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  • Utilization Review Nurse (Injured Workers)

     ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must have a multi state compact license unencumbered Job Purpose: Review Workers Compensation... 
    Remote work
    Work from home

    Elite

    Houston, TX
    16 days ago

  • Utilization Review Nurse

     ...Job Description Job Description 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... 
    Remote work
    Full time
    Local area
    Work from home

    Village Care

    New York, NY
    17 days ago

  • RN Utilization Review

     ...this dept is 100% remote, with a variety of service lines and levels of care (inpatient, Extended Hospital Outpatient and OBS)....  ...3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) • InterQual... 
    Remote work

    Pacer Group

    Torrance, CA
    3 days ago

  • Registered Nurse - Utilization Review

    ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred... 
    Remote work
    Local area
    Weekend work

    Zenex Partners

    Beverly Hills, CA
    4 days ago

  • Remote MCO Utilization Review Nurse (RN) IL ONLY

    $40 per hour

     ...Job Description Job Description Remote MCO Utilization Review Nurse (RN) IL ONLY   $40.00 per hour Monday – Friday 8:00 am – 4:30 pm Remote (IL) WHAT WE OFFER : Medical PTO Accrual Holiday Pay Seeking RN who is familiar with MCG and ASAM criteria... 
    Remote job
    Hourly pay
    Immediate start
    Monday to Friday

    Anchor Staffing Inc.

    Chicago, IL
    25 days ago

  • Utilization Review Physician - New York (Mostly Remote)

     ...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

    Carteret, NJ
    22 days ago

  • Registered Nurse-Utilization Review

    $8 per hour

     ...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los...  ...% Holiday Pay: 1.5% Additional Information: ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles***... 
    Remote work
    Hourly pay
    Contract work
    Shift work

    Zenex Partners

    Los Angeles, CA
    3 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
    1 day ago

  • Utilization Review Nurse (Philadelphia)

     ...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 work
    Full time
    Part time

    IntePros

    Philadelphia, PA
    4 days 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
    20 days ago

  • Physician Reviewer - Psychiatry (Utilization Review)

     ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of...  ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible... 
    Remote work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street, LLC

    New York, NY
    2 days 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

    Winston Salem, NC
    23 hours ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review)

     ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of...  ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible... 
    Remote work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street, LLC

    New York, NY
    8 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 is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees... 
    Remote work
    Work at office

    Portland Staffing

    Portland, ME
    23 hours 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
    2 days ago

  • RN UTILIZATION REVIEW

    $34 - $52.7 per hour

     ...Utilization Management Nurse Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility. This job is remote. Standard Hours: 35.00 Shift: Shift 1 Shift Details: 7/70 schedule (7...  ..., PA moonlighter, for a second level review as needed. Facilitates communication... 
    Remote work
    Hourly pay
    Temporary work
    Shift work
    Weekend work

    Froedtert Memorial Lutheran Hospital

    Albuquerque, NM
    3 days ago

  • RN Utilization Review Full-time Remote

    $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 work
    Full time
    Shift work
    Day shift

    Providence Health & Service

    Mission Hills, CA
    3 days ago

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

    $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 work
    Work at office
    Local area
    Home office

    Commonwealth Care Alliance

    Boston, MA
    15 hours ago

  • Local Contract Nurse RN - Utilization Review - $85-90 per hour

    $85 - $90 per hour

     ...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Poughkeepsie, New York. Job Description...  ...TIMES: 08:00:00 AM - 04:30:00 PM - Every other weekend - REMOTE *REMOTE* Utilization Review Nurse Case Manager position... 
    Remote work
    Hourly pay
    Weekly pay
    Long term contract
    Permanent employment
    Full time
    Contract work
    Temporary work
    Work at office
    Local area
    Shift work
    Weekend work

    LanceSoft

    Poughkeepsie, NY
    1 day ago

  • Customer Solutions Representative II - Utilities

     ...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 work
    Temporary work
    For contractors
    Work at office
    Shift work

    Alura Workforce Solutions

    Azusa, CA
    3 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
    3 days ago

  • RN Utilization Review Part- time Remote

    $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 work
    Part time
    Local area
    Shift work
    Day shift

    Providence Service

    Mission Hills, CA
    4 days ago

  • Utility Call Center Representative

     ...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 work
    Full time
    Work from home

    Iapetus Holdings LLC

    Pontiac, MI
    1 day ago

  • Utilization Review Nurse

     ...Must have Prior Authorization experience. Remote but will need to come to Newark, NJ...  ...other staff as needed, completes audits, reviews and updates reports and polices. Responsibilities...  ...various sites to coordinate resource utilization and evaluation of services provided. 8... 
    Remote work
    Local area

    Winston Medical Staffing

    Newark, NJ
    10 days ago

  • Utilization Management Review Nurse

    $75k - $85k

     ...Location Huntington Beach Office - Huntington Beach, CA Remote Type Fully Remote Position Type Full Time...  ...celebrates diversity and innovation. Job Summary The Utilization Review Nurse will evaluate medical records to determine medical necessity... 
    Remote work
    Full time
    Weekend work

    Clever Care Health Plan

    Huntington Beach, CA
    4 days ago

  • Utilization Management Assistant

     ...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 work
    Full time
    Work at office

    HealthCheck360

    Dubuque, IA
    14 days ago

  • Utilization Review Nurse

     ...UM Nurse (California License) – Must be licensed in California- Remote Opportunity Term : RTH Remote Opportunity Ready to...  ...continuum. This position is not patient facing, they will be reviewing patient records and providing recommendations. Role and Responsibilities... 
    Remote work
    Immediate start

    Enterprise Engineering

    Los Angeles, CA
    29 days ago

  • Emergency Medicine Non-Clinical Utilization Review - North Philadelphia Suburbs

     ..., is seeking an Emergency Medicine physician to work in a non-clinical utilization review setting. Opportunity Highlights ~ Daytime Monday through Friday position. Potential to work remotely part of the time. ~ Strong CDI Program ~ Salary and incentive of $2... 
    Remote work
    Part time
    Monday to Friday

    Enterprisemed

    Abington, PA
    2 days ago

  • Local Contract Nurse RN - Utilization Review - $70-74 per hour

    $70 - $74 per hour

     ...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job...  ...between Hospitals. Hybrid position: in person and remotely. MUST float between Hospitals.Hybrid position: in person... 
    Remote work
    Hourly pay
    Contract work
    Local area
    Monday to Friday
    Shift work
    Day shift

    Talent4Health

    Cambridge, MA
    15 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
    24 days ago