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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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    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    4 days 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 & Service

    Anaheim, CA
    3 days ago
  •  ...GENERAL SUMMARY: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care...  ...specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye... 
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    Henry Ford Health System

    Warren, MI
    4 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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    Iapetus Holdings LLC

    Pontiac, MI
    2 days ago
  •  ...levels of care (inpatient, Extended Hospital Outpatient and OBS). 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) • InterQual required, this is a Hardstop • Experience with HMOs,... 
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    Pacer Group

    Torrance, CA
    3 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... 
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    RemoteOnline

    San Francisco, CA
    1 day ago
  •  ...~ Duration: 13 weeks ~40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel Case Management and Utilization Review Discharge planning Shift: 4x10's (Fri, Sat, Sun, Mon) 8am - 6pm WEEKENDS REQUIRED No Call Minimum 4 yrs exp... 
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    Protouch Staffing

    Kinston, NC
    12 days ago
  •  ...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills \n Description: The RN Case Manager coordinates...  ...patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies... 
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    Prime Staffing

    Greenbrae, CA
    3 days ago
  •  ...Med-Surg, PACU, ICU, Telemetry, etc.) or home health direct care ~1 year travel...  ...# Skills: Knowledge of case management, utilization review, and electronic health records EMR Used...  ...Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing... 
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    LanceSoft

    Tuba City, AZ
    19 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... 
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    LeaderStat

    Tuba City, AZ
    20 days ago
  •  ...liaison between the patient’s family and healthcare organization. Work is administered in a variety of settings, including HMOs,...  ...Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are intended for... 
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    MedPro Healthcare Staffing

    Greenbrae, CA
    4 days ago
  • $2,800 per week

     ...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies... 
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    Prime Staffing

    Tuba City, AZ
    4 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
    12 days ago
  •  ...Employment Type: Travel Description: RN-Case Manager/Utilization Review/CDI (clinical documentation improvement) Must have...  ...including hospitals, clinics, rehabilitation centers, old-age homes, schools, correctional facilities, and more. At HonorVet,... 
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    HonorVet Technologies

    Syracuse, NY
    22 days ago
  •  ...Wilshire Blvd, 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 experience * Knowledge... 
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    Zenex Partners

    Beverly Hills, CA
    16 hours ago
  • $114k - $161k

     ...Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Join to apply...  ..., we immerse our employees in a hard-working, collegial and cooperative culture with the...  ...hybrid model, with flexibility to work from home two days a week. Duties &... 
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    2 days per week

    Concentric Energy Advisors

    Washington DC
    1 day ago
  •  ...First Connect Health is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Greenbrae, California. Job...  ...care, respect, and responsiveness at every step. When you work with First Connect Health, you're not just another number — you... 
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    Long term contract
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    Local area
    Immediate start
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    First Connect Health

    Greenbrae, CA
    3 days ago
  •  ...awarded health system located north of Philadelphia, Pennsylvania, is seeking an Emergency Medicine physician to work in a non-clinical utilization review setting. Opportunity Highlights ~ Daytime Monday through Friday position. Potential to work remotely part of... 
    Part time
    Remote work
    Monday to Friday

    Enterprisemed

    Abington, PA
    3 days ago
  • $2,495.2 - $2,590.2 per month

     ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Rapid City, South Dakota. Job...  ...about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare... 
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    GQR Healthcare

    Rapid City, SD
    17 days ago
  • **Description** The Utilization Management Behavioral Health Nurse 2...  ...Management Behavioral Health Nurse 2 work assignments are varied and...  ...with computers** **Work-At-Home Requirements** + WAH...  ...or pre-recorded voice will be reviewed and you will subsequently be... 
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    Humana

    Minneapolis, MN
    4 days ago
  • $2,312.8 - $2,407.8 per month

     ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Medford, Wisconsin. Job Description...  ...aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare... 
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    GQR Healthcare

    Medford, WI
    1 day ago
  •  ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential...  ...members’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced... 
    Full time
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    IntePros

    Philadelphia, PA
    11 days ago
  •  ...About the job Work From Home Remote Data Entry Operator Description The Data...  ...Appropriate data in prescribed format, utilizing basic knowledge of computer software or...  ...for the Help Desk technicians to review. The data entry clerk will review each... 
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    Easy Recruiter

    United States
    2 days ago
  • $70 - $74 per hour

     ...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description...  ...tool criteria experienceMust have acute care experienceMust work every other major holidayEMR Exp Required(or Preferred): EPIC... 
    Hourly pay
    Contract work
    Local area
    Remote work
    Monday to Friday
    Shift work
    Day shift

    Talent4Health

    Cambridge, MA
    1 day ago
  • $151.42 per day

     ...Title: Utility Clerk Employee Status: Regular Full Time Work From Home Option: Not Applicable FLSA Status: Non-Exempt Job Overview: The Utility Clerk is a union role. The workday shall start 1.5 hours before the first post (i.e. the start of the first race... 
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    New York Racing Association

    South Ozone Park, NY
    2 days ago
  • $3,000 per month

     ...earn extra income from the comfort of your home? We are looking for motivated individuals...  ...online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and...  ...Choose Us? You have the flexibility to work either from home or in-person, with the option... 
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    Maxion Research

    Jamestown, NY
    6 days ago
  •  ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension...  ...inpatient authorizations, Pediatrics, CCS and UM Works with the Utilization Management team primarily responsible... 
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    Integrated Resources

    Long Beach, CA
    2 days ago
  • $8 per hour

     ...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los...  ...process improvement * BLS Preferred: * BSN * Prior work in an ambulatory healthcare setting * ACLS Primary... 
    Hourly pay
    Contract work
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    Zenex Partners

    Los Angeles, CA
    4 days ago
  •  ...Where You’ll Work Dignity Health Medical Foundation, established...  ...***This position is work from home within driving distance of...  ...inpatient admissions and concurrent review for appropriate level of care...  ..., care coordination with Utilization management as related to referrals... 
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    Unavailable

    Rancho Cordova, CA
    2 days ago
  • $35 - $41 per hour

    Job Title: Utilization Review - FULLY REMOTE Job Description This role involves performing precertification...  ...review experience is a plus. Work Environment The position requires an initial...  ...person. The role is primarily work-from-home, ideally located within 2 hours of the... 
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    Actalent

    Atlanta, GA
    4 days ago