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  • Utilization Reviewer 2

    $59.24k - $76k

     ...edge technology, or providing clinical services you'll work alongside dedicated professionals who share your...  ...license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization review on workers... 
    Work from home
    Full time
    Part time
    Local area
    Remote work
    Flexible hours

    Enlyte

    Arlington, TX
    2 days ago

  • Utilization Review RN

     ...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... 
    Work from home
    Temporary work
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Hines & Associates Inc

    Freeport, IL
    20 hours ago

  • Physician / Internal Medicine / California / Permanent / Remote Utilization Review Medical Director for Medicare Advantage - Sacramento, California Job

    $275k - $300k

     ...MediCare service line 100% administrative, non-clinical role Work from home, but candidate must be within reasonable driving distance...  ...CME, PTO Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA... 
    Work from home
    Permanent employment
    Full time
    Remote work
    Monday to Friday

    Integrity Healthcare...

    Sacramento, CA
    14 hours ago

  • staff - Registered Nurse (RN) - Case Manager, Utilization Review - $45-62 perhour

     ...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job...  ...career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry... 
    Work from home
    Full time
    Immediate start
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    4 days ago

  • Regional Utilization Review Documentation Specialist (RN)

    $78.54k - $121.72k

     ...Type: 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... 
    Suggested
    Full time
    Work at office
    Local area
    Shift work
    Day shift

    Trinity Health

    Maywood, IL
    8 hours ago

  • Utilization Review Specialist (in-office only)

    $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... 
    Suggested
    Full time
    Work at office
    Remote work

    Quadrant Health Group

    Boca Raton, FL
    2 days ago

  • Utilization Review Nurse

     ...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... 
    Work from home
    Full time
    Local area
    Remote work

    VillageCare

    New York, NY
    1 day ago

  • After Hours Behavioral Health Utilization Management Reviewer

     ...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non-traditional hours to provide access to medical necessity determinations for urgent and contractually required coverage requests 24/7, 365 days a year.... 
    Suggested
    Remote work
    Flexible hours
    Saturday

    AmeriHealth Caritas

    Newtown Square, PA
    2 days ago

  • Utilization Management Reviewer

     ...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... 
    Suggested
    Remote work
    Monday to Friday
    Flexible hours
    Afternoon shift

    AmeriHealth Caritas

    Newtown Square, PA
    3 days ago

  • Pediatric Utilization Management Reviewer

     ...services including skilled nursing and home health aide services, medical daycare...  ...approved services are provided. Our Utilization Management Reviewers cultivate and maintain relationships...  ...member reaches their 21st birthday. ; Work Arrangement:; Remote role.... 
    Suggested
    Contract work
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    AmeriHealth Caritas

    Newtown Square, PA
    4 days ago

  • Travel Women's Health Utilization Review Coordinator - $2,115 per week

    $12 per hour

     ...Travel Women's Health Utilization Review Coordinator - $2,115 per week at Voca Healthcare summary: This role is a travel nursing position...  ...to help nursing professionals grow their careers while working across the United States. Voca Healthcare is seeking a travel... 
    Suggested
    Weekly pay
    Full time
    Zero hours contract
    Immediate start
    Flexible hours
    Shift work

    Voca Healthcare

    Fremont, CA
    1 day ago

  • Travel Women's Health Utilization Review Coordinator - $2,613 per week

    $12 per hour

     ...Travel Women's Health Utilization Review Coordinator - $2,613 per week at GetMed Staffing, Inc. summary: This position is for a Travel...  ...during a 13-week travel assignment in Fremont, California, working 36 hours per week with 12-hour day shifts. The position requires... 
    Suggested
    Zero hours contract
    Shift work
    Day shift

    GetMed Staffing, Inc.

    Fremont, CA
    1 day ago

  • Utilization Clinical Reviewer

    $86k - $110k

     ...We offer remote work opportunities (AR, AZ, CO, FL, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR,...  ...Affiliated are encouraged to apply! Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness... 
    Suggested
    Contract work
    Temporary work
    Interim role
    Work at office
    Local area
    Remote work
    Shift work

    Triwest Healthcare

    Phoenix, AZ
    1 day ago

  • Long Term Services & Support Reviewer Utilization Management

     ...(LTSS) Supervisor, the LTSS Reviewer is responsible for completing...  ...inpatient and outpatient services, working closely with Service...  ...Personal Assistance Services (PAS), home care (skilled) services,...  ...received, nature of the request, utilization determination (and events... 
    Suggested
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Newtown Square, PA
    2 days ago

  • Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week

    $2,690 per week

     ...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse...  ...serving as a Case Manager specializing in Utilization Review, working 40 hours per week on 8-hour shifts for a 13-week travel... 
    Suggested
    Weekly pay
    Full time
    Immediate start
    Remote work
    Shift work

    Travel Nurses, Inc.

    Bozeman, MT
    3 days ago

  • RN Utilization Management Reviewer

    $38.49 - $47.05 per hour

     ...healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may...  ...optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical... 
    Hourly pay
    Work at office
    Remote work
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    3 days ago

  • Senior Utilization Review Coordinator II (PT)

    Job Summary: Conducts reviews of medical records and treatment plans to evaluate and...  ...across the continuum of care. Identifies utilization trends, leads efforts for improvement initiatives...  ...monitors progress and results. Develops work plans to meet business priorities and... 
    Local area

    Kaiser Permanente

    Pleasanton, CA
    5 days ago

  • Registered Nurse (RN) - Case Manager, Utilization Review - $45-62 per hour

    $45 - $62 per hour

     ...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job...  ...career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry... 
    Work from home
    Hourly pay
    Immediate start
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    2 days ago

  • Utilization Review Coordinator

     ...Job Description Description: Conifer Park is looking for an Utilization Review Coordinator to join the Medical Records team at our site in...  ...wages, benefits, and a pension plan in a supportive working environment. Background checks, pre-employment & drug screenings... 

    Conifer Park Inc.

    Schenectady, NY
    10 days ago

  • Desk Review Specialist

     ...Desk Review Specialist Kemper is one of the nations leading specialized...  ...challenge, and a healthy work-life balance can be highly...  ...most cost-effective parts were utilized within industry standards....  ...onsite with occasional work from home opportunities out of our local... 
    Work from home
    Work experience placement
    Casual work
    Work at office
    Local area

    Kemper

    Dallas, TX
    2 days ago

  • Travel RN Case Manager, Utilization Review & Discharge Planning - $3,276 perweek

     ...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills 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 employment
    Temporary work
    For contractors
    Zero hours contract
    Immediate start
    Shift work

    Prime Staffing

    Quincy, CA
    2 days ago

  • Travel RN Case Manager, Utilization Review & Discharge Planning - $3,115 perweek

     ...tax-free stipend amount to be determined. Posted job title: RN:Utilization Review,07:00:00-19:00:00 About Voca Healthcare As a Voca...  ...to support you. Voca’s experienced and dedicated travel team works in concert with you every step of the way. Our long-standing... 
    Weekly pay
    For contractors
    Zero hours contract
    Immediate start
    Shift work

    Voca Healthcare

    Quincy, CA
    2 days ago

  • Clinical - Clinical Review Nurse - Concurrent Review

     ...compact RN license that would work with Texas) Shift: They...  ...team is working to complete review Should have a 10 -12 caseload...  ...systems according to utilization management policies and guidelines...  ...necessity all day. Will work from home with multiple monitors and... 
    Work from home
    Contract work
    Remote work
    Flexible hours
    Shift work
    Weekend work
    Sunday
    Saturday

    Axelon

    Texas City, TX
    4 days ago

  • Medical Bill Reviewer I

    A Medical Bill Reviewer I will perform activities related to the accurate...  .... Additionally, you’ll: Utilize knowledge of medical coding...  ...preferred. ~1-3+ years of related work experience in a medical office...  .... Monday and Friday work from home if you choose to, Tuesday... 
    Work from home
    Work experience placement
    Work at office
    Immediate start
    Home office
    Monday to Friday

    Sentry Insurance

    Stevens Point, WI
    8 hours ago

  • Travel RN Case Manager, Utilization Review & Discharge Planning - $3,020 perweek

     ...tax-free stipend amount to be determined. Posted job title: Utilization Review Case Manager About Anders Group WHY ANDERS? Anders Group...  ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates!... 
    For contractors
    Immediate start
    Shift work

    Anders Group

    Quincy, CA
    2 days ago

  • Utilization Review RN

    $51.43 - $79.84 per hour

     ...Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well...  ...actively participates in process improvement initiatives, working with multiple departments and multi-disciplinary staff. This... 
    Daily paid
    Full time
    Live in
    Local area
    Remote work
    Shift work
    Day shift

    Providence Health and Services

    Seattle, WA
    1 day ago

  • Utilization Review Nurse (Injured Workers)

     ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must live in the state of Florida or Texas Job Purpose: Review Workers Compensation requests submitted... 
    Work from home
    Live in
    Remote work

    Elite

    Tampa, FL
    11 days ago

  • Travel Nurse RN - Case Manager, Utilization Review - $3,539 per week

     ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description...  ...• Orientation every Monday • Local travelers welcome **Work Environment:** • Scrub Color: Royal/Navy Blue • PPE... 
    Contract work
    For contractors
    Local area
    Shift work
    Sunday
    Day shift

    GQR Healthcare

    Los Angeles, CA
    4 days ago

  • RN Utilization Reviewer Full Time 40 hours

     ...Shift 1st Shift (Days) Description Registered Nurse Utilization Reviewer At Bristol Health, we begin each day caring today for...  ...The appropriate Nurse Utilization Reviewer will have a strong working knowledge of nationally recognized criteria sets including... 
    Full time
    Shift work
    Day shift

    BRISTOL HOSPITAL GROUP

    Bristol, CT
    2 days ago

  • Travel RN Case Manager, Utilization Review & Discharge Planning

     ...contract position in Quincy California . This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Critical Access Hospital RN, Utilization Review RN . The ideal candidate will possess a current state license as a RN and have at least 2 years of recent experience as a... 
    Weekly pay
    Contract work
    Zero hours contract
    Immediate start
    Shift work

    Assured Nursing

    Quincy, CA
    4 days ago