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  • $26.5 - $47.59 per hour

     ...perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA AND OREGON...  ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE,... 
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    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    4 days ago
  • $60k - $75k

     ...Quadrant Health Group, i s seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital...  ...professional development and growth. A supportive and collaborative work environment. A chance to make a meaningful impact on the... 
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    Full time
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    Remote work

    Quadrant Health Group

    Boca Raton, FL
    9 days ago
  •  ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must have a multi state compact license unencumbered Job Purpose: Review Workers Compensation... 
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    Elite

    Houston, TX
    7 days ago
  • Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert...  ...Independent contractor role (1099) Remote, work-from-home position—anywhere in the U.S. within regulatory constraints... 
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    For contractors
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    5 days ago
  • $1,099 per month

    Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review...  ...commitment. ADDITIONAL INFORMATION: Work remotely from anywhere in the US (Per HIPAA...  ...to be a remote position (work-from-home). Seniority level Mid-Senior level Employment... 
    Work from home
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    Full time
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    Medical Review Institute of America

    Dallas, TX
    2 days ago
  • $1,099 per month

    Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review Institute...  ...and healthcare plan guidelines. Work remotely with flexible hours, as little...  ...office equipment. Role is remote (work-from-home). Legal and Privacy California... 
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    Full time
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    Medical Review Institute of America

    Dallas, TX
    1 day ago
  •  ...openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse...  .... Foster a positive and close working relationship with other Company staff,...  ...situations. What We Offer Work From Home (Up to 2 days per week upon eligibility... 
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    Permanent employment
    Full time
    Work at office
    2 days per week

    Berkshire Hathaway Homestate Companies - Workers Compensatio...

    Omaha, NE
    2 days ago
  • $65k - $78k

     ...challenges. Join us and put your expertise to work in ways you never imagined possible. We...  ...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,...  ...What You Should Expect In This Role Home-based position. High-speed internet and... 
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    Full time
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    Gainwell Technologies

    North Carolina
    2 days ago
  • Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...minimum case requirements Additional Details Remote, work-from-home position work anywhere in the U.S. Independent contractor... 
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    Full time
    For contractors
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    Medical Review Institute

    Dallas, TX
    1 day ago
  • $56.44 - $87.63 per hour

     ...a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare...  ...Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: Hybrid... 
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    Providence Health & Services

    Anaheim, CA
    15 hours ago
  •  ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-...  ...supplemental income Fully remote – work from anywhere You control volume and... 
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    Dane Street

    United States
    3 days ago
  • $35 - $45.94 per hour

     ...Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review...  ...the Supervisor, Utilization Review. Work Location: This is a remote position, open...  ...daily work will be completed from your home office, occasional travel may be... 
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    Oscar Health

    Dallas, TX
    15 days ago
  •  ...during JHM management and safe transfer to home. Proactively communicates with payors to...  .... Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions...  ...Solutions, you’ll find a great place to work and a career home. We’ve received Best... 
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    Daily paid
    Local area
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    Medical Solutions

    Baltimore, MD
    22 days ago
  • $30 per hour

     ...Join to apply for the Document Reviewer role at KLDiscovery India ....  ...jurisdiction and desire an engaging work environment where they are...  ...Position Details Remote work-from-home opportunity Pay rate: $30 per...  ...16 or later Proficiency in utilizing modern technology, especially... 
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    Hourly pay
    Temporary work
    Remote work
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery India

    Virginia, MN
    3 days ago
  • $32 - $36.5 per hour

     ...experienced individual to proactively monitor utilization of services for patients to optimize...  ...professional clinical staff. Conduct reviews, in accordance with certification...  ...Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or... 
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    Part time
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    Acadia Healthcare

    Cathedral City, CA
    4 days ago
  •  ...HealthVine - Utilization Management Physician Reviewer Pediatric Medicaid ACO The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens...  ...necessary, evidence-based, and cost-effective care. Working within an Accountable Care Organization (ACO) model, this... 
    Full time
    Remote work
    Relocation package
    Monday to Friday
    Shift work
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    Cincinnati Children's

    Cincinnati, OH
    4 days ago
  •  ...Commercial Documentation Review Specialist I Join Mercantile Bank as a Full-Time Commercial...  ...90 days, there is an opportunity to work from home 1-2 days per week) offers an opportunity...  ...a new challenge, allowing you to utilize your analytical skills in a fast-paced,... 
    Work from home
    Full time
    Flexible hours
    2 days per week
    1 day per week

    Mercantile Bank

    Grand Rapids, MI
    2 days ago
  •  ...excellent customer service. Candidates preferred experience is 2-5 years of utility customer support experience, strong communication and data entry skills, and be tech-savvy. This is a remote, work from home role. Responsibilities: Handles inquiries and... 
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    Full time
    Remote work

    Iapetus Holdings LLC

    Pontiac, MI
    2 days ago
  •  ...manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The...  ...motivated, detail-oriented and interested in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities... 
    Full time
    Work at office
    Remote work
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    15 days ago
  •  ...Employment Type: Travel Must have strong Utilization Review and InterQual experience REQUIRED!...  ...as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered...  ...Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care... 
    Weekly pay
    Long term contract
    Permanent employment
    Temporary work
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    Shift work

    LanceSoft

    Greenbrae, CA
    28 days ago
  •  ...seeking an experienced RN Case Management/Utilization Review nurse with at least 3 years of clinical...  ...for a diverse patient population Work schedule is Monday to Friday, 8am to 5pm...  ...PACU, ICU, Step-Down, Telemetry, or direct home health Experience with case... 
    Daily paid
    For contractors
    Monday to Friday
    Shift work

    American Traveler

    Tuba City, AZ
    14 days ago
  •  ...Management   Job Summary The Registered Nurse Case Manager provides comprehensive support and expertise in case management, utilization review, and discharge planning . This role ensures quality patient care through ongoing assessment, planning, implementation, and... 
    Permanent employment
    Temporary work
    Shift work

    Protouch Staffing

    Kinston, NC
    7 days ago
  • $2,951.6 per week

     ...influence your total pay.* \n \nAZ - RN Case Management/Utilization Review in Tuba City, AZ LeaderStat is currently seeking a AZ - RN...  ..., would be 1 weekend a month 1 year of experience working as a full-time Registered Nurse Clinical experience within... 
    Weekly pay
    Full time
    Contract work
    Interim role
    Monday to Friday
    Shift work
    Weekend work

    LeaderStat

    Tuba City, AZ
    15 days ago
  •  ...Description\n American Traveler is seeking a CA-licensed RN Case Manager with strong Utilization Review and InterQual experience for a weekday hospital assignment. \n \n Responsibilities\n Work in an acute care hospital setting Monday through Friday schedule, 0730 to 1... 
    Daily paid
    Immediate start
    Monday to Friday
    Shift work
    Weekday work

    American Traveler

    Greenbrae, CA
    28 days ago
  •  ...Registered Nurse – Utilization Review (Remote) Need RN CA license 📍 Location: Apple Valley, CA (Remote) 🗓️ Start Date: November 17, 2025 (Tentative) ⏳ Duration: 16 Weeks 💼 Position Type: Travel/Contract 🕗 Shift: Day, 5x8 Hours (08:00 AM – 04:... 
    Contract work
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    Accede Solutions Inc (accedesolution.com)

    California
    2 days ago
  • $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... 
    Hourly pay
    Full time
    Work experience placement
    Work at office

    RemoteOnline

    San Francisco, CA
    1 day ago
  • $1,824 per week

     ...during JHM management and safe transfer to home. Proactively communicates with payors to...  .... Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical...  ...Solutions, you’ll find a great place to work and a career home. We’ve received Best Places... 
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    Weekly pay
    Daily paid
    Local area
    Shift work

    Medical Solutions

    Baltimore, MD
    2 days ago
  •  ...POSITION The purpose of this job is to carry out concurrent utilization review activities under the direction of the Utilization Review...  ...compliance with established criteria. Duty 3 : The UR nurse works daily with the Registration and Pre-Cert departments to... 
    Weekend work

    Blanchard Valley Health System

    Findlay, OH
    2 days ago
  • Overview Join to apply for the Physician Reviewer - Neurological Surgery (Utilization Review) LA role at Dane Street . This is a telework opportunity for physicians...  ...; choose services and case types, dictate volume, and work based on availability No doctor-patient relationship... 
    For contractors
    Remote work

    Dane Street

    Washington DC
    4 days ago
  • $38.11 - $98.23 per hour

     ...being on-site in Burlington, MA. Job Description The Utilization Analyst works with physicians, the payers and inpatient case management team...  ...of the hospital care. Using the concepts of utilization review, clinical documentation improvement and revenue integrity,... 
    Hourly pay
    Full time
    Shift work
    Weekend work

    Beth Israel Lahey Health

    Burlington, MA
    16 hours ago