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  • 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
    1 day 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
    4 days ago

  • RN Utilization Review Part- time Day

    $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 work
    Minimum wage
    Full time
    Part time
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Glendale, CA
    1 day 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
    2 days 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
    3 days 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
    23 hours 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
    2 days 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
    2 days ago

  • RN Utilization Review

     ...RN Utilization Review By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for...  ...making an impact on the health and well-being of others in a remote work environment. Enjoy flexibility and autonomy in your daily... 
    Remote work
    Work experience placement

    Tennessee Staffing

    Knoxville, TN
    3 hours agonew

  • 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
    a month ago

  • Registered Nurse (RN) - Utilization Management Review - Days- Remote

     ...Utilization Review RN The Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. This position functions as a part of a multidisciplinary team, including physicians, social workers... 
    Remote work
    Flexible hours

    VCU Health

    United States
    3 hours agonew

  • 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
    14 hours agonew

  • 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
    4 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
    3 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
    3 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
    4 days 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
    more than 2 months 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
    14 hours agonew

  • 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

    Remote
    23 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
    14 hours agonew

  • Remote Utilization Review RN (Insurance) Contract

     ...A health services provider is seeking a full-time remote Registered Nurse (RN) for a contract position in Chicago. The role involves validating...  ...and appropriateness of treatment plans, focusing on claims review for medical necessity. Applicants must have a valid RN license... 
    Remote work
    Full time
    Contract work

    Innovative Systems Group

    United States
    1 day ago

  • Travel Care Coordinator, Utilization Review

     ...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 pay
    Weekly pay
    Contract work
    Temporary work
    Immediate start
    Shift work

    MedPro Healthcare Staffing

    Sacramento, CA
    10 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
    16 days ago

  • RN Utilization Specialist-Utilization Review Casual Days

     ...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 contractors
    Casual work
    Work at office
    Local area
    Relocation package

    Northwestern Medicine Central DuPage Hospital

    Palos Heights, IL
    1 day 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
    24 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
    20 days ago

  • Utilization Review Analyst - Registered Nurse (Per Diem)

     ...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 paid
    16 hours
    Shift work
    Weekend work

    Beth Israel Lahey Health

    Burlington, MA
    3 days ago

  • Collaborative Physician (MD or DO) - Chart Reviewer

     ...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 work
    Work from home

    ComplexCare Solutions

    Charleston, SC
    2 days ago

  • Remote RN Utilization Management Case Manager D-SNP

     ...is seeking a D-SNP UM Case Manager, RN to perform utilization management activities for D-SNP including review of determinations for various services. Candidates...  ...years of utilization management experience. This is a remote position allowing work from multiple US states,... 
    Remote work

    Mass General Brigham Health Plan

    United States
    1 day ago

  • Remote RN Utilization Manager

     ...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, TX
    1 day ago