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$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
Providence, RI2 days ago$35 - $41 per hour
...Utilization Review - Fully Remote This role involves performing precertification and medical necessity... ...review experience is a plus. Work Environment: The position requires an... ...person. The role is primarily work-from-home, ideally located within 2 hours of the regional...Work from homePermanent employmentContract workTemporary workWork at officeRemote workActalent
Mission Viejo, CA2 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
Chicago, IL2 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, OH2 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...Work from homeFull timeRemote work
Iapetus Holdings LLC
Pontiac, MI4 days 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, SC5 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...SuggestedRelocation packageUniversity of Maryland Medical System
Capitol Heights, MD2 days ago- ...coordinating, integrating, and monitoring the utilization of behavioral health (BH) services... ...cases to the Medical Director for review. Refer to and work closely with Case Management to... ...care. Collaborates with hospital, home care, care management, and other providers...SuggestedContract workWork at office
Excellus Health Plan
Rochester, NY3 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...SuggestedHourly payFull timeWork experience placementWork at officeRemoteOnline
San Francisco, CA3 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...Work from homeRemote work
Easy Recruiter
United States4 days ago $2,118.2 - $2,213.2 per month
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Middleburg Heights, Ohio. Job... ...about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare...SuggestedHourly payWeekly payContract workShift workGQR Healthcare
Middleburg Heights, OH15 days ago$3,579 per month
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description... ...aligning with your goals, values, and the way you want to work. \n \nAs an award-winning talent partner, we support...SuggestedHourly payWeekly payContract workShift workGQR Healthcare
Los Angeles, CA2 days ago- ...Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance... ...and outcomes. Will function as the clinical lead, working alongside state plan president as the team interfaces with state...SuggestedRemote job
Vivo HealthStaff
Carteret, NJ25 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...SuggestedContract workWork at officeRemote workShift work
Integrated Resources
Long Beach, CA4 days ago $2,366 per week
...• Start Date: • 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 required. NO FIRST...SuggestedPermanent employmentTemporary workLocal areaShift workWeekend workProtouch Staffing
Kinston, NC4 days ago$3,050 per week
...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...Weekly payLong term contractPermanent employmentContract workTemporary workWork at officeShift workLanceSoft
Tuba City, AZ3 days ago$3,200 per week
...exp) ~ Knowledge of case management & utilization review About LanceSoft Established in 20... ...Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing... ...Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics...Weekly payLong term contractPermanent employmentTemporary workWork at officeShift workLanceSoft
Tuba City, AZ1 day ago$2,506 per week
...rewarding journey with GLC - a recruiter will connect quickly to review pay , start date , and assignment details so you can... ...amount to be determined. Posted job title: AZ - RN Case Management/Utilization Review About GLC On-The-Go GLC is more than just a...Weekly payFull timeContract workReliefLocal areaRelocation packageShift workGLC On-The-Go
Tuba City, AZ1 day ago$2,952 per week
...factors can influence your total pay.* AZ - RN Case Management/Utilization Review in Tuba City, AZ LeaderStat is currently seeking a AZ -... ..., would be 1 weekend a month 1 year of experience working as a full-time Registered Nurse Clinical experience...Weekly payFull timeContract workInterim roleMonday to FridayShift workWeekend workLeaderStat
Tuba City, AZ5 days ago$2,400 per week
...care. This includes patient assessment, discharge planning, utilization review, and collaboration with interdisciplinary teams to ensure timely... .... The RN Case Manager promotes patient advocacy and works to optimize clinical and financial outcomes through effective...Permanent employmentTemporary workWork at officeShift workProtouch Staffing
Kinston, NC2 days ago$3,345 per week
...thrive, partners trust us, and healthcare staffing gets smarter. RN Case Manager with experience as follows: Must have strong Utilization Review and InterQual experience REQUIRED! Conducting patient initial assessments Acute Care hospital experience EPIC EMR...Monday to FridayShift workCatalytic Solutions, Inc.
Greenbrae, CA9 hours ago- ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to... ...members’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced clinical...Full timeRemote work
IntePros
Philadelphia, PA2 days ago - ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using...Full timeWork at officeRemote workShift workWeekend workWeekday work
Netsmart
Winston Salem, NC3 days ago - ...about joining an organization working hard to put its members first... ...to work remotely from your home location*, with the expectation... ...Senior Medical Director for Utilization Management (UM), you will be... ...performing UM and appeals case reviews, to driving employee...Work from homePermanent employmentH1bWork at officeRemote work
Wellmark, Inc.
Sioux Falls, SD10 days ago - ...every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high quality, cost efficient medical outcomes...Work at officeRemote work
Maine Staffing
Portland, ME1 day ago - ...Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization... ...-effective, and compliant delivery of home health care. This role monitors... ...Self-directed, flexible, and able to work independently with minimal supervision....Remote workFlexible hoursWeekend work
IntePros
Phoenix, AZ3 days ago $85 per hour
...Immediate RN Clinical Consultant - ADA Medical Accommodation Review remote contract opportunity. This is a 100% remote/work from home position. Pay Rate: $85.00/hr Work Details: Monday to Friday / 40 hours per week Work from home/remote position...Work from homeContract workImmediate startRemote workMonday to FridayKMG Healthcare
Cleveland, OH4 days ago$12.74k - $15.95k
...based on the number of hours worked in the pay period. Under... ...Nursing Consultant, Program Review (NCPR) is responsible for supporting... ...perhaps even call Elk Grove home. Up to 80% t ravel is... ...investigation process utilizing Live Scan Fingerprinting....Permanent employmentFull timePart timeWork at officeRemote workState of California
Elk Grove, CA4 days ago$1,000 per month
...contract, with opportunities for ongoing work for high performers. Role Overview As... ...choose when you want to work. ~ Work from home test websites from the comfort of your... ...Anonymous, Glassdoor (2025) Read more reviews on Glassdoor , Trustpilot , and Google...Work from homeExtra incomeTemporary workSecond jobCurrently hiringImmediate startFlexible hoursLittle Wheel
Wilkes Barre, PA2 days ago$56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full- time and will work 8-hour, Day shifts. Providence Holy Cross Medical Center is four-time designated for Magnet® status, the highest recognition...Full timeRemote workShift workDay shiftProvidence Health & Service
Mission Hills, CA1 day ago
