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  • Utilization Review Technician

    $22 - $29 per hour

     ...usual. Work environment This opportunity is open to a remote, hybrid, or in-office working arrangement, in Fargo, ND. We...  ...offers above the posted maximum. A day in the life The Utilization Review Technician is responsible for providing support for care... 
    Remote work
    Hourly pay
    16 hours
    Contract work
    Work at office
    Local area
    Immediate start
    Flexible hours

    Blue Cross Blue Shield North Dakota

    United States
    1 day ago

  • Remote Nephrology Utilization Review MD

     ...A healthcare services firm is seeking a Physician Clinical Reviewer—Nephrology, to perform remote utilization management. You will review cases in depth, discuss determinations with healthcare providers, and ensure compliance with policies. The ideal candidate has 5+... 
    Remote work

    Prime Therapeutics

    Little Rock, AR
    4 hours agonew

  • RN Case Manager Utilization Review

    $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 work
    Contract work
    Immediate start

    Pyramid Consulting

    Santa Clara, CA
    10 hours agonew

  • RN Case Manager - Utilization Review

    $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 work
    Contract work
    Local area
    Immediate start

    Pyramid Consulting

    United States
    4 days ago

  • Utilization Review RN

    $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 work
    Weekly pay
    Shift work

    Cynet Health

    Eureka, CA
    1 day ago

  • Utilization Review Registered Nurse (RN)

    $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 work
    Minimum wage
    Currently hiring
    Local area
    Work from home
    Flexible hours

    Conduent

    United States
    1 day ago

  • Registered Nurse:Utilization Review,16:00:00-04:30:00

     ...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, CA
    4 days ago

  • Case Manager RN - Utilization Review

     ...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 work
    Full time
    Temporary work
    Work at office
    Worldwide

    The University of Miami

    United States
    4 days ago

  • Utilization Review Registered Nurse

    $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 work
    Hourly pay
    Full time
    Work experience placement
    Relief
    Local area
    Work from home
    Monday to Friday
    Flexible hours
    Shift work

    BJC HealthCare

    Saint Louis, MO
    1 day ago

  • Nurse Director Utilization Review and Case Management

     ...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 work
    Weekend work

    Clinical Management Consultants

    Berkeley, CA
    2 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review)

     ...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 work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    United States
    20 hours ago

  • Registered Nurse - Utilization Review (Nursing)

    $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 work
    Contract work
    Immediate start
    Monday to Friday

    Varite

    Aurora, CO
    2 days ago

  • Drug Utilization Review Pharmacist

     ...Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking...  .... Flexibility: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary, benefits, and career... 
    Remote work

    Pharmacy Careers

    Raleigh, NC
    20 hours ago

  • Travel Utilization Review Nurse - $2,800 per week

    $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 work
    Contract work
    Monday to Friday
    Shift work

    HonorVet Technologies

    Villa Park, CA
    4 days ago

  • Utilization Review Nurse-Remote-Contract

    $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 work
    Full time
    Contract work
    Work at office

    HireOps Staffing LLC

    United States
    4 days ago

  • Registered Nurse-Utilization Review

     ...Registered Nurse Utilization Review (Remote) Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center Location: 4101 Torrance Blvd, Torrance, CA 90503 Shift: Days 5x8-Hour (08:00 AM 04:30 PM) Schedule: 40 hours per week Weekend... 
    Remote work
    Contract work
    Shift work

    3B Healthcare, Inc.

    Torrance, CA
    11 hours agonew

  • Utilization Review RN, Case Management-hybrid

     ...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 work
    Work experience placement
    Work at office

    Hendrick Health

    United States
    3 days ago

  • Utility Inspector - Distribution

    $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 work
    Permanent employment
    Work from home

    Celerity Consulting Group, LLC

    Walnut Creek, CA
    13 hours agonew

  • Utilization Review Specialist(Behavioral Heal

     ...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 work
    Full time
    Part time

    Empowered For Excellence

    Toledo, OH
    15 days ago

  • Travel Utilization Review Nurse - $2,800 per week

    $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 work
    Contract work
    Monday to Friday
    Shift work

    HonorVet Technologies

    Orange, CA
    20 hours ago

  • Document Reviewer

    $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 work
    Hourly pay
    Temporary work
    Work from home
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    New York, NY
    1 day ago

  • Hybrid Review Nurse, Prior Authorization/Utilization Management

     ...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 work
    Contract work

    Alliant Health Group

    United States
    4 days ago

  • Utilization Review Specialist

     ...of this position is to ensure that the utilization process is thorough, organized and streamlined...  ...management, appeals, and peer-to-peer review processes Requirements ~ High...  ...Washington State, Oregon, or Minnesota. #LI-REMOTE Our Values Connection: Care deeply... 
    Remote work
    Full time
    Local area

    Charlie Health

    Nashville, TN
    4 days ago

  • RN Utilization Review - Full-time Day- REMOTE

    $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 work
    Minimum wage
    Full time
    Shift work
    Day shift

    Providence Health & Service

    Irvine, CA
    1 day ago

  • Utilization Review Specialist

    $55k - $70k

     ...Job Description Job Description Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing... 
    Remote work
    Work at office
    Flexible hours

    ICBD

    Lauderdale Lakes, FL
    10 days ago

  • Utilization Review Clinician - Behavioral Health

    $27.02 - $48.55 per hour

     ...Position Purpose: Performs a clinical review and assesses care related to mental health...  ...data to improve quality and appropriate utilization of services Provides education to...  ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Tallahassee, FL
    20 hours ago

  • Internal Medicine, ER, Family Practice Med, Consultant Reviewer

     ...delivery and patient outcomes. Our talented remote workforce spans the country and plays a...  ...And much more! Medical Consultant Reviewer Remote Schedule: Part-Time or...  ...Perform clinical reviews and appeals utilizing Internal Medicine, Emergency Medicine or... 
    Remote work
    Daily paid
    Part time
    Work from home
    Flexible hours

    Comagine Health

    Seattle, WA
    3 days ago

  • Utilization Review Specialist

     ...At Bradford Health Services, we don’t just invest in our patients—we invest in our people. About the Role: REMOTE POSITION The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care... 
    Remote work
    Full time
    Part time
    Weekend work

    ADDICTION AND MENTAL HEALTH SERVICES, LLC

    Louisville, TN
    7 days ago

  • Utilization Review RN - Remote

    $45.9 - $71.4 per hour

     ...Description Utilization Review RN - Remote Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding,... 
    Remote work
    Minimum wage
    Full time
    Local area
    Shift work

    Providence Health & Service

    United States
    1 day ago

  • Utilization Review Nurse - Remote

    $40 - $45 per hour

     ...Immediate Hiring for "Remote Clinical Review Nurses" Job Description: Review approximately 20 cases a day for medical necessity. Advocate...  ...and complete cases. Qualifications: ~3+ years of utilization management, concurrent review, prior authorization,... 
    Remote work
    Contract work
    Temporary work
    Immediate start

    Actalent

    United States
    2 days ago