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  • $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
    1 day ago
  • $2,690 per week

     ...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse...  ...manager, utilization review, healthcare staffing, patient care, clinical review, nursing, healthcare travel, remote nursing jobs... 
    Remote work
    Weekly pay
    Full time
    Immediate start
    Shift work

    Travel Nurses, Inc.

    Bozeman, MT
    2 days ago
  • $51.43 - $79.84 per hour

     ...Description This is a remote role. You MUST live in the state of Washington (WA) to be considered Care Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge... 
    Remote work
    Daily paid
    Full time
    Live in
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Seattle, WA
    1 day ago
  •  ...and/or level Job Summary You will review patient cases for medical necessity and...  ...Schedule You will work primarily remote.  Will be required to work onsite at a...  ...management referral standards, reviewing utilization, and categorizing levels of care. Excellent... 
    Remote work
    Work at office
    Immediate start

    Baylor Scott & White Health

    Highland Park, TX
    9 days ago
  • $51.43 - $79.84 per hour

     ...Job Description Description This is a remote role. You MUST live in the state of Washington (WA) to be considered Care Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed... 
    Remote work
    Daily paid
    Live in
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Seattle, WA
    5 days ago
  •  ...Job Description 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... 
    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    3 days ago
  •  ...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration:... 
    Suggested
    Full time
    Immediate start
    Work from home
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    3 days ago
  • $41.04 per hour

     ...Now Hiring: Remote RN – Prior Authorization & Utilization Review (Texas Medicaid) &##128313; &##128188; Contract | Up to $41.04/hr &##128205; Remote (Must reside near in TX) &##128338; Full-time | Primary shift: 10 AM – 7 PM Are you a detail-oriented RN looking... 
    Remote work
    Full time
    Contract work
    Immediate start
    Shift work

    Manpower

    Austin, TX
    2 days 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 a member of a team responsible for ensuring the receipt of high quality, cost efficient medical outcomes for... 
    Remote work
    Work at office

    Martins Point Health Care

    United States
    4 days ago
  • $26.5 - $47.59 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

    Phoenix, AZ
    1 day ago
  •  ...Grow with us! Utilization Review Clinician Monte Nido Remote Monte Nido has been delivering treatment for eating disorders for over two decades. Our programs offer a model of treatment that blends medically sophisticated care with a personalized treatment... 
    Remote work
    Full time
    Temporary work
    Flexible hours

    Walden Behavioral Care

    Miami, FL
    3 days ago
  • $78.54k - $121.72k

     ...Employment Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. *... 
    Suggested
    Full time
    Work at office
    Local area
    Shift work
    Day shift

    Trinity Health

    Maywood, IL
    4 days ago
  • $35 - $38 per hour

     ...Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing...  ...on-site on Tuesdays and will be logged into Teams for remote shadowing. Job Type & Location This is a Contract to Hire... 
    Remote work
    Contract work
    Temporary work
    Work at office

    Actalent

    Sunrise, FL
    3 days ago
  • $88.45k - $172.48k

     ...This position will offer remote work flexibility, however, the selected candidate must...  ...some or all of the following functions: utilization management, care management, behavioral...  ...integrated proactive care coordination/care review and management. • Develops and... 
    Remote work
    Full time
    Contract work
    Work experience placement
    Work at office
    Local area

    Molina Healthcare

    Columbus, GA
    4 hours agonew
  •  ...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
    5 days ago
  • $40 per hour

     ...Solutions is currently looking for an RN Review Analyst for a contract opportunity with...  ...Analyst Location: Detroit, MI (Remote however must be local to Michigan)...  ...discharge planning, case management, and utilization review, etc. Demonstrated clinical knowledge... 
    Remote work
    Contract work
    Work at office
    Local area

    Strategic Staffing Solutions

    Detroit, MI
    6 hours agonew
  •  ...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
  •  ...Ardurra Company) is seeking an experienced Utilities Project Engineer/Project Manager in our...  ..., Booster Pump & Storage Tank Design and Remote SCADA System Design. Primary Function...  ...employment laws.For further information, please review the Know Your Rights notice from the... 
    Remote work
    Full time
    Work at office
    Local area
    Work from home

    Ardurra Group, LLC

    Knoxville, TN
    11 hours ago
  • $73.1k - $142.55k

     ...This position will offer remote work flexibility, however, the selected candidate must...  ...the following functions: care management, utilization management, behavioral health, care...  ...more of the following activities: care review, care management, utilization management... 
    Remote work
    Full time
    Contract work
    Work experience placement
    Work at office
    Local area

    Molina Healthcare

    Athens, GA
    4 hours agonew
  •  ...: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary: We are seeking a detail...  ...Work Environment: Standard office setting or remote work, depending on location. Regular use of... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Recruiting Choices

    Houston, TX
    23 days ago
  •  ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must live in the state of Florida or Texas Job Purpose: Review Workers Compensation requests submitted... 
    Remote work
    Live in
    Work from home

    Elite

    Tampa, FL
    10 days ago
  •  ...person band for producing weekly YouTube videos and accompanying review articles. You will be creating video similar to this channel:...  ...super high-quality written articles. You will have the support of a remote video editor and a web-developer. Key Responsibilities... 
    Remote work
    Work at office

    eNNOVATION Brands

    El Segundo, CA
    6 days ago
  •  ...Company : Skyway Behavioral Health Title : Utilization Review Specialist (URS) FLSA Status : Exempt Location : Remote Skyway Behavioral Health is an innovative center that goes beyond the treatment of mood, anxiety, and eating disorders to address underlying... 
    Remote work
    Temporary work
    Local area

    Skyway Behavioral Health

    Skokie, IL
    10 days ago
  •  ...license. About MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a...  ...(IRO) specializing in technology-driven utilization management and clinical medical review solutions...  ...Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per... 
    Remote job
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    2 days ago
  •  ...Job Description Job Description 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... 
    Remote work
    Full time
    Local area
    Work from home

    Village Care

    New York, NY
    4 days ago
  •  ...Caring. Connecting. Growing together. The Utilization Management (UM) Manager is responsible...  ..., concurrent and retrospective reviews and discharge planning functions. The UM...  ...position is based in Idaho but can be worked remotely.  If you reside in Idaho, you will have... 
    Remote work
    Minimum wage
    Full time
    Contract work
    Work experience placement
    Work at office
    Local area
    Weekend work

    UnitedHealthcare

    Meridian, ID
    11 hours ago
  •  ...capabilities and improved personalized treatment recommendations. Role Description: This is a full-time role for a Utilization Review Manager- Revenue Cycle Management at Variantyx. The role is responsible for managing the claim denials and appeals for the... 
    Full time

    Variantyx

    Framingham, MA
    7 days ago
  • $600 per month

     ...commercial operation of the facility. This role will be remote, but the ideal candidate must be able to travel...  ...with the owner’s engineer, interconnection utility, and other stakeholders to facilitate the EPC design review process. Support the monthly invoice review/... 
    Remote work
    Contract work
    For contractors
    Visa sponsorship

    Doral Renewables LLC

    Philadelphia, PA
    4 days ago
  •  ...of the range. Salary range will vary for remote positions outside of California and future...  ...Under the direction of the Manager, Utilization Management (UM), the RN, Utilization Management Grievance & Appeal, will review requests for medical services against National... 
    Remote work
    Work at office
    Work from home
    Visa sponsorship
    Work visa
    Flexible hours

    Gold Coast Health Plan

    Camarillo, CA
    3 days ago
  •  ...40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel Genie Healthcare is looking for a RN to work in Utilization Review or Concurrent Review for a 13 weeks travel assignment located in Los Angeles, CA for the Shift (5x8 Days - Please verify shift... 
    For contractors
    Zero hours contract
    Shift work
    Day shift

    Genie Healthcare

    Los Angeles, CA
    11 hours ago