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  • $35 - $45.94 per hour

     ...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first...  ...the Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Texas, Georgia, Arizona... 
    Remote work
    Hourly pay
    Full time
    Work from home
    Home office

    Oscar Health

    Dallas, TX
    11 hours agonew
  • $56.44 - $87.63 per hour

     ...RN Utilization Review Part- time Day at Providence Health and Services summary: This part-time RN Utilization Review position involves conducting...  ...in California. Description RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift.... 
    Remote work
    Minimum wage
    Full time
    Part time
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    11 days ago
  • $211.2k - $277.2k

     ...Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance...  ...Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in: Arizona;... 
    Remote work
    Full time
    Local area
    Work from home
    Home office
    Weekend work

    Oscar Health

    Tampa, FL
    24 days 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
    16 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 work
    Price work
    Extra income
    For contractors

    Dane Street

    Drew, MS
    3 days ago
  •  ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert...  ...independent medical reviews on a flexible, remote basis. This non-clinical, contract-based role... 
    Remote work
    Extra income
    Contract work
    Flexible hours

    Dane Street

    New York, NY
    16 hours 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
    28 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
    16 hours 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 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
    more than 2 months ago
  • $50.84k

     ...the responsibilities assigned. # Provide managed care and utilization review support for inpatient and outpatient adolescent or adult services...  ...Rosecrance Mulford Office– Rockford, IL. ~ Work Mode : (Remote- Must reside in IL) Compensation & Rewards (pay is based... 
    Remote job
    Daily paid
    Work at office
    Monday to Friday
    Shift work
    Day shift

    Rosecrance Inc.

    Rockford, IL
    21 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

    Remote
    20 days ago
  • $59.6k - $85.1k

     ...continuous learning, and career development.   Summary As a Utilization Review Specialist- Clinical Reviewer  at Gainwell, you can...  ...duties as assigned What you should expect in this role ~ Remote within the U.S.   Applications for this posting will be... 
    Remote work
    Full time
    Work experience placement
    Flexible hours

    Gainwell Technologies LLC

    Kansas
    14 days ago
  • $62.18k

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

    Hines & Associates Inc

    Freeport, IL
    1 hour agonew
  •  ...Job Description Job Description Description: Job Summary The Assistant Director, Utilization Review is responsible for assisting the Director, Utilization Review with the leadership, supervision and training of the Utilization Review and Quality Departments, as... 
    Suggested
    Work at office
    Local area

    Nexus

    Schertz, TX
    13 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
    a month ago
  • $80k - $85k

     ...as the internal subject matter expert to review, approve, and finalize all marketing materials...  ...the target audience.Content Management: Utilize content management systems (CMS) and...  ...30 a.m. to 4:30 p.m., 5 days a week). No remote or hybrid flexibility is currently offered... 
    Remote work
    Temporary work
    Work experience placement

    Cella

    Fort Lauderdale, FL
    7 hours agonew
  • $20 - $30 per hour

     ...Description Job Description QUALITY REVIEW ANALYST Alternate/Related Job Titles:...  ...Location: Cary, NC Onsite Flexibility: Remote Position Type: Contract Contract...  ...business tolerances. Key Responsibilities Utilize a 3D modeling application to inspect and... 
    Remote work
    Contract work
    Work experience placement
    Work at office
    Immediate start
    Worldwide

    GTT, LLC

    Cary, NC
    28 days ago
  • $18.8 - $30.34 per hour

     ...Description Job Description The Professional Review Specialist analyzes medical services and...  ...of care provided. This is a remote role. Candidate must be fully bilingual...  ...Prospective, concurrent and retrospective utilization review PAY RANGE: CorVel uses... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work at office
    Local area
    Flexible hours

    CorVel Healthcare Corporation

    Puerto Rico
    18 days ago
  •  ...assessment services for health plans nationwide utilizing Nurse Practitioners and Physician...  ...requirements, as outlined below. This is a remote position. Responsibilities Enter...  ...with applicable state and federal law; Review a representative sample of CCS Practitioner... 
    Remote work
    Work from home

    ComplexCare Solutions

    Charleston, SC
    16 hours ago
  •  ...Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are intended for informational purposes only and include a gross estimate of... 
    Hourly pay
    Weekly pay
    Contract work
    Temporary work
    Immediate start
    Shift work

    MedPro Healthcare Staffing

    Sacramento, CA
    8 days ago
  •  ...Drug Utilization Review Pharmacist – Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a...  ...pharmacy. Flexibility: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary, benefits, and... 
    Remote work

    Pharmacy Careers

    Albuquerque, NM
    more than 2 months ago
  •  ...Job Title: Utilization Review Nurse (UR Nurse) Schedule: Monday – Friday | 8:00 AM – 5:00 PM Work Model: 100% Remote (Onsite visit required for equipment pickup) Employment Type: Contract Position Overview The Utilization Review Nurse is responsible... 
    Remote work
    Contract work
    Monday to Friday

    NavitsPartners

    Phoenix, AZ
    12 days ago
  •  ...The UMCM will utilize clinical knowledge to analyze, assess, and render approval decisions, to determine the need for physician review as well as complete determinations following physician...  ...6 months after hire. This is a remote role with occasional onsite team meetings... 
    Remote work

    Mass General Brigham Health Plan

    Somerville, MA
    4 days ago
  •  ...About Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking... 
    Remote work
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street, LLC

    New York, NY
    more than 2 months ago
  •  ...Job Description Job Description Description: Job Title: Utilization Review Manager Location: Chicago Job Type: Full-Time Reports to: Director of Revenue Cycle Manager; In Direct Reporting to Chief Clinical Officer Direct Reports: none, subject to... 
    Full time
    Work at office

    GRO Community

    Chicago, IL
    3 days ago
  • Position Summary Aspire Health is seeking an experienced Utilization Review Coordinator to support clinical operations through timely, accurate review of medical services. This remote position plays a critical role in ensuring care delivery aligns with established medical... 
    Remote work

    ExecutivePlacements.com

    Jacksonville, FL
    10 days ago
  • $40 - $60 per hour

     ...About the job Remote Utility Support Assistant / Billing Coordination Clerk Remote position Position: Remote Utility Support Assistant...  ...Employee recognition rewards Birthday stipend or digital gift card Annual performance review with salary increase potential
    Remote work
    Full time
    Part time
    Work at office
    Work from home
    Home office
    Flexible hours
    Day shift
    Afternoon shift

    Evolution Sports Group

    Los Angeles, CA
    4 days ago
  • $32 - $34 per hour

     ...Job Title: Behavioral Health Utilization Review (UR) Nurse Location: Phoenix, AZ Job Type: Contract Schedule: Monday...  ...Pay Rate: $32–$34 per hour Work Arrangement: 100% Remote (initial onsite visit required to receive equipment) Position... 
    Remote work
    Hourly pay
    Contract work
    Monday to Friday

    NavitsPartners

    Phoenix, AZ
    11 days ago
  • $43.95 per hour

     ...Children's Mercy is seeking a Registered Nurse (RN) Manager, Utilization Review for a nursing job in Kansas City, Missouri. Job...  ...Work/Work from Home:\n This position is not eligible to work remotely, which means that the person hired will be required to work... 
    Work experience placement
    Seasonal work
    Shift work

    Children's Mercy

    Kansas City, MO
    26 days ago
  •  ...Job Description Genie Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Sacramento, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 01/21/2026 ~... 
    Zero hours contract
    Shift work
    Day shift

    Genie Healthcare

    Sacramento, CA
    10 days ago