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$56.44 - $87.63 per hour
...Description RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift. Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during...Remote workMinimum wageFull timePart timeLocal areaShift workDay shift- ...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, 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 workPrice workExtra incomeFor contractors
- ...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 workContract workLive inWork at office
- ...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 workExtra incomeContract workFlexible hours
- ...Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our... ...perform independent medical reviews on a flexible, remote (telework) basis. This is a non-clinical,...Remote workExtra incomeContract workFor contractorsFlexible hours
- ...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 workFlexible hoursWeekend work
- ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities... ...Certified (CMGT-BC) Expectations Comfortable with remote work arrangements and virtual collaboration tools Physical...Remote workFull timeWork at officeShift workWeekend workWeekday work
- ...Behavioral Health Utilization Management Reviewer Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer... ...in their application Work Arrangement: Remote position Monday through Friday 8:00 AM to 5:00 PM during...Remote workWork at officeMonday to FridayFlexible hoursWeekend work
- ...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 workFull timeWork at officeFlexible hours
$40k - $45k
...Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week) Travel: Once per year to Carson...Remote workPart timeWork at officeFlexible hoursShift work$58.66k - $142.45k
...Utilization Management Clinical Manager Mass General Brigham relies on a wide range of professionals... ..., to determine the need for physician review as well as complete determinations... ...6 months after hire. This is a remote role with occasional onsite team meetings...Remote workShift work- ...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 workTemporary workLocal area
$50.84k
...Utilization Review Counselor (Remote - Must reside in IL) Were looking for dedicated individuals to join our team and help deliver on our mission of hope and recovery. Position Purpose: Help to coordinate Managed Care services. Provide continuity of program services...Remote workDaily paidWork at officeMonday to FridayShift workDay shift$59.6k - $85.1k
...continuous learning, and career development. Summary As a Utilization Review Specialist- Clinical Reviewer at Gainwell, you can... ...duties as assigned What you should expect in this role ~ Remote within the U.S. Applications for this posting will be...Remote workFull timeWork experience placementFlexible hours- ...Nurse Position This position will be a remote role for nurses in Michigan. Should have a valid MI RN license. Should have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing facility settings...Remote work
$65k - $78k
...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent... ...applications on an ongoing basis. #LI-AC1 #LI-REMOTE The pay range for this position is $65,000.00 - $78,000...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are intended for informational purposes only and include a gross estimate of...Hourly payWeekly payContract workTemporary workImmediate startShift work
- ...assessment services for health plans nationwide utilizing Nurse Practitioners and Physician... ...requirements, as outlined below. This is a remote position. Responsibilities Enter... ...with applicable state and federal law; Review a representative sample of CCS Practitioner...Remote workWork from home
$55k - $65k
...Distribution Reviewer Are you looking for a position where you can utilize your experience processing retirement plan distributions and loans? Do you excel at... ...Nova 401(k) Associates is looking to fill a fully remote Distribution Reviewer position. The ideal candidate...Remote workWork from homeMonday to Friday- ...A leading healthcare organization seeks an experienced individual to manage utilization review processes remotely. This role requires a Registered Nurse with leadership experience to oversee operations and collaborate with medical teams to ensure quality care. Candidates...Remote work
$114k - $161k
...Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Join to apply for the Principal Consultant - Utility Return... ...Washington, DC Position Type : Hybrid 3 days in office, 2 remote days per week 2025 Salary Range: $114,000 - $161,000 plus...Remote workFull timePart timeWork at officeWork from homeFlexible hours2 days per week- ...RN Utilization Specialist - Utilization Review Casual Days At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral...For contractorsCasual workWork at officeLocal areaRelocation package
$18.8 - $30.34 per hour
...Description Job Description The Professional Review Specialist analyzes medical services and... ...of care provided. This is a remote role. Candidate must be fully bilingual... ...Prospective, concurrent and retrospective utilization review PAY RANGE: CorVel uses...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Utilization Analyst When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.... ...necessity of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity,...Daily paid16 hoursShift workWeekend work
- ...Drug Utilization Review Pharmacist – Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a... ...pharmacy. Flexibility: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary, benefits, and...Remote work
$34.68 - $52.95 per hour
...of effective and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions... ...less experienced staff. Qualifications: Utilization Review experience in a hospital setting preferred. RN -Case Management...ReliefRelocation packageShift workNight shiftWeekend work- ...Job Description Genie Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Sacramento, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 01/21/2026 ~...Zero hours contractShift workDay shift
- ...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 workExtra incomeContract workFor contractorsFlexible hours
$26.5 - $47.59 per hour
...this role have the flexibility to work remotely from their home anywhere in the Central... ...Position Purpose: Performs concurrent reviews, including determining member's overall... ...health management systems according to utilization management policies and guidelines. Works...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hours



