Get new jobs by email

  • 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
    6 days ago

  • Physician / Surgery - Plastic / Vermont / Permanent / Plastic Surgeon - Utilization Review Physician

     ...Dane Street , a nationally recognized Independent Review Organization (IRO) and leading provider of Utilization Review (UR) services, is expanding its panel of physician...  ...with an active Louisiana medical license to perform Utilization Reviews on a flexible, remote basis.... 
    Remote work
    Permanent employment
    Flexible hours

    Dane Street

    Frederick, MD
    9 hours ago

  • LCSW, LPC, LMFT - Utilization Review - Arizona

     ...behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing role, you'...  ...the right level of care at the right time. This is a fully remote position with a Monday-Friday schedule during standard business... 
    Remote work
    Monday to Friday

    Optum

    Tucson, AZ
    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

    Latham, NY
    1 day 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
    1 day ago

  • Utilization Review Nurse

     ...Title: Utilization Review Nurse Location: Fully Remote must reside in - TX/IL Duration: 6 months Contract (Possible Extension) Schedule: Monday – Friday, 8:00 AM – 5:00 PM Pay Rate : $40/hr - $41/hr on W2 Job Description: RN working in the insurance or managed care industry... 
    Remote work
    Contract work
    Monday to Friday

    Careers Integrated Resources Inc

    Atlanta, GA
    3 days ago

  • Utilization Review Nurse

     ...Overview Title: Clinical Review Nurse Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential...  ...for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct... 
    Remote work
    Contract work

    SPECTRAFORCE

    Washington DC
    8 hours 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
    1 day 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

    Virginia Beach, VA
    1 day ago

  • Document Reviewer

    $28 per hour

     ...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review...  ...litigation! Position Details ~ Remote work-from-home opportunity ~ Pay rate...  ...later is required. ~ Proficiency in utilizing modern technology, especially computers... 
    Remote work
    Temporary work
    Work from home
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    McLean, VA
    5 days ago

  • Utilization Review Nurse III

    $70.2k - $120.4k

     ...service is the norm and every member feels valued. Medica's Utilization Review Nurses are responsible for reviewing and documenting prior...  ...within multiple computer applications This position is a Remote role.To be eligible for consideration, candidates must have a... 
    Remote work
    Work experience placement

    Medica

    Minnetonka, MN
    4 days ago

  • RN Utilization Management Reviewer

    $38.49 - $47.05 per hour

     ...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex...  ...Mobile, and Resident personas. This position can be fully remote with an in-office requirement to work 1-3x/month at our... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Flexible hours

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    3 days ago

  • RN Utilization Review - Full-time Days - REMOTE

    $56.44 - $87.63 per hour

     ...Description RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical... 
    Remote work
    Minimum wage
    Full time
    Shift work
    Day shift

    Providence Service

    Irvine, CA
    4 days ago

  • Clinical Review/Utilization Registered Nurse (RN) - PRN

     ...PRN Clinical Review Nurse Children's is one of the nation's leading children's hospitals...  ...applicable patients as stated in system utilization management plan. Oversees Clinical...  ...days/week for 8-10 weeks. This role can be remote, including training but occasional... 
    Remote work
    Relief
    3 days per week

    Children's Healthcare of Atlanta

    Atlanta, GA
    4 days ago

  • Seasonal Document Reviewer

    $18 - $21 per hour

     ...Tax Documentation Reviewer Cherry Bekaert is gearing up for tax busy season! We are seeking multiple temporary, remote Tax Documentation Reviewers to support our Validation Center...  ...deadlines. In this role you will: Utilizing your keen attention to detail to... 
    Remote work
    Hourly pay
    Temporary work
    Work experience placement
    Seasonal work
    Monday to Friday

    Nashville Staffing

    Nashville, TN
    1 day ago

  • Hmong Document Reviewer

     ...Hmong Document Reviewer Washington, DC / Remote / Arlington, VA eDiscovery Document Review Full Time Remote As a CGS Hmong Chinese Document...  ...Produces a variety of written documents and materials utilizing a wide range of office software applications;... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Contact Government Services LLC

    Durham, NC
    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

    Fayetteville, AR
    5 days ago

  • Utilization Review Registered Nurse

    $84.56k - $126.84k

     ...Favorite Jobs Email this Job Job Overview SUMMARY The Utilization Review RN participates as a member of a multidisciplinary team to...  ...on the department needs. This position will be primarily remote but there may be occasions when you are expected to work onsite... 
    Remote work
    Temporary work
    Part time
    Immediate start
    Relocation
    Relocation package
    Shift work
    Weekend work

    Children's Hospital Colorado

    Aurora, CO
    5 hours 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

  • Peer Review Customer Service Representative

     ...your future. Apple equipment and a media stipend are provided for remote workspace. About Dane Street A fast-paced, Inc. 500...  ...Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical... 
    Remote work
    Full time
    Temporary work
    Work from home

    Dane Street

    Washington DC
    4 days 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

    Remote
    28 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
    1 day ago

  • Utilization Review Specialist

    $38 - $40 per hour

     ...Job Title : Retro Claims Reviewer Location : West Hills/Canoga Park 91305 Compensation : LVN $38-$40 hourly RN $45-$50...  ...Nurse (LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare... 
    Hourly pay
    Contract work
    Temporary work

    TEKsystems

    Canoga Park, CA
    1 day ago

  • Remote RN Utilization Management Specialist

     ...organization is seeking a RN Coordinator for Utilization Management in Wisconsin. This full-time position involves reviewing authorization requests for medical necessity...  ...of clinical experience. The role allows for remote work but requires occasional travel to the Menasha... 
    Remote work
    Full time
    Work at office

    Network Health Plan (Wisconsin)

    United States
    3 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
    11 hours ago

  • Utility Locate Administrator

     ...this where you’re meant to be?    As a  Utility Locate Administrator , you’ll be the...  ...our East or Southeast offices or working remotely from the Eastern U.S., you’ll find belonging...  ...electrical and other utilities. Review and interpret utility maps, site drawings... 
    Remote work
    Work experience placement
    For subcontractor
    Work at office
    Local area

    GreenArrow

    Indianapolis, IN
    7 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
    2 hours ago

  • Utilities Data & Systems Analyst

    $71.6k - $127.4k

     ...Diego, CA 92093, United States #137886 Utilities Data & Systems Analyst Filing Deadline:...  ...by coordinating meter identifiers, reviewing communication variances, and supporting...  ...Transfer Protocols) for uploading data to remote servers. Knowledge of, and experience with... 
    Remote work
    Hourly pay
    For contractors
    Local area
    Afternoon shift

    UC San Diego

    San Diego, 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
    26 days ago

  • Remote Associate Editor, Physical Review B

    $83.04k - $113.14k

     ...A leading nonprofit organization in physics is seeking an Associate Editor for Physical Review B. This remote position requires a PhD in Physics and strong expertise in condensed matter and materials physics. Responsibilities include evaluating scientific manuscripts and... 
    Remote work
    Flexible hours

    American Physical Society

    College Park, MD
    5 days ago