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  • Urology - Utilization Review - Contract (1099), Remote

     ...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 home
    Full time
    Contract work
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    Work at office
    Remote work
    Flexible hours

    Medical Review Institute

    Dallas, TX
    4 days ago

  • Remote - Contract (1099) - Otolaryngology (MD or DO) - Utilization Review

     ...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... 
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    Full time
    Contract work
    For contractors
    Work at office
    Remote work
    Flexible hours

    Medical Review Institute

    United States
    5 days ago

  • Behavioral Health Quality & Utilization Review Analyst I

    $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... 
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    National Association of Latino Healthcare Executives

    Rancho Cordova, CA
    4 days ago

  • PRN - Remote UROLOGY Utilization Review

     ...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 home
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    Relief
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    Flexible hours

    Medical Review Institute

    United States
    20 hours ago

  • Utilization Review Nurse

    $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 home
    Hourly pay
    Full time
    Remote work
    Home office

    Oscar Health

    Victorville, CA
    20 hours ago

  • PRN Utilization Review Nurse Reviewer

     ...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
    Work at office
    Flexible hours
    Shift work
    Weekend work

    Dane Street

    Brookhaven, NY
    20 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... 
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    Full time
    Work at office
    Remote work

    Quadrant Health Group

    Boca Raton, FL
    5 days ago

  • Commercial Documentation Review Specialist I

     ...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 home
    Full time
    Flexible hours
    2 days per week
    1 day per week

    Mercantile Bank

    Grand Rapids, MI
    10 days ago

  • Remote RN Utilization Manager Reviewer (MA Only)

    $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... 
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    Remote work

    Commonwealth Care Alliance

    United States
    3 days ago

  • Long Term Services & Support Reviewer Utilization Management

     ...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

    Augusta, GA
    4 days ago

  • Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)

     ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-...  ...supplemental income Fully remote – work from anywhere You control volume and... 
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    Dane Street

    New York, NY
    2 days ago

  • Utilization Management Reviewer - Dental

    $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... 
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    Hourly pay
    Full time
    Contract work
    Part time
    Work at office
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    Flexible hours

    Atlanta Staffing

    Atlanta, GA
    6 hours ago

  • RN Utilization Management Reviewer

    $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... 
    Suggested
    Work at office
    Remote work
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    2 days ago

  • Utility Call Center Representative

     ...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 home
    Full time
    Remote work

    Iapetus Holdings LLC

    Pontiac, MI
    1 day ago

  • Utilization Manager Reviewer, RN (Multiple Openings!)

     ...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... 
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    Live in
    Work at office
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    Univera Healthcare

    East Syracuse, NY
    4 days ago

  • LPN/Medical Reviewer - Remote

    $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 home
    Remote job
    For contractors

    CEI

    Columbia, SC
    12 days ago

  • Medical Reviewer LPN

     ...Schedule: Monday - Friday, 8:30am-5pm. + Onsite training for the first 2 weeks, then work from home. + Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services,... 
    Work from home
    Contract work
    For contractors
    Remote work
    Monday to Friday

    US Tech Solutions

    Columbia, SC
    5 days ago

  • Utilization Management Reviewer, Licensed Behavioral Health (Commercial)

     ...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 work
    Work at office

    Excellus Health Plan

    Utica, NY
    4 days ago

  • Utilization Management Reviewer

     ...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 time
    Monday to Friday

    Mental Health Resource Center Inc

    Jacksonville, FL
    5 days ago

  • Utilization Reviewer (Largo)

    $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 time
    Relocation package

    University of Maryland Medical System

    Largo, MD
    12 days ago

  • Travel Nurse RN - Utilization Review

     ...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... 
    Remote work
    Shift work

    MSSI

    Minneapolis, MN
    11 days ago

  • Document Review and Data Entry Specialist

    $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... 
    Hourly pay
    Full time
    Work experience placement
    Work at office

    RemoteOnline

    San Francisco, CA
    5 days ago

  • Assistant Project Manager - Utility Design Reviewer

    **Company Description** **Work with Us. Change the World.** At AECOM, we're delivering a better world. Whether improving your...  ...Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to work **remotely** . The client is located in Sacramento... 
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    For subcontractor
    Local area
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    AECOM

    Sacramento, CA
    4 days ago

  • Travel Nurse RN - Utilization Review

     ...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... 
    Remote work
    Shift work
    Afternoon shift

    MSSI

    Minneapolis, MN
    11 days ago

  • Technical Content Reviewer - Remote

    $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 home
    Weekly pay
    Freelance
    Remote work
    Flexible hours

    Outlier AI

    Jacksonville, FL
    1 day ago

  • Principal Consultant - Utility Return on Equity & Cost of Capital Specialist

    $114k - $161k

     ...Job Title: Principal Consultant - Utility Return on Equity & Cost of Capital Specialist...  ...addition, we immerse our employees in a hard-working, collegial and cooperative culture with...  ...hybrid model, with flexibility to work from home two days a week. Duties &... 
    Work from home
    Work at office
    Remote work
    Flexible hours
    2 days per week

    Concentric Energy Advisors

    Washington DC
    3 days ago

  • Hospital Reviewer/Utilization Manager

     ...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 work
    Work experience placement
    Flexible hours

    DOCTORS HEALTHCARE PLANS, INC.

    Miami, FL
    2 days ago

  • Utilization Review Analyst - Registered Nurse (Per Diem)

     ...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 paid
    16 hours
    Shift work
    Weekend work

    Beth Israel Lahey Health

    Burlington, MA
    3 days ago

  • Content Reviewer - Remote

    $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 home
    Remote job
    Weekly pay
    Freelance
    Flexible hours

    Outlier AI

    Indianapolis, IN
    6 days ago

  • Travel RN Case Manager - Utilization Review

     ...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 office
    Shift work

    Genie Healthcare

    Chandler, AZ
    8 days ago