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- ...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 workWork from home
Elite
Houston, TX17 days ago $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, TX21 hours 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 homeRemote Staffing
Mission Viejo, CA21 hours ago$28.9 - $35.45 per hour
...$28.90- $35.45/hr based on experience We are seeking Virtual Utilization Review Specialists to join our team. Full-time and PRN jobs are available... ...Other Knowledge, Skills, and Abilities Required: This is a remote role which requires access to high speed internet Excellent...Remote jobFull timeReliefWork at officeWork from home- Join to apply for the Utilization Review Appeals Specialist role at Michigan Medicine . Talent Acquisition Consultant at Michigan Medicine Why... ...of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work...Remote workFull timeWork at officeWork from homeMonday to Friday
- ...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, CA4 days ago - ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of... ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed to offer supplemental income with complete...Remote jobPrice workExtra incomeFor contractors
- Join to apply for the Utilization Review Specialist role at Sonora Behavioral Health Hospital Responsibilities Provide consultation and guidance... ...department operation. This is an on-site position. Non- Remote Qualifications Associate's degree required. Bachelor's or...Remote work
- ***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 workLocal areaWeekend work
Zenex Partners
Beverly Hills, CA13 hours 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 working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities Review...Remote workWork at officeFlexible hours
$35.45 per hour
...reimbursement Flexible weekend work schedules with remote work options Recognized as a top... ...What to Expect (Job Responsibilities) Utilize proactive triggers to identify potential... ...healthcare services Conduct medical necessity reviews for admissions and collaborate with the...Remote workImmediate startFlexible hoursWeekend work$32.15 - $48.05 per hour
...Rate: $32.15 - $48.05 Shift: Day Shift - Remote Hours Per Week: 40-hours Date Posted: 6/... ...company reimbursement policies. Reviews application for patient admission and approves... ...approves admission or refers case to facility utilization review committee for review and course...Remote jobHourly payFull timeShift workDay shift- ...Type: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary We are seeking a detail-oriented... .... Work Environment Standard office setting or remote work, depending on location. Regular use of...Remote workFull timeWork at officeFlexible hours
- Hematology/Oncology Physician - Utilization Review Remote - Flexible Independent Contractor (1099) Opportunity Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology‑driven utilization management...Remote workFor contractorsWork from homeFlexible hours
- ...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, NJ23 days ago $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 jobHourly payImmediate startMonday to FridayAnchor Staffing Inc.
Chicago, IL26 days ago- Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 1-2 hours per week. Contribute...Remote jobFor contractorsWork from homeFlexible hours
- ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to... ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced...Remote workFull time
IntePros
Philadelphia, PA16 days ago $1,099 per month
Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review Institute of America . Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology...Remote jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours$1,099 per month
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 of medical...Remote jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours- ...Overview 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 Responsibilities The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed...Remote workDaily paidLive inDay shift
Providence Health & Service
Seattle, WA21 hours ago $65k - $78k
...career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and...Remote jobFull timeContract workWork at officeWork from homeFlexible hours$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 workHourly payContract workShift workZenex Partners
Los Angeles, CA4 days ago- Overview 1099 Utilization Review work for Radiation Oncologists - Flexible Independent Contractor (1099) opportunity with Medical Review Institute... ...) to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 1-2 hours per week, possibly more...Remote workFull timeFor contractorsWork from homeFlexible hours
- ...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, CA2 days ago - ...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 workPrice workExtra incomeFor contractorsFlexible hours
Dane Street, LLC
New York, NY3 days ago - ...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 workPrice workExtra incomeFor contractorsFlexible hours
Dane Street, LLC
New York, NY9 days ago $2,210 per week
...and nights! Paid Holidays Work-life balance. Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills... ...individual will defer decision to a second level reviewer. This individual interfaces with case...Remote workFull timeTemporary workPart timeCasual workWork at officeWork from homeMonday to FridayAll shiftsFlexible hours- ...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 work16 hoursReliefWork at officeShift workWeekend workAfternoon shift
Netsmart
San Francisco, CA1 day ago - ...invite all applicants to join us and experience what it means to be part of Mass General Brigham.Schedule: Remote - Part-Time 24hrs**Job Summary**The Utilization Review Manager performs the six essential activities of Case Management: Assessment Planning Implementation...Remote jobHourly payPart timeShift work
