Get new jobs by email

  • Care Manager RN - Utilization Review

    $39.72 - $61.66 per hour

     ...Care Manager RN - Utilization Review at Providence Health and Services summary: The Care Manager RN in Utilization Review is responsible...  ...Patrick Hospital-Broadway Bldg-Missoula MT Workplace Type: Remote Pay Range: $39.72 - $61.66 The amounts listed are the... 
    Remote work
    Minimum wage
    Part time
    Local area
    Shift work

    Providence Health and Services

    Pablo, MT
    2 days ago

  • Utilization Review Nurse- Remote

    $65k - $78k

     ...Utilization Review Nurse It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    IntelyCare

    Nags Head, NC
    10 hours ago

  • Local Contract Nurse RN - Utilization Review

     ...Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia,...  ...under which they are currently working. This position is remote - Full-time ONLY during training - 2-3 weeks, Must be available... 
    Remote work
    Permanent employment
    Full time
    Contract work
    Part time
    Local area
    Shift work

    Pyramid Consulting (Travel)

    Philadelphia, PA
    16 days ago

  • Local Contract Nurse Level III RN - Utilization Review

     ...Description Pyramid Consulting is seeking a local contract nurse RN Utilization Review Level III for a local contract nursing job in Philadelphia,...  ...potential to extend or convert into permanent and is fully Remote opportunity. Key Responsibilities Applies critical... 
    Remote work
    Permanent employment
    Contract work
    Local area
    Worldwide
    Shift work

    Pyramid Consulting

    Philadelphia, PA
    12 days ago

  • Utilization Reviewer

    $55k

     ...Utilization Reviewer Developmental Disabilities Services Human services professionals are encouraged to consider an outstanding career opportunity...  ...for approved work-related mileage This is a remote first position which will allow you to primarily work from your... 
    Remote work
    Full time
    Immediate start
    Work from home
    Home office
    Monday to Friday

    Liberty Healthcare

    Annapolis, MD
    3 days ago

  • RN Utilization Review Full- time Remote Days

     ...Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records...  ...during admission for all payers, as required by the health plans. This role requires a strong clin RN, Remote, Healthcare... 
    Remote work
    Full time

    Providence Health & Service

    United States
    2 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review)

     ...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 work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    United States
    1 day ago

  • Utilization Manager Reviewer, RN (Multiple Openings!)

     ...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 work
    Contract work
    Live in
    Work at office

    Univera Healthcare

    Buffalo, NY
    10 hours ago

  • Physician Reviewer - Orthopedic Spine Surgery (Utilization Review) MS

     ...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 work
    Price work
    Extra income
    For contractors

    Dane Street

    Drew, MS
    4 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review) NY

     ...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 work
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street

    New York, NY
    1 day ago

  • Occupational Medicine Physician - Utilization Reviewer (MUST be licensed in New

     ...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 work
    Extra income
    Contract work
    Flexible hours

    Dane Street

    New York, NY
    1 day ago

  • Travel LPN Utilization Review Case Manager

     ...Job Description Medical Solutions is seeking a LPN / LVN Utilization Review for a travel job in Tarzana, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: LPN / LVN ~ Duration: 8 weeks ~40 hours per week ~ Shift... 
    Suggested
    Weekly pay
    Daily paid
    Work from home
    Shift work

    Medical Solutions

    Los Angeles, CA
    10 days ago

  • Utilization Review Nurse

     ...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 work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    19 days ago

  • Utilization Review Nurse - Full-Time

     ...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 work
    Full time
    Work at office
    Shift work
    Weekend work
    Weekday work

    Netsmart

    Palm Coast, FL
    4 days ago

  • Utilization Review Physician Advisor- (MD/DO)

     ...Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full-time on-site position. This role is available as a remote/ hybrid position The Utilization Review Physician Advisor (Advisor)... 
    Remote work
    Full time
    Flexible hours

    Inova Health System

    Fairfax, VA
    2 days ago

  • Utilization Review Nurse

     ...Job Description Job Title: Quality Review Specialist Location: Remote in IL, TX, NM, OK Duration: December 2025 to May 2026 contract to hire...  ...Degree OR 4 years in health care experience. 5 years utilization management, appeals, claims and mainframe system... 
    Remote work
    Contract work
    Shift work
    Weekend work

    Innovative Systems Group

    Chicago, IL
    23 days ago

  • RN Utilization Review Part- time Day

    $56.44 - $87.63 per hour

     ...RN Utilization Review Part- time Day at Providence Health and Services summary: The RN Utilization Review position involves conducting...  ...experience in utilization review or acute case management, working remotely during day shifts. Providence offers comprehensive benefits... 
    Remote work
    Minimum wage
    Full time
    Part time
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    1 day 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

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

    $72.48k - $108.72k

    013650 CCA-Auth & Utilization Mgmt Position Summary: Reporting to the Manager Utilization...  ..., the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely...  ...environment This position is available to remote employees residing in Massachusetts.... 
    Remote work
    Work at office
    Local area
    Home office

    Commonwealth Care Alliance

    Boston, MA
    4 days ago

  • Behavioral Health Utilization Management Review

     ...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 work
    Work at office
    Monday to Friday
    Flexible hours
    Weekend work

    Louisiana Staffing

    Los Angeles, CA
    3 days ago

  • Part-Time Utilization Review Nurse (Remote Nevada RN)

    $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 work
    Part time
    Work at office
    Flexible hours
    Shift work

    CCMSI

    United States
    2 days ago

  • Utilization Review Nurse

    $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 work
    Shift work

    Massachusetts General Hospital

    Somerville, MA
    1 day ago

  • Utilization Review Specialist

     ...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 work
    Temporary work
    Local area

    Skyway Behavioral Health

    Skokie, IL
    11 days ago

  • Long Term Services & Support Reviewer Utilization Management

     ...Caritas Long Term Services And Supports Reviewer Your career starts now. We are looking...  ...was received, nature of the request, utilization determination (and events leading up to...  ...Package Flexible work solutions include remote options, hybrid work schedules, competitive... 
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Augusta, GA
    3 days ago

  • Utilization Review Counselor (Remote- Must reside in IL)

    $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 work
    Daily paid
    Work at office
    Monday to Friday
    Shift work
    Day shift

    Rosecrance Behavioral Health

    Rockford, IL
    4 days ago

  • Registered Nurse-Review Analyst

     ...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, MI
    4 days ago

  • Utilization Review Specialist- Clinical Reviewer

    $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 work
    Full time
    Work experience placement
    Flexible hours

    Gainwell Technologies LLC

    Kansas
    5 days ago

  • Travel Care Coordinator, Utilization Review

     ...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 contract
    Shift work
    Day shift

    Genie Healthcare

    Sacramento, CA
    2 days ago

  • Professional Review Specialist I

    $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 work
    Hourly pay
    Minimum wage
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel Healthcare Corporation

    Puerto Rico
    9 days ago

  • Principal Consultant - Utility Return on Equity & Cost of Capital Specialist (Washington)

    $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 work
    Full time
    Part time
    Work at office
    Work from home
    Flexible hours
    2 days per week

    Concentric Energy Advisors

    Washington DC
    12 days ago