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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 workFull timeWork at officeQuadrant Health Group
Boca Raton, FL1 day ago$23.15 - $30.03 per hour
...members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review... ...will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The...Remote workFull timeWork at officeLocal areaShift workPrime Healthcare
Ontario, CA4 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...Remote workFull timeLocal areaWork from home
VillageCare
New York, NY12 hours 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 workWeekly payFull timeImmediate startShift workTravel Nurses, Inc.
Bozeman, MT2 days ago$59.24k - $76k
...real difference. Job Description This is a full-time remote position that can be located anywhere in the U.S. PA RN license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization...Remote workFull timePart timeLocal areaWork from homeFlexible hoursEnlyte
Arlington, TX1 day ago- ...our future each day. Are you living your life's work? We are excited to share this rewarding and REMOTE RN role! This role will focus primarily on utilization review which is why we are seeking individuals who have between 3 to 5 years experience in UR . We hope you...Remote work
Penn Medicine
Philadelphia, PA3 days ago - ...Community Health Choices Long Term Services and Supports (LTSS) Review Utilization Management program and staff under the supervision of the... ...Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time...Remote workLive inWork at officeFlexible hours
AmeriHealth Caritas
Newtown Square, PA2 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 workDaily paidFull timeLive inLocal areaShift workDay shiftProvidence Health and Services
Seattle, WA1 day ago- ...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 workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
United States12 hours ago - ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician... ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed to offer supplemental income with...Remote workPrice workExtra incomeFor contractors
Dane Street
Drew, MS3 days 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 workWork at officeImmediate start
Baylor Scott & White Health
Highland Park, TX9 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:...SuggestedFull timeImmediate startWork from homeShift work
Medical Solutions Direct Hire
White Plains, NY3 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 workDaily paidLive inLocal areaShift workDay shiftProvidence Health and Services
Seattle, WA5 days ago$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 workFull timeContract workWork at officeHireOps Staffing LLC
Dallas, TX4 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 workFlexible hoursWeekend work
IntePros
Phoenix, AZ3 days ago - ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension) Shift timings: Standard hours - 8:00 AM to 5:00 PM (Mon-Fri) Pay Rate - $47.14/hr on W2 Job Summary:...Remote workContract workWork at officeShift work
Integrated Resources
Long Beach, CA4 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 workFull timeContract workImmediate startShift workManpower
Austin, TX2 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 workWork at office
Martins Point Health Care
United States4 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 workHourly payFull timePart timeWork at officeFlexible hoursCentene Corporation
Phoenix, AZ1 day ago- ...agencies to ensure the approved services are provided. Our Utilization Management Reviewers cultivate and maintain relationships with our members'... ...reaches their 21st birthday. ; Work Arrangement:; Remote role. Monday through Friday from 8:30a EST to 5:00p EST...Remote workContract workMonday to FridayFlexible hoursShift work
AmeriHealth Caritas
Newtown Square, PA3 days 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 workFull timeTemporary workFlexible hours
Walden Behavioral Care
Miami, FL3 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. *...Full timeWork at officeLocal areaShift workDay shiftTrinity Health
Maywood, IL4 days ago- ...patient experience. Learn more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse... ...timely verbal and written reports as directed. **Remote position but MUST be able to work pacific standard time (PST)...Remote workLocal area
Universal Health Services
Reno, NV1 day ago - ...and Supports (LTSS) Supervisor, the LTSS Reviewer is responsible for completing care and... ...request was received, nature of the request, utilization determination (and events leading up to... ...Flexible work solutions include remote options, hybrid work schedules, competitive...Remote workFlexible hours
AmeriHealth Caritas
Newtown Square, PA1 day ago $26.5 - $47.59 per hour
...License or Identification card. Position Purpose: The Utilization Review Nurse I provides first level clinical review for all outpatient... ...time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be...Remote workHourly payFull timePart timeWork at officeFlexible hoursCentene Corporation
New York, NY4 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 workContract workTemporary workWork at officeActalent
Sunrise, FL3 days ago$38.49 - $47.05 per hour
...healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may... ..., Mobile, and Resident personas. This position can be fully remote, with the expectation to work in our Hingham office 1x month...Remote workHourly payWork at officeFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA2 days ago$86k - $110k
...We offer remote work opportunities (AR, AZ, CO, FL, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC... ...Affiliated are encouraged to apply! Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness...Remote workContract workTemporary workInterim roleWork at officeLocal areaShift workTriwest Healthcare
Phoenix, AZ12 hours ago- ...Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract for about 9 months.... ...Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract...Remote workContract work
HireOps Staffing LLC
Chicago, IL2 days ago - ...A facility in Yakima, WA is seeking its next amazing Social Worker to work in Case Management (Utilization Review). Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you...
Medical Solutions
Omaha, NE3 days ago
