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$29.95 - $44.77 per hour
A national risk management firm is seeking a Utilization Review Case Manager to analyze clinical information for patient admissions and treatment. This remote position requires strong CPT and ICD coding knowledge, along with effective organizational and communication skills...Remote jobHourly pay- ...healthcare provider in Los Angeles is seeking a Utilization Management RN responsible for conducting clinical reviews and overseeing medical records for admission. Candidates... ...RN license, and two years of experience in a remote utilization review environment or as an acute...Remote work
Providence Health Plan Group
Los Angeles, CA1 day ago - ...A leading healthcare company is seeking a Physician Clinical Reviewer - Cardiology to join its utilization management team. This remote role involves reviewing medical service requests and collaborating with healthcare professionals to ensure compliance with medical guidelines...Remote work
Prime Therapeutics
Hartford, CT3 days ago - ...A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote work
Insight Global
Raleigh, NC1 day ago $75 - $90 per hour
...Rn Case Manager Utilization Review Immediate need for a talented RN Case Manager Utilization Review Onsite Santa Clara, CA. This is a 03+... ...contract opportunity with long-term potential and is located in U.S(Remote). Pay Range: $75 - $90/hour. Employee benefits include,...Remote workContract workImmediate start$1,949.74 per month
...Profession Registered Nurse Specialty Utilization Review Job ID 17979666 Job Title Utilization Review... ...6 Duration 13 Week(s) Job Description Remote Utilization Review RN responsible for concurrent reviews, medical...Remote workWeekly payShift workCynet Health
Eureka, CA5 days ago$75 - $90 per hour
...Immediate need for a talented RN Case Manager - Utilization Review - Onsite-Santa Clara, CA. This is a 03+ months contract opportunity with long-term potential and is located in U.S(Remote) . Please review the job description below and contact me ASAP if you are...Remote workContract workLocal areaImmediate startPyramid Consulting
United States3 days ago$54.86k - $71.25k
...Job Description Summary The Utilization Review Registered Nurse is responsible for reviewing medical services to ensure they meet evidence-based guidelines and member benefit plans. This includes precertification, concurrent review, and retrospective review. The...Remote workMinimum wageCurrently hiringLocal areaWork from homeFlexible hoursConduent
United States5 days ago- ...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 States3 days ago - ...Experience by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective... ...Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
B2B Staffing Services
Torrance, CA3 days ago - ...Drug Utilization Review Pharmacist – Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled... ...pharmacy. Flexibility: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary, benefits, and career...Remote work
Pharmacy Careers
Providence, RI2 days ago $33.6 - $51.39 per hour
...work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position... ...performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity...Remote workHourly payFull timeWork experience placementReliefLocal areaWork from homeMonday to FridayFlexible hoursShift workBJC HealthCare
Saint Louis, MO5 days ago- ...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 workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
United States4 days ago $1,600 - $1,800 per week
...NOW HIRING: Registered Nurse - Utilization Management Location: Buckley AFB & Peterson... ...No weekends, no holidays, no telehealth/remote work Minimum Qualifications ~... ...in Utilization Management, Utilization Review, or Case Management ~• Preferred Certifications...Remote workContract workImmediate startMonday to FridayVarite
Aurora, CO1 day ago- ...elevate outcomes, and love your Mondays as the Nurse Director Utilization Review and Case Management at an award winning hospital in the Bay... ...imaging, AI-assisted decision support, virtual nursing, and remote monitoring; clear investment in clinician well-being through...Remote workWeekend work
Clinical Management Consultants
Berkeley, CA1 day ago - ...behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing role, you'... ...the right level of care at the right time. This is a fully remote position with a Monday-Friday schedule during standard business...Remote workMonday to Friday
Optum
Phoenix, AZ9 hours ago - ...Job Title Utilization Review/Case Management – Nurse Department Case Management (Quality) Hours & Shift Requirements Full time position. Hybrid (combination of in person and remote considered) General Summary The Utilization Review/Case Management Nurse is directly responsible...Remote workFull timeShift work
Gibson Area Hospital
Gibson City, IL1 day ago $2,800 per week
HonorVet Technologies is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job... ...medical necessity determination. This position is in person (no remote) Monday through Friday with no weekends or holidays. Pre-approved...Remote workContract workMonday to FridayShift workHonorVet Technologies
Villa Park, CA8 days ago- A medical center in Jackson is seeking a part-time RN - Utilization Reviewer to perform utilization management services for designated patients. Responsibilities include monitoring medical necessity criteria, collaborating with care teams, and ensuring quality patient...Remote jobPart time
$40 per hour
...months Must reside in TX Full time remote Candidates must be based in TX. RN... ...for performing initial, concurrent review activities; discharge care coordination... ...guidelines. Provides information regarding utilization management requirements and operational...Remote workFull timeContract workWork at officeHireOps Staffing LLC
United States3 days ago- ...JOB SUMMARY The Utilization Review (UR) Nurse is a registered nurse who provides clinical review against nationally recognized medical necessity criteria for the purpose of evaluating medical necessity or hospitalization (inpatient and outpatient observation patients...Remote workWork experience placementWork at office
Hendrick Health
United States2 days ago - ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to full-time License... ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using...Remote workFull time
IntePros
Philadelphia, PA1 day ago $2,800 per week
...HonorVet Technologies is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job... ...medical necessity determination. This position is in person (no remote) Monday through Friday with no weekends or holidays. Pre-approved...Remote workContract workMonday to FridayShift workHonorVet Technologies
Orange, CA4 days ago- ...Description Position Overview: We are seeking a detail-oriented Utilization Review Specialist with a background in behavioral health to audit... ..., IOP, PHP, or outpatient services Work Environment: Remote or hybrid flexibility Part-time or full-time options...Remote workFull timePart time
$70k - $95k
...Title: Utility Inspector Location: Remote (work from home) eligible Schedule: Monday - Thursday (4/10 work week) 6am - 4:30pm PDT Company: Celerity... ...qualified distribution aerial inspections via desktop reviews of drone footage. These inspections are pivotal to the...Remote workPermanent employmentWork from homeCelerity Consulting Group, LLC
Walnut Creek, CA3 days ago$41 - $45.5 per hour
...Case Management Senior Analyst Location: Remote (within plan states: IL, TX, NM, OK, MT,... ...assessments, health education, and utilization management. Key Responsibilities: Perform... ...prospective, concurrent, and retrospective reviews for inpatient, rehab, referrals, and...Remote job$32 per hour
...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...! Position Details ~ Remote work-from-home opportunity ~ Pay... ...~ A phone or tablet with I will utilize an Apple (iPhone or iPad) or Android (phone...Remote workHourly payTemporary workWork from homeHome officeMonday to ThursdayFlexible hoursKLDiscovery
New York, NY5 days ago- ...JOB TITLE: UTILIZATION REVIEW/CASE MANAGEMENT - Nurse DEPARTMENT: CASE MANAGEMENT (QUALITY) HOURS & SHIFT REQUIREMENTS: Full time position. Hybrid (combination of in person and remote considered) GENERAL SUMMARY The Utilization Review/Case Management...Remote workFull timeWork at officeShift work
Gibson Area Hospital
Gibson City, IL2 days ago - ...Best Place to Work and Healthiest Employer", may be the place for you! Alliant is recruiting a Hybrid Review Nurse for its Prior Authorization and Utilization Management (PA/UM) team. The Review Nurse conducts prior approval and precertification reviews for Georgia...Remote workContract work
Alliant Health Group
United States8 days ago $56.44 - $87.63 per hour
...Description RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical...Remote workMinimum wageFull timeShift workDay shiftProvidence Health & Service
Irvine, CA5 days ago
