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- ...Job Description Utilization Review Coordinator Supervisory Role - Behavioral Health. Napa... ...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...SuggestedFull timePart time
Napa County
Napa, CA9 days ago - ...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non-traditional hours to provide access to medical necessity determinations for urgent and contractually required coverage requests 24/7, 365 days a year....SuggestedRemote workFlexible hoursSaturday
AmeriHealth Caritas
Newtown Square, PA4 days ago - ...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...SuggestedExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States1 day 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...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States3 days ago - ...(LTSS) Supervisor, the LTSS Reviewer is responsible for completing... ...inpatient and outpatient services, working closely with Service... ...Personal Assistance Services (PAS), home care (skilled) services,... ...received, nature of the request, utilization determination (and events...SuggestedRemote workFlexible hours
AmeriHealth Caritas
Newtown Square, PA4 days ago - ...RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside... ...Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY... ...position from the comfort of your own home as you will be responsible for the assessment...Work from homeFull timeLocal areaRemote work
VillageCare
New York, NY3 days ago $38.49 - $47.05 per hour
...healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may... ...optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical...SuggestedHourly payWork at officeRemote workFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA6 hours 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...Work from homeFull timeContract workWork at officeRemote workFlexible hoursGainwell Technologies
Wilmington, NC4 days ago- ...Job Summary The UR Reviewer 1 is responsible for performing inpatient admission... ...accredited School of Nursing or Social Work. ~ Experience ~2 years experience... ...related field (i.e. 3rd party payer) ~ Utilization review experience preferred....Suggested
Children's of Alabama
Birmingham, AL3 days ago $40.61 - $60.96 per hour
...Under general supervision, provides utilization review and denials management for an assigned patient... ...the general nature and level of work being performed by staff assigned to this... ...CPUR) preferred. Additional experience in home health, ambulatory care, and/or occupational...SuggestedRelocation packageUniversity of Maryland Medical System
Upper Marlboro, MD3 days ago- ...Description American Traveler is seeking a CA-licensed RN Case Manager with strong Utilization Review and InterQual experience for a weekday hospital assignment. Responsibilities Work in an acute care hospital setting Monday through Friday schedule, 0730 to 16...SuggestedDaily paidFor contractorsMonday to FridayShift workWeekday work
American Traveler
Greenbrae, CA3 days ago $51.43 - $79.84 per hour
...Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well... ...actively participates in process improvement initiatives, working with multiple departments and multi-disciplinary staff. This...SuggestedDaily paidFull timeLive inLocal areaRemote workShift workDay shiftProvidence Health and Services
Bellevue, WA10 hours ago- ...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job... ...career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry...Work from homeImmediate startShift work
Medical Solutions Direct Hire
White Plains, NY1 day ago $113 per hour
...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $113 - (875... ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates! \...SuggestedShift workAnders Group
Greenbrae, CA4 days ago- ...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...SuggestedHourly payFull timeWork experience placementWork at office
RemoteOnline
San Francisco, CA1 day ago - ...Shift 1st Shift (Days) Description Registered Nurse Utilization Reviewer At Bristol Health, we begin each day caring today for... ...The appropriate Nurse Utilization Reviewer will have a strong working knowledge of nationally recognized criteria sets including...Full timeShift workDay shift
BRISTOL HOSPITAL GROUP
Bristol, CT4 days ago - ...Job Description GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Mission Viejo, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 11/03/2025...Contract workShift work
GQR Healthcare
Mission Viejo, CA1 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...Weekly payLong term contractTemporary workLocal areaShift work
First Connect Health
Greenbrae, CA4 days ago - ...Type: Per Diem Time Type: Part time Work Shift: Day (United States of America)... ...Lahey Hospital and Medical Center. The Utilization Analyst works with physicians, the payers... .... Using the concepts of utilization review, clinical documentation improvement and revenue...Daily paid16 hoursPart timeShift workWeekend work
Beth Israel Lahey Health
Burlington, MA1 day ago - ...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, AR6 days ago - ...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...Permanent employmentTemporary workZero hours contractShift work
- ...Description: - Must have strong Utilization Review and InterQual experience REQUIRED! - Conducting... ...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 payLong term contractPermanent employmentTemporary workWork at officeShift work
- ...About the job Remote Data Entry Assistant - Work From Home Role Review The Information Entry Operator is accountable for refining youngster... ...as treatments Have strong interpersonal skill-sets utilizing refinement, perseverance as well as good behavior...Work from homeRemote workSundayAfternoon shift
Jobsultant Solutions
United States1 day ago $40 per hour
...Candidates must be based in TX. RN working in the insurance or managed care industry... ...responsible for performing initial, concurrent review activities; discharge care coordination... .... Provides information regarding utilization management requirements and operational...Full timeContract workWork at officeRemote workHireOps Staffing LLC
Dallas, TX2 days ago- ...millions of people live healthier lives. The work you do with our team will directly improve... .... The role of the Psychologist Peer Review involves applying clinical criteria and... ...Rehabilitation, Targeted Case Management, Home Based Habilitation, Supported Employment,...Work from homePart timeWork at officeLocal areaRemote work
Optum
Houston, TX2 days ago - ...Description American Traveler has an immediate opening for a Travel RN Case Management/Utilization Review Case Management job in Greenbrae, California. RN travelers who work with us receive a highly competitive pay and benefits package. You'll enjoy the personalized...Daily paidTemporary workImmediate startShift work
$113 per hour
...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $113 - (875... ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates!...Shift work$86k - $154.7k
...Centene is Hiring – Remote Psychologist Reviewer (ABA) Centene is seeking a Remote Psychologist... ...100% remote flexibility · Meaningful work improving care for youth with Autism ·... ...education on best practice models and utilization management processes ~ Interact with...Full timePart timeWork at officeRemote workFlexible hoursCentene
Anderson, IN26 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 timeWork at officeRemote workFlexible hours
- ...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...Price workExtra incomeContract workFor contractorsRemote work
