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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... 
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    Full time
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    Oscar Health

    Dallas, TX
    2 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... 
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    Actalent

    Mission Viejo, CA
    2 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... 
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    Relief
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    Flexible hours
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    Dane Street

    Chicago, IL
    2 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... 
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    Remote work
    Flexible hours

    AmeriHealth Caritas

    Columbus, OH
    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
    4 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... 
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    CEI

    Columbia, SC
    5 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... 
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    Excellus Health Plan

    Rochester, NY
    3 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... 
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    Part time
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    University of Maryland Medical System

    Largo, MD
    5 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
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    RemoteOnline

    San Francisco, CA
    3 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... 
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    GQR Healthcare

    Middleburg Heights, OH
    15 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... 
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    GQR Healthcare

    Los Angeles, CA
    2 days ago
  • $185.48k - $211.67k

     ...Join to apply for the Principal Utility Electrical Engineer role at...  ...We identify high-value sites, work with landowners and local...  ...deadlines (including scoping, reviewing, and holding them accountable)...  ...policy supporting working from home part of the week. ~ Parental... 
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    New Leaf Energy, Inc.

    Boston, MA
    20 hours 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... 
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    Easy Recruiter

    United States
    4 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... 
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    Protouch Staffing

    Kinston, NC
    4 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... 
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    Integrated Resources

    Long Beach, CA
    4 days 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... 
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    Monday to Friday
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    LeaderStat

    Tuba City, AZ
    5 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... 
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    LanceSoft

    Tuba City, AZ
    3 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 employment
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    Protouch Staffing

    Kinston, NC
    2 days 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 time
    Part time
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    IntePros

    Philadelphia, PA
    7 days ago
  •  ...Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New Jersey for a Managed Care Insurance...  ...and outcomes. Will function as the clinical lead, working alongside state plan president as the team interfaces with... 
    Remote job

    Vivo HealthStaff

    Newark, NJ
    25 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 pay
    Long term contract
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    LanceSoft

    Tuba City, AZ
    1 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... 
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    Full time
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    Relocation package
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    GLC On-The-Go

    Tuba City, AZ
    1 day 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 Friday
    Shift work

    Catalytic Solutions, Inc.

    Greenbrae, CA
    10 hours ago
  • $3,000 per month

     ...earn extra income from the comfort of your home? We are looking for motivated individuals...  ...online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and...  ...Choose Us? You have the flexibility to work either from home or in-person, with the option... 
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    Maxion Research

    University, MO
    6 days ago
  • $790 per week

     ...looking for temporary, remote, part-time work. The hours are flexible and no previous experience...  ...commute needed if you choose to work from home. No minimum hours. You can do this part...  ...feedback of their products. You get to review and use new products or services before... 
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    Local area
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    Maxion Research

    Los Angeles, CA
    4 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 time
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    Netsmart

    Winston Salem, NC
    3 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... 
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    Maine Staffing

    Portland, ME
    1 day 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 time
    Remote work
    Shift work
    Day shift

    Providence Health & Service

    Mission Hills, CA
    1 day ago
  • $2,893 per week

     ...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts. Job Description...  ...for a 5x8 schedule assignment. Responsibilities Work in a hospital setting within the CCM Nursing department... 
    Daily paid
    Local area
    Immediate start
    Shift work
    Day shift

    American Traveler

    Boston, MA
    1 day ago
  • $2,732 per week

     ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Barre, Vermont. Job Description...  ...about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare... 
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    Weekly pay
    Contract work
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    GQR Healthcare

    Barre, VT
    5 days ago