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  • Remote RN Case Manager - Utilization Review

     ...A staffing and recruitment firm is seeking an experienced RN Case Manager for a fully remote position. The role involves conducting utilization reviews, completing patient assessments, and collaborating with healthcare teams. Candidates should have an RN license, at least... 
    Remote work

    Alpha Rae Personnel

    United States
    20 hours ago

  • Remote RN Utilization Review Case Manager I

     ...A national risk management provider is seeking a remote Utilization Review Case Manager. This role involves gathering clinical information, certifying medical necessity, and managing stakeholder communications. Ideal candidates will have a nursing degree, licensing, and... 
    Remote work

    CorVel

    United States
    1 day ago

  • Utilization Review Nurse- Remote

    $65k - $78k

     ...Utilization Review Nurse It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    IntelyCare

    Nags Head, NC
    6 hours agonew

  • Copywriter � Review Focus (Remote)

    $15 per hour

     ...large language model builders. We’ve built a best-in-class remote work platform for our freelance contributors to provide valuable...  ...user needs in a structured way. Evaluate AI outputs by reviewing and ranking reasoning and problem-solving responses from large... 
    Remote work
    Weekly pay
    Freelance
    Work from home
    Flexible hours

    Outlier AI

    Tampa, FL
    13 hours 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
    11 days 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

  • Utilization Review Nurse

     ...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 is loo Nurse, Medical Director, Healthcare... 
    Remote work
    Full time
    Local area

    VillageCare Senior Living

    New York, NY
    3 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

  • 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
    13 hours ago

  • Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)

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

    Dane Street

    New York, NY
    20 hours 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

  • Remote Utilization Review RN Hospital Admissions

     ...A leading healthcare organization is seeking an experienced RN for a remote position focusing on utilization review. Candidates must have 2 years of RN and UR experience, an active RN license, and reside within one hour of St. Louis. This role involves reviewing diagnostic... 
    Remote work

    BJC HealthCare

    United States
    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

    Rochester, NY
    13 hours ago

  • Copywriter Review Focus (Remote)

    $15 per hour

     ...large language model builders. We’ve built a best-in-class remote work platform for our freelance contributors to provide valuable...  ...user needs in a structured way. \n Evaluate AI outputs by reviewing and ranking reasoning and problem-solving responses from large... 
    Remote job
    Weekly pay
    Freelance
    Work from home
    Flexible hours

    Outlier AI

    Cleveland, OH
    3 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review) NY

     ...Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our...  ...perform independent medical reviews on a flexible, remote (telework) basis. This is a non-clinical,... 
    Remote work
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street

    New York, NY
    20 hours 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

    Drew, MS
    1 day ago

  • Occupational Medicine Physician - Utilization Reviewer (MUST be licensed in New

     ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert...  ...independent medical reviews on a flexible, remote basis. This non-clinical, contract-based role... 
    Remote work
    Extra income
    Contract work
    Flexible hours

    Dane Street

    New York, NY
    19 hours 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
    14 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

    Palm Coast, FL
    4 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

  • Document Reviewer

    $30 per hour

     ...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review...  ...litigation! Position Details ~ Remote work-from-home opportunity ~ Pay rate...  ...is required. ~ Proficiency in utilizing modern technology, especially computers... 
    Remote work
    Hourly pay
    Temporary work
    Work from home
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Chicago, IL
    2 days ago

  • Utilization Review Physician Advisor- (MD/DO)

     ...Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor team. This role will be full-time on-site position. This role is available as a remote/ hybrid position The Utilization Review Physician Advisor (Advisor)... 
    Remote work
    Full time
    Flexible hours

    Inova

    Fairfax, VA
    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... 
    Full time
    Work at office
    Immediate start

    Triumph Treatment Services

    Yakima, WA
    12 days 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
    18 days 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
    a month 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
    4 days 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
    3 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

    Wichita, KS
    13 hours 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
    3 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
    4 days ago