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  •  ...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.... 
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    Medical Review Institute

    United States
    13 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... 
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    Oscar Health

    Dallas, TX
    5 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... 
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    Dane Street

    Scranton, PA
    1 day ago
  •  ...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in Hawthorne, 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... 
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    Medical Solutions Direct Hire

    Hawthorne, NY
    4 days ago
  •  ...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... 
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    Medical Solutions Direct Hire

    White Plains, NY
    4 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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    AmeriHealth Caritas

    Long Beach, CA
    4 days ago
  • $38.49 - $47.05 per hour

     ...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex...  ...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
    2 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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    University of Maryland Medical System

    Largo, MD
    13 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
    Work experience placement
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    RemoteOnline

    San Francisco, CA
    5 hours 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... 
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    Freelance
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    Outlier AI

    Indianapolis, IN
    5 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... 
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    MSSI

    Minneapolis, MN
    6 days ago
  • $114k - $161k

     ...Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Join to apply...  ..., we immerse our employees in a hard-working, collegial and cooperative culture with the...  ...hybrid model, with flexibility to work from home two days a week. Duties &... 
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    Concentric Energy Advisors

    Washington DC
    5 days ago
  • $38.11 - $98.23 per hour

     ...Utilization Review Analyst - Registered Nurse (Full Time) On-site in Burlington, MA; full time, 40 hours per week with weekend and holiday rotation. The Utilization Analyst works with physicians, payers and the inpatient case management team to validate the medical... 
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    Beth Israel Lahey Health

    Burlington, MA
    13 hours 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... 
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    Outlier AI

    San Francisco, CA
    1 day ago
  • $20.38 - $31.81 per hour

     ...Job Description Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician...  ...and Care Coordination Additionally, the position works closely with the Care Coordination department to support... 
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    Guthrie

    Cortland, NY
    a month ago
  • $2,841 - $3,156 per month

     ...rewarding journey with GLC - a recruiter will connect quickly to review pay , start date , and assignment details so you can...  ...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate...... 
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    GLC On-The-Go

    Greenbrae, CA
    12 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... 
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    Catalytic Solutions

    Greenbrae, CA
    6 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... 
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    Zero hours contract
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    Prime Staffing

    Greenbrae, CA
    12 days ago
  •  ...Employment Type: Travel Position: RN-Case Management (Utilization Review) Location: Chandler, AZ, 85224 Contract: 13 weeks (...  ...Curaspan, we can teach that. They do need to have experience working with an EHR (electronic health record) Ratios: 1 to 20... 
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    3B Healthcare Inc.

    Chandler, AZ
    2 days ago
  • $2,292.99 - $2,387.99 per month

     ...Employment Type: Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Chandler, Arizona Start...  ...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

    Chandler, AZ
    4 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
    2 days ago
  • $54 per hour

     ...accredited school of nursing as a registered nurse. · Must have ED utilization management experience or strong (2+ years) of Utilization...  ...ED, or case management) Strong understanding of utilization review/utilization management principles Familiarity with InterQual... 
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    MSSI - Medical Staffing Solutions, Inc.

    Minneapolis, MN
    11 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... 
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    Easy Recruiter

    United States
    1 day ago
  •  ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential...  ...members’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced... 
    Full time
    Remote work

    IntePros

    Philadelphia, PA
    20 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,... 
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    HonorVet Technologies

    Syracuse, NY
    1 day ago
  • $178.35k - $203.53k

     ...We identify high-value sites, work with landowners and local communities...  ...is seeking a Principal Utility Electrical Engineer to join...  ...deadlines (includes scoping, reviewing, and holding them accountable...  ...policy that supports working from home for part of the week; A... 
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    Full time
    Work at office
    Local area
    Immediate start
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    New Leaf Energy, Inc.

    Boston, MA
    2 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... 
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    Vivo HealthStaff

    New York, NY
    27 days ago
  • $3,130 per week

    Travel RN Case Manager - Utilization Review - $3,130 per week at MedPro Healthcare Staffing summary: This position is for a Travel Registered...  ...between the patient’s family and healthcare organization. Work is administered in a variety of settings, including HMOs, community... 
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    Weekly pay
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    Immediate start
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    MedPro Healthcare Staffing

    Greenbrae, CA
    5 hours ago
  • $3,475 per week

     ...Type: Travel Must have strong Utilization Review and InterQual experience REQUIRED! Conducting...  ...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
    Permanent employment
    Temporary work
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    LanceSoft

    Greenbrae, CA
    5 hours ago
  • $2,622 per week

     ...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

    Greenbrae, CA
    20 hours ago