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- ...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 workShift work
MSSI
Minneapolis, MN8 days ago - ...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 workShift workAfternoon shift
MSSI
Minneapolis, MN8 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
- ...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
- ...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, PA22 days ago $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$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$21 - $26 per hour
Behavioral Health Utilization Review Representative Location Remote : JOB SUMMARY: The Utilization Review Representative position assists the Medusind team in utilization review. This position must demonstrate exceptional customer service skills with the ability to effectively...Remote workHourly payFull time$54 per hour
...nursing as a registered nurse. · Must have ED utilization management experience or strong (2+... ...Resource experience. Shift: REMOTE 8 hour day shift, with weekend requirement... ...) Strong understanding of utilization review/utilization management principles Familiarity...Remote workShift workWeekend workDay shiftAfternoon shiftMSSI - Medical Staffing Solutions, Inc.
Minneapolis, MN13 days ago- ...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
- 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
$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$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- 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 looking for a self-motivated and passionate RN...Remote workFull timeLocal areaWork from home
- 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
$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- A national risk management solutions provider seeks a remote Utilization Review Case Manager in California to assess patient admissions and treatment. Responsibilities include certifying medical necessity and collaborating with healthcare teams. Applicants should have nursing...Remote job
$30.91 - $45.98 per hour
Apply for the Utilization Review LVN role at Dignity Health (remote work in the Greater Sacramento, CA region). Job Summary The Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM) services. The focus is to provide high quality,...Remote workContract workWork from home$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- ...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, AZ11 days ago - ...Title: Utilization Review Manager (URM) FLSA Status: Exempt Location: Fully Remote or Remote/In-Office Hybrid Approved by: Executive Leadership Skyway Behavioral Health is an innovative behavioral health center that goes beyond the treatment of psychiatric...Remote workTemporary workWork at officeLocal area
$40 per hour
Utilization Review Licensed Practical Nurse Utilization Review Licensed Practical Nurse 1 day ago Be among the first 25 applicants LPNs - are... ...year. No weekends and nights! Paid Holidays Work-life balance. Remote/hybrid setting (once trained) ROLE DESCRIPTION: This...Remote workHourly payFull timeTemporary workReliefWork from homeMonday to FridayFlexible hours- ...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, CA10 hours 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, MA2 days ago- ...work from home team. This is a great opportunity for a local remote position. Schedule PRN (As needed) Shifts will fall between Monday... ...performing care for hospitalized patients. 2 years of utilization review (UR) experience reviewing hospital admissions for medical necessity...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
- ...Job Title: Quality Review Specialist Location: Remote in IL, TX, NM, OK Duration: December 2025 to May 2026 contract to hire Pay: $46.50/hr... ...Degree OR 4 years in health care experience. 5 years utilization management, appeals, claims and mainframe system experience...Remote workContract workPart timeShift workWeekend work
Innovative Systems Group
Chicago, IL1 day ago - ...provider in Rochester, NY, is seeking a Utilization Management Specialist responsible for coordinating... .... The role includes performing clinical reviews and collaborating with various care... ...based on experience and potential for remote work. #J-18808-Ljbffr Excellus Health...Remote job
- A healthcare organization is seeking a Utilization Clinical Reviewer to work remotely. The role involves reviewing beneficiary care levels and ensuring proper utilization of resources in accordance with clinical guidelines. Candidates must have a valid RN license and at...Remote job
