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  • Michigan Utilization Review Nurse - LPN (100% Remote)

     ...carriers; third party administrators (TPAs); and government entities we serve. Position: Michigan Utilization Review Nurse (Precertification) - LPN Location: Remote FMLA: Non- Exempt, Full-Time Schedule: M-F 8am-4:30pm Overview: The role of... 
    Remote job
    Full time
    Work at office
    Local area
    Work from home

    MEDLOGIX, LLC

    Lansdale, PA
    8 days ago

  • Utilization Review RN

    $56.44 - $87.63 per hour

     ...Description This position is a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care... 
    Remote work
    Full time
    Work at office
    Local area
    Work from home
    Shift work

    Providence Health and Services

    Anaheim, CA
    2 hours agonew

  • 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
    Work at office
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    6 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
    4 days ago

  • Cardiologist Needed for Remote Utilization Review Work

     ...Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What Youll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 12 hours... 
    Remote work
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    23 hours ago

  • 1099 Utilization Review work for Radiation Oncologists

     ...Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...) to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 12 hours per week, possibly more... 
    Remote work
    Full time
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute

    Dallas, TX
    23 hours ago

  • Utilization Review Nurse

    $125k

     ...Job Description Utilization Review Nurse **This is a full-time, onsite role in El Monte, CA. No Hybrid No Remote** Schedule: 35-hour work week Hours: 8:30am-4:30pm with an hour lunch Annual Salary: $125,000 About the Role The Utilization Management... 
    Remote work
    Full time

    Los Angeles County Firefighters Local 1014 Health Plan

    El Monte, CA
    20 days ago

  • PRN - Remote ENT Utilization Review Work

     ...Join to apply for the PRN - Remote ENT Utilization Review Work role at Medical Review Institute of America Flexible Independent Contractor (1099) Opportunity FOR PHYSICIANS ONLY Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO or INDIANA Medical License... 
    Remote work
    Full time
    For contractors
    Relief
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    23 hours ago

  • Physician Reviewer - Psychiatry (Utilization Review)

     ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of...  ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible... 
    Remote work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street, LLC

    New York, NY
    14 days ago

  • Utilization Review Registered Nurse

     ...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 work
    Temporary work
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    Hines and Associates

    Shirland, IL
    3 days ago

  • PRN - Remote Utilization Review Work for a Neurosurgery

     ...Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be among the first 25 applicants Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical... 
    Remote work
    Full time
    For contractors
    Relief
    Work from home
    Flexible hours

    Medical Review Institute

    United States
    23 hours ago

  • 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... 
    Remote work
    Full time
    Work at office

    Quadrant Health Group

    Boca Raton, FL
    12 days ago

  • Occupational Therapist - Utilization Review

     ...Job Description Job Description Occupational Therapist – Utilization Review Location: Remote Licensure: Current, active, and unrestricted Occupational Therapy license issued by the Arkansas State Medical Board. Job SummaryAstyra is seeking a licensed Occupational... 
    Remote work

    Astyra Corporation

    Little Rock, AR
    22 days ago

  • Utilization Review Specialist

    Overview Join to apply for the Utilization Review Specialist role at Odyssey House Louisiana . This is a full-time remote position (must reside in New Orleans or surrounding area) with hours Monday-Friday, 8:00 a.m. - 5:00 p.m. Job Summary Odyssey House Louisiana, Inc... 
    Remote work
    Full time
    Temporary work
    Monday to Friday

    Odyssey House Louisiana

    New Orleans, LA
    4 days ago

  • RN Utilization Review Full-time Day

    $56.44 - $87.63 per hour

     ...RN Utilization Review Full-time Day at Providence Health and Services summary: The RN Utilization Review role at Providence Holy Cross Medical...  ...Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager.... 
    Remote work
    Full time
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    1 day ago

  • Utilization Review Nurse

     ...Overview Title: Clinical Review Nurse Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential...  ...for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct... 
    Remote work
    Contract work

    SPECTRAFORCE

    Washington DC
    23 hours 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

    Elmira, NY
    1 day ago

  • Travel Utilization Review Registered Nurse - $2,010 per week

    $2,010 per week

     ...a RN for a contract position in Apple Valley California . This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Remote Utilization Review,3223.861060.27035 . The ideal candidate will possess a current state license as a RN and have at least 2 years of recent... 
    Remote work
    Weekly pay
    Contract work
    Zero hours contract
    Shift work

    Assured Nursing Inc

    Apple Valley, CA
    1 day ago

  • Registered Nurse - Utilization Review @ Providence SoCal Shared Services Case Management

    $1,886.5 per week

     ...Manager Job ID 30734667 Job Title Registered Nurse - Utilization Review @ Providence SoCal Shared Services Case Management Weekly...  ...within the state as needed. Responsibilities include remote utilization management and coordination. Providers will be... 
    Remote work
    Weekly pay
    16 hours
    Shift work
    Weekend work

    Providence Health & Service

    Torrance, CA
    2 days ago

  • Travel Nurse RN - Case Manager, Utilization Review - $2,163 per week

    $2,163 per week

     ...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description...  ...requires attendance in the area on Friday and includes both remote and onsite components Expect to function as core staff... 
    Remote work
    Daily paid
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Fort Myers, FL
    4 days ago

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

    $1,099 per month

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

    Medical Review Institute of America

    Dallas, TX
    3 days ago

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

    $1,099 per month

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

    Medical Review Institute of America

    Dallas, TX
    2 days ago

  • Local Contract Nurse RN - Utilization Review - $70-74 per hour

    $70 - $74 per hour

     ...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description...  ...: Local Contract Hybrid position: in-person and remote. Must have Interqual criteria experience. Must have... 
    Remote work
    Hourly pay
    Contract work
    Local area
    Monday to Friday
    Shift work
    Day shift

    talent4health

    Cambridge, MA
    4 days ago

  • Utilization Management Physician Reviewer Pediatric Medicaid ACO

     ...Overview The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens ensures that pediatric Medicaid members receive medically necessary...  ...into population health initiatives. This position is remote with a schedule of Monday through Friday 8:00am-5:00pm... 
    Remote work
    Monday to Friday
    Weekend work

    Academy of Managed Care Pharmacy

    Cincinnati, OH
    23 hours ago

  • Assistant Project Manager - Utility Design Reviewer

    $110k - $203.51k

     ...deliver a better world. Join us. **Job Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to work **remotely** . However, the client is located in Sacramento, CA and thus it's expected that this individual's working hours... 
    Remote work
    For contractors
    For subcontractor
    Local area
    Worldwide
    Relocation
    Visa sponsorship
    Flexible hours

    AECOM

    Sacramento, CA
    23 hours ago

  • REMOTE RN - Case Manager - Utilization Review

     ...Job Description Job Description We are seeking an experienced RN Case Manager to join our Utilization Review team. This is a 100% remote role requiring strong skills in inpatient case management and utilization management. Schedule: Monday–Friday, 8-hour shifts... 
    Remote job
    Monday to Friday
    Shift work
    Weekend work

    Alpha Rae Personnel, Inc.

    Fort Wayne, IN
    a month ago

  • Clinical Review/Utilization Registered Nurse (RN) - PRN

     ...PRN Clinical Review Nurse Children's is one of the nation's leading children's hospitals...  ...applicable patients as stated in system utilization management plan. Oversees Clinical...  ...days/week for 8-10 weeks. This role can be remote, including training but occasional... 
    Remote work
    Relief
    3 days per week

    Children's Healthcare of Atlanta

    Atlanta, GA
    23 hours ago

  • Utilization Review RN

     ...Join to apply for the Utilization Review RN role at Amergis Healthcare Staffing 2 days ago Be among the first 25 applicants Join to...  ...Nurse roles. Registered Nurse Behavioral Health 7P - 7:30A Remote Registered Nurse (RN) Case Manager Remote Registered Nurse... 
    Remote work
    Weekly pay
    Full time
    Contract work
    Part time
    Work at office
    Local area
    All shifts
    Weekend work

    Amergis Healthcare Staffing

    Hartford, CT
    23 hours ago

  • Utilization Review Clinician - Behavioral Health

    $26.5 - $47.59 per hour

     ...fresh perspective on workplace flexibility. Remote position Registered Nurse (RN) or...  ...clinician only. 24 years of behavioral health utilization management experience. Must have a...  ...Position Purpose: Performs a clinical review and assesses care related to mental... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Tennessee Staffing

    Nashville, TN
    6 hours agonew

  • Utilization Review Manager

     ...Title: Utilization Review Manager (URM) FLSA Status: Exempt Location:  Fully Remote or Remote/In-Office Hybrid Approved by: Executive Leadership   Skyway Behavioral Health is an innovative behavioral health center that goes beyond the treatment of psychiatric... 
    Remote work
    Temporary work
    Work at office
    Local area

    Skyway Behavioral Health

    Skokie, IL
    11 days ago