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  • Utilization Review Specialist (in-office only)

    $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
    7 days ago

  • Utilization Review Registered Nurse

     ...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
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    Hines & Associates Inc

    Rockford, IL
    12 days ago

  • Utilization Review Technician III

    $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 work
    Full time
    Work at office
    Local area
    Shift work

    Prime Healthcare Management Inc

    Ontario, CA
    17 hours ago

  • Utilization Review Nurse

     ...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 work
    Full time
    Local area
    Work from home

    VillageCare

    New York, NY
    1 day ago

  • Cardiologist Needed for Remote 1099 Utilization Review Work

    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
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    3 days ago

  • Remote - Urology - Utilization Review - Contract (1099)

    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 in technology... 
    Remote job
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    17 hours ago

  • Utilization Review Nurse- Remote

    $65k - $78k

     ...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent...  ...we welcome applications on an ongoing basis. #LI-AC1 #LI-REMOTE The pay range for this position is $65,000.00 - $78,000.00... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies

    Wilmington, NC
    2 days ago

  • Remote - Contract (1099) - Otolaryngology (MD or DO) - Utilization Review

    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 of medical... 
    Remote job
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    4 days ago

  • 1099 Utilization Review work for Radiation Oncologists

    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
    4 days ago

  • Utilization Management Nurse, Senior (Behavioral Health Post-Service Review)

     ...Your Role The Commercial Post Service Review team is responsible for clinically...  ...Outpatient Program (IOP). The RNs perform reviews utilizing the Blue Shield of California Medical...  ...facing and approved out-of-state roles remain remote. o Employees living more than 50 miles... 
    Remote work
    Full time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    1 day per week

    Blue Shield Of California

    Rancho Cordova, CA
    2 days ago

  • Manager Long Term Services & Support Utilization Management Review

     ...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 work
    Live in
    Work at office
    Flexible hours

    AmeriHealth Caritas

    Newtown Square, PA
    3 days ago

  • RN Utilization Review Part- time Day

    $56.44 - $87.63 per hour

     ...Description Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review...  ...Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager.... 
    Remote work
    Part time
    Local area
    Shift work

    Providence Health and Services

    Burbank, CA
    6 days ago

  • staff - Registered Nurse (RN) - Case Manager, Utilization Review - $45-62 perhour

     ...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
    4 days ago

  • Utilization Review Nurse

     ...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
    9 days ago

  • Utilization Review Nurse-Remote-Contract

    $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 work
    Full time
    Contract work
    Work at office

    HireOps Staffing LLC

    Dallas, TX
    17 hours ago

  • Care review Clinician | Utilization review nurse

     ...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
    17 hours ago

  • Travel Utilization Review RN - $1,975 per week

     ...seeking a RN for a contract position in Eureka California . This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Remote Utilization Review,2713.861060.27634 . The ideal candidate will possess a current state license as a RN and have at least 2 years of recent... 
    Remote work
    Weekly pay
    Contract work
    Zero hours contract
    Shift work

    Assured Nursing Inc

    Eureka, CA
    3 days ago

  • Utilization Review Nurse

    Overview Title: Clinical Review Nurse - Prior Authorization Review Location: Fully Remote (PST Time Zone - WA/OR Resident) Duration: 12-Month (Potential for Extension...  ...for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct... 
    Remote work
    Contract work

    SPECTRAFORCE

    Washington DC
    3 days ago

  • Physician / Internal Medicine / California / Permanent / Remote Utilization Review Medical Director for Medicare Advantage - Sacramento, California Job

    $275k - $300k

    ~ Remote or hybrid Medical Director for MediCare service line ~100% administrative, non-clinical role ~ Work from home, but candidate...  ..., PTO ~ Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA license... 
    Remote work
    Permanent employment
    Full time
    Work from home
    Monday to Friday

    Integrity Healthcare...

    Sacramento, CA
    5 hours agonew

  • Plastic Surgeon - Utilization Review Physician (Remote, LA Licensed)

    Join to apply for the Plastic Surgeon - Utilization Review Physician (Remote, LA Licensed) role at Dane Street Dane Street , a nationally recognized Independent Review Organization (IRO) and leading provider of Utilization Review (UR) services, is expanding its panel... 
    Remote job
    Extra income
    Contract work
    For contractors
    Flexible hours

    Dane Street

    Louisiana
    4 days ago

  • Utilization Manager Registered Nurse (RN) Reviewer - MA only!

    013650 CCA-Auth & Utilization Mgmt Position Summary: Reporting to the Manager Utilization...  ..., the Nurse Utilization Management (UM) Reviewer is responsible for day-to-day timely...  ...environment This position is available to remote employees residing in Massachusetts.... 
    Remote work
    Work at office
    Local area
    Home office

    Commonwealth Care Alliance

    Boston, MA
    3 days ago

  • Physician Reviewer - Cardiologist Surgery (Utilization Review) CO

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

    Dane Street

    Denver, CO
    4 days ago

  • After Hours Behavioral Health Utilization Management Reviewer

     ...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non-traditional hours to provide...  ...clarification when necessary.; Work Arrangement: Remote role. Saturday through Wednesday from 4:00p EST to 12... 
    Remote work
    Flexible hours
    Saturday

    AmeriHealth Caritas

    Newtown Square, PA
    2 days ago

  • Associate Vice President, Utilization Management Review

    Join to apply for the Associate Vice President, Utilization Management Review role at AffirmedRx, a Public Benefit Corporation AffirmedRx is on a...  ...opportunities to all employees and applicants for employment. Remote employees are expected to maintain a professional work... 
    Remote work
    Full time

    AffirmedRx, a Public Benefit Corporation

    Louisville, KY
    4 days ago

  • Utilization Review Clinician - Behavioral Health

    $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

    Annapolis, MD
    2 days ago

  • Utilization Review Nurse - Denials

    $30 - $34 per hour

     ...Utilization Review Nurse - Denials Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park...  ...outside of a 30 mile radius of the office will qualify for remote work. This position requires open availability Monday -... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Monday to Friday
    Sunday
    Day shift

    Astrana Health, Inc.

    Monterey Park, CA
    1 day ago

  • Utilization Management Reviewer

     ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient...  ...will also be counted upon to: Work Arrangement: Remote role. Availability to work Monday through Friday, 8 AM... 
    Remote work
    Monday to Friday
    Flexible hours
    Afternoon shift

    AmeriHealth Caritas

    Newtown Square, PA
    3 days ago

  • Regional Utilization Review Documentation Specialist (RN)

    $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 time
    Work at office
    Local area
    Shift work
    Day shift

    Trinity Health

    Maywood, IL
    17 hours ago

  • Long Term Services & Support Reviewer Utilization Management

     ...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 work
    Flexible hours

    AmeriHealth Caritas

    Newtown Square, PA
    2 days ago

  • Document Reviewer

    $28 per hour

     ...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review...  ...different areas of litigation! Position Details Remote work-from-home opportunity Pay rate: $28...  ...16 or later is required. Proficiency in utilizing modern technology, especially computers... 
    Remote work
    Hourly pay
    Temporary work
    Work from home
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Mc Lean, VA
    1 day ago