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- ...nights! * Paid Holidays * Work-life balance. * Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills... ...will defer decision to a second level reviewer. This individual interfaces with case managers...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
Hines and Associates
Elgin, IL11 hours ago $108k
...Experienced Utilization Review Nurse UW Medical Center has an outstanding opportunity for an experienced Utilization Review Nurse to join our team. Work schedule includes fully remote/work from home, availability to work day shifts during Pacific Standard Time, and...Remote workFull timeWork experience placementWork from homeShift workDay shift1 day per weekIntelyCare
Seattle, WA2 days ago- ...Our Client, a Healthcare company, is looking for a RN - Case Manager - Utilization Review for their Remote location. Responsibilities: Collaborative work with the Care Team. Completion of comprehensive patient assessment including patient status to...Remote workLocal area
ICONMA
Indianapolis, IN12 hours ago - ...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 workFull timeReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
BJC
Saint Louis, MO2 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 States4 days 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, MD3 days ago - ...Physician Review Panel Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO),... ...Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible...Remote workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
New York, NY2 days ago - ...Registered Nurse – Utilization Review Location: Fully remote (PA RN License or Compact including PA Required), Must Reside in PA, NJ, or DE Employment type: Contract to full-time hire Position Overview: We are seeking a skilled and detail-oriented Utilization Review RN...Remote workFull timeContract work
IntePros
Pittsburgh, PA5 days ago $35 - $40 per hour
...Urgent Hiring for Remote Clinical Review Nurses Review approximately 20 cases a day for medical necessity. Advocate for and protect... ...other and complete cases. Qualifications: 3+ years of utilization management, concurrent review, prior authorization, utilization...Remote workContract workTemporary workActalent
Mobile, AL2 days ago$50 - $54 per hour
...JOB TITLE: Clinical Review RN (Medicaid Cost Outlier) GENERAL RESPONSIBILITIES: This... ...full spectrum of activities related to Utilization or Quality reviews as assigned. They will... ...review. LOCATION: position starts remote for ~1-2 months and then nurses will be...Remote workWeekly payLong term contractWork at officeMonday to FridayFlexible hoursMedix™
Jericho, NY2 days ago- ...Find your calling at Mercy! Overview Utilization Management for the assigned inpatient Care Management population. This position is designed... .... Preferred Experience: Care Management or Utilization Review experience, Preferred Certifications: Case Management or Utilization...Remote workRelief
Mercy
Florissant, MO12 hours ago $28 per hour
...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...! Position Details ~ Remote work-from-home opportunity ~ Pay... ...later is required. ~ Proficiency in utilizing modern technology, especially computers...Remote workTemporary workWork from homeHome officeMonday to ThursdayFlexible hoursKLDiscovery
Sioux Falls, SD4 days ago$38.49 - $47.05 per hour
...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex... ...Mobile, and Resident personas. This position can be fully remote with an in-office requirement to work 1-3x/month at our...Remote workHourly payFull timeWork at officeFlexible hoursBlue Cross Blue Shield of Massachusetts
Hingham, MA5 days ago- ...Manager RN -Days As an integrated care manager, specializing in Utilization review, the registered nurse will be responsible for utilization... ...verbal communication of pertinent clinical information. Virginia Remote, must be available to come into Virginia Beach office as...Remote workFull timeTemporary workWork at officeShift work
Sentara Health
Norfolk, VA11 hours ago - ...Utilization Review Advisor Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor... ...time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. MD Physician Advisor Job...Remote workFull timeFlexible hours
Inova Health System
Ashburn, VA2 days ago - ...as a "Great Place to Work" since 2015. Position Summary The Supervisor is responsible for day-to-day operations of the utilization review clinical team, in the areas of authorization requests, organizational determinations/ disputes, and auditing/training of utilization...Remote workWork at office
Martins Point Health Care
United States4 days ago - ...Martin's Point Health Care Utilization Review Nurse Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point...Remote workWork at officeWeekend work
Portland Staffing
Portland, ME4 days ago $26.5 - $47.59 per hour
...flexibility. Position Purpose: Performs reviews of member's care and health status of... ...with ABA guidelines. This is a remote position however must reside in Arizona.... ...data to improve quality and appropriate utilization of services Interacts with BH healthcare...Remote workHourly payFull timePart timeWork at officeFlexible hoursPhoenix Staffing Services
Phoenix, AZ3 days ago$48.52 - $72.78 per hour
...divh2Registered Nurse Utilization Management (UM) Reviewer/h2pPeaceHealth is looking for a skilled and motivated Registered Nurse Utilization Management... ...patients receive the right care at the right time, this remote opportunity may be the perfect next step in your nursing...Remote workFull timeLocal areaDay shiftWashington Staffing
Vancouver, WA4 days ago$18 - $21 per hour
...Tax Documentation Reviewers Cherry Bekaert is gearing up for tax busy season! We are seeking multiple temporary, remote Tax Documentation Reviewers to support our Validation Center... .... In this role you will: Utilizing your keen attention to detail to provide...Remote workHourly payTemporary workWork experience placementSeasonal workMonday to FridayLos Angeles Staffing
Chicago, IL3 days ago$58.66k - $142.45k
...Utilization Management Clinical Manager Mass General Brigham relies on a wide range of professionals... ..., to determine the need for physician review as well as complete determinations... ...6 months after hire. This is a remote role with occasional onsite team meetings...Remote workShift workIntelyCare
Somerville, MA4 hours ago- ...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests... ...Working Conditions and Additional Expectations: Full-time remote role requiring consistent availability during standard...Remote workFull timeTemporary workLocal area
Integra Partners
Troy, MI2 days ago $65 - $82 per hour
...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in Elmsford, New York. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: Ongoing 37 hours per week...Hourly payImmediate startWork from homeShift workMedical Solutions Direct Hire
Elmsford, NY3 days ago- ...Hmong Document Reviewer Atlanta, GA / Remote / Hybrid / Charlotte, NC eDiscovery Document Review / Full Time Remote As a CGS Hmong Chinese... ...Produces a variety of written documents and materials utilizing a wide range of office software applications Establishes...Remote workFull timeWork at officeFlexible hours
Contact Government Services LLC
Charlotte, NC1 day ago $85k - $110k
...new ways to optimize their business and manage costs effectively utilizing people, process, and technology advancements. If you enjoy... ...for you! Job Description The Sr. Consultant - Invoice Review role is critical to the delivery of high impact spend consulting...Remote workLocal areaEpiq
United States4 days ago- ...opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight of utilization review activities across the health system, including the academic...Full timeContract workWork from homeShift work
The University of Chicago Medical Center
Crown Point, IN4 days ago $269.5k - $425.5k
...quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects... ...situations. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some...Remote workMinimum wageFull timeWork experience placementLocal areaWeekend workUnitedHealth Group
United States4 days ago$100k - $165k
...with deep expertise in electric and gas utility operations. This role focuses on process... ...costs, and unlock efficiency. Were a 100% remote team with a harmonious culture that... ...and WA Open until filled - applications reviewed as received. WDI is proud to be an Equal...Remote workFull timeImmediate startHome officewe-do-IT, Inc.
Atlanta, GA5 hours ago- ...our continued success. Overview The Utility Analyst II works with utility data on a... ...accuracy, and storage tools. Develop and review energy consumption baselines and... ...ID 2025-8885 Category Energy Position Type Full-Time Remote No...Remote workFull timeFor contractors
ENFRA
Little Rock, AR4 days ago $3,000 per month
...clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity... ...efficiently. - Willingness to learn and develop skills for remote work success. What You'll Enjoy: - Participate in online...Remote workExtra incomeTemporary workPart timeImmediate startWork from homeMaxion Research
Burney, CA3 days ago
