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- ...powered advice on this job and more exclusive features. The support specialist is a support role crucial to the centralized Utilization Review team for time‑sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials...Remote jobPart timeShift work
- A health service organization is seeking a Utilization Review Specialist who will advocate for patients to secure insurance coverage for necessary... ..., and proficiency in Microsoft products. This position is remote and offers comprehensive benefits including health, dental,...Remote job
$20 - $35.72 per hour
A leading health care organization in Texas is seeking a Utilization Review Specialist (LVN) to conduct medical reviews and ensure medical necessity... ...5+ years of utilization review experience. Flexibility for remote work is available, and the job offers competitive hours with...Remote jobHourly pay$28.9 - $35.45 per hour
A leading healthcare solutions provider based in Columbus, Ohio, is seeking Virtual Utilization Review Specialists to join their team. Full-time and flexible positions are available, focusing on optimizing patient care and resource utilization. Candidates must possess...Remote jobHourly payFull timeFlexible hours- Company : Skyway Behavioral Health Title : Utilization Review Specialist (URS) FLSA Status : Exempt Location : Remote Skyway Behavioral Health is an innovative center that goes beyond the treatment of mood, anxiety, and eating disorders to address underlying traumatic...Remote workTemporary workLocal area
$72k
...compliant, patient‑centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory... ...to you include: Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
Indianapolis, IN5 days ago$28.9 - $35.45 per hour
...0 - $ 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 workFull timeReliefWork at officeLocal area- ...leading medical institution in Chicago is seeking an RN Manager for the Rev Cycle Department. In this hybrid role, you will lead utilization review activities, ensuring compliance with medical necessity criteria and overseeing operations across multiple sites. Candidates...Remote job
- ...leading healthcare organization is seeking a manager for their utilization review department. The role involves overseeing a team of registered... ...review management. This full-time position offers remote work with a competitive salary range that reflects the industry...Remote jobFull time
$62.18k
...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 workTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hoursHines & Associates Inc
Freeport, IL15 hours ago$20 - $35.72 per hour
...the meaning behind Caring. Connecting. Growing together. The Utilization Review Specialist (LVN) is responsible for conducting medical... ...are located in Texas, you will have the flexibility to work remotely* as you take on some tough challenges. The Utilization Review...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaFlexible hours- 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
- A healthcare provider is seeking a Regional Utilization Review Coordinator in Texas. This role is responsible for overseeing all utilization... ...and knowledge of regulatory reimbursement practices. This is a remote role requiring HIPAA-compliant workspace. #J-18808-Ljbffr...Remote work
- A leading educational institution in Miami is seeking a Case Manager RN for Utilization Review. The role involves conducting medical necessity chart reviews and coordinating with the healthcare team to ensure optimal patient outcomes. The ideal candidate will have a Bachelor...Remote jobFull time
$58.66k - $142.45k
...Mass General Brigham.The Opportunity Manages a department of utilization review professionals usually consisting of Registered Nurses, Social... ...Additional Job Details (if applicable)****Schedule and Work Model*** Remote* Full-time (40 hours) Monday through Friday, standard...Remote workFull timeMonday to FridayShift workWeekend work- ...Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity and identify the need for...Remote workFull timeTemporary workWork at officeWorldwide
The University of Miami
United States10 hours ago - As the Manager, Utilization Management you will direct the day to day activities of the Clinical Care Reviewers for the Pennsylvania business units. You will oversee staff performance... ...to contain cost. Work Arrangement Remote Monday through Friday, 8:00 am EST to 5:...Remote workMonday to FridayFlexible hoursWeekend work
- ...augmentation firm is seeking an experienced Clinical Reviewer RN to manage a clinically complex inpatient caseload remotely. The ideal candidate will have a current,... ...RN license and a strong background in utilization management with at least 3 years of experience...Remote jobContract work
- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote jobContract work
- ...Physician Reviewer Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding... ...Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with...Remote workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
Washington DC2 days ago - ...organization is seeking a clinical professional to change the lives of its 28 million members. In this role, you will perform clinical reviews and assess mental health and substance abuse care, ensuring the appropriateness of services. Ideal candidates will have a nursing...Remote job
$86k - $95k
A leading healthcare organization seeks a Utilization Management Clinical Review nurse to review and decide on care appropriateness for beneficiaries. This remote position requires an active RN license, clinical experience, and effective communication skills. Responsibilities...Remote job$108k
Utilization Review Nurse page is loaded## Utilization Review Nurseremote type: Remote (100% telework)locations: Seattle, WAtime type: Part timeposted on: Posted Todayjob requisition id: REQ-0000126422**Job Description****UW Medical Center** has an outstanding opportunity...Remote workFull timeWork experience placementWork at officeWork from homeShift workDay shift1 day per week$211.2k - $277.2k
...Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance... ...Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in: Arizona;...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health
Tampa, FL6 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
Carteret, NJ12 days ago - A leading healthcare provider is seeking an experienced Utilization Review Nurse for a fully remote position. This role requires 3 years in utilization management and 5 years in an acute care setting. The nurse will be responsible for patient admissions, communication with...Remote jobPart time
- ...Utilization Review RN (Onsite) Location: Orange,CA Position Details Specialty: Utilization Review Start Date: 03/09/2026... ...necessity determination. This position is in person (no remote) Monday through Friday with no weekends or holidays. Pre-approved...Remote workContract workLocal areaMonday to Friday
Pacer Staffing
Orange, CA1 day ago - ...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime... ...case information within a database system # Performs chart review/audits monthly or as needed # Participates in monthly case...Remote workWeekly payContract workLocal area
Amergis Healthcare Staffing
Aberdeen, MD10 hours ago $15 per hour
Join to apply for the Copywriter - Review Focus (Remote) role at Outlier AI Join a global community of talented professionals to shape the future of AI. Earn up to $15 USD/hr and additional rewards based on quality of submission. Outlier is committed to improving the...Remote jobWeekly payFreelanceWork from homeFlexible hours- A leading healthcare organization in Columbus, Ohio is seeking a qualified healthcare professional for utilization review. Responsibilities include conducting medical necessity reviews and coordinating denial management processes. Candidates must possess a current LPN...Remote jobFlexible hours
