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  • 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
    3 days 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
    4 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
    9 hours ago

  • Physician Reviewer - Psychiatry (Utilization Review)

     ...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

    United States
    3 days ago

  • Physician Reviewer - Psychiatry (Utilization Review) NY

     ...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
    For contractors
    Flexible hours

    Dane Street

    United States
    1 day ago

  • Occupational Therapist - Utilization Review

     ...Job Description Job Description Occupational Therapist – Utilization Review Location: Remote Licensure: Current, active, and unrestricted Occupational Therapy license issued by the Arkansas State Medical Board. Job SummaryAstyra is seeking a licensed Occupational... 
    Remote work

    Astyra Corporation

    Little Rock, AR
    6 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
    2 days ago

  • Utilization Review RN ARRMC (Utilization Review)

    $49.33 - $67.84 per hour

     ...Full Time | Variable Schedule Days Please Note: This is a remote positon. Candidates will be required to have reliable...  ...hour, depending on experience Position Summary The Utilization Review Nurse monitors utilization practices from preadmission to discharge... 
    Remote work
    Hourly pay
    Full time

    Asante

    Medford, OR
    18 hours ago

  • Utilization Review Nurse

     ...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 compliant delivery of... 
    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    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
    1 day ago

  • Utilization Review RN

     ...experience what it means to be part of Mass General Brigham. Utilization Review Acute Hospital Experience Job Summary Summary...  ...circumstances demand it. Additional Job Details (if applicable) Remote Type Remote Work Location 265 Charles Street... 
    Remote work
    Hourly pay
    Daily paid
    Work at office
    Shift work

    Mass General Brigham

    Boston, MA
    2 days ago

  • Utilization Review Clinical Liaison

     ...services to our customers. JOB SUMMARY: Our Ethos Medical Management Team is seeking a full-time Utilization Review Clinical Liaison (REMOTE - PST HOURS) to play a vital role in ensuring seamless communication between intake and 1st level nurse review... 
    Remote work
    Full time
    Work at office

    Ethos Risk Services

    Las Vegas, NV
    18 hours 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
    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...  ...all policies and standards. This is a remote position available to candidates nationwide... 
    Remote work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    Atlanta, GA
    4 days ago

  • Utilization Review Clinician (RN, OT, or PT) - Remote

     ...The Utilization Review Clinician is responsible for reviewing medical records to determine medical necessity. This includes conducting patient evaluations, managing admissions and informational visits, and ensuring timely post-discharge follow-ups with completed assessments... 
    Remote work
    Full time
    Work experience placement
    Work at office

    WellSky

    Overland Park, KS
    1 day ago

  • ABA Utilization Review (UR) Specialist

     ...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
    a month ago

  • Psychologist Peer Review Utilization Management - Remote (Houston)

     ...Connecting. Growing together. The role of the Psychologist Peer Review involves applying clinical criteria and benefit plan...  ...criteria is not met. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges... 
    Remote work
    Part time
    Work at office
    Local area
    Work from home

    Optum

    Houston, TX
    2 days ago

  • Utilization Review RN

    $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 work
    Daily paid
    Live in
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Bellevue, WA
    10 hours ago

  • Behavioral Health Utilization Review Nurse

    $35 - $38 per hour

     ...Actalent is Hiring a Behavioral Health Utilization Review Nurse Job Description We are seeking a dedicated Utilization Management Nurse...  ...weeks, involving shadowing a team member on-site on Tuesdays and remote shadowing through Teams. Pay and Benefits The pay range... 
    Remote work
    Temporary work
    Work at office

    Actalent

    Fort Lauderdale, FL
    2 days ago

  • Utilization Review Nurse I

    $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 work
    Hourly pay
    Full time
    Part time
    Work at office
    Flexible hours

    Centene Corporation

    New York, NY
    2 days 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
    4 days ago

  • Utilization Review Nurse (RN)

     ...patient experience. Learn more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse...  ...provides timely verbal and written reports as directed. **Remote position but MUST be able to work pacific standard time (PST)... 
    Remote work
    Local area

    Universal Health Services

    Reno, NV
    4 days ago

  • RN Utilization Management Reviewer

    $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 work
    Hourly pay
    Work at office
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    9 hours ago

  • Utilization Review Specialist

     ...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

    Skokie, IL
    13 days ago

  • Utilization Review Nurse

    Job Description JOB TITLE Utilization Review Nurse REPORTS TO Utilization Review, Manager STATUS FT, Exempt WAGE RANGE Grade 20 (2024) DEPARTMENT Utilization Management WORK LOCATION Remote (occasional travel as required) POSITION PURPOSE The Utilization Management Nurse... 
    Remote work
    Contract work
    Apprenticeship
    Work at office
    Local area
    Immediate start
    Flexible hours

    Umpqua Health

    Roseburg, OR
    2 days ago

  • Registered Nurse (RN) - Case Manager, Utilization Review

     ...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:... 
    Immediate start
    Work from home
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    1 day ago

  • REMOTE RN - Case Manager - Utilization Review

     ...Job Description Job Description We are seeking an experienced RN Case Manager to join our Utilization Review team. This is a 100% remote role requiring strong skills in inpatient case management and utilization management. Schedule: Monday–Friday, 8-hour shifts... 
    Remote job
    Monday to Friday
    Shift work
    Weekend work

    Alpha Rae Personnel, Inc.

    Fort Wayne, IN
    27 days ago

  • Utilization Review Technician

     ...Excellence Award, Heart Failure recognition and more. For more information, please visit . Responsibilities The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives.... 
    Full time
    Work experience placement
    Work at office
    Local area
    Shift work

    North Vista Hospital

    North Las Vegas, NV
    2 days ago

  • Utilization Review Nurse - Remote - Contract

     ...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 work
    Contract work

    HireOps Staffing LLC

    Dallas, TX
    9 hours ago

  • Utilization Review Analyst - Registered Nurse (Full Time)

     ...requires being on-site in Burlington, MA. Job Description: The Utilization Analyst works with physicians, the payers and inpatient case...  ...of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity,... 
    Full time
    Shift work
    Weekend work

    Beth Israel Lahey Health

    Burlington, MA
    1 day ago