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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
    5 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

    MSSI

    Minneapolis, MN
    18 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
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    Work from home
    Flexible hours

    Medical Review Institute

    United States
    4 days ago
  •  ...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... 
    Remote work
    Full time
    Contract work
    For contractors
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    Flexible hours

    Medical Review Institute

    Dallas, TX
    1 day ago
  • $72.48k - $108.72k

     ...A healthcare organization is seeking a Utilization Manager Registered Nurse to join their team...  .... The role involves conducting clinical reviews for service authorizations and ensuring...  ...of $72,480 $108,720 and is open to remote employees residing in Massachusetts only... 
    Remote work

    Commonwealth Care Alliance

    United States
    5 days 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... 
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    Relief
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    Medical Review Institute

    United States
    4 days ago
  • $55k

     ...Utilization Reviewer Developmental Disabilities Services Human services professionals are encouraged to consider an outstanding career opportunity...  ...for approved work-related mileage This is a remote first position which will allow you to primarily work from your... 
    Remote work
    Full time
    Immediate start
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    Home office
    Monday to Friday

    Liberty Healthcare

    Annapolis, MD
    13 hours 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

    Virginia Beach, VA
    2 days ago
  •  ...Pyramid Consulting (Travel) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia,...  ...Player Part Time UM RN with NICU experience\nThis position is remote - Full-time ONLY during training - 2-3 weeks, Must be available... 
    Remote work
    Permanent employment
    Full time
    Contract work
    Part time
    Local area
    Immediate start
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    Pyramid Consulting (Travel)

    Philadelphia, PA
    5 days ago
  • $33.12 - $56.77 per hour

     ...healthcare organization is looking for a Nurse Reviewer I to conduct preauthorization and...  ...diagnostic imaging services. The role supports remote work and requires an associate degree in...  ...Ideal candidates will be well-versed in utilization management and possess excellent... 
    Remote work

    Elevance Health

    United States
    4 days 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
    4 days ago
  • The Utilization Review Specialist is responsible for managing all aspects of the utilization review process, including preauthorization, Single...  ...organizational and time-management skills. This is a full time role Up to $6/hr 100% Remote Work #J-18808-Ljbffr Remote Raven
    Remote work
    Full time
    For contractors

    Remote Raven

    Poland, NY
    3 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
    4 days ago
  •  ...A growing commercial insurance company is seeking a Clinical Review Nurse to assess medical necessity and appropriateness of treatments...  ...involves collaboration with claims adjusters and conducting Utilization Review activities. Applicants must have an active RN license... 
    Remote work

    AmTrust Financial

    United States
    3 days ago
  • $32.15 - $48.05 per hour

     ...Rate: $32.15 - $48.05 Shift: Day Shift - Remote Hours Per Week: 40-hours Date Posted: 6/...  ...company reimbursement policies. Reviews application for patient admission and approves...  ...approves admission or refers case to facility utilization review committee for review and course... 
    Remote job
    Hourly pay
    Full time
    Shift work
    Day shift

    McKenzie-Willamette Medical Center

    Springfield, OR
    4 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
    2 days ago
  •  ...healthcare provider organization is seeking a Utilization Management Clinical Manager to analyze...  ..., along with 2-3 years of utilization review experience. Responsibilities include...  ...stakeholders. This position allows for remote work with occasional onsite meetings in... 
    Remote job

    Mass General Brigham Incorporated.

    Somerville, MA
    1 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 work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    New York, NY
    4 days ago
  •  ...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
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    Live in
    Work at office

    Univera Healthcare

    Buffalo, NY
    5 days ago
  • Hematology/Oncology Physician - Utilization Review Remote - Flexible Independent Contractor (1099) Opportunity Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology‑driven utilization management... 
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    For contractors
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    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    1 day 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
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    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    6 days ago
  •  ...Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our...  ...perform independent medical reviews on a flexible, remote (telework) basis. This is a non-clinical,... 
    Remote work
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street

    New York, NY
    4 days ago
  • $65k - $78k

     ...career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and... 
    Remote job
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies

    Raleigh, NC
    4 days ago
  • A national risk management solutions provider is seeking a Utilization Review Case Manager. This remote position involves gathering demographic and clinical information, certifying medical necessity, and supporting case management goals. Ideal candidates should have a... 
    Remote job

    CorVel Corporation

    Folsom, CA
    5 days ago
  • 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 1-2 hours per week, possibly more... 
    Remote work
    Full time
    For contractors
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    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
    3 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 work
    Contract work
    Work at office
    Shift work

    Integrated Resources

    Long Beach, CA
    3 days ago
  • $40 per hour

    Clinical Support Manager (temporary) Utilization Review RN/LPN Job Category : Advisory Services Requisition Number : CONSU005289 Posted : November 25, 2025 Full-Time Remote Locations Showing 1 location Remote United States Description About Sound Physicians: Headquartered... 
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    Hourly pay
    Full time
    Temporary work
    Part time
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    Local area
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    Weekend work

    Sound Physicians, Inc.

    Tacoma, WA
    5 days ago
  •  ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities...  ...Certified (CMGT-BC) Expectations Comfortable with remote work arrangements and virtual collaboration tools Physical... 
    Remote work
    Full time
    Work at office
    Shift work
    Weekend work
    Weekday work

    Netsmart

    Palm Coast, FL
    2 days ago
  • $30.91 - $45.98 per hour

    Apply for the Utilization Review LVN role at Dignity Health (remote work in the Greater Sacramento, CA region). Job Summary The Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM) services. The focus is to provide high quality,... 
    Remote work
    Contract work
    Work from home

    Dignity Health

    Rancho Cordova, CA
    5 days ago