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  • Travel Nurse RN - Utilization Review

     ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description...  ...to confirmation). Posted job title: Utilization Review - remote About MSSI Consistently ranked as one of the top travel nurse... 
    Remote work
    Shift work

    MSSI

    Minneapolis, MN
    10 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description...  ...to confirmation). Posted job title: Utilization Review - remote About MSSI Consistently ranked as one of the top travel nurse... 
    Remote work
    Shift work
    Afternoon shift

    MSSI

    Minneapolis, MN
    10 days ago

  • Urology - Utilization Review - Contract (1099), Remote

     ...Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review Institute of America . Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing... 
    Remote work
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute

    Dallas, TX
    3 days ago

  • PRN - Remote UROLOGY Utilization Review

     ...Overview Join to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of America . Flexible Independent Contractor (1099) Opportunity Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO Medical License Required About... 
    Remote work
    For contractors
    Relief
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    7 hours agonew

  • Remote - Contract (1099) - Otolaryngology (MD or DO) - Utilization Review

     ...Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review Institute of America . 1 day ago Be among the first 25 applicants. The Opportunity MRIoA is a national Independent Review Organization that facilitates the review... 
    Remote work
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    4 days ago

  • Utilization Review Nurse

    $35 - $45.94 per hour

     ...Utilization Review Nurse Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first...  ...Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida;... 
    Remote work
    Hourly pay
    Full time
    Work from home
    Home office

    Oscar Health

    Dallas, TX
    4 days ago

  • Utilization Review Nurse

     ...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 work
    Full time

    IntePros

    Philadelphia, PA
    24 days ago

  • Utilization Review Physician - New York (Mostly Remote)

     ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for... 
    Remote job

    Vivo HealthStaff

    New York, NY
    1 day ago

  • Utilization Review Nurse

    $54 per hour

     ...nursing as a registered nurse. · Must have ED utilization management experience or strong (2+...  ...Resource experience. Shift: REMOTE 8 hour day shift, with weekend requirement...  ...) Strong understanding of utilization review/utilization management principles Familiarity... 
    Remote work
    Shift work
    Weekend work
    Day shift
    Afternoon shift

    MSSI - Medical Staffing Solutions, Inc.

    Minneapolis, MN
    15 days ago

  • Utilization Review Registered Nurse (RN) - Relocation Offered!

    $89.07k - $162.8k

     ...Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines....  ...*UR experience required. Must live in area. Remote after completion of orientation. *   Primary... 
    Remote work
    Live in
    Relocation

    MedStar Health

    Clinton, MD
    1 day 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
    3 days ago

  • Utilization Review Nurse (Phoenix)

     ...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 work
    Part time
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    13 days ago

  • Utilization Review Nurse (PRN)

     ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities...  ...Board Certified (CMGT-BC). Expectations: Comfortable with remote work arrangements and virtual collaboration tools.... 
    Remote work
    16 hours
    Relief
    Work at office
    Shift work
    Weekend work
    Afternoon shift

    Netsmart

    Dayton, OH
    4 days ago

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

    $72.48k - $108.72k

     ...Nurse Utilization Management Reviewer Position Summary: Reporting to the Manager Utilization Management, the Nurse Utilization Management Reviewer...  ...team-based environment This position is available to remote employees residing in Massachusetts. Applicants residing... 
    Remote work
    Work at office
    Local area
    Home office

    Boston Staffing

    Boston, MA
    13 hours ago

  • Travel Nurse RN - Utilization Review - $2,284 per week

    $2,284 per week

     ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description...  ...Supplemental Health Care is hiring experienced NPC Utilization Review, Remote RNs for contract opportunities at a leading Level 1 trauma... 
    Remote work
    Full time
    Contract work
    Part time
    Local area
    Immediate start
    Shift work

    Supplemental Health Care

    United States
    1 day ago

  • Customer Solutions Representative II - Utilities

     ...POSITION Customer Solutions Representative II Utilities Company Position Type: Temporary/Remote Schedule : M-F, 8:00 am - 5:00 pm (Shift may...  ...and program databases (e.g., PV, SBP, MAR). Review submitted MSA applications for completeness and... 
    Remote work
    Temporary work
    For contractors
    Work at office
    Shift work

    Alura Workforce Solutions

    Azusa, CA
    2 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

    Columbus, OH
    3 days ago

  • RN Utilization Management Reviewer

    $38.49 - $47.05 per hour

    ## **The Role** The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing...  ..., and Resident personas. This position can be fully remote with an in-office requirement to work 1-3x/month at our... 
    Remote work
    Work at office
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    1 day ago

  • RN Utilization Review Part- time Remote

    $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 work
    Part time
    Local area
    Shift work
    Day shift

    Providence Service

    Mission Hills, CA
    7 hours agonew

  • Utility Call Center Representative

     ...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 work
    Full time
    Work from home

    Iapetus Holdings LLC

    Pontiac, MI
    13 hours ago

  • Remote Utilization Review RN Per Diem, Day Shift

     ...A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates... 
    Remote work
    Hourly pay
    Daily paid
    Day shift

    Providence Swedish Medical Center

    United States
    7 hours agonew

  • Behavioral Health Quality & Utilization Review Analyst I

    $85k - $121.96k

     ...A prominent healthcare organization is seeking a Behavioral Health Quality and Utilization Review Consultant I. This mid-senior level role involves reviewing mental health assessments and conducting quality management studies. Candidates should have a relevant healthcare... 

    National Association of Latino Healthcare Executives

    Rancho Cordova, CA
    3 days ago

  • Remote Utilization Review Nurse (TX/IL) Contract

     ...industry player is seeking a dedicated Registered Nurse for a remote contract position in the insurance or managed care sector. This...  ...involves validating treatment plans and performing thorough medical reviews on claims. Candidates must possess strong communication skills... 
    Remote work
    Contract work

    HireOps Staffing, LLC

    United States
    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

  • Behavioral Health Utilization Review Representative

    $21 - $26 per hour

    Behavioral Health Utilization Review Representative Location Remote : JOB SUMMARY: The Utilization Review Representative position assists the Medusind team in utilization review. This position must demonstrate exceptional customer service skills with the ability to effectively... 
    Remote work
    Hourly pay
    Full time

    Medusind Inc,

    Remote
    2 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
    9 days ago

  • Copywriter - Remote

    $15 per hour

     ...large language model builders. We’ve built a best-in-class remote work platform for our freelance contributors to provide valuable...  ...user needs in a structured way. Evaluate AI outputs by reviewing and ranking reasoning and problem-solving responses from large... 
    Remote work
    Weekly pay
    Freelance
    Work from home
    Flexible hours

    Outlier AI

    Columbus, OH
    13 hours ago

  • Document Review and Data Entry Specialist

    $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 pay
    Full time
    Work experience placement
    Work at office

    RemoteOnline

    San Francisco, CA
    4 days ago

  • PRN Utilization Review Nurse Reviewer

     ...Utilization Management Nurse Reviewer The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information... 
    Relief
    Work at office
    Work from home
    Flexible hours
    Shift work
    Weekend work

    Dane Street

    Bakersfield, CA
    1 day ago

  • LPN/Medical Reviewer - Remote

    $23 per hour

     ...weeks for training, then would be fully remote Must have an active LPN License in the...  ...Job at a Glance Title: Medical Claims Reviewer Location: SC (preferably within SC)...  ...using established criteria and managing utilization of professional, inpatient, or outpatient... 
    Remote job
    For contractors
    Work from home

    CEI

    Columbia, SC
    11 days ago