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  • Physician / Internal Medicine / California / Permanent / Remote Utilization Review Medical Director

    $275k - $300k

     ...Remote or hybrid Medical Director for MediCare service line 100% administrative, non-clinical role Work from home, but candidate...  ...CME, 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
    3 days ago

  • Utilization Reviewer - developmental disabilities services

    $55k

     ...support this initiative, Liberty is now hiring for a full-time Utilization Reviewer position. As a Utilization Reviewer, your daily work will...  ...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
    Work from home
    Home office
    Monday to Friday

    Liberty Healthcare

    Salisbury, MD
    12 hours ago

  • Physician Reviewer - Utilization Management

    $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
    2 days ago

  • Physician / Surgery - Plastic / Vermont / Permanent / Plastic Surgeon - Utilization Review Physician

     ...Dane Street , a nationally recognized Independent Review Organization (IRO) and leading provider of Utilization Review (UR) services, is expanding its panel of physician...  ...with an active Louisiana medical license to perform Utilization Reviews on a flexible, remote basis.... 
    Remote work
    Permanent employment
    Flexible hours

    Dane Street

    Frederick, MD
    21 hours ago

  • LCSW, LPC, LMFT - Utilization Review - Arizona

     ...behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing role, you'...  ...the right level of care at the right time. This is a fully remote position with a Monday-Friday schedule during standard business... 
    Remote work
    Monday to Friday

    Optum

    Tucson, AZ
    1 day ago

  • Physician Reviewer - Orthopedic Surgery (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

  • Utilization Manager Reviewer, RN (Multiple Openings!)

     ...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
    Contract work
    Live in
    Work at office

    Univera Healthcare

    Latham, NY
    1 day ago

  • Physician Reviewer - Orthopedic Spine Surgery (Utilization Review) MS

     ...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
    1 day ago

  • Drug Utilization Review Pharmacist

     ...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

    Corona, NY
    3 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
    6 days ago

  • Utilization Review Nurse

     ...Title: Utilization Review Nurse Location: Fully Remote must reside in - TX/IL Duration: 6 months Contract (Possible Extension) Schedule: Monday – Friday, 8:00 AM – 5:00 PM Pay Rate : $40/hr - $41/hr on W2 Job Description: RN working in the insurance or managed care industry... 
    Remote work
    Contract work
    Monday to Friday

    Careers Integrated Resources Inc

    Atlanta, GA
    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 Prior Authorization Review to join our Utilization Management team. In this role, you will conduct... 
    Remote work
    Contract work

    SPECTRAFORCE

    Washington DC
    20 hours ago

  • RN Utilization Review

     ...RN Utilization Review By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for...  ...making an impact on the health and well-being of others in a remote work environment. Enjoy flexibility and autonomy in your daily... 
    Remote work
    Work experience placement

    Tennessee Staffing

    Knoxville, TN
    1 day 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
    1 day ago

  • Remote Utilization Review Physician

     ...Job Description Specialty accepted: Remote Medical Director - Internal Medicine, Geriatrician, Hospitalist...  ...schedule Practice setting: Telehealth / Utilization Management Types of procedures: Comprehensive review of medical records; synthesis of complex... 
    Remote work
    Weekly pay
    Full time
    Locum
    Local area
    Immediate start
    Flexible hours
    Shift work

    All Medical Personnel , LLC

    Atlanta, GA
    3 days ago

  • Utilization Review Nurse - Full-Time

     ...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

    Virginia Beach, VA
    1 day ago

  • Document Reviewer

    $28 per hour

     ...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review...  ...litigation! Position Details ~ Remote work-from-home opportunity ~ Pay rate...  ...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

    Austin, TX
    12 hours ago

  • Utilization Review Nurse III

    $70.2k - $120.4k

     ...service is the norm and every member feels valued. Medica's Utilization Review Nurses are responsible for reviewing and documenting prior...  ...within multiple computer applications This position is a Remote role.To be eligible for consideration, candidates must have a... 
    Remote work
    Work experience placement

    Medica

    Minnetonka, MN
    4 days ago

  • Utilization Review Nurse (ER/ICU Expr) - Remote

    $33 - $40 per hour

    "Urgent Hiring for "Utilization Review RN" Job Description: Perform concurrent reviews to assess member's overall health. Review the...  ...Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated... 
    Remote work
    Contract work
    Temporary work

    Actalent

    Houston, TX
    4 days ago

  • RN Utilization Management Reviewer

    $38.49 - $47.05 per hour

     ...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex...  ...Mobile, and Resident personas. This position can be fully remote with an in-office requirement to work 1-3x/month at our... 
    Remote work
    Hourly pay
    Full time
    Work at office
    Flexible hours

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    3 days ago

  • Clinical Supervisor Utilization Review - Remote

     ...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... 
    Remote work
    Work at office

    Martins Point Health Care

    Portland, ME
    3 days ago

  • RN Utilization Review - Full-time Days - REMOTE

    $56.44 - $87.63 per hour

     ...Description RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical... 
    Remote work
    Minimum wage
    Full time
    Shift work
    Day shift

    Providence Service

    Irvine, CA
    12 hours ago

  • Clinical Review/Utilization Registered Nurse (RN) - PRN

     ...PRN Clinical Review Nurse Children's is one of the nation's leading children's hospitals...  ...applicable patients as stated in system utilization management plan. Oversees Clinical...  ...days/week for 8-10 weeks. This role can be remote, including training but occasional... 
    Remote work
    Relief
    3 days per week

    Children's Healthcare of Atlanta

    Atlanta, GA
    4 days ago

  • Utilization Review Nurse

    $40 - $50 per hour

    Utilization Review Nurse About the Role We're looking for a Utilization Review (UR) Nurse to join our team and support high‑quality, cost‑effective patient care from a fully remote environment. This role is ideal for nurses who enjoy clinical evaluation, structured decision... 
    Remote work
    Contract work
    Temporary work

    Actalent

    Rancho Cordova, CA
    3 days ago

  • Utilization Review Nurse - Remote

     ...for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees with... 
    Remote work
    Work at office

    Martins Point Health Care

    Portland, ME
    3 days ago

  • Seasonal Document Reviewer

    $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

    Charlotte Staffing

    Charlotte, NC
    3 days ago

  • Long Term Services & Support Reviewer Utilization Management

     ...Caritas Long Term Services And Supports Reviewer Your career starts now. We are looking...  ...was received, nature of the request, utilization determination (and events leading up to...  ...Package Flexible work solutions include remote options, hybrid work schedules, competitive... 
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Columbus, OH
    12 hours ago

  • Hmong Document Reviewer

     ...Hmong Document Reviewer Washington, DC / Remote / Arlington, VA eDiscovery Document Review Full Time Remote As a CGS Hmong Chinese Document...  ...Produces a variety of written documents and materials utilizing a wide range of office software applications;... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Contact Government Services LLC

    Fresno, CA
    1 day ago

  • Utilization Review Registered Nurse

    $84.56k - $126.84k

     ...Favorite Jobs Email this Job Job Overview SUMMARY The Utilization Review RN participates as a member of a multidisciplinary team to...  ...on the department needs. This position will be primarily remote but there may be occasions when you are expected to work onsite... 
    Remote work
    Temporary work
    Part time
    Immediate start
    Relocation
    Relocation package
    Shift work
    Weekend work

    Children's Hospital Colorado

    Aurora, CO
    17 hours ago

  • Assistant Director, Utilization Review (On-site)

     ...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... 
    Work at office
    Local area

    Nexus

    Schertz, TX
    21 days ago