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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
    8 days ago

  • Otolaryngology - ENT for Utilization Review - Remote - Contract

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

    Medical Review Institute

    Dallas, TX
    1 day ago

  • Utilization Review Specialist

     ...Job Description Job Description Company : Skyway Behavioral Health Title : Utilization Review Specialist (URS) FLSA Status : Exempt Location : Remote Skyway Behavioral Health is an innovative center that goes beyond the treatment of mood, anxiety, and... 
    Remote work
    Temporary work
    Local area

    Skyway Behavioral Health

    Downers Grove, IL
    3 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description...  ...to confirmation). Posted job title: Utilization Review - remote About MSSI Consistently ranked as one of the top travel nurse... 
    Remote work
    Immediate start
    Shift work
    Afternoon shift

    MSSI

    Minneapolis, MN
    21 days ago

  • Utilization Review Nurse

    $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 work
    Hourly pay
    Full time
    Work from home
    Home office

    Oscar Health

    Victorville, CA
    1 day ago

  • Utilization Reviewer

    $55k

     ...Utilization Reviewer Developmental Disabilities Services Human services professionals are encouraged to consider an outstanding career opportunity...  ...for approved work-related mileage This is a remote first position which will allow you to primarily work from your... 
    Remote work
    Full time
    Immediate start
    Work from home
    Home office
    Monday to Friday

    Liberty Healthcare

    Annapolis, MD
    3 days ago

  • Local Contract Nurse RN - Utilization Review

     ...Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia,...  ...under which they are currently working. This position is remote - Full-time ONLY during training - 2-3 weeks, Must be available... 
    Remote work
    Permanent employment
    Full time
    Contract work
    Part time
    Local area
    Shift work

    Pyramid Consulting (Travel)

    Philadelphia, PA
    7 days ago

  • Physician Reviewer - Utilization Management

    $211.2k - $277.2k

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

    Oscar Health

    Tampa, FL
    6 days ago

  • Senior Clinical Review Nurse, Retrospective Utilization

     ...is seeking a clinical professional for a remote position in Jefferson City, MO. This...  ...involves performing clinical retrospective reviews and ensuring appropriate quality of care...  ...degree in Nursing, strong experience in utilization review, and familiarity with Medicare and... 
    Remote work

    Centene Corporation

    Jefferson City, MO
    1 day ago

  • Remote Lead Clinical Review Nurse: Utilization & Quality

    $35.49 - $63.79 per hour

     ...organization is seeking a Lead Clinical Review Nurse to oversee correspondence letters...  ...compliance with regulatory standards. The remote position requires a licensed nursing...  ...professional with 5-7 years of experience in utilization management. The nurse will manage audits... 
    Remote work
    Hourly pay
    Flexible hours

    Centene Corporation

    California, MO
    2 days ago

  • Utilization Manager Reviewer, RN (Multiple Openings!)

     ...coordinating, integrating, and monitoring the utilization of physical health (PH) medical and...  ...cases to the Medical Director for review. Refer to and work closely with Case Management...  .... Please note: The opportunity for remote work may be possible for all jobs posted... 
    Remote work
    Contract work
    Live in
    Work at office

    Univera Healthcare

    Binghamton, NY
    1 day ago

  • Senior Clinical Review Nurse - Remote Utilization Lead

    $35.49 - $63.79 per hour

     ...leading healthcare organization is seeking a remote clinical professional for their Medical...  ...role requires oversight of clinical reviews, compliance with healthcare standards, and...  ...degree and extensive experience in utilization management, including Medicare and Medicaid... 
    Remote work
    Hourly pay
    Flexible hours

    Centene Corporation

    Denver, CO
    19 hours ago

  • Utilization Review Specialist

     ...Job Description Job Description Step into a role where your clinical insight truly drives client success. As a Utilization Review Specialist, you’ll be the bridge between quality care and appropriate treatment authorization—using your knowledge of ASAM and WAC criteria... 
    Suggested
    Full time
    Work at office
    Immediate start

    Triumph Treatment Services

    Yakima, WA
    8 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 position involves conducting...  ...part-time day shift position supports multi-hospital systems remotely and emphasizes effective communication, decision-making, and... 
    Remote work
    Full time
    Part time
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    7 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
    10 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
    29 days ago

  • Utilization Review Nurse (PRN)

     ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities...  ...Board Certified (CMGT-BC). Expectations: Comfortable with remote work arrangements and virtual collaboration tools.... 
    Remote work
    16 hours
    Relief
    Work at office
    Shift work
    Weekend work
    Afternoon shift

    Netsmart

    New Haven, CT
    5 days ago

  • Utilization Review Assistant

    $28 per hour

     ...Utilization Review Assistant Amergis Healthcare is actively looking for a Utilization Review Assistant that would be interested in a 13 Week...  ...Rate: $28 per hour Schedule: Monday-Friday Fully Remote - Will need to go on-site a few times per month No... 
    Remote work
    Hourly pay
    Weekly pay
    Full time
    Contract work
    Monday to Friday

    Amergis Healthcare Staffing

    Chicago, IL
    13 hours ago

  • Utilization Review Nurse

     ...Job Description Job Title: Quality Review Specialist Location: Remote in IL, TX, NM, OK Duration: December 2025 to May 2026 contract to hire...  ...Degree OR 4 years in health care experience. 5 years utilization management, appeals, claims and mainframe system... 
    Remote work
    Contract work
    Shift work
    Weekend work

    Innovative Systems Group

    Chicago, IL
    14 days ago

  • RN Utilization Review

    $70k - $85k

     ...RN Utilization Review By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for...  ...Services & Insurance Join us in a hybrid capacity, combining remote work with two in-office days each week at our Blue Ash, OH... 
    Remote work
    Work at office
    Local area
    Flexible hours
    2 days per week

    KY Staffing

    Cincinnati, OH
    2 days ago

  • Supervising Utilization Review Technician

     ...Supervising Utilization Review Technician Arrowhead Regional Medical Center is recruiting for Supervising Utilization Review Technicians who supervise Utilization Review Technicians and support staff who review medical records to evaluate medical necessity of treatments... 
    Work experience placement
    Visa sponsorship
    Shift work

    GovernmentJobs.com

    Colton, CA
    13 hours ago

  • Behavioral Health Utilization Management Review

     ...Behavioral Health Utilization Management Reviewer Under the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer...  ...in their application Work Arrangement: Remote position Monday through Friday 8:00 AM to 5:00 PM during... 
    Remote work
    Work at office
    Monday to Friday
    Flexible hours
    Weekend work

    Louisiana Staffing

    Los Angeles, CA
    4 days ago

  • Part-Time Utilization Review Nurse (Remote Nevada RN)

    $40k - $45k

     ...Part-Time Utilization Review Nurse Remote (Nevada License Required) Location: Remote (Reporting to Carson City, NV) Schedule: MondayFriday, 8:00 AM12:00 PM PST Compensation: $40,000$45,000 annually (part-time, 20 hours/week) Travel: Once per year to Carson... 
    Remote work
    Part time
    Work at office
    Flexible hours
    Shift work

    CCMSI

    United States
    1 day ago

  • Healthcare Utilization Review Specialist

     ...Description About Us Join our team at Company and build a meaningful career in employee benefits solutions. As a Healthcare Utilization Review Specialist, you’ll play a vital role in ensuring our clients and members receive the right care at the right time through... 
    Full time
    Temporary work
    Flexible hours

    Cobalt Benefits Group LLC

    Houston, TX
    8 days ago

  • Long Term Services & Support Reviewer Utilization Management

     ...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 work
    Flexible hours

    AmeriHealth Caritas

    Augusta, GA
    4 days ago

  • Assistant Director, Utilization Review (On-site)

     ...Job Description Job Description Description: Job Summary The Assistant Director, Utilization Review is responsible for assisting the Director, Utilization Review with the leadership, supervision and training of the Utilization Review and Quality Departments, as... 
    Work at office
    Local area

    Nexus

    Schertz, TX
    25 days ago

  • Remote Clinical Review Nurse Utilization & Discharge

    $33 - $40 per hour

     ...A healthcare staffing organization is looking for a Clinical Review Nurse to perform concurrent reviews and evaluate medical necessity in a fully remote role. Candidates should be nursing graduates with a Compact Nursing License and 24 years of relevant experience. This... 
    Remote work

    Actalent

    Kansas City, MO
    13 hours ago

  • Utilization Management Reviewer - Dental

    $26.5 - $47.59 per hour

     ...workplace flexibility. Position Purpose: Authorize and review utilization of dental services provided in provider offices, community...  ...time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted... 
    Remote work
    Hourly pay
    Contract work
    Work at office
    Flexible hours

    Georgia Staffing

    Atlanta, GA
    2 days ago

  • Utilization Management Review Analyst - NICU

    $30.49 - $48 per hour

     ...Showing 1 location Woman's Hosp Main Campus 100 Woman's Way Baton Rouge, LA 70817, USA Description The Utilization Management Review Analyst analyzes patient records daily to determine the appropriateness of admission, level of care, continued stay and... 
    Hourly pay
    Full time
    Work experience placement
    Local area
    Monday to Friday
    Weekend work

    Womans

    Baton Rouge, LA
    5 days ago

  • Utilization Review Counselor (Remote- Must reside in IL)

    $50.84k

     ...Utilization Review Counselor (Remote- Must Reside in IL) Join Our Mission to Transform Lives! At Rosecrance, we've been leading the way in behavioral health services for over a century. Our team empowers individuals and families to overcome substance use and mental... 
    Remote work
    Daily paid
    Work at office
    Monday to Friday
    Shift work
    Day shift

    Rosecrance

    United States
    1 day ago