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  •  ...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...  ...decision to a second level reviewer. This individual interfaces with... 
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    Hines & Associates Inc

    Rockford, IL
    2 hours ago
  • $49.23 per hour

     ...Contemporary Staffing Solutions is seeking a Utilization Review Nurse to join our client to support the...  ...Compensation: $49.23 per hour Work Schedule: Monday through Friday,...  ...Onsite Tuesday through Thursday; work from home Monday and Friday. Key... 
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    CSS Scientific

    Philadelphia, PA
    9 days ago
  •  ...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... 
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    Napa County

    Napa, CA
    18 days ago
  • 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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    Medical Review Institute of America

    Dallas, TX
    5 days ago
  • Overview 1099 Utilization Review work for Radiation Oncologists - Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...case requirements Additional Details Remote, work-from-home position - work anywhere in the U.S. Independent contractor... 
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    Full time
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    Medical Review Institute of America

    Dallas, TX
    5 days ago
  • Join to apply for the PRN - Remote ENT Utilization Review Work role at Medical Review Institute of America Flexible Independent Contractor (109...  ...little as you’d like Additional Details Remote, work-from-home position—work anywhere in the U.S. Covered by MRIoA's Errors... 
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    Medical Review Institute of America

    Dallas, TX
    2 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

    United States
    2 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... 
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    Dane Street

    United States
    5 days ago
  • $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
    2 days ago
  •  ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient...  ...;Utilization Management Reviewer must maintain a strong working knowledge of federal, state, and organizational regulations... 
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    Monday to Friday
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    Afternoon shift

    AmeriHealth Caritas

    Newtown Square, PA
    4 days ago
  • Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be among the...  ...case requirements Additional Details Remote, work-from-home position—work anywhere in the U.S. Covered by MRIoA’s Errors... 
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    Medical Review Institute of America

    Dallas, TX
    2 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... 
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    VillageCare

    New York, NY
    2 days ago
  •  ...we serve. Job Title: Michigan Utilization Review Nurse (Precertification) - LPN Location...  ...sound clinical decisions # Ability to work independently # Ability to provide...  ...Job Type: ~ Full Time; home based Required Education: Graduate... 
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    Medlogix

    United States
    2 days ago
  •  ...Bring your true colors to blue. The Role The RN Clinical Utilization Reviewer is responsible for facilitating care for members who may...  ...promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care using... 
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    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    3 days ago
  •  ...Job Description Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job...  ...criteria experience.\nMust have acute care experience.\nMust work every other major holiday.\n\n1+ year(s) of experience in matching... 
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    Talent4Health

    Cambridge, MA
    2 days ago
  •  ...Description Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts....  ...criteria experience.\nMust have acute care experience.\nMust work every other major holiday.\n\n1+ year(s) of experience in... 
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    Talent4Health

    Cambridge, MA
    2 days ago
  • Overview The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical...  .... PRN nurses will be required to work at least one weekend per month, one...  ...and computer work. Work From Home Technical Requirements Supply and support... 
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    Dane Street

    Washington DC
    1 day ago
  • $78.54k - $121.72k

     ...** Full time **Shift:** Day Shift **Description:** Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal...  ...Regional Utilization Review Documentation Specialist** nurse works with the multidisciplinary team including physicians, staff... 
    Full time
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    Local area
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    Trinity Health

    Maywood, IL
    3 days ago
  •  ...Job Description Utilization Review Nurse **This is a full-time, onsite role in El Monte, CA...  ...Hybrid No Remote** Schedule: 35-hour work week Hours: 8:30am-4:30pm with an hour...  ...outpatient services, special procedures and home care to assess the medical necessity and... 
    Full time
    Remote work

    Los Angeles County Firefighters Local 1014 Health Plan

    El Monte, CA
    13 days ago
  •  ...Job Description Position Title: Utilization Review Nurse Location: Fully Remote Position...  ...cost-effective, and compliant delivery of home health care. This role monitors...  ...Self-directed, flexible, and able to work independently with minimal supervision.... 
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    Weekend work

    IntePros

    Phoenix, AZ
    25 days ago
  • $28 per hour

     ...jurisdiction and desire an engaging work environment where they are...  ...an ongoing need for Document Reviewers. Document Reviewers will...  ...Position Details Remote work-from-home opportunity Pay rate: $28 per...  ...later is required. Proficiency in utilizing modern technology, especially... 
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    Monday to Thursday
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    KLDiscovery

    Mc Lean, VA
    2 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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    2 days per week
    1 day per week

    Mercantile Bank

    Grand Rapids, MI
    1 day ago
  •  ...trusted partner in innovation. Medical Review Nurse (Temporary Contract, Remote) We...  ...– 4:30 PM Location: Remote U.S. (Work from home) Requirements for Remote Work: High-...  ...experience plus two years of experience with utilization/medical review, quality assurance or... 
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    Broadway Ventures

    Baltimore, MD
    27 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... 
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    Dane Street

    Washington DC
    3 days ago
  • $603 per month

     ...Travel RN Case Manager & Utilization Reviewer - $2,659 per week at Nurse First summary: This role is for a Travel Registered Nurse specializing in Acute Care Case Management and Utilization Review on a temporary travel assignment in Kinston, North Carolina. The position... 
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    Nurse First

    Kinston, NC
    7 days ago
  • $2,370 per week

     ...Travel RN Case Manager & Utilization Reviewer - $2,370 per week at Nightingale Nurses summary: This position is for a Travel Registered Nurse...  ...in Acute Care Case Management and Utilization Review, working 40 hours per week for a 13-week assignment in Kinston, NC. The... 
    Full time
    Shift work

    Nightingale Nurses

    Kinston, NC
    7 days ago
  •  ...preferred, but not required. Two years minimum experience in utilization review preferred. Must possess good grammatical and communication...  ...Must be skilled in Microsoft Office applications and have a working knowledge of office equipment. 1.Must be able to read and... 
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    ADDICTION AND MENTAL HEALTH SERVICES, LLC

    Lucedale, MS
    3 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
    Monday to Friday
    Shift work
    Weekday work

    American Traveler

    Greenbrae, CA
    12 days 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! \... 
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    Anders Group

    Greenbrae, CA
    12 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
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    RemoteOnline

    San Francisco, CA
    5 days ago