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- ...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, TX4 days ago $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, CA4 days ago- ...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 States5 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 States18 hours 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
Victorville, CA18 hours 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
Bakersfield, CA19 hours ago $60k - $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...SuggestedFull timeWork at officeRemote workQuadrant Health Group
Boca Raton, FL5 days 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, MI10 days ago $72.48k - $108.72k
...A healthcare organization is seeking a Utilization Manager Registered Nurse to join their team in Massachusetts. The role involves conducting clinical reviews for service authorizations and ensuring compliance with regulatory standards. Candidates must have an Associate...SuggestedRemote workCommonwealth Care Alliance
United States3 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
Augusta, GA4 days ago $26.5 - $47.59 per hour
...on workplace flexibility. Position Purpose: Authorize and review utilization of dental services provided in provider offices, community... ...reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual...SuggestedHourly payFull timeContract workPart timeWork at officeRemote workFlexible hoursAtlanta Staffing
Atlanta, GA5 hours 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, MN11 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 workAfternoon shift
MSSI
Minneapolis, MN11 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, MA2 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
El Paso, TX1 day ago- ...coordinating, integrating, and monitoring the utilization of physical health (PH) medical and... ...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...Contract workLive inWork at officeRemote work
Univera Healthcare
East Syracuse, NY4 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, CA17 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, AZ8 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, AZ8 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, SC12 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, CA11 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
Chandler, AZ6 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...Contract workWork at office
Excellus Health Plan
Utica, NY4 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...Part timeRelocation packageUniversity of Maryland Medical System
Largo, MD12 days ago- ...Utilization Management Reviewer Mental Health Resource Center is looking for a Utilization Management Reviewer to monitor the utilization of clinical... ...provided, crisis stabilization units are a fast paced working environment and present employees with challenging and...Full timeMonday to Friday
Mental Health Resource Center Inc
Jacksonville, FL5 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 complaints...Work from homeFull timeRemote work
Atlas Field Services
Royal Oak, MI9 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, NY6 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
Boston, MA6 days ago- ...Utilization Analyst When you join the growing BILH team, you're not just taking a job, you... ...team is ideally looking for someone who can work upwards of 5 shifts per month. We offer 8... ...care. Using the concepts of utilization review, clinical documentation improvement and...Daily paid16 hoursShift workWeekend work
Beth Israel Lahey Health
Burlington, MA3 days ago - ...Onsite Position Position Purpose: Works in partnership with physicians, nurse case managers... ...for the corresponding level of care utilizing evidence-based criteria.... ...Discharge Planning, and Case Management. Reviews the appropriateness of Severity Index/Intensity...Contract workWork experience placementFlexible hours
DOCTORS HEALTHCARE PLANS, INC.
Miami, FL2 days ago
