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- A leading healthcare provider is searching for a Medical Director to support the Medical Management staff with utilization reviews, appeals, and pharmacy oversight. This role requires an MD or DO with at least 3-5 years of clinical experience and a current medical license...Remote jobFull timeWork from home
- ...leading health organization is seeking a Utilization Management Nurse Consultant to ensure... ...care. The role involves evaluating medical review cases and collaborating with providers,... ...You will work independently in this fully remote position, making critical decisions that...Remote job
- A leading medical management firm is seeking a full-time Utilization Review Specialist to ensure efficient processing of Utilization Management... ..., along with knowledge of HIPAA regulations. This is a fully remote position, requiring standard business hours and a dedicated...Remote jobFull time
- A healthcare management company is seeking a full-time Utilization Review Specialist for a remote position. The role focuses on efficiently processing Utilization Management and Independent Review requests, reviewing case requests, maintaining compliance, and delivering...Remote jobFull timeWork at office
- A leading healthcare organization in California is seeking an RN Utilization Review professional for a full-time remote role. The position entails conducting utilization reviews and managing a varied workload in a fast-paced environment. Required qualifications include...Remote jobFull time
$18 - $22 per hour
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 Independent Review requests for our clients. This role involves reviewing...Remote workHourly payFull timeWork at office- ...Unrestricted MINNESOTA or TEXAS medical License Required Medical Review Institute of America, LLC (MRIoA), a national Independent... ...the appropriateness of treatments, known as Peer Review or Utilization Review. Key Benefits: Stay informed on the latest...Remote jobFor contractorsVisa sponsorshipFlexible hours
Medical Review Institute of America, LLC
West Valley, UT27 days ago - ...Endocrinology with minimal time commitment? Join Medical Review Institute of America, LLC (MRIoA) as an Independent Medical Reviewer and contribute to the Utilization Review/Peer Review process all while working remotely from anywhere in the U.S.! Must have an...Remote jobFor contractorsVisa sponsorship
Medical Review Institute of America, LLC
West Valley, UT23 days ago - Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental...Remote workWork at officeFlexible hours
- ...Job Description JOB POSTING Spend only 1-2 hours a week and provide your expertise in Gastroenterology by conducting Utilization Reviews in the Utilization Management/Peer Review process. A current Indiana medical license is required (or current ‘Letter of Qualification...Remote jobFor contractorsVisa sponsorship
Medical Review Institute of America, LLC
West Valley, UT27 days ago $29.62 - $45.31 per hour
Description Providence Health Plan is calling an Associate Utilization Review Specialist who will: Be responsible for all core functions in... ...best people, we must empower them. This position offers 100% remote work and is open to candidates residing in: Oregon Washington...Remote jobWork experience placementLocal area- ...Flexible Independent Contractor (1099) Remote Opportunity Oregon Medical License Required... ...MRIoA Founded in 1983, Medical Review Institute of America (MRIoA)is a nationally... ...(IRO) specializing in technology-driven utilization management and clinical medical review...Remote jobContract workFor contractorsFlexible hours
Medical Review Institute of America, LLC
West Valley, UT22 days ago - 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
- ...leading academic healthcare system is seeking an RN Manager for the Rev Cycle Department. This hybrid position requires overseeing utilization review operations across multiple sites, ensuring compliance and effective communication. Responsibilities include developing...Remote job
- A leading educational institution in Miami is seeking a Case Manager RN for Utilization Review. The role involves conducting medical necessity chart reviews and coordinating with the healthcare team to ensure optimal patient outcomes. The ideal candidate will have a Bachelor...Remote jobFull time
- ...Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity and identify the need for...Remote workFull timeTemporary workWork at officeWorldwide
The University of Miami
United States19 hours ago - ...Medicine physicians to support our clinical review services. In this role, you’ll evaluate... ...a leading provider of technology-driven utilization management and clinical review services.... ...your medical expertise while working remotely from home. Reduce or step away from hands...Remote workFor contractorsReliefWork at officeWork from homeFlexible hours2 days per week1 day per week
- A public sector solutions firm is seeking a Utilization Review Nurse to perform prior authorization reviews and utilize a medical management... ...communication skills and the ability to work efficiently in a remote environment while adhering to protocols and standards. This position...Remote job
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote jobContract work
- ...work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position... ...performing care for hospitalized patients 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity...Remote workLocal areaWork from homeMonday to FridayFlexible hoursShift work
- ...augmentation firm is seeking an experienced Clinical Reviewer RN to manage a clinically complex inpatient caseload remotely. The ideal candidate will have a current,... ...RN license and a strong background in utilization management with at least 3 years of experience...Remote jobContract work
- ...provider in Somerville, MA is seeking a knowledgeable UMCM to utilize clinical expertise for reviewing and approving physician requests. The ideal candidate... ...to manage multiple tasks effectively. This is a remote position with occasional onsite meetings. #J-18808-Ljbffr...Remote job
$108k
Utilization Review Nurse page is loaded## Utilization Review Nurseremote type: Remote (100% telework)locations: Seattle, WAtime type: Part timeposted on: Posted Todayjob requisition id: REQ-0000126422**Job Description****UW Medical Center** has an outstanding opportunity...Remote workFull timeWork experience placementWork at officeWork from homeShift workDay shift1 day per week$76k - $85k
A leading public sector solutions firm is seeking a Utilization Review Nurse to perform prior authorizations and reviews. Candidates must hold... ...skills, along with the ability to work efficiently in a remote environment. Compensation ranges from $76,000 to $85,000 with...Remote job$76k - $85k
A public sector solutions firm is seeking a Utilization Review Nurse to perform medical management and review tasks in a remote capacity. The ideal candidate will have at least 2 years of clinical nursing experience and must possess effective communication and organizational...Remote job- A health services provider is seeking a Utilization Review Specialist in Malibu, CA. This part-time remote role requires effective communication skills and knowledge of medical terminology. Responsibilities include managing cases for clients in treatment and ensuring compliance...Remote jobPart time
$76k - $85k
A leading public sector solutions firm is seeking a Utilization Review Nurse to perform prior authorization and clinical reviews. The ideal candidate... ...of two years of direct clinical experience. This position is remote and involves interacting with providers and clients...Remote job- A healthcare organization is seeking a Care Management Utilization Review RN to conduct patient assessments and collaborate with healthcare teams. This entry-level position allows for remote work from several states and requires an Associate's or Bachelor's degree in Nursing...Remote job
$76k - $85k
A leading public sector solutions firm is seeking a Utilization Review Nurse. The successful candidate will perform prior authorization and reviews... ...in a managed care environment. This position offers a remote work option and a competitive salary range of $76,000 - $85,0...Remote job$93.6k - $104k
A healthcare solutions provider is seeking an experienced Utilization Review RN (Lead II) for a remote position. The role involves reviewing medical service requests, preparing documentation for compliance, and coordinating discharge planning. Candidates must possess a...Remote job
