Get new jobs by email
- ...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 workFull timeTemporary workWork at officeWorldwide
The University of Miami
United States1 day ago - ...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime... ...case information within a database system Performs chart review/audits monthly or as needed Participates in monthly case...Remote workWeekly payContract workLocal area
Maryland Staffing
United States1 day 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
Washington DC12 hours ago $2,520 per week
...Staffing Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Jackson, Mississippi. Job... ...exemption only w/ documentation) + fingerprinting (allow ~10 days remote or in-person the week prior) Orientation: ~2 weeks with...Remote workWeekly payPermanent employmentContract workTemporary workLocal areaShift workWeekend workUnited Staffing Solutions
Jackson, MS12 hours ago$28 per hour
...divh2Document Reviewer Position/h2pKLDiscovery, one of the largest national eDiscovery providers, is currently... ...16 or later is required./ppProficiency in utilizing modern technology, especially computers and related remote work equipment, is required./ppStrong attention...Remote workHourly payTemporary workWork from homeHome officeMonday to ThursdayKLDiscovery
Birmingham, AL2 days ago$50 - $54 per hour
...JOB TITLE: Clinical Review RN (Medicaid Cost Outlier) GENERAL RESPONSIBILITIES: This... ...full spectrum of activities related to Utilization or Quality reviews as assigned. They will... ...review. LOCATION: position starts remote for ~1-2 months and then nurses will be...Remote workWeekly payLong term contractWork at officeMonday to FridayFlexible hoursMedix™
Jericho, NY4 days ago- A health service organization is seeking a Utilization Review Specialist who will advocate for patients to secure insurance coverage for necessary... ..., and proficiency in Microsoft products. This position is remote and offers comprehensive benefits including health, dental,...Remote job
- 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, and additional information requests received from third...Remote jobPart timeShift work
- ...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 workFull timeFlexible hours
Inova Health System
Ashburn, VA4 days 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 workHourly payWeekly payLong term contractPermanent employmentContract workTemporary workWork at officeLocal areaShift workWeekend workDay shiftLanceSoft
United States2 days ago$65 - $82 per hour
...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in Hawthorne, New York.Job Description & Requirements * Specialty: Utilization Review * Discipline: RN * Start Date: ASAP * Duration: Ongoing * 37 hours...SuggestedHourly payImmediate startWork from homeShift workMedical Solutions Direct Hire
Hawthorne, NY12 hours ago- ...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 workFlexible hoursWeekend work
IntePros
Phoenix, AZ1 day 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 workHourly payTemporary workWork experience placementSeasonal workLocal areaMonday to FridayMaryland Staffing
Rockville, MD4 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 workWork at office
Martins Point Health Care
United States1 day 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 workMonday to FridayShift workHonorVet Technologies
United States20 hours ago- ...Hmong Document Reviewer Atlanta, GA / Remote / Hybrid / Charlotte, NC eDiscovery Document Review / Full Time Remote As a CGS Hmong Chinese... ...Produces a variety of written documents and materials utilizing a wide range of office software applications Establishes...Remote workFull timeWork at officeFlexible hours
Contact Government Services LLC
Charlotte, NC2 days ago - ...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests... ...Working Conditions and Additional Expectations: Full-time remote role requiring consistent availability during standard...Remote workFull timeTemporary workLocal area
Integra Partners
Troy, MI4 days ago $35.45 per hour
...reimbursement Flexible weekend work schedules with remote work options Recognized as a top... ...What to Expect (Job Responsibilities) Utilize proactive triggers to identify potential... ...healthcare services Conduct medical necessity reviews for admissions and collaborate with the...Remote workImmediate startFlexible hoursWeekend work- ...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 timeContract workWork from homeShift work
The University of Chicago Medical Center
Harvey, IL4 days 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, NY3 days ago - 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 traumatic...Remote workTemporary workLocal area
$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 workLocal areaEpiq
United States1 day 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 workMinimum wageFull timeWork experience placementLocal areaWeekend workUnitedHealth Group
United States1 day ago- ...powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service... ...compliant, patient‑centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
$62.18k
...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 workTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hoursHines & Associates Inc
Freeport, IL1 day ago$3,000 per month
...clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity... ...efficiently. - Willingness to learn and develop skills for remote work success. What You'll Enjoy: - Participate in online...Remote workExtra incomeTemporary workPart timeImmediate startWork from homeMaxion Research
Burney, CA5 days ago$2,755 per week
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Bozeman, Montana. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week...Weekly payDaily paidWork from homeShift workMedical Solutions
Bozeman, MT12 hours ago$114k - $161k
...Principal Consultant Utility Return on Equity & Cost of Capital Specialist Join to apply for the Principal Consultant Utility Return... ...MA headquarters Position Type : Hybrid 3 days in office, 2 remote days per week 2025 Salary Range: $114,000 - $161,000 plus annual...Remote workFull timeWork at officeWork from homeFlexible hours2 days per weekConcentric Energy Advisors
Marlborough, MA2 days ago- A leading educational institution in Miami is seeking a Case Manager RN for Utilization Review. The role involves conducting medical necessity chart reviews and coordinating with the healthcare team to ensure optimal patient outcomes. The ideal candidate will have a Bachelor...Remote jobFull time
- ...divh2Distribution Reviewer/h2pAre you looking for a position where you can utilize your experience processing retirement plan distributions and loans? Do you excel... ...Nova 401(k) Associates is looking to fill a fully remote Distribution Reviewer position. The ideal...Remote workWork from homeMonday to Friday
Nova 401(k) Associates
Tulsa, OK4 days ago
