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  • $56.44 - $87.63 per hour

     ...Description This position is a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care... 
    Remote work
    Full time
    Work at office
    Local area
    Work from home
    Shift work

    Providence Health and Services

    Anaheim, CA
    7 days ago
  • $23.15 - $30.03 per hour

     ...members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review...  ...will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The... 
    Remote work
    Full time
    Work at office
    Local area
    Shift work

    Prime Healthcare Management Inc

    Ontario, CA
    4 days ago
  •  ...Job Description Job Description 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... 
    Remote work
    Full time
    Local area
    Work from home

    Village Care

    New York, NY
    5 days ago
  •  ...First Connect Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts....  ...Inpatient Care Management – Day Shift  Type: Hybrid (onsite & remote)  Shift: Monday–Friday, 8:30 AM – 5:00 PM (no block... 
    Remote work
    Weekly pay
    Long term contract
    Contract work
    Temporary work
    Seasonal work
    Local area
    Monday to Friday
    Flexible hours
    Shift work
    Day shift

    First Connect Health

    Cambridge, MA
    10 days ago
  • $35 - $45.94 per hour

     ...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the...  ...Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Texas, Georgia, Arizona... 
    Remote work
    Hourly pay
    Full time
    Work from home
    Home office

    Oscar Health

    Dallas, TX
    12 days ago
  • $26.5 - $47.59 per hour

     ...fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA...  ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE, UNENCUMBERED... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    1 day ago
  • $211.2k - $277.2k

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

    Oscar Health

    New York, NY
    27 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, NY
    10 days ago
  • $56.44 - $87.63 per hour

     ...RN Utilization Review Full-time Day at Providence Health and Services summary: The RN Utilization Review role at Providence Holy Cross Medical...  ...Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager.... 
    Remote work
    Full time
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    7 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 work
    Work at office
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    12 days ago
  • $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
    18 days ago
  •  ...California  Job Summary and Responsibilities Are you a Utilization Review Nurse who loves making a real impact from the comfort of your...  ...critical thinker and problem-solver to join our collaborative remote team. We're looking for someone who's completely at home with... 
    Remote work

    Unavailable

    Glendale, CA
    3 days ago
  •  ...Hour (08:30 - 17:00) Description: ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills,...  ...years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity... 
    Remote work
    Local area
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    1 day ago
  • Overview Join to apply for the Utilization Review Specialist role at Odyssey House Louisiana . This is a full-time remote position (must reside in New Orleans or surrounding area) with hours Monday-Friday, 8:00 a.m. - 5:00 p.m. Job Summary Odyssey House Louisiana, Inc... 
    Remote work
    Full time
    Temporary work
    Monday to Friday

    Odyssey House Louisiana

    New Orleans, LA
    5 days ago
  • $56.44 - $87.63 per hour

     ...RN Utilization Review Part- time Day at Providence Health and Services summary: This part-time RN Utilization Review position at Providence...  ...must hold a California RN license and have experience in remote utilization review or hospital case management within a multi... 
    Remote work
    Part time
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    7 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 work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street, LLC

    New York, NY
    26 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 work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street, LLC

    New York, NY
    20 days ago
  •  ...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 work
    Work from home

    Elite

    Houston, TX
    4 days ago
  •  ...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
    27 days ago
  •  ...About Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking... 
    Remote work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    United States
    3 days ago
  • Job Description JOB TITLE Utilization Review Specialist I REPORTS TO Utilization Review Manager STATUS FT, Non-Exempt WAGE...  ...and follow policies, procedures, and workflows in a remote environment. ~ Ability to meet productivity standards, organize... 
    Remote work
    Full time
    Contract work
    Apprenticeship
    Local area
    Immediate start
    Monday to Friday
    Flexible hours
    Shift work

    Umpqua Health

    Roseburg, OR
    11 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 job
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    2 days ago
  • The Utilization Review Manager performs the six essential activities of Case Management: Assessment, Planning, Implementation, Coordinating, Monitoring, Reassessing. Responsibilities Perform utilization review to evaluate for the appropriate level of care and fax all... 
    Remote job

    Brigham & Women's Faulkner Hospital

    Boston, MA
    4 days ago
  • Associate Utilization Review Specialist Location Oregon : Description Providence Health Plan caregivers are not simply valued - they're invaluable...  ..., research briefs, provider resolutions) We welcome 100% remote work for residents who reside in the following State: ~... 
    Remote work
    Full time
    Work at office
    Local area
    Shift work

    Providence Health Plan

    Oregon, OH
    1 day 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 job
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    4 days ago
  • $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 work
    Hourly pay
    Contract work
    Shift work

    Zenex Partners

    Los Angeles, CA
    1 day ago
  • $2,163 per week

     ...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description...  ...requires attendance in the area on Friday and includes both remote and onsite components Expect to function as core staff... 
    Remote work
    Daily paid
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Fort Myers, FL
    1 day ago
  • $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 job
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    3 days ago
  • Overview Join to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of America . Flexible Independent Contractor (1099) Opportunity Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO Medical License Required About MRIoA Founded in... 
    Remote job
    For contractors
    Relief
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    5 days ago
  •  ...more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job...  ...in standard work.  Performs review of pre-admission, perioperative, and post...  ...operative surgical cases. Performs other utilization management tasks as assigned.  Applies... 
    Remote work
    Hourly pay
    Flexible hours
    Shift work
    Day shift

    SSM Health

    Missouri
    13 hours ago