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  • Utilization Review Specialist (in-office only)

    $60k - $75k

     ...Quadrant Health Group, i s seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital...  ...office position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be... 
    Remote work
    Full time
    Work at office

    Quadrant Health Group

    Boca Raton, FL
    29 days ago

  • Physician / Internal Medicine / California / Permanent / Remote Utilization Review Medical Director

    $275k - $300k

    Remote or hybrid Medical Director for MediCare service line 100% administrative, non-clinical role Work from home, but candidate...  ...CME, PTO Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA license... 
    Remote work
    Permanent employment
    Full time
    Work from home
    Monday to Friday

    Integrity Healthcare

    Sacramento, CA
    4 days ago

  • Utilization Review Technician III

    $23.15 - $30.03 per hour

     ...members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review...  ...will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The... 
    Remote work
    Full time
    Work at office
    Local area
    Shift work

    Prime Healthcare

    Ontario, CA
    2 days ago

  • 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
    3 days ago

  • Clinical Resource Coordinator and Utilization Review RN REMOTE ROLE

     ...our future each day. Are you living your life's work? We are excited to share this rewarding and REMOTE RN role! This role will focus primarily on utilization review which is why we are seeking individuals who have between 3 to 5 years experience in UR . We hope... 
    Remote work

    Pennsylvania Medicine

    Philadelphia, PA
    3 days ago

  • Utilization Reviewer 2

    $59.24k - $76k

     ...real difference. Job Description This is a full-time remote position that can be located anywhere in the U.S. PA RN license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization... 
    Remote work
    Full time
    Part time
    Local area
    Work from home
    Flexible hours

    Enlyte

    Arlington, TX
    4 days ago

  • RN Utilization Review Part- time Day

    $56.44 - $87.63 per hour

     ...Description Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review...  ...Nurse License. ~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

    Providence Health and Services

    Mission Hills, CA
    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
    15 hours ago

  • Medical Director, Utilization Management - Concurrent Review

     ...Your Role The Medical Director, Utilization Management - will report to the Sr. Medical...  ...will deliver and collaborate on clinical review activities, which includes management of...  ...and approved out-of-state roles remain remote. o Employees living more than 50 miles... 
    Remote work
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    1 day per week

    Blue Shield Of California

    El Dorado Hills, CA
    1 day ago

  • Outcomes Manager, Utilization Review RN, Part Time, Remote

    $77.41k - $123.57k

     ...Remote work environment after successful completion of in-office training Summary:...  ...process. Position Responsibilities: Utilization Management • Utilizes Payer specific...  ...and complete documentation of clinical review and denial management in the case management... 
    Remote work
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Flexible hours

    Virtua, Inc.

    Pennsauken, NJ
    2 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

  • 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
    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
    1 day ago

  • Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week

    $2,690 per week

     ...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse...  ...manager, utilization review, healthcare staffing, patient care, clinical review, nursing, healthcare travel, remote nursing jobs... 
    Remote work
    Weekly pay
    Full time
    Immediate start
    Shift work

    Travel Nurses, Inc.

    Bozeman, MT
    1 day ago

  • staff - Registered Nurse (RN) - Case Manager, Utilization Review - $45-62 perhour

     ...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:... 
    Suggested
    Full time
    Immediate start
    Work from home
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    1 day 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
    2 days ago

  • Care review Clinician | Utilization review nurse

     ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension) Shift timings: Standard hours - 8:00 AM to 5:00 PM (Mon-Fri) Pay Rate - $47.14/hr on W2 Job Summary:... 
    Remote work
    Contract work
    Work at office
    Shift work

    Integrated Resources

    Long Beach, CA
    2 days ago

  • Remote RN - Prior Authorization & Utilization Review

    $41.04 per hour

     ...Now Hiring: Remote RN – Prior Authorization & Utilization Review (Texas Medicaid) &##128313; &##128188; Contract | Up to $41.04/hr &##128205; Remote (Must reside near in TX) &##128338; Full-time | Primary shift: 10 AM – 7 PM Are you a detail-oriented RN looking... 
    Remote work
    Full time
    Contract work
    Immediate start
    Shift work

    Manpower

    Austin, TX
    15 hours 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, LLC

    New York, NY
    29 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
    4 days ago

  • Utilization Review Nurse - Remote

     ...find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the receipt of high quality, cost efficient medical outcomes for... 
    Remote work
    Work at office

    Martins Point Health Care

    United States
    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

    Atlanta, GA
    4 days ago

  • Pediatric Utilization Management Reviewer

     ...agencies to ensure the approved services are provided. Our Utilization Management Reviewers cultivate and maintain relationships with our members'...  ...reaches their 21st birthday. ; Work Arrangement:; Remote role. Monday through Friday from 8:30a EST to 5:00p EST... 
    Remote work
    Contract work
    Monday to Friday
    Flexible hours
    Shift work

    AmeriHealth Caritas

    Newtown Square, PA
    1 day ago

  • Medical Director for Utilization Review

     ...(Time Zone: EST, CST, PST) Location: Remote Note: Flexible hours are being...  ...Responsibilities: Provide medical leadership in utilization management, cost containment, and...  ...initiatives. Conduct medical review activities for utilization review, quality... 
    Remote work
    Local area
    Flexible hours
    Shift work
    Weekend work
    Sunday
    Saturday

    Pacer Group

    San Antonio, TX
    1 day ago

  • Utilization Review Clinician

     ...We save lives while providing the opportunity for people to realize their healthy selves. Utilization Review Clinician Monte Nido Remote Monte Nido has been delivering treatment for eating disorders for over two decades. Our programs offer a model of treatment... 
    Remote work
    Full time
    Temporary work
    Flexible hours

    Monte Nido

    Miami, FL
    1 day ago

  • Medical Director Utilization Review

     ...reside within (EST, CST, PST) Location - Remote Note : Flexible hours are...  ...Provides medical leadership of all for utilization management, cost containment, and medical...  ...improvement activities. Performs medical review activities pertaining to utilization... 
    Remote work
    Contract work
    Flexible hours
    Shift work
    Weekend work
    Sunday
    Saturday

    Pacer Group

    Orlando, FL
    1 day ago

  • Regional Utilization Review Documentation Specialist (RN)

    $78.54k - $121.72k

     ...Employment Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. *... 
    Full time
    Work at office
    Local area
    Shift work
    Day shift

    Trinity Health

    Maywood, IL
    2 days ago

  • Utilization Review RN

    $51.43 - $79.84 per hour

     ...Description This is a remote role. You MUST live in the state of Washington (WA) to be considered Care Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge... 
    Remote work
    Daily paid
    Live in
    Local area
    Shift work
    Day shift

    Swedish Health Services

    Seattle, WA
    21 hours ago

  • Utilization Review RN - Hybrid

     ...and/or level Job Summary You will review patient cases for medical necessity and...  ...Schedule You will work primarily remote.  Will be required to work onsite at a...  ...management referral standards, reviewing utilization, and categorizing levels of care. Excellent... 
    Remote work
    Work at office
    Immediate start

    Baylor Scott & White Health

    University Park, TX
    7 days ago

  • Utilization Review Nurse (RN)

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

    UHS

    Reno, NV
    21 hours ago