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- ...Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review... ...medical and healthcare plan guidelines. Work remotely with flexible hours, as little... ...equipment. Role is remote (work-from-home). Legal and Privacy California...Work from homeFull timeContract workFor contractorsWork at officeRemote workFlexible hours
Medical Review Institute
United States4 days ago - ...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... ...to be a remote position (work-from-home). Seniority level ~ Mid-Senior level...Work from homeFull timeContract workFor contractorsWork at officeRemote workFlexible hours
Medical Review Institute
Dallas, TX3 days ago - ...to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of America... ...you prefer. Why Consider Peer Review Work? Stay up-to-date on clinical... ...Additional Details Remote, work-from-home positionwork anywhere in the U.S....Work from homeFor contractorsReliefRemote workFlexible hours
Medical Review Institute
United States7 hours agonew $85k - $121.96k
...A prominent healthcare organization is seeking a Behavioral Health Quality and Utilization Review Consultant I. This mid-senior level role involves reviewing mental health assessments and conducting quality management studies. Candidates should have a relevant healthcare...SuggestedNational Association of Latino Healthcare Executives
Rancho Cordova, CA3 days ago$35 - $45.94 per hour
...Utilization Review Nurse Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization... ...the Supervisor, Utilization Review. Work Location: This is a remote position,... ...daily work will be completed from your home office, occasional travel may be...Work from homeHourly payFull timeRemote workHome officeOscar Health
Dallas, TX4 days ago- ...Utilization Management Nurse Reviewer The Utilization Management Nurse Reviewer plays a crucial role in healthcare... ...PRN nurses will be required to work at least one weekend per month, one major... ...and computer work. Work From Home Technical Requirements: Supply and...Work from homeReliefWork at officeFlexible hoursShift workWeekend work
Dane Street
Scranton, PA1 day ago - ...as a Full-Time Commercial Documentation Review Specialist I and immerse yourself in an... ...least 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 homeFull timeFlexible hours2 days per week1 day per week
Mercantile Bank
Grand Rapids, MI9 days ago - ...Long Term Services And Supports Reviewer Your career starts now. We... ...and outpatient services, working closely with Service Coordinators... ...Assistance Services (PAS), home care (skilled) services,... ...received, nature of the request, utilization determination (and events leading...SuggestedRemote workFlexible hours
AmeriHealth Caritas
Columbus, OH3 days ago - ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 12/08/2025 ~ Duration: 13 weeks ~40...SuggestedRemote workShift work
MSSI
Minneapolis, MN10 days ago $38.49 - $47.05 per hour
## **The Role** The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing... ...promote optimal health.This position is self-directed and works independently and collaboratively to facilitate care using...SuggestedWork at officeRemote workFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA1 day ago- ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 12/08/2025 ~ Duration: 13 weeks ~40...SuggestedRemote workShift workAfternoon shift
MSSI
Minneapolis, MN10 days ago $15 per hour
...the data it’s trained on. That’s why we work with contributors from all over the world... ...structured way. Evaluate AI outputs by reviewing and ranking reasoning and problem-solving... ...hours/week, up to 40 hours working from home Join a global community of Coding experts...Work from homeWeekly payFreelanceRemote workFlexible hoursOutlier AI
New York, NY13 hours 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...Work from homeFull timeRemote work
Iapetus Holdings LLC
Pontiac, MI13 hours ago $23 per hour
...Carolina. Must be willing to work on site the first 1-2 weeks... ...Title: Medical Claims Reviewer Location: SC (preferably within... ...established criteria and managing utilization of professional, inpatient,... ...weeks followed by work from home. Key Responsibilities...Work from homeRemote jobFor contractorsCEI
Columbia, SC11 days ago$40.61 - $60.96 per hour
.... We are currently seeking a dedicated Utilization Reviewer to join our dynamic team. Why Choose... ...resources, strong EAP services, and a healthy work-life balance in a supportive... ...CPUR) preferred. Additional experience in home health, ambulatory care, and/or occupational...SuggestedPart timeRelocation packageUniversity of Maryland Medical System
Largo, MD11 days ago- ...partners trust us, and healthcare staffing gets smarter. RN Case Manager with experience as follows:\n\nMust have strong Utilization Review and InterQual experience REQUIRED!\nConducting patient initial assessments\nAcute Care hospital experience\nEPIC EMR documentation...Shift work
Catalytic Solutions
Greenbrae, CA10 days ago - ...have experience with and proficient at Midas, InterQual, and Microsoft Office programs. Experience with discharge planning AND utilization review. Minimum of 3 years hospital experience. Must have recent experience with Interqual (within past 6 months)\n\n\nEMR: Cerner\n...Work at officeShift work
Genie Healthcare
Chandler, AZ7 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...Permanent employmentTemporary workZero hours contractImmediate startShift work
Prime Staffing
Greenbrae, CA16 days ago $2,292.99 - $2,387.99 per month
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Chandler, Arizona. Job Description... ...aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare...Hourly payWeekly payContract workShift workGQR Healthcare
Chandler, AZ7 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...Hourly payWeekly payContract workTemporary workImmediate startShift work
MedPro Healthcare Staffing
Greenbrae, CA16 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 payFull timeWork experience placementWork at officeRemoteOnline
San Francisco, CA4 days ago$15 per hour
...the data it’s trained on. That’s why we work with contributors from all over the world... ...structured way. \n Evaluate AI outputs by reviewing and ranking reasoning and problem-solving... ...hours/week, up to 40 hours working from home \n Join a global community of...Work from homeRemote jobWeekly payFreelanceFlexible hoursOutlier AI
Washington DC5 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,...Shift work
HonorVet Technologies
Syracuse, NY5 days 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 timeRemote work
IntePros
Philadelphia, PA24 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...Hourly payWeekly payContract workTemporary workShift workGQR Healthcare
Rapid City, SDa month 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...Hourly payWeekly payContract workShift workGQR Healthcare
Medford, WI14 days 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 &...Work from homeFull timePart timeWork at officeRemote workFlexible hours2 days per weekConcentric Energy Advisors
Washington DC9 days ago$2,319.4 - $2,414.4 per month
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Clearlake, California. Job Description... ...aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare...Hourly payWeekly payContract workShift workGQR Healthcare
Clearlake, CA11 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...Weekly payLong term contractTemporary workLocal areaImmediate startShift work
First Connect Health
Greenbrae, CA16 days ago $54 per hour
...accredited school of nursing as a registered nurse. · Must have ED utilization management experience or strong (2+ years) of Utilization... ...ED, or case management) Strong understanding of utilization review/utilization management principles Familiarity with InterQual...Remote workShift workWeekend workDay shiftAfternoon shiftMSSI - Medical Staffing Solutions, Inc.
Minneapolis, MN15 days ago
