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  •  ...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
    7 days ago
  •  ...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
    7 days ago
  •  ...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
    10 hours ago
  •  ...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
    1 day ago
  • $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

    Dallas, TX
    1 day ago
  •  ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of...  ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed to offer supplemental income with complete... 
    Remote job
    Price work
    Extra income
    For contractors

    Dane Street, LLC

    Jackson, MS
    3 days ago
  • Join to apply for the Utilization Review Specialist role at Sonora Behavioral Health Hospital Responsibilities Provide consultation and guidance...  ...department operation. This is an on-site position. Non- Remote Qualifications Associate's degree required. Bachelor's or... 
    Remote work

    Sonora Behavioral Health Hospital

    Tucson, AZ
    5 days ago
  •  ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist...  ...in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities Review... 
    Remote work
    Work at office
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    3 days ago
  •  ...The Utilization Review Nurse for Workers' Compensation evaluates medical treatment requests to ensure they are appropriate, necessary, and compliant...  .... This role supports high-quality care delivery while manag Nurse, Remote, Insurance, Healthcare, Certification, Education... 
    Remote work

    W. R. Berkley

    United States
    10 hours ago
  •  ...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
    21 days ago
  • $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
  • $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
    12 days ago
  • Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 1-2 hours per week. Contribute... 
    Remote job
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    5 days ago
  • RN-Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare is looking for a self-motivated and passionate RN... 
    Remote work
    Full time
    Local area
    Work from home

    Village Center for Care, Inc.

    New York, NY
    2 days ago
  • A national risk management solutions provider seeks a remote Utilization Review Case Manager in California to assess patient admissions and treatment. Responsibilities include certifying medical necessity and collaborating with healthcare teams. Applicants should have nursing... 
    Remote job

    CorVel Corporation

    Rancho Cucamonga, CA
    2 days ago
  • $65k - $78k

     ...career development.     Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent...  ...applications on an ongoing basis.     #LI-AC1 #LI-REMOTE   The pay range for this position is $65,000.00 - $78,000... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies LLC

    North Carolina
    4 days ago
  • $2,210 per week

     ...and nights! Paid Holidays Work-life balance. Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills...  ...individual will defer decision to a second level reviewer. This individual interfaces with case... 
    Remote work
    Full time
    Temporary work
    Part time
    Casual work
    Work at office
    Work from home
    Monday to Friday
    All shifts
    Flexible hours

    Hines

    Freeport, IL
    3 days ago
  • $35 - $41 per hour

    Job Title: Utilization Review - FULLY REMOTE Job Description This role involves performing precertification and medical necessity reviews for designated referrals and targeted outpatient procedures, services, and inpatient admissions. The position requires telephonic reviews... 
    Remote work
    Permanent employment
    Contract work
    Temporary work
    Work at office
    Work from home

    Actalent

    Atlanta, GA
    14 days ago
  •  ...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
    Part time
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    10 days ago
  •  ...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
    a month ago
  •  ...find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees... 
    Remote work
    Work at office

    Maine Staffing

    Portland, ME
    4 days ago
  • $38.49 - $47.05 per hour

     ...The Role The RN Utilization Management Reviewer is responsible for facilitating care for members with complex healthcare needs, authorizing medically...  ...Location and Availability This position can be fully remote with an in?office requirement to work 1?3x/month at our... 
    Remote work
    Hourly pay
    Work at office
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    3 days ago
  •  ...POSITION Customer Solutions Representative II Utilities Company Position Type: Temporary/Remote Schedule : M-F, 8:00 am - 5:00 pm (Shift may...  ...and program databases (e.g., PV, SBP, MAR). Review submitted MSA applications for completeness and... 
    Remote work
    Temporary work
    For contractors
    Work at office
    Shift work

    Alura Workforce Solutions

    Azusa, CA
    4 days ago
  • $72.48k - $108.72k

     ...Nurse Utilization Management Reviewer Position Summary: Reporting to the Manager Utilization Management, the Nurse Utilization Management Reviewer...  ...team-based environment This position is available to remote employees residing in Massachusetts. Applicants residing... 
    Remote work
    Work at office
    Local area
    Home office

    Boston Staffing

    Boston, MA
    1 day ago
  • $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
    3 days ago
  •  ...provider in Rochester, NY, is seeking a Utilization Management Specialist responsible for coordinating...  .... The role includes performing clinical reviews and collaborating with various care...  ...based on experience and potential for remote work. #J-18808-Ljbffr Excellus Health... 
    Remote job

    Excellus Health Plan Inc. in

    Rochester, NY
    5 days ago
  • A healthcare organization is seeking a Utilization Clinical Reviewer to work remotely. The role involves reviewing beneficiary care levels and ensuring proper utilization of resources in accordance with clinical guidelines. Candidates must have a valid RN license and at... 
    Remote job

    TriWest Healthcare Alliance

    Phoenix, AZ
    2 days ago
  •  ...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

    Long Beach, CA
    5 days ago
  •  ...to support behavioral health and substance abuse case management through utilization reviews and care coordination. You\'ll ensure members receive the right level of care at the right time. Remote role. Typical hours are Monday - Friday, 8:00am - 5:00pm. Licensure and... 
    Remote job
    Monday to Friday

    Optum

    Tempe, AZ
    3 days ago
  • $55 per hour

     ...leading talent solutions agency is seeking a Pharmacist for a fully remote contract position in Albuquerque, NM. This entry-level role involves utilizing clinical skills for utilization management reviews and meeting productivity goals. Ideal candidates will have a... 
    Remote job
    Contract work

    Actalent

    Albuquerque, NM
    5 days ago