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  • Physician Reviewer - Utilization Review

    $211.2k - $277.2k

     ...Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Review team. Oscar is the first health insurance...  ...into the Medical Director. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida... 
    Remote work
    Full time
    Work from home
    Home office
    Weekend work

    Oscar Health

    New York, NY
    17 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
    a month ago

  • REMOTE RN - Case Manager - Utilization Review

     ...Job Description Job Description We are seeking an experienced RN Case Manager to join our Utilization Review team. This is a 100% remote role requiring strong skills in inpatient case management and utilization management. Schedule: Monday–Friday, 8-hour shifts... 
    Remote job
    Monday to Friday
    Shift work
    Weekend work

    Alpha Rae Personnel, Inc.

    Fort Wayne, IN
    a month ago

  • Physician Reviewer - Orthopedic Spine 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
    17 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, LLC

    Parchman, MS
    17 days 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
    18 days ago

  • Registered Nurse - Utilization Review

     ...Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift...  ...staff is needed) Day Shift 0800-1630, (UR positions will be remote) Need to have UR experience, specifically with InterQual... 
    Remote work
    Shift work
    Weekend work
    Day shift

    Zenex Partners

    Apple Valley, CA
    4 days ago

  • Travel Utilization Review Registered Nurse

     ...RN for a contract position in Apple Valley California . This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Remote Utilization Review,3223.861060.27035 . 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

    Apple Valley, CA
    8 days ago

  • Travel Nurse RN - Case Manager, Utilization Review

     ...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description...  ...requires attendance in the area on Friday and includes both remote and onsite components Expect to function as core staff... 
    Remote work
    Daily paid
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Fort Myers, FL
    4 days ago

  • Registered Nurse/Utilization Review

     ...Hour (08:30 - 17:00) Description: ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills,...  ...years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity... 
    Remote work
    Local area
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    1 day ago

  • Travel Nurse RN - Utilization Review

     ...Description First Connect Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts,...  ...Behavioral Health / Utilization Review (Hybrid Position: In-Person & Remote)   Position: Registered Nurse – Behavioral Health /... 
    Remote work
    Weekly pay
    Daily paid
    Long term contract
    Temporary work
    Local area
    Immediate start
    Flexible hours
    Shift work

    First Connect Health

    Cambridge, MA
    5 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
    3 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
    3 days ago

  • Travel Nurse RN - Utilization Review - $3,307 per week

    $3,307 per week

     ...Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job Description & Requirements...  ...Employment Type: Travel Hybrid position: in-person and remote.   Must have Interqual criteria experience. Must have... 
    Remote work
    Monday to Friday
    Shift work
    Day shift

    Talent4Health

    Cambridge, MA
    1 day 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
    1 day ago

  • Concurrent Utilization Review Nurse

     ...Job Description Job Description   Role :  Concurrent Utilization Review (UR) Nurse   100% Remote Contract to hire Opportunity The Concurrent Utilization Review (UR) Nurse is responsible for conducting real-time clinical reviews to ensure the medical necessity... 
    Remote work
    Contract work
    Work at office

    Enterprise Engineering

    Los Angeles, CA
    7 days 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
    3 days ago

  • RN Utilization Review Full-time Day

    $56.44 - $87.63 per hour

     ...RN Utilization Review Full-time Day at Providence Health and Services summary: The RN Utilization Review role at Providence Holy Cross Medical...  ...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 and Services

    Santa Monica, CA
    2 days ago

  • Utilization Review RN

    $46.01 - $67.57 per hour

     ...Job Details Job Location STAYTON, OR Remote Type Hybrid Salary Range $46.01 - $67.57 Hourly Description...  ...talented medical professionals and make a difference as our next Utilization Review Nurse . You will play an instrumental role in improving... 
    Remote work
    Hourly pay

    Santiam Hospital & Clinics

    Stayton, OR
    2 days ago

  • RN Utilization Review Part- time Day

    $56.44 - $87.63 per hour

     ...RN Utilization Review Part- time Day at Providence Health and Services summary: The RN Utilization Review role at Providence Holy Cross Medical...  ...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 Health and Services

    Pacoima, CA
    2 days ago

  • Utilization Management Reviewer

     ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient...  ...will also be counted upon to: Work Arrangement: Remote role. Availability to work Monday through Friday, 8 AM... 
    Remote work
    Monday to Friday
    Flexible hours
    Afternoon shift

    AmeriHealth Caritas

    Newtown Square, PA
    2 days ago

  • Utilization Review Clinician - ABA

    $26.5 - $47.59 per hour

     ...flexibility. ****NOTE: This is a fully remote role. Preference will be given to...  ...Details: • Department: Behavioral Health Utilization Management • Business Unit: Corporate...  ...holidays **** Position Purpose: Performs reviews of member's care and health status of Applied... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Monday to Friday
    Flexible hours

    Centene Corporation

    Tallahassee, FL
    4 days ago

  • Utilization Management Nurse Reviewer

     ...Job Description Job Description Utilization Management Nurse Reviewer About the Position HealthSmart Management Services Organization, Inc....  ...· Regularly speak and listen in person, telephone, and remote meetings · Constant mental alertness must possess planning... 
    Remote work
    Full time
    Temporary work
    Work at office
    Flexible hours

    HealthSmart MSO

    Cypress, CA
    11 days 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
    18 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job...  ...float between Hospitals.  Hybrid position: in person and remotely. MUST float between Hospitals. \nHybrid position: in... 
    Remote work
    Monday to Friday
    Shift work

    Talent4Health

    Cambridge, MA
    5 days ago

  • Utilization Management Review Analyst - NICU

    $30.49 - $48 per hour

     ...The Utilization Management Review Analyst analyzes patient records daily to determine the appropriateness of admission, level of care, continued stay and discharge. Abstracts variances to standard pathway process and provides ongoing support and expertise through comprehensive... 
    Hourly pay
    Full time
    Work experience placement
    Local area
    Monday to Friday
    Weekend work

    Woman's Hospital

    Baton Rouge, LA
    1 day ago

  • LPN Utilization Review Analyst

     ...Job Description Job Description   Utilization Review Analyst II Licensed Practical Nurse Classification: Utilization Review Analyst (LPN) Reports To: Director of Health Benefit Operations Department: Administration Compensation: Hourly/Non-Exempt ​Compensation... 
    Hourly pay

    Northwood, Inc.

    Madison Heights, MI
    21 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...  ...float 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

    Talent4Health

    Cambridge, MA
    3 days ago

  • Travel Nurse RN - Utilization Review - $3,387 per week

    $3,387 per week

     ...TalentBurst, Inc is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job Description...  ...Hospital and Somerville Hospital. Hybrid position: in person and remotely. (Be sure your candidate is agreeable) MUST have... 
    Remote work
    Monday to Friday
    Shift work

    TalentBurst

    Cambridge, MA
    2 days ago

  • Local Contract Nurse RN - Utilization Review - $72-76 per hour

    $72 - $76 per hour

     ...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description...  ...and Somerville Hospital. Hybrid position: in person and remotely. (Be sure your candidate is agreeable) MUST have... 
    Remote work
    Hourly pay
    Weekly pay
    Long term contract
    Permanent employment
    Contract work
    Temporary work
    Work at office
    Local area
    Monday to Friday
    Shift work

    LanceSoft

    Cambridge, MA
    7 hours ago