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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 shiftProvidence Health and Services
Glendale, CA1 day 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 States2 days ago - ...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
Dane Street
Drew, MS10 hours ago - ...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
Univera Healthcare
Binghamton, NY4 days ago - ...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
Dane Street
New York, NY2 days ago - ...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
Dane Street
New York, NY2 days ago - ...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
IntePros
Phoenix, AZa month ago - ...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
Netsmart
Palm Coast, FL2 hours agonew - ...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
Louisiana Staffing
Los Angeles, CA4 days ago - ...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 workCCMSI
United States3 days ago$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 workMassachusetts General Hospital
Somerville, MA3 days ago- ...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 shiftRosecrance Behavioral Health
Rockford, IL2 hours agonew$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
LanceSoft
Detroit, MI2 hours agonew $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
MedPro Healthcare Staffing
Sacramento, CA10 days ago - ...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
ComplexCare Solutions
Charleston, SC2 days ago $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 FridayNova 401(k) Associates
Tulsa, OK2 days ago- ...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
Ascension
Austin, TX1 day ago $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 weekConcentric Energy Advisors
Washington DC23 days ago- ...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
Northwestern Medicine Central DuPage Hospital
Palos Heights, IL1 day ago $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 hoursCorVel Healthcare Corporation
Puerto Rico20 days ago- ...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
Beth Israel Lahey Health
Burlington, MA3 days ago - ...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
Genie Healthcare
Sacramento, CA12 days ago - ...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 hoursIowa Staffing
Des Moines, IA3 days ago
