full time
    Shift work
    Day shift

    McKenzie-Willamette Medical Center

    Springfield, OR
    3 days ago

  • Utilization Review Nurse

     ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to...  ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced... 
    Remote work
    Full time

    IntePros

    Philadelphia, PA
    21 days ago

  • Behavioral Health Utilization Review Representative

    $21 - $26 per hour

    Behavioral Health Utilization Review Representative Location Remote : JOB SUMMARY: The Utilization Review Representative position assists the Medusind team in utilization review. This position must demonstrate exceptional customer service skills with the ability to effectively... 
    Remote work
    Hourly pay
    Full time

    Medusind Inc,

    Remote
    2 days ago

  • Utilization Review Nurse

    $54 per hour

     ...nursing as a registered nurse. · Must have ED utilization management experience or strong (2+...  ...Resource experience. Shift: REMOTE 8 hour day shift, with weekend requirement...  ...) Strong understanding of utilization review/utilization management principles Familiarity... 
    Remote work
    Shift work
    Weekend work
    Day shift
    Afternoon shift

    MSSI - Medical Staffing Solutions, Inc.

    Minneapolis, MN
    12 days ago

  • Hematology/Oncology Physician - Utilization Review work for

    Hematology/Oncology Physician - Utilization Review Remote - Flexible Independent Contractor (1099) Opportunity Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology‑driven utilization management... 
    Remote work
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    5 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

    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 and passionate RN... 
    Remote work
    Full time
    Local area
    Work from home

    Village Center for Care, Inc.

    New York, NY
    2 days ago

  • Utilization Review Nurse- Remote

    $65k - $78k

     ...career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and... 
    Remote job
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies

    Raleigh, NC
    3 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 1-2 hours per week, possibly more... 
    Remote work
    Full time
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    1 day ago

  • Remote Utilization Review Case Manager (RN)

    A national risk management solutions provider seeks a remote Utilization Review Case Manager in California to assess patient admissions and treatment. Responsibilities include certifying medical necessity and collaborating with healthcare teams. Applicants should have nursing... 
    Remote job

    CorVel Corporation

    Rancho Cucamonga, CA
    2 days ago

  • Utilization Review RN - REMOTE

    $35 - $41 per hour

    Job Title: Utilization Review - FULLY REMOTE Job Description This role involves performing precertification and medical necessity reviews for designated referrals and targeted outpatient procedures, services, and inpatient admissions. The position requires telephonic reviews... 
    Remote work
    Permanent employment
    Contract work
    Temporary work
    Work at office
    Work from home

    Actalent

    Atlanta, GA
    14 days ago

  • Utilization Review RN

    $2,210 per week

     ...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
    Full time
    Temporary work
    Part time
    Casual work
    Work at office
    Work from home
    Monday to Friday
    All shifts
    Flexible hours

    Hines

    Freeport, IL
    3 days ago

  • Utilization Review Nurse (Phoenix)

     ...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 work
    Part time
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    10 days ago

  • Utilization Review Manager

     ...Title: Utilization Review Manager (URM) FLSA Status: Exempt Location:  Fully Remote or Remote/In-Office Hybrid Approved by: Executive Leadership   Skyway Behavioral Health is an innovative behavioral health center that goes beyond the treatment of psychiatric... 
    Remote work
    Temporary work
    Work at office
    Local area

    Skyway Behavioral Health

    Downers Grove, IL
    a month ago

  • Utilization Review Nurse (PRN)

     ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities...  ...Board Certified (CMGT-BC). Expectations: Comfortable with remote work arrangements and virtual collaboration tools.... 
    Remote work
    16 hours
    Relief
    Work at office
    Shift work
    Weekend work
    Afternoon shift

    Netsmart

    Dayton, OH
    1 day 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 is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees... 
    Remote work
    Work at office

    Portland Staffing

    Portland, ME
    2 days ago

  • Utilization Review Licensed Practical Nurse

    $40 per hour

    Utilization Review Licensed Practical Nurse Utilization Review Licensed Practical Nurse 1 day ago Be among the first 25 applicants LPNs - are...  ...year. No weekends and nights! Paid Holidays Work-life balance. Remote/hybrid setting (once trained) ROLE DESCRIPTION: This... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Relief
    Work from home
    Monday to Friday
    Flexible hours

    Hines

    Rockford, IL
    1 day ago

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

    $72.48k - $108.72k

     ...Nurse Utilization Management Reviewer Position Summary: Reporting to the Manager Utilization Management, the Nurse Utilization Management Reviewer...  ...team-based environment This position is available to remote employees residing in Massachusetts. Applicants residing... 
    Remote work
    Work at office
    Local area
    Home office

    Boston Staffing

    Boston, MA
    1 day ago

  • Customer Solutions Representative II - Utilities

     ...POSITION Customer Solutions Representative II Utilities Company Position Type: Temporary/Remote Schedule : M-F, 8:00 am - 5:00 pm (Shift may...  ...and program databases (e.g., PV, SBP, MAR). Review submitted MSA applications for completeness and... 
    Remote work
    Temporary work
    For contractors
    Work at office
    Shift work

    Alura Workforce Solutions

    Azusa, CA
    4 days ago

  • Travel Nurse RN - Utilization Review - $2,284 per week

    $2,284 per week

     ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description...  ...Supplemental Health Care is hiring experienced NPC Utilization Review, Remote RNs for contract opportunities at a leading Level 1 trauma... 
    Remote work
    Full time
    Contract work
    Part time
    Local area
    Immediate start
    Shift work

    Supplemental Health Care

    United States
    3 days ago