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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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    Centene Corporation

    Sacramento, CA
    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
  • Hematology/Oncology Physician - Utilization Review Remote - Flexible Independent Contractor (1099) Opportunity...  ...complete No minimum case requirements - work as much or as little as you’d like Additional Details Remote, work‑from‑home position - work anywhere in the U.S.... 
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    Medical Review Institute of America

    Dallas, TX
    5 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
  •  ...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

    New York, NY
    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
    20 days ago
  •  ...Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our...  ...interested in supplemental income and non-traditional work, while continuing their active clinical practice.... 
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    Dane Street

    New York, NY
    2 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
  • $1,966 per week

     ...looking for a change? Want to work no nights, no weekends, and no...  ...holidays? Be able to work from home 50% of the time once trained?...  ...DESCRIPTION: This individual will utilize clinical knowledge and...  ...defer decision to a second level reviewer. This individual interfaces with... 
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    Hines

    Rockford, IL
    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
  • $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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    KLDiscovery India

    Virginia, MN
    3 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,... 
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    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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    Iapetus Holdings LLC

    Pontiac, MI
    2 days ago
  •  ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully...  ...case - predictable, supplemental income Work remotely from anywhere you choose Set your... 
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    Dane Street, LLC

    Jackson, MS
    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
  •  ...~ 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
  • $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
  •  ...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... 
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    Spectrum Billing Solutions

    Skokie, IL
    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
  •  ...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
  • $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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    Quadrant Health Group

    Boca Raton, FL
    26 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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    Zero hours contract
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    Prime Staffing

    Tuba City, AZ
    4 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
  •  ...1st week and then will be deployed to work from home. Will provide the equipment. Nice To Have...  ...of our members. Responsibilities: Reviews and evaluates medical or behavioral eligibility...  ...management program interventions. Utilizes clinical proficiency, claims knowledge/... 
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    US Tech Solutions

    Columbia, SC
    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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    Full time
    Work experience placement
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    RemoteOnline

    San Francisco, CA
    1 day 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
  •  ...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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    2 days per week

    Berkshire Hathaway Homestate Companies

    Omaha, NE
    3 days ago
  • Job Description JOB TITLE Utilization Review Specialist I REPORTS TO Utilization Review Manager STATUS FT, Non-Exempt WAGE...  ...Grade 13 (2024) DEPARTMENT Utilization Review WORK LOCATION Roseburg, Or   POSITION PURPOSE The Utilization... 
    Full time
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    Local area
    Immediate start
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    Monday to Friday
    Flexible hours
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    Umpqua Health

    Roseburg, OR
    19 days 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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    First Connect Health

    Greenbrae, CA
    3 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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    Gainwell Technologies LLC

    North Carolina
    12 hours ago