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- ...powered advice on this job and more exclusive features. The support specialist is a support role crucial to the centralized Utilization Review team for time‑sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials...Remote jobPart timeShift work
$30 - $50 per hour
...leading mental health organization is seeking an experienced Utilization Review Manager to oversee patient access to care and manage utilization... ...for their Intensive Outpatient Program. This part-time remote position based in California requires strong skills in communication...Remote jobHourly payPart time- ...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 workTemporary workLocal area
- ...Independent Contractor (1099) Pediatric Hematology Oncology Utilization Review About MRIoA Founded in 1983, Medical Review Institute... ...conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring only 12 hours per weekno minimum...Remote workContract workFor contractorsFlexible hours
Medical Review Institute
Dallas, TX2 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 workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
Pittsburgh, PA4 days ago $30 - $50 per hour
A leading mental health provider seeks a part-time Utilization Review Manager to oversee patient care authorizations in their Intensive Outpatient... ...review, and strong communication skills. The position is remote, requiring 5-10 hours per week, with compensation ranging...Remote jobHourly payPart time10 hours per week- ...leading medical institution in Chicago is seeking an RN Manager for the Rev Cycle Department. In this hybrid role, you will lead utilization review activities, ensuring compliance with medical necessity criteria and overseeing operations across multiple sites. Candidates...Remote job
- ...leading healthcare organization is seeking a manager for their utilization review department. The role involves overseeing a team of registered... ...review management. This full-time position offers remote work with a competitive salary range that reflects the industry...Remote jobFull time
- 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 and passionate RN...Remote workFull timeLocal areaWork from home
$40 per hour
Clinical Support Manager (temporary) Utilization Review RN/LPN Job Category : Advisory Services Requisition Number : CONSU005289 Posted : November 25, 2025 Full-Time Remote Locations Showing 1 location Remote United States Description About Sound Physicians: Headquartered...Remote workHourly payFull timeTemporary workPart timeWork at officeLocal areaWork from homeShift workWeekend work- ...Rheumatology (MD/DO) Utilization Review Remote Contract (1099) Apply for this independent contractor position with Medical Review Institute of America. Flexible Independent Contractor (1099) Opportunity Fully remote, 12 hours per week, no minimum commitment. Covered...Remote workContract workFor contractorsFlexible hours
Medical Review Institute
United States4 hours agonew $25 per hour
...apply. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...areas of litigation! Position Details Remote work?from?home opportunity Pay rate :... ...or later is required. Proficiency in utilizing modern technology, especially computers...Remote workHourly payTemporary workWork from homeHome officeMonday to ThursdayFlexible hoursKLDiscovery
Phoenix, AZ4 days ago$58.66k - $142.45k
...Mass General Brigham.The Opportunity Manages a department of utilization review professionals usually consisting of Registered Nurses, Social... ...Additional Job Details (if applicable)****Schedule and Work Model*** Remote* Full-time (40 hours) Monday through Friday, standard...Remote workFull timeMonday to FridayShift workWeekend work- As the Manager, Utilization Management you will direct the day to day activities of the Clinical Care Reviewers for the Pennsylvania business units. You will oversee staff performance... ...to contain cost. Work Arrangement Remote Monday through Friday, 8:00 am EST to 5:...Remote workMonday to FridayFlexible hoursWeekend work
- ...Community Health Choices Long Term Services and Supports (LTSS) Review Utilization Management program and staff under the supervision of the... ...improvement and medical economics. Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time...Remote workWork at officeFlexible hours
- ...Utilization Review Advisor- Physician (MD/DO) Fairfax, VA, United States Job Identification: 672754 Posting Date: 01/06/2026, 06... ...time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. MD Physician Advisor Job...Remote workFull timeFlexible hours
National Medical Association
Fairfax, VA4 days ago $211.2k - $277.2k
A healthcare company is hiring a Physician Reviewer for their remote Utilization Management team. The role involves assessing medical appropriateness of services, conducting peer discussions, and ensuring documentation compliance. Candidates should have board certification...Remote job- ...organization is seeking a clinical professional to change the lives of its 28 million members. In this role, you will perform clinical reviews and assess mental health and substance abuse care, ensuring the appropriateness of services. Ideal candidates will have a nursing...Remote job
$211.2k - $277.2k
Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around... ..., Utilization Management. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida...Remote workFull timeLocal areaWork from homeHome officeWeekend work$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 workHourly payTemporary workWork experience placementSeasonal workMonday to FridayDenver Staffing
Denver, CO3 days ago$29.1 - $62.32 per hour
A leading health services company seeks a Utilization Management Nurse Consultant to ensure members receive necessary care through clinical review. This 100% remote position requires an active RN license and at least 3 years of clinical experience. The role involves reviewing...Remote jobHourly pay- ...leading healthcare provider is looking for a Medical Reviewer LPN to perform pre-authorization reviews and manage utilization reviews. The ideal candidate will have a valid... ...service skills are essential. This role is remote but candidates must reside within the state of...Remote job
- A staffing and consulting firm is seeking a remote Utilization Review Registered Nurse to evaluate patient care cases and assess requests for medical services. The ideal candidate will have strong clinical experience and Utilization Review expertise, with a focus on collaboration...Remote job
- ...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 workFull timeWork at officeFlexible hours
Contact Government Services LLC
Saint Louis, MO2 days ago $15 per hour
Join to apply for the Copywriter - Review Focus (Remote) role at Outlier AI Join a global community of talented professionals to shape the future of AI. Earn up to $15 USD/hr and additional rewards based on quality of submission. Outlier is committed to improving the...Remote jobWeekly payFreelanceWork from homeFlexible hours- A healthcare management company in Louisiana is seeking a Utilization Management Review Supervisor to lead a remote team of clinical reviewers. This role involves providing clinical, technical, and operational guidance while ensuring goals are met through performance monitoring...Remote jobFlexible hours
$40 per hour
...Clinical Support Manager (temporary) to oversee workflow and process improvements remotely. This role requires strong clinical knowledge in acute care settings and experience with utilization review. Candidates should possess excellent communication skills and the ability to...Remote jobHourly payTemporary work- A leading health insurance company is hiring a fully remote Physician Reviewer to evaluate care requests, ensuring adherence to medical guidelines... ..., 5-6 years of clinical practice, and at least 1 year of utilization review experience in managed care. Enjoy the flexibility...Remote job
- 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 supplemental...Remote workExtra incomeFor contractorsFlexible hours
$38.4 - $46.93 per hour
A leading healthcare provider is seeking a Dental Utilization Reviewer in Hingham, MA. The role involves reviewing and evaluating dental claims for necessity and appropriateness. Candidates should have extensive experience in a dental office setting and qualifications...Remote jobHourly payFull timeWork at office
