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$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 workHourly payFull timeWork from homeHome officeOscar Health
Dallas, TX2 days ago$35 - $41 per hour
...Utilization Review - Fully Remote This role involves performing precertification and medical necessity reviews for designated referrals and targeted outpatient procedures, services, and inpatient admissions. The position requires telephonic reviews to assess medical...Remote workPermanent employmentContract workTemporary workWork at officeWork from homeActalent
Mission Viejo, CA2 days ago- ...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, NY25 days ago - ...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 workContract workWork at officeShift work
Integrated Resources
Long Beach, CA4 days ago - ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to full-time License... ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using...Remote workFull time
IntePros
Philadelphia, PA2 days ago - ...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 workFull timeWork at officeShift workWeekend workWeekday work
Netsmart
Winston Salem, NC3 days ago - ...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 is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees...Remote workWork at office
Maine Staffing
Portland, ME1 day ago - ...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 workFlexible hoursWeekend work
IntePros
Phoenix, AZ3 days ago $56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full- time and will work... ...Registered Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager....Remote workFull timeShift workDay shiftProvidence Health & Service
Mission Hills, CA1 day ago- ...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 workRelief3 days per week
Children's Healthcare of Atlanta
Atlanta, GA1 day ago - ...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 workTemporary workFor contractorsWork at officeShift work
Alura Workforce Solutions
Azusa, CA1 day ago $72.48k - $108.72k
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 workWork at officeLocal areaHome officeCommonwealth Care Alliance
Boston, MA3 days ago$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 workPart timeLocal areaShift workDay shiftProvidence Service
Mission Hills, CA2 days ago- ...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 workFull timeWork from home
Iapetus Holdings LLC
Pontiac, MI4 days ago - ...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 workFlexible hours
AmeriHealth Caritas
Long Beach, CA2 days ago $20.57 - $36.27 per hour
...Utilization Review Technician MedStar Health is looking for a Utilization Review Technician to join our team at MedStar Harbor Hospital. The Utilization Review Technician will collaborate with and assist the multidisciplinary team to meet individualized patient outcomes...MedStar Good Samaritan Hospital
Baltimore, MD1 day ago- ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles*** Required: * CA RN License * 2 years of statistical/data analytic... ...healthcare setting * ACLS Primary Duties and Responsibilities • Review occurrence reports and the related pertinent medical records to...Remote work
Zenex Partners
Los Angeles, CA1 day ago - ...Job Description Job Description Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient... ...answers first level calls in Utilization Review for HealthCheck360 participants. They will...Remote workFull timeWork at office
HealthCheck360
Dubuque, IA17 days ago - ...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...ReliefWork at officeWork from homeFlexible hoursShift workWeekend work
Dane Street
Scranton, PA2 days ago $72k - $80k
Description Join Our Team as a Utilization Review Specialist (RN or Social Worker) Are you a compassionate nurse or social worker looking to make a real difference in behavioral health? AllHealth Network is seeking a dedicated Utilization Review Specialist to help...Remote workTemporary workAllHealth Network
Watkins, CO4 days ago- ...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 workFull timeWork at officeFlexible hours
$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 payFull timeWork experience placementWork at officeRemoteOnline
San Francisco, CA3 days ago- ...Immediate need for a talented RN Care management Coordinator/Utilization Management RN. This is a 04+months contract... ...with long-term potential and is located in Philadelphia, PA(Remote) . Please review the job description below and contact me ASAP if you are interested...Remote workContract workLocal areaImmediate start
Pyramid Consulting, Inc
Philadelphia, PA22 days ago $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 jobFor contractorsWork from homeCEI
Columbia, SC5 days ago$35 - $50 per hour
...experienced RN or LVN with an active license to join our team as a Utilization Review Nurse . In this role, you will conduct retrospective reviews... ...Review Nurse Work Environment: Hybrid (onsite & remote) Schedule: Full-time, Monday–Friday, flexible start between...Remote workPermanent employmentFull timeContract workTemporary workMonday to FridayFlexible hoursShift work$24 - $26 per hour
...HaystackID is seeking actively licensed attorneys for document review projects we are immediately staffing. DETAILS: Pay Rates... ...work may be authorized on a project by project basis) Location: Remote REGISTRATION : To be contacted and considered for...Remote jobHourly payLocal areaImmediate startMonday to FridayWeekend workHaystackID
Wayzata, MN26 days ago$71.1k - $97.8k
...Community and Help Us Put Health First The Utilization Management Nurse 2 utilizes clinical... ...in utilization management/utilization review for a health plan or acute care setting... ...Weekly Hours: 40 Travel: While this is a remote position, occasional travel to Humanas...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeHumana
Los Angeles, CA2 days ago- ...About the job Remote Data Entry Operator - USA Thanks you for checking us out.... ...products are delivered, you have to really utilize them. You Required You should have... ...our partners and also supporters for your reviews on their items. Take part in item screening...Remote workTemporary workPart timeWork from home
Recruit Monitor
Syracuse, NY2 days ago - ...About the job Work From Home Remote Data Entry Operator Description The... ...Appropriate data in prescribed format, utilizing basic knowledge of computer software or system... ...system for the Help Desk technicians to review. The data entry clerk will review each...Remote workWork from home
Easy Recruiter
United States4 days ago $65k - $78k
...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent... ...applications on an ongoing basis. #LI-AC1 #LI-REMOTE The pay range for this position is $65,000.00 - $78,000...Remote workFull timeContract workWork at officeWork from homeFlexible hours
