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  • $72k

     ...compliant, patient‑centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory...  ...to you include: Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Work from home

    Guidehealth

    Davenport, IA
    1 day ago
  •  ...Our Client, a Healthcare company, is looking for a RN - Case Manager - Utilization Review for their Remote location. Responsibilities: Collaborative work with the Care Team. Completion of comprehensive patient assessment including patient status to drive discharge. Driving... 
    Remote work
    Local area

    ICONMA

    Indianapolis, IN
    1 day 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
    12 days ago
  •  ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for... 
    Remote job

    Vivo HealthStaff

    New York, NY
    18 days ago
  •  ...Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity and identify the need for... 
    Remote work
    Full time
    Temporary work
    Work at office
    Worldwide

    The University of Miami

    United States
    2 days ago
  • $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...  ...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
    7 days ago
  •  ...Physician Reviewer Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding...  ...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

    Pittsburgh, PA
    3 days ago
  •  ...Utilization Review Advisor Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor...  ...time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. MD Physician Advisor Job... 
    Remote work
    Full time
    Flexible hours

    Inova Health System

    Ashburn, VA
    13 hours ago
  • $38 - $40 per hour

     ...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance, California. Job Description...  ...Type: Local Contract Registered Nurse – Utilization Review (REMOTE | CA) Contract Length: 8 Weeks 100% Remote – Must Work PST Hours... 
    Remote work
    Hourly pay
    Weekly pay
    Long term contract
    Permanent employment
    Contract work
    Temporary work
    Work at office
    Local area
    Shift work
    Weekend work
    Day shift

    LanceSoft

    United States
    3 days ago
  •  ...as a "Great Place to Work" since 2015. Position Summary The Supervisor is responsible for day-to-day operations of the utilization review clinical team, in the areas of authorization requests, organizational determinations/ disputes, and auditing/training of utilization... 
    Remote work
    Work at office

    Martins Point Health Care

    United States
    2 days ago
  • $2,700 per week

     ...HonorVet Technologies is seeking a travel nurse RN Utilization Review for a travel nursing job in Costa Mesa, California. Job Description &...  ...days Employment Type: Travel UM Nurse Manager – Direct Hire (Remote) Client: Hoag Memorial Hospital Presbyterian Department: Hoag... 
    Remote work
    Monday to Friday
    Shift work

    HonorVet Technologies

    United States
    2 days ago
  • $18.15 - $27.23 per hour

     ...Utility Account Relations Specialist I The Utility Account Relations Specialist I position...  ...for past due and delinquent accounts. Reviews customer billing accounts to ensure accuracy...  .... Experience with setup and operation of remote environment devices Position Details:... 
    Remote work
    Hourly pay
    Full time
    Work experience placement
    Work at office
    Monday to Friday

    Government Jobs

    Tucson, AZ
    3 days ago
  •  ...supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for patients...  .... Excellence in Practice: Performs preadmission review on admissions when required by insurance companies/agencies to... 
    Suggested

    West River Health Services

    Hettinger, ND
    2 days ago
  • $18 - $21 per hour

     ...Tax Documentation Reviewer Cherry Bekaert is gearing up for tax busy season! We are seeking multiple temporary, remote Tax Documentation Reviewers to support our Validation Center...  ...deadlines. In this role you will: Utilizing your keen attention to detail to... 
    Remote work
    Hourly pay
    Temporary work
    Work experience placement
    Seasonal work
    Local area
    Monday to Friday

    Houston Staffing

    Houston, TX
    3 days ago
  • $1,772 per week

     ...HonorVet Technologies is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance, California. Job...  ...Travel Title: Registered Nurse – Utilization Review (Remote) Location: Torrance, CA 90503 Duration: 8 weeks... 
    Remote work
    For contractors
    Shift work
    Weekend work

    HonorVet Technologies

    Torrance, CA
    1 day ago
  •  ...Overview If you are a Registered Nurse who has strong hospital Utilization Review (UR) experience and are ready to take the next step into a...  ...offers a hybrid schedule , with most work performed remotely, offering both flexibility and impact. In this role, you will... 
    Remote work
    Flexible hours
    Night shift

    VHC Health

    Arlington, VA
    25 days ago
  • $269.5k - $425.5k

     ...quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects...  ...situations. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Local area
    Weekend work

    UnitedHealth Group

    United States
    2 days ago
  • $27.86 - $43.46 per hour

     ...empower them. Providence Health Plan is calling an Associate Utilization Review Specialist who will: Be responsible for all core functions...  ..., research briefs, provider resolutions) We welcome 100% remote work for residents who reside in the following State: ~... 
    Remote work
    Full time
    Work at office
    Local area
    Shift work

    Providence Health Plan

    Oregon, OH
    1 day ago
  • $60 - $75 per hour

     ...Hmong Document Reviewer Miami, FL / Remote / Hybrid / Tampa, FL Employment Type: Full Time, Mid-Level Department: Legal As a CGS Hmong...  ...Produces a variety of written documents and materials utilizing a wide range of office software applications; Establishes... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Contact Government Services LLC

    Miami, FL
    13 hours ago
  • $28 - $32 per hour

     ...Utilization Review Specialist We are looking for a Utilization Review Specialist to join our team! The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. The full UR function can... 
    Hourly pay
    Temporary work

    Chicago Staffing

    Chicago, IL
    13 hours ago
  •  ...Physical Therapist - Documentation Review Specialist Location: Remote Job Description: We are seeking an experienced and detail-oriented Physical...  ...assurance role Knowledge of best practices for EMR utilization and documentation in healthcare Ability to work... 
    Remote work

    Remote VA

    Albany, NY
    4 days ago
  • $85k - $110k

     ...new ways to optimize their business and manage costs effectively utilizing people, process, and technology advancements. If you enjoy...  ...for you! Job Description The Sr. Consultant - Invoice Review role is critical to the delivery of high impact spend consulting... 
    Remote work
    Local area

    Epiq

    United States
    2 days ago
  •  ...opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight of utilization review activities across the health system, including the academic... 
    Full time
    Contract work
    Work from home
    Shift work

    The University of Chicago Medical Center

    Harvey, IL
    13 hours ago
  • $2,539 per week

     ...LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Fremont, California. Job Description & Requirements...  ...with EMR systems preferred Additional Notes: ~100% onsite, remote work not available ~ Travel and relocation assistance may... 
    Remote work
    Weekly pay
    Long term contract
    Permanent employment
    Full time
    Contract work
    Temporary work
    For contractors
    Interim role
    Work at office
    Relocation package
    Shift work
    Night shift

    LanceSoft

    Fremont, CA
    2 days ago
  • $35 per hour

     ...Westborough Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and... 
    Daily paid
    Shift work

    Westborough Behavioral Healthcare Hospital

    Westborough, MA
    5 days ago
  • $1,325 per month

     ...Providing excellent customer service to utility customers, City staff, consultants and contractors...  ...various Municipal Utility reports. Reviewing service applications and plans to verify...  ...RC Perks Flexible work schedule Remote work Bring your dog to work Baby... 
    Remote work
    Contract work
    For contractors
    Summer work
    Flexible hours

    Government Jobs

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

     ...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 work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies LLC

    Alaska
    4 hours ago
  • $37 - $39 per hour

     ...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Torrance, California. Job Description...  ...: 8 hours, days ~ Employment Type: Local Contract Remote Registered Nurse – Utilization Review Pay Rate: $45/hour... 
    Remote work
    Hourly pay
    Weekly pay
    Long term contract
    Permanent employment
    Contract work
    Temporary work
    For contractors
    Work at office
    Local area
    Monday to Friday
    Shift work
    Day shift
    Weekday work

    LanceSoft

    Torrance, CA
    1 day ago
  •  ...Compensation Program Review Support Specialist (PR0163) ProSidian is a Management and...  ...200 hours. The review will encompass remote document review and onsite review to meet...  ...the appropriateness of compensation cuts utilized. System that Links Individual and Group... 
    Remote work
    Contract work
    For contractors

    ProSidian Consulting

    Richland, WA
    2 days ago
  •  ...Utilization Management Assistant Utilization Management Assistant Location: Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and thrive in...  ...first level calls in Utilization Review for HealthCheck360 participants. They... 
    Remote work
    Full time
    Work at office

    HealthCheck360

    Dubuque, IA
    13 hours ago