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  • Utilization Review Specialist (in-office only)

    $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 considered... 
    Remote work
    Full time
    Work at office

    Quadrant Health Group

    Boca Raton, FL
    5 days ago

  • Travel Nurse RN - Utilization Review

     ...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 work
    Shift work

    MSSI

    Minneapolis, MN
    11 days ago

  • Remote RN Utilization Manager Reviewer (MA Only)

    $72.48k - $108.72k

     ...A healthcare organization is seeking a Utilization Manager Registered Nurse to join their team...  .... The role involves conducting clinical reviews for service authorizations and ensuring...  ...of $72,480 $108,720 and is open to remote employees residing in Massachusetts only... 
    Remote work

    Commonwealth Care Alliance

    United States
    3 days ago

  • Travel Nurse RN - Utilization Review

     ...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 work
    Shift work
    Afternoon shift

    MSSI

    Minneapolis, MN
    11 days ago

  • Urology - Utilization Review - Contract (1099), Remote

     ...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... 
    Remote work
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute

    Dallas, TX
    4 days 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
    2 days ago

  • Remote - Contract (1099) - Otolaryngology (MD or DO) - Utilization Review

     ...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... 
    Remote work
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    5 days ago

  • PRN - Remote UROLOGY Utilization Review

     ...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... 
    Remote work
    For contractors
    Relief
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    18 hours ago

  • Utilization Review Nurse

    $35 - $45.94 per hour

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

    Oscar Health

    Victorville, CA
    18 hours ago

  • Utilization Review Nurse

     ...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 work
    Full time

    IntePros

    Philadelphia, PA
    25 days ago

  • Utilization Review Physician - New York (Mostly Remote)

     ...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, NJ
    1 day 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

    Binghamton, NY
    4 days ago

  • Utilization Review Nurse

    $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 work
    Shift work
    Weekend work
    Day shift
    Afternoon shift

    MSSI - Medical Staffing Solutions, Inc.

    Minneapolis, MN
    16 days ago

  • Utilization Review Registered Nurse (RN) - Relocation Offered!

    $89.07k - $162.8k

     ...Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines....  ...*UR experience required. Must live in area. Remote after completion of orientation. *   Primary... 
    Remote work
    Live in
    Relocation

    MedStar Health

    Clinton, MD
    2 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
    4 days ago

  • Utilization Review Nurse (PRN)

     ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews. Responsibilities...  ...Board Certified (CMGT-BC). Expectations: Comfortable with remote work arrangements and virtual collaboration tools.... 
    Remote work
    16 hours
    Relief
    Work at office
    Shift work
    Weekend work
    Afternoon shift

    Netsmart

    New Haven, CT
    19 hours ago

  • Utilization Review Nurse

     ...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 work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    2 days ago

  • Utilization Review Nurse

    $68.8k - $118k

     ...quality service is the norm, and every member feels valued. The Utilization Review RN will review and document member case history in compliance...  ..., unrestricted RN license required This position is a Remote role. To be eligible for consideration, candidates must have... 
    Remote work
    Work experience placement

    Medica

    Hopkins, MN
    3 days ago

  • Travel Nurse RN - Utilization Review - $2,284 per week

    $2,284 per week

     ...Supplemental Health Care is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description...  ...Supplemental Health Care is hiring experienced NPC Utilization Review, Remote RNs for contract opportunities at a leading Level 1 trauma... 
    Remote work
    Full time
    Contract work
    Part time
    Local area
    Immediate start
    Shift work

    Supplemental Health Care

    United States
    2 days ago

  • Utilization Review Technician

    $20.57 - $36.27 per hour

     ...About this Job: Job Summary: ? MedStar Health is looking for a Utilization Review Technician to join our team at MedStar Harbor Hospital. ? The Utilization Review Technician will collaborate with and assist the multidisciplinary team to meet individualized... 

    MedStar Health

    Brooklyn, MD
    5 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
    4 days ago

  • RN Utilization Management Reviewer

    $38.49 - $47.05 per hour

    ## **The Role** The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing...  ..., and Resident personas. This position can be fully remote with an in-office requirement to work 1-3x/month at our... 
    Remote work
    Work at office
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    2 days ago

  • Utilization Management Reviewer - Dental

    $26.5 - $47.59 per hour

     ...on workplace flexibility. Position Purpose: Authorize and review utilization of dental services provided in provider offices, community...  ...time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Part time
    Work at office
    Flexible hours

    Atlanta Staffing

    Atlanta, GA
    5 hours ago

  • Behavioral Health Quality & Utilization Review Analyst I

    $85k - $121.96k

     ...A prominent healthcare organization is seeking a Behavioral Health Quality and Utilization Review Consultant I. This mid-senior level role involves reviewing mental health assessments and conducting quality management studies. Candidates should have a relevant healthcare... 

    National Association of Latino Healthcare Executives

    Rancho Cordova, CA
    4 days ago

  • Utility Call Center Representative

     ...excellent customer service. Candidates preferred experience is 2–5 years of utility customer support experience, strong communication and data entry skills, and be tech-savvy. This is a remote, work from home role. Responsibilities: Handles inquiries and complaints... 
    Remote work
    Full time
    Work from home

    Atlas Field Services

    Dearborn Heights, MI
    9 days ago

  • Remote Utilization Review RN Per Diem, Day Shift

     ...A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates... 
    Remote work
    Hourly pay
    Daily paid
    Day shift

    Providence Swedish Medical Center

    United States
    18 hours 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

  • Remote Utilization Review Nurse (TX/IL) Contract

     ...industry player is seeking a dedicated Registered Nurse for a remote contract position in the insurance or managed care sector. This...  ...involves validating treatment plans and performing thorough medical reviews on claims. Candidates must possess strong communication skills... 
    Remote work
    Contract work

    HireOps Staffing, LLC

    United States
    2 days ago

  • Behavioral Health Utilization Review Representative

    $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 work
    Hourly pay
    Full time

    Medusind Inc,

    Remote
    1 day ago

  • Utilization Review Nurse - Remote - Contract

    $41 per hour

     ...Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months....  ...position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract... 
    Remote work
    Contract work

    HireOps Staffing, LLC

    United States
    5 hours ago