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  • Case Manager RN - Utilization Review

     ...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 work
    Full time
    Temporary work
    Work at office
    Worldwide

    The University of Miami

    United States
    1 day ago

  • RN Case Manager/Utilization Review (Remote)

     ...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 work
    Weekly pay
    Contract work
    Local area

    Maryland Staffing

    United States
    1 day ago

  • Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)

     ...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 work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    Washington DC
    15 hours ago

  • Travel Nurse RN - Case Manager, Utilization Review - $2,520 per week

    $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 work
    Weekly pay
    Permanent employment
    Contract work
    Temporary work
    Local area
    Shift work
    Weekend work

    United Staffing Solutions

    Jackson, MS
    15 hours ago

  • Utilization Review RN (Medicaid) - 249588

    $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 work
    Weekly pay
    Long term contract
    Work at office
    Monday to Friday
    Flexible hours

    Medix™

    Jericho, NY
    4 days ago

  • Document Reviewer

    $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 work
    Hourly pay
    Temporary work
    Work from home
    Home office
    Monday to Thursday

    KLDiscovery

    Birmingham, AL
    2 days 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
    1 day ago

  • Utilization Review Advisor- Physician (MD/DO)

     ...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 work
    Full time
    Flexible hours

    Inova Health System

    Ashburn, VA
    4 days ago

  • Local Contract Nurse RN - Utilization Review - $38-40 per hour

    $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 work
    Hourly pay
    Weekly pay
    Long term contract
    Permanent employment
    Contract work
    Temporary work
    Work at office
    Local area
    Shift work
    Weekend work
    Day shift

    LanceSoft

    United States
    2 days ago

  • Clinical Supervisor Utilization Review - Remote

     ...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 work
    Work at office

    Martins Point Health Care

    United States
    1 day ago

  • Travel Nurse RN - Utilization Review - $1,800 per week

    $1,800 per week

     ...B2B Staffing Services, Inc. is seeking a travel nurse RN Utilization Review for a travel nursing job in Torrance, California. Job Description...  ..., days ~ Employment Type: Travel This role is 100% remote, with a variety of service lines and levels of care (inpatient... 
    Remote work
    Weekly pay
    Daily paid
    Contract work
    For contractors
    Locum
    Flexible hours
    Shift work

    B2B Staffing Services, Inc.

    Torrance, CA
    1 day ago

  • Utilization Review Medical Director

     ...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 work
    Full time
    Temporary work
    Local area

    Integra Partners

    Troy, MI
    4 days ago

  • Travel Nurse RN - Utilization Review - $2,700 per week

    $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 work
    Monday to Friday
    Shift work

    HonorVet Technologies

    United States
    23 hours ago

  • Registered Nurse (RN) - Case Manager, Utilization Review - $65-82 per hour

    $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... 
    Suggested
    Hourly pay
    Immediate start
    Work from home
    Shift work

    Medical Solutions Direct Hire

    Hawthorne, NY
    15 hours 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

    Maryland Staffing

    Rockville, MD
    4 days ago

  • Hmong Document Reviewer

     ...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 work
    Full time
    Work at office
    Flexible hours

    Contact Government Services LLC

    Charlotte, NC
    2 days ago

  • RN Manager, Utilization Review - Full time - Days

     ...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 time
    Contract work
    Work from home
    Shift work

    The University of Chicago Medical Center

    Harvey, IL
    4 days ago

  • Sr. Consultant - Invoice Review

    $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 work
    Local area

    Epiq

    United States
    1 day ago

  • Physical Therapist - Documentation Review Specialist

     ...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, NY
    3 days ago

  • Utilization and Clinical Review - Medical Director - Orthopedic Surgery - Remote

    $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 work
    Minimum wage
    Full time
    Work experience placement
    Local area
    Weekend work

    UnitedHealth Group

    United States
    1 day ago

  • Travel Nurse RN - Utilization Review - $2,539 per week

    $2,539 per week

     ...LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Fremont, California. Job Description & Requirements...  ...with EMR systems preferred Additional Notes: ~100% onsite, remote work not available ~ Travel and relocation assistance may... 
    Remote work
    Weekly pay
    Long term contract
    Permanent employment
    Full time
    Contract work
    Temporary work
    For contractors
    Interim role
    Work at office
    Relocation package
    Shift work
    Night shift

    LanceSoft

    Fremont, CA
    1 day ago

  • Home-Based Data Entry and Product Review Specialist (Hiring Immediately)

    $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 work
    Extra income
    Temporary work
    Part time
    Immediate start
    Work from home

    Maxion Research

    Burney, CA
    5 days ago

  • Travel RN Case Manager Utilization Review - $2,755 per week

    $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 pay
    Daily paid
    Work from home
    Shift work

    Medical Solutions

    Bozeman, MT
    15 hours ago

  • Medical Review Director - CGS Administrators, LLC

    $76.55k

     ...team! Position Purpose: The Medical Review Director directs and oversees operations...  ..., IL. There are no options for remote or hybrid work schedules. Government...  ...~5 years healthcare program management, utilization/case management, or medical review management... 
    Remote work
    Full time
    Contract work
    For contractors
    Work at office
    Local area
    Monday to Friday
    Shift work

    BlueCross BlueShield of South Carolina

    Nashville, TN
    1 day ago

  • Distribution Reviewer

     ...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 work
    Work from home
    Monday to Friday

    Nova 401(k) Associates

    Tulsa, OK
    4 days ago

  • Principal Consultant - Utility Return on Equity & Cost of Capital Specialist (Washington)

    $114k - $161k

     ...Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Join to apply for the Principal Consultant - Utility Return...  ...Washington, DC Position Type : Hybrid 3 days in office, 2 remote days per week 2025 Salary Range: $114,000 - $161,000 plus... 
    Remote work
    Full time
    Part time
    Work at office
    Work from home
    Flexible hours
    2 days per week

    Concentric Energy Advisors

    Washington DC
    2 days ago

  • Document Review and Data Entry Specialist

    $19.5 - $26 per hour

     ...Document Review and Data Entry Specialist Omni Air International is a private airline providing tailored passenger and government...  ...audits. Work out of the TRAX program. Use TRAX program areas utilized for Maintenance personnel and perform setup and data entry of... 
    Hourly pay
    Full time
    Work experience placement
    Work at office

    Job On Remote Online USA

    San Francisco, CA
    2 days ago

  • Consumer Goods Test Consultant - Earn by Reviewing Products (Hiring Immediately)

    $790 per week

     ...personnel to participate in our local in-person and nationwide remote research studies. Description This gig is perfect for those...  ...exchange for your honest feedback of their products. You get to review and use new products or services before they are launched to the... 
    Remote work
    Full time
    Temporary work
    Part time
    Local area
    Immediate start
    Work from home
    Flexible hours

    Maxion Research

    California
    4 days ago

  • Remote Principal Consultant Utilities Civil Litigation (Marlborough)

     ...Join a forward-thinking consulting firm as a Principal Consultant in Utilities Civil Litigation. This role offers the chance to provide strategic support to clients facing legal challenges in the energy sector. You will analyze complex legal issues, develop case strategies... 
    Remote work
    Full time

    Concentric Energy Advisors, Inc.

    Marlborough, MA
    2 days ago

  • Utilization Review Manager- Revenue Cycle Management

     ...capabilities and improved personalized treatment recommendations. Role Description: This is a full-time role for a Utilization Review Manager- Revenue Cycle Management at Variantyx. The role is responsible for managing the claim denials and appeals for the... 
    Full time

    Variantyx

    Framingham, MA
    1 day ago