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$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 workFull timeWork at officeQuadrant Health Group
Deerfield Beach, FL3 days ago$56.44 - $87.63 per hour
...Description This position is a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care...Remote workFull timeWork at officeLocal areaWork from homeShift workProvidence Health and Services
Anaheim, CA1 day ago$26.5 - $47.59 per hour
...fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA... ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE, UNENCUMBERED...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursCentene Corporation
Sacramento, CA1 day ago- ...this dept is 100% remote, with a variety of service lines and levels of care (inpatient, Extended Hospital Outpatient and OBS).... ...3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) • InterQual...Remote work
Pacer Group
Torrance, CA18 hours ago - ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred...Remote workLocal areaWeekend work
Zenex Partners
Beverly Hills, CA2 days ago - ...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 workShift workWeekend workDay shift
Zenex Partners
Apple Valley, CA4 days ago - ...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 workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
United States13 hours ago - ...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 workFull time
IntePros
Philadelphia, PA8 days ago $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 workHourly payContract workShift workZenex Partners
Los Angeles, CA1 day ago- ...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 workContract workWork at officeShift work
Integrated Resources
Long Beach, CA4 days ago $56.44 - $87.63 per hour
...Description Join our exceptional team as a Utilization Review Nurse at Providence Holy Cross Medical Center. This full-time position offers... ...upon hire. Minimum of 2 years experience working in a remote Utilization Review environment or as an acute hospital case manager...Remote workFull timeShift workDay shiftProvidence Health and Services
Mission Hills, CA4 days ago- ...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 workPart timeFlexible hoursWeekend work
IntePros
Phoenix, AZ2 days ago $34 - $52.7 per hour
...FROEDTERT HOSPITAL facility. This job is Remote. FTE: 0.875000 Standard Hours:... ..., PA moonlighter, for a second level review as needed. Facilitates communication... ...care nursing experience is required; Prior utilization management or case management experience...Remote workHourly payTemporary workShift workWeekend workFroedtert Health
Milwaukee, WI13 hours ago$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 workFull timeShift workDay shiftProvidence Health & Service
Mission Hills, CA1 day ago$56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part- time and will work... ...Nurse License upon hire. ~2 years - Experience working in a remote UR environment or working as an acute hospital case manager....Remote workPart timeLocal areaShift workDay shiftProvidence Health & Service
Mission Hills, CA1 day ago- ...excellent customer service. Candidates preferred experience is 2-5 years of utility customer support experience, strong communication and data entry skills, and be tech-savvy. This is a remote, work from home role. Responsibilities: Handles inquiries and...Remote workFull timeWork from home
Iapetus Holdings LLC
Royal Oak, MI4 days ago $75k - $85k
...Location Huntington Beach Office - Huntington Beach, CA Remote Type Fully Remote Position Type Full Time... ...celebrates diversity and innovation. Job Summary The Utilization Review Nurse will evaluate medical records to determine medical necessity...Remote workFull timeWeekend workClever Care Health Plan
Huntington Beach, CA2 days ago$42.39k - $58.26k
...025 Closing Date: 11/14/2025 5:00 PM Pacific The Job Arrowhead Regional Medical Center is recruiting for Utilization Review Technicians who review and monitor medical records; recommend actions to assure patient care is appropriate, medically necessary...Full timeWork experience placementVisa sponsorshipAll shiftsShift workNight shiftCounty of San Bernardino, CA
San Bernardino, CA1 day ago- ..., is seeking an Emergency Medicine physician to work in a non-clinical utilization review setting. Opportunity Highlights ~ Daytime Monday through Friday position. Potential to work remotely part of the time. ~ Strong CDI Program ~ Salary and incentive of $2...Remote workPart timeMonday to Friday
Enterprisemed
Abington, PA13 hours ago $70 - $74 per hour
...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job... ...between Hospitals. Hybrid position: in person and remotely. MUST float between Hospitals.Hybrid position: in person...Remote workHourly payContract workLocal areaMonday to FridayShift workDay shiftTalent4Health
Cambridge, MA3 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 timeWork from homeMaxion Research
Texas2 days ago$19.5 - $26 per hour
...About the job Document Review and Data Entry Specialist Job details Salary $ 19.50 to $ 26.00 per hour Job Type... ...but not be limited to the following: Use TRAX program areas utilized for Maintenance personnel and perform setup and data entry of log...Hourly payFull timeWork experience placementWork at officeRemoteOnline
San Francisco, CA3 days ago- ...Overview Job Title: Customer Account Representative - Water Utility Exp Required Location: Fremont, CA 94538 Duration:... ...Assignments are given in specific terms and are subject to frequent review while in progress and upon completion, except where tasks are well...Contract workTemporary workWork at officeMonday to FridayShift work
22nd Century Technologies
Fremont, CA1 day ago $72 - $76 per hour
...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description... ...and Somerville Hospital. Hybrid position: in person and remotely. (Be sure your candidate is agreeable) MUST have...Remote workHourly payWeekly payLong term contractPermanent employmentContract workTemporary workWork at officeLocal areaMonday to FridayShift workLanceSoft
Cambridge, MA13 hours ago- ...person band for producing weekly YouTube videos and accompanying review articles. You will be creating video similar to this channel:... ...super high-quality written articles. You will have the support of a remote video editor and a web-developer. Key Responsibilities...Remote workWork at office
eNNOVATION Brands
El Segundo, CA4 days ago - ...0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions, we’re people who care, helping people who care. No matter how you look at it...Weekly payDaily paidLocal areaWork from homeShift work
Medical Solutions
Baltimore, MD24 days ago $1,824 per week
...0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions, we’re people who care, helping people who care. No matter how you look at...Weekly payDaily paidLocal areaWork from homeShift workMedical Solutions
Baltimore, MD4 days ago$269.5k - $425.5k
...or family medicine physician to join our Utilization Management team. Optum is a clinician-... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take... ...determination processes Participates in case review and medical necessity determination...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeUnitedHealth Group
Los Angeles, CA1 day ago- ...About the job Remote Data Entry Operator - USA Thanks you for checking us out.... ...products are delivered, you have to really utilize them. You Required You should have... ...our partners and also supporters for your reviews on their items. Take part in item screening...Remote workTemporary workPart timeWork from home
Recruit Monitor
Syracuse, NY2 days ago - ...Utilization Management Nurse 2 Become a part of our caring community and help us put health... ...in utilization management/utilization review for a health plan or acute care setting... ...Weekly Hours: 40 Travel: While this is a remote position, occasional travel to Humana's...Remote workTemporary workApprenticeshipWork at officeWork from homeHome office
Indianapolis Staffing
Helena, MT13 hours ago
