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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- ...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 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, PA18 days ago - ...Description &##128205; Location: Fully Remote – Must reside in Texas (Central Time... ...and detail-oriented Clinical Review Nurses (RNs) to join the Prior Authorization... ...members. In this role, you will perform utilization reviews, evaluate medical necessity, and...Remote workHourly payPermanent employmentFull timeFlexible hoursShift work
IMCS Group
Dallas, TX7 days 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 workPart timeFlexible hoursWeekend work
IntePros
Phoenix, AZ7 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 - ...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
Dayton, OH3 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$2,284 per week
...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description... ...Supplemental Health Care is hiring experienced NPC Utilization Review, Remote RNs for contract opportunities at a leading Level 1 trauma...Remote workFull timeContract workPart timeLocal areaImmediate startShift workSupplemental Health Care
United States5 hours agonew- ...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 $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 Health & Service
Mission Hills, 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- ...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 $60 - $76 per hour
...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration:...SuggestedHourly payPart timeImmediate startWork from homeShift work$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
$114k - $161k
...Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Join to apply for the Principal Consultant - Utility Return... ...Washington, DC Position Type : Hybrid 3 days in office, 2 remote days per week 2025 Salary Range: $114,000 - $161,000 plus...Remote workFull timePart timeWork at officeWork from homeFlexible hours2 days per weekConcentric Energy Advisors
Washington DC3 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 $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$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$3,000 per month
...clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity... ...efficiently. - Willingness to learn and develop skills for remote work success. What You'll Enjoy: - Participate in online...Remote workExtra incomeTemporary workPart timeImmediate startWork from homeMaxion Research
Jamestown, NY6 days ago$790 per week
...personnel to participate in our local in-person and nationwide remote research studies. Description This gig is perfect for those... ...exchange for your honest feedback of their products. You get to review and use new products or services before they are launched to the...Remote workFull timeTemporary workPart timeLocal areaImmediate startWork from homeFlexible hoursMaxion Research
Florence, AL5 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$90k - $110k
...yourself with people who care about making a difference – come join us! We have an exciting opportunity for a full-time Utilization Review Manager RN to join our Utilization Review team. The Utilization Review Manager RN oversees and directs all operations of the...Hourly payFull timeMonday to FridayFlexible hoursChristian Health
Wyckoff, NJ26 days ago$185.48k - $211.67k
...Join to apply for the Principal Utility Electrical Engineer role at New Leaf Energy,... ...ideally based in a New Leaf office, although remote applicants will be considered.... ...deliver on NLE deadlines (including scoping, reviewing, and holding them accountable). Own the...Remote workFull timeWork at officeLocal areaImmediate startWork from homeNew Leaf Energy, Inc.
Boston, MA1 day ago$42 - $45 per hour
...Immediate need for a talented RN Care management Coordinator/Utilization Management RN . This is a 03+ months contract... ...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 workPermanent employmentFull timeContract workLocal areaImmediate start2 days per week3 days per weekPyramid Consulting, Inc
Philadelphia, PA22 days ago$178.35k - $203.53k
...New Leaf Energy is seeking a Principal Utility Electrical Engineer to join our team! The... ...location, although we will consider remote applicants. This position will report to... ...deliver on NLE deadlines (includes scoping, reviewing, and holding them accountable to NLE...Remote workFull timeWork at officeLocal areaImmediate startWork from homeNew Leaf Energy, Inc.
Boston, MA1 day 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$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
