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  • Utilization Review Nurse

     ...RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare is looking for a self-motivated... 
    Remote work
    Full time
    Local area
    Work from home

    VillageCare

    New York, NY
    4 days ago

  • Cardiologist Needed for Remote 1099 Utilization Review Work

    Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 1-2 hours per week. Contribute... 
    Remote job
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    1 day ago

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

    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 in technology... 
    Remote job
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    3 days ago

  • Utilization Review Nurse- Remote

    $65k - $78k

     ...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent...  ...we welcome applications on an ongoing basis. #LI-AC1 #LI-REMOTE The pay range for this position is $65,000.00 - $78,000.00... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies

    Wilmington, NC
    9 hours ago

  • 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 of medical... 
    Remote job
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    2 days ago

  • 1099 Utilization Review work for Radiation Oncologists

    Overview 1099 Utilization Review work for Radiation Oncologists - Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...) to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 1-2 hours per week, possibly more... 
    Remote work
    Full time
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    2 days ago

  • Manager Long Term Services & Support Utilization Management Review

     ...Community Health Choices Long Term Services and Supports (LTSS) Review Utilization Management program and staff under the supervision of the...  ...Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time... 
    Remote work
    Live in
    Work at office
    Flexible hours

    AmeriHealth Caritas

    Newtown Square, PA
    1 day ago

  • Occupational Therapist - Utilization Review

     ...Job Description Job Description Occupational Therapist – Utilization Review Location: Remote Licensure: Current, active, and unrestricted Occupational Therapy license issued by the Arkansas State Medical Board. Job SummaryAstyra is seeking a licensed Occupational... 
    Remote work

    Astyra Corporation

    Little Rock, AR
    2 days ago

  • Physician Reviewer - Psychiatry (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
    4 days ago

  • Physician Reviewer - Psychiatry (Utilization Review) NY

     ...About Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking... 
    Remote work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    United States
    1 day 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
    12 days ago

  • Utilization Review Nurse-Remote-Contract

    $40 per hour

     ...months Must reside in TX Full time remote Candidates must be based in TX. RN...  ...for performing initial, concurrent review activities; discharge care coordination...  ...guidelines. Provides information regarding utilization management requirements and operational... 
    Remote work
    Full time
    Contract work
    Work at office

    HireOps Staffing LLC

    Dallas, TX
    3 days ago

  • Travel Utilization Review RN - $1,975 per week

     ...seeking a RN for a contract position in Eureka California . This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Remote Utilization Review,2713.861060.27634 . The ideal candidate will possess a current state license as a RN and have at least 2 years of recent... 
    Remote work
    Weekly pay
    Contract work
    Zero hours contract
    Shift work

    Assured Nursing Inc

    Eureka, CA
    2 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 Extension...  ...for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct... 
    Remote work
    Contract work

    SPECTRAFORCE

    Washington DC
    1 day ago

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

    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
    2 days ago

  • Plastic Surgeon - Utilization Review Physician (Remote, LA Licensed)

    Dane Street , a nationally recognized Independent Review Organization (IRO) and leading provider of Utilization Review (UR) services, is expanding its panel of physician...  ...to perform Utilization Reviews on a flexible, remote basis. This is a non-clinical, contract... 
    Remote job
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street, LLC

    Louisiana, MO
    1 day ago

  • Neurological Surgeon - Utilization Reviewer (MUST be licensed in New York)

     ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding its panel of physician...  ...independent medical reviews on a flexible, remote basis. This is a non-clinical, contract... 
    Remote work
    Extra income
    Contract work
    For contractors
    Flexible hours

    Sane Street

    New York, NY
    4 days ago

  • After Hours Behavioral Health Utilization Management Reviewer

     ...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non-traditional hours to provide...  ...clarification when necessary.; Work Arrangement: Remote role. Saturday through Wednesday from 4:00p EST to 12... 
    Remote work
    Flexible hours
    Saturday

    AmeriHealth Caritas

    Newtown Square, PA
    9 hours ago

  • Associate Vice President, Utilization Management Review

    Join to apply for the Associate Vice President, Utilization Management Review role at AffirmedRx, a Public Benefit Corporation AffirmedRx is on a...  ...opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work... 
    Remote work
    Full time

    AffirmedRx, a Public Benefit Corporation

    Louisville, KY
    2 days ago

  • Utilization Review Clinician - Behavioral Health

    $26.5 - $47.59 per hour

     ...Position Purpose: Performs a clinical review and assesses care related to mental health...  ...data to improve quality and appropriate utilization of services. Provides education to...  ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Annapolis, MD
    9 hours ago

  • Document Reviewer (Memphis)

    $25 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
    Hourly pay
    Temporary work
    Part time
    Work from home
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Memphis, TN
    1 day ago

  • Long Term Services & Support Reviewer Utilization Management

     ...and Supports (LTSS) Supervisor, the LTSS Reviewer is responsible for completing care and...  ...request was received, nature of the request, utilization determination (and events leading up to...  ...Flexible work solutions include remote options, hybrid work schedules, competitive... 
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Newtown Square, PA
    9 hours ago

  • Utilization Review Nurse (RN)

     ...patient experience. Learn more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse...  ...provides timely verbal and written reports as directed. **Remote position but MUST be able to work pacific standard time (PST)... 
    Remote work
    Local area

    Universal Health Services

    Reno, NV
    9 hours ago

  • Utilization Review Nurse I

    $26.5 - $47.59 per hour

     ...License or Identification card. Position Purpose: The Utilization Review Nurse I provides first level clinical review for all outpatient...  ...time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    New York, NY
    3 days ago

  • Behavioral Health Utilization Review Nurse

    $35 - $38 per hour

     ...Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing...  ...on-site on Tuesdays and will be logged into Teams for remote shadowing. Job Type & Location This is a Contract to Hire... 
    Remote work
    Contract work
    Temporary work
    Work at office

    Actalent

    Sunrise, FL
    2 days ago

  • RN Utilization Management Reviewer

    $38.49 - $47.05 per hour

     ...healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may...  ..., Mobile, and Resident personas. This position can be fully remote, with the expectation to work in our Hingham office 1x month... 
    Remote work
    Hourly pay
    Work at office
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    1 day ago

  • Registered Nurse (RN) - Case Manager, Utilization Review

     ...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration:... 
    Immediate start
    Work from home
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    2 days ago

  • Psychologist Peer Review Utilization Management - Remote (Houston)

     ...Connecting. Growing together. The role of the Psychologist Peer Review involves applying clinical criteria and benefit plan...  ...criteria is not met. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges... 
    Remote work
    Minimum wage
    Full time
    Part time
    Work experience placement
    Work at office
    Local area
    Work from home

    UnitedHealth Group

    Houston, TX
    1 day ago

  • Utilization Review Nurse

    Job Description JOB TITLE Utilization Review Nurse REPORTS TO Utilization Review, Manager STATUS FT, Exempt WAGE RANGE Grade 20 (2024) DEPARTMENT Utilization Management WORK LOCATION Remote (occasional travel as required) POSITION PURPOSE The Utilization Management Nurse... 
    Remote work
    Contract work
    Apprenticeship
    Work at office
    Local area
    Immediate start
    Flexible hours

    Umpqua Health

    Roseburg, OR
    3 days ago

  • Registered Nurse (RN) - Case Manager, Utilization Review - $45-62 per hour

    $45 - $62 per hour

     ...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration... 
    Hourly pay
    Immediate start
    Work from home
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    9 hours ago