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  • Physician Reviewer - Utilization Review

    $211.2k - $277.2k

     ...we're Oscar. We're hiring a Physician Reviewer to join our Utilization Review team. Oscar is the first...  ...has a weekend requirement. You will work 5 days per week to include Saturdays...  ...daily work will be completed from your home office, occasional travel may be required... 
    Work from home
    Full time
    Remote work
    Home office
    Weekend work

    Oscar Health

    New York, NY
    17 days ago

  • Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)

     ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-...  ...consistent, supplemental income Fully remote – work from anywhere You control volume and... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street, LLC

    New York, NY
    17 days ago

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

     ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical,...  ...– predictable, supplemental income ~ Work remotely from anywhere you choose ~ Set... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work

    Dane Street, LLC

    Parchman, MS
    17 days ago

  • Physician Reviewer - Psychiatry (Utilization Review) NY

     ...Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our...  ...supplemental income through non-traditional clinical work. Position Overview: We are currently seeking... 
    Suggested
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    United States
    3 days ago

  • Utilization Management Reviewer

     ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient...  ...;Utilization Management Reviewer must maintain a strong working knowledge of federal, state, and organizational regulations... 
    Suggested
    Remote work
    Monday to Friday
    Flexible hours
    Afternoon shift

    AmeriHealth Caritas

    Newtown Square, PA
    2 days ago

  • Utilization Review Coordinator Supervisory Role - Behavioral Health.

    $136.22k - $163.05k

     ...Utilization Review Coordinator Supervisory Role - Behavioral Health. Napa County Salary:...  ...The Napa Valley Napa County is home to 140,000 residents who share a strong...  ...Clinicians , review data and trends, and work closely with program and fiscal staff to... 
    Suggested
    Full time
    Part time

    Napa County

    Napa, CA
    13 days ago

  • Utilization Review Coordinator

     ...Job Description Job Description Summary: The Utilization Review Coordinator supports the Care Management Department by facilitating the...  ...as needed. This is an on-site position. Must be able to work 8:30 am to 5 pm, Monday through Friday. Maintain strict confidentiality... 
    Suggested
    Work at office
    Monday to Friday

    Benefit & Risk Management Services, Inc.

    Sacramento, CA
    8 days ago

  • Utilization Management Review Analyst - NICU

    $30.49 - $48 per hour

     ...The Utilization Management Review Analyst analyzes patient records daily to determine the appropriateness of admission, level of care, continued...  ...implementation and overall evaluation of individual patient needs. Works directly with physicians, insurance companies, HIM... 
    Suggested
    Hourly pay
    Full time
    Work experience placement
    Local area
    Monday to Friday
    Weekend work

    Woman's Hospital

    Baton Rouge, LA
    1 day ago

  • Travel Nurse RN - Case Manager, Utilization Review

     ...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description...  ...license and BLS certification. \n \n Responsibilities\n Work within a hospital case management unit Serve an acute care... 
    Suggested
    Daily paid
    Remote work
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Fort Myers, FL
    4 days ago

  • Document Review and Data Entry Specialist

    $19.5 - $26 per hour

     ...About the job Document Review and Data Entry Specialist Job details Salary...  ...pride ourselves on providing our employees a work experience built on family values. Our...  ...the following: Use TRAX program areas utilized for Maintenance personnel and perform setup... 
    Suggested
    Hourly pay
    Full time
    Work experience placement
    Work at office

    RemoteOnline

    San Francisco, CA
    3 days ago

  • Travel RN Case Manager & Utilization Reviewer - $2,411 per week

    $955 per month

     ...Travel RN Case Manager & Utilization Reviewer - $2,411 per week at Anders Group summary: This position is for a Travel Registered Nurse specializing...  ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates!... 
    Suggested
    Full time
    Shift work
    Day shift

    Anders Group

    Kinston, NC
    4 days ago

  • Travel RN Case Manager & Utilization Reviewer - $2,370 per week

    $2,370 per week

     ...Travel RN Case Manager & Utilization Reviewer - $2,370 per week at Nightingale Nurses summary: This travel nursing position involves acute care case management and utilization review for a registered nurse at a hospital in Kinston, North Carolina. The role requires... 
    Suggested
    Full time
    Shift work

    Nightingale Nurses

    Kinston, NC
    3 days ago

  • Travel RN Case Manager & Utilization Reviewer - $2,706 per week

    $8 per hour

     ...Travel RN Case Manager & Utilization Reviewer - $2,706 per week at Wellspring Nurse Source summary: This position is for a Travel Registered...  ..., North Carolina. The role involves 40 hours per week working 8-hour day shifts with a competitive pay package including a... 
    Suggested
    Full time
    Zero hours contract
    Shift work
    Day shift

    Wellspring Nurse Source

    Kinston, NC
    9 days ago

  • Travel RN Case Manager & Utilization Reviewer - $2,659 per week

    $603 per month

     ...Travel RN Case Manager & Utilization Reviewer - $2,659 per week at Nurse First summary: This position is for a Travel Registered Nurse specializing in Acute Care Case Management and Utilization Review for a 13-week assignment in Kinston, North Carolina. The role involves... 
    Suggested
    Weekly pay
    Full time
    Shift work

    Nurse First

    Kinston, NC
    3 days ago

  • Utilization Review Physician - New York (Mostly Remote)

     ...Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance...  ...and outcomes. Will function as the clinical lead, working alongside state plan president as the team interfaces with state... 
    Suggested
    Remote job

    Vivo HealthStaff

    Carteret, NJ
    a month ago

  • Registered Nurse - Utilization Review

     ...Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift...  ...Day 5x8-Hour (08:00 - 16:30) Job Description: Willing to work weekends (expectation is they work a minimum of at least 4... 
    Remote work
    Shift work
    Weekend work
    Day shift

    Zenex Partners

    Apple Valley, CA
    4 days ago

  • Registered Nurse/Utilization Review

     ...Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred: * Managed care... 
    Local area
    Remote work
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    1 day ago

  • LPN Utilization Review Analyst

     ...Job Description Job Description   Utilization Review Analyst II Licensed Practical Nurse Classification: Utilization Review Analyst...  ...management setting Excellent clinical assessment skills. Work with minimal supervision. Communicate effectively with others... 
    Hourly pay

    Northwood, Inc.

    Madison Heights, MI
    21 days ago

  • Sub-Acute RN Utilization Management Reviewer - Medicare

     ...Join MVP Health Care as a Sub-Acute RN Utilization Management Reviewer - Medicare, where we are committed to creating a healthier future for everyone...  ...of healthcare within a team recognized as a Best Place to Work in the NY Capital District and one of the Best Companies... 

    MVP Health Care

    Tarrytown, NY
    1 day ago

  • REMOTE RN - Case Manager - Utilization Review

     ...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...  ...Proficient with MCG and InterQual. Strong independent work and communication skills. Preferred: Certification in Case... 
    Remote job
    Monday to Friday
    Shift work
    Weekend work

    Alpha Rae Personnel, Inc.

    Fort Wayne, IN
    a month ago

  • Utilization Management Physician Reviewer (PA)

     ...highly qualified and experienced Physician with expertise in Utilization Management (UM) Review to join our team. In this role, you will combine your...  ...of experience in Utilization Management. · Experience working with various insurance providers, clinical decision... 

    Toney Healthcare

    Tampa, FL
    8 days ago

  • Utilization Management Physician Reviewer - CA Licensed

    $200k - $300k

     ...Responsibilities: Specific Conduct clinical review of prior authorization, concurrent review...  ...of services. Collaborate with utilization management nurses and clinical staff to...  ...simultaneously Time Zone: Must be able to work PST hours Other Information:... 
    Minimum wage
    Temporary work
    Work at office

    Clearlink Partners

    Oakland, CA
    3 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job...  ...tool criteria experience\nMust have acute care experience\nMust work every other major holiday\n\nEMR Exp Required(or Preferred):... 
    Remote work
    Monday to Friday
    Shift work

    Talent4Health

    Cambridge, MA
    5 days ago

  • Remote MCO Utilization Review Nurse (RN) IL ONLY

    $40 per hour

     ...Job Description Job Description Remote MCO Utilization Review Nurse (RN) IL ONLY   $40.00 per hour Monday – Friday 8:00 am – 4:30 pm Remote (IL) WHAT WE OFFER : Medical PTO Accrual Holiday Pay Seeking RN who is familiar with MCG and ASAM... 
    Remote job
    Hourly pay
    Immediate start
    Monday to Friday

    Anchor Staffing Inc.

    Chicago, IL
    3 days ago

  • Clinical - Clinical Review Nurse - Concurrent Review

     ...Purpose: Performs concurrent reviews, including determining member...  ...preferred. Knowledge of utilization management processes...  ...discharge planning of member Works with Medical Affairs and/or Medical...  ...independence of working from home. Our team culture is... 
    Work from home
    Remote work
    Flexible hours

    Mindlance

    Texas City, TX
    4 days ago

  • Remote Product Review Consultant (Hiring Immediately)

    $790 per week

     ...looking for temporary, remote, part-time work. The hours are flexible and no previous experience...  ...commute needed if you choose to work from home. No minimum hours. You can do this part...  ...feedback of their products. You get to review and use new products or services before... 
    Work from home
    Full time
    Temporary work
    Part time
    Local area
    Immediate start
    Remote work
    Flexible hours

    Maxion Research

    California
    3 days 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
    18 days ago

  • Travel Utilization Review Registered Nurse

     ...RN for a contract position in Apple Valley California . This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Remote Utilization Review,3223.861060.27035 . The ideal candidate will possess a current state license as a RN and have at least 2 years of recent... 
    Weekly pay
    Contract work
    Zero hours contract
    Remote work
    Shift work

    Assured Nursing

    Apple Valley, CA
    8 days ago

  • Utilization Review Coordinator

     ...Initial authorizations of outpatient physical therapy services: Reviews and authorizes services that meet criteria, along with...  ...years of experience, preferably in a managed care environment Working knowledge of the physical therapy industry is a definite plus.... 
    Local area

    TheraMatrix

    Pontiac, MI
    17 days ago

  • Travel Nurse RN - Utilization Review - $3,307 per week

    $3,307 per week

     ...Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job Description & Requirements...  ...experience. Must have acute care experience. Must work every other major holiday. 1+ year(s) of experience in... 
    Remote work
    Monday to Friday
    Shift work
    Day shift

    Talent4Health

    Cambridge, MA
    1 day ago