Average salary: $113,802 /yearly

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  • $20 - $25 per hour

     ...Job Title: Utilization Review Coordinator Reports To: Revenue Cycle Management Leadership Location: Remote FLSA Status: 90 day Temporary to Direct Hire Schedule: Monday-Friday 8am-5pm Compensation: $20-25/hour Northpoint Recovery Holdings, LLC began... 
    Suggested
    Full time
    Temporary work
    Remote work
    Monday to Friday

    Northpoint Recovery Holdings, LLC

    Remote
    4 days ago
  • $89.54k - $136.47k

    City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health is hiring a Remote Utilization Review Registered Nurse. Candidates must reside in the State of Virginia. As an integrated care manager, specializing in Utilization review, the registered nurse... 
    Suggested
    Full time
    Temporary work
    Remote work
    Shift work

    Sentara Health

    Remote
    1 day ago
  •  ...Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding... 
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    Hourly pay
    Full time
    Remote work
    Work from home
    Home office
    Weekend work

    Oscar Health

    Remote
    8 days ago
  • $31.02 per hour

     ...placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party payer guidelines. (3...  ...Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements... 
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    Full time
    Contract work
    For contractors
    Local area

    Allegheny Health Network

    Remote
    1 day ago
  •  ...healthcare. About the Role We’re seeking a Clinical Care Reviewer to help bring Rula’s care efficiency pilots to life as part of...  ...may not meet every preferred requirement. ~ Experience in utilization management, peer review, or clinical quality roles ~ Familiarity... 
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    Full time
    Live in
    Currently hiring
    Remote work
    Home office

    Rula

    Remote
    3 hours agonew
  • $17.71 - $25.28 per hour

     ...insurance companies, and patients to ensure proper coding, documentation, and adherence to billing regulations Essential Functions -Review and assess medical claims submitted by healthcare providers, insurance companies, and patients to identify any discrepancies,... 
    Suggested
    Hourly pay
    Full time
    Work at office
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    Mass General Brigham

    Remote
    2 days ago
  • $21.7 - $27 per hour

    Job Description A bit about this role: The Utilization Management Coordinator plays a vital role in supporting Clinical Operations by managing...  ...authorization-related inquiries across multiple case types Review member inpatient status and clinical documentation to support... 
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    Devoted Health

    Remote
    1 day ago
  • $23 per hour

     ...Experienced Document Review Attorney – Remote Great opportunity for licensed attorneys interested in getting started with document review. Please apply to get on our roster for future matters! Excellent work environment and corporate culture. JOB REQUIREMENTS:... 
    Suggested
    Remote work
    Flexible hours

    Dauntless Discovery

    Remote
    1 day ago
  •  ...JOB SUMMARY The QA Specialist plays an integral role in the review process as they are responsible for communicating with the customer, reviewer, and management to ensure a completed report is delivered by the customer requested due date. The QA Specialist is responsible... 
    Suggested
    Full time
    Work at office
    Work from home

    Dane Street, LLC

    Remote
    14 days ago
  •  ...Experienced hospitalists review inpatient documents such as H&Ps, progress notes and discharge summaries for clinical accuracy and completeness. They settle conflicts between sources, label significant errors or omissions by severity, apply rubrics, and write brief rationales... 
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    Contract work
    Remote work

    micro1

    Remote
    4 days ago
  •  ...experience is what counts. What you would do Judge whether sample questions about government services sound like real people Review AI answers and note what is clear, useful or confusing Offer candid, concrete comments in your own voice Suggest simple edits... 
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    Contract work
    Temporary work
    Remote work

    micro1

    Remote
    4 days ago
  •  ...Oncology AI Reviewer is a remote clinical-review track for evaluating AI outputs that touch oncology. Reviewers grade differential reasoning, dosing logic, and guideline adherence; flag patient-safety issues; and document the corrected clinical reasoning so the modeling... 
    Suggested
    Remote job
    Hourly pay
    For contractors
    10 hours per week

    AuraOne Human Data

    Remote
    2 days ago
  •  ...hire the remaining from sourced candidates. You are able to submit candidates for this posting. Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of... 
    Suggested
    Temporary work
    Work at office
    Local area
    Monday to Friday

    Apidel Technologies

    Remote
    10 hours ago
  • $100 - $120 per hour

     ...Litigation Review Specialist is a remote review track for evaluating AI outputs in litigation workflows. Reviewers grade citation accuracy, statutory reasoning, and policy adherence; flag risk; and document the corrected analysis so the modeling team can train on it.... 
    Suggested
    Remote job
    For contractors
    10 hours per week

    AuraOne Human Data

    Remote
    2 days ago
  • $90 per hour

     ...Civil Engineer Reviewer is a remote engineering review track for evaluating production code, debugging traces, and developer-facing AI outputs against real-world correctness standards. Reviewers reproduce failures, write the unit test the model should have written, and... 
    Suggested
    Remote job
    For contractors
    10 hours per week

    AuraOne Human Data

    Remote
    2 days ago
  •  ...Video Data Reviewer is a remote evaluation track for reviewing video data evaluation prompts and responses against AuraOne's quality rubric. Reviewers compare paired outputs, label edge cases, and write the kind of structured feedback the modeling team can use to retrain... 
    Remote job
    Hourly pay
    For contractors
    10 hours per week

    AuraOne Human Data

    Remote
    2 days ago
  •  ...consulting for cities, counties, school systems, special districts, utilities, and related agencies. Our work spans classification and...  ...AlphaGov is building a bench of payroll operations consultants who review payroll processes, controls, and staffing for school districts,... 
    Full time
    Bank staff
    Immediate start
    Remote work

    AlphaX

    Remote
    3 days ago
  • $35 - $40 per hour

     ...Document Review Expert is a remote review track for evaluating AI outputs across document review specialist operations workflows. Reviewers grade workflow correctness, policy adherence, and stakeholder fit; flag operational risk; and document the right next step so the... 
    Remote job
    For contractors
    Work experience placement
    10 hours per week

    AuraOne Human Data

    Remote
    2 days ago
  •  ...Statistics Reasoning Reviewer is a remote review track for evaluating AI outputs across statistics reasoning, calculations, and research workflows. Reviewers grade derivations and assumptions, reproduce key results, and document the correct method so the modeling team... 
    Remote job
    Hourly pay
    For contractors
    10 hours per week

    AuraOne Human Data

    Remote
    2 days ago
  •  ...Certified coders (CCS, CIC or CPC) and RNs or clinicians with chart review or CDI experience audit medical charts, checking diagnosis and procedure codes, sequencing, POA indicators and MS-DRG assignment against the documentation. They catch under-coding, over-coding... 
    Contract work
    Remote work

    micro1

    Remote
    4 days ago
  • $25 per hour

     ...Duration of contract : 2-3 weeks; [expected start date is next week] Payment : $25 per approved task Location : India, Pakistan, Nigeria, Egypt, Ghana, Bangladesh, Turkey, Mexico Evaluation Process (approximately 75 mins) : ~ Assessment based review... 
    Contract work
    For contractors
    Freelance
    Remote work

    Turing

    Remote
    3 days ago
  •  ...Experienced lawyers review contracts for risk and ambiguity, research statutes, regulations and case law, and draft or evaluate legal documents as input for AI training. The work also covers regulatory compliance across several jurisdictions and writing clear rationales... 
    Contract work
    Remote work

    micro1

    Remote
    4 days ago
  • $90 per hour

     ...Gridnaut Recruiting is hiring a remote Electrical Engineer Reviewer contractor (pay $90/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: The workflows are calibrated to the design complexity, safety stakes, and production scale of Fortune... 
    Contract work
    For contractors
    Remote work

    Gridnaut Recruiting

    Remote
    6 days ago
  • $90 per hour

    Gridnaut Recruiting is hiring a remote Mechanical Engineer Reviewer contractor (pay $90/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: The workflows are calibrated to the design complexity, safety stakes, and production scale of Fortune... 
    Contract work
    For contractors
    Remote work

    Gridnaut Recruiting

    Remote
    6 days ago
  •  ...execution to create meaningful, measurable impact. The Clinical Review Nurse makes prospective medical necessity determinations on...  ...supported ramp period. MAJOR RESPONSIBILITIES - Performs prospective utilization review of prior authorization requests to determine whether... 
    Hourly pay
    Full time
    Work at office
    Remote work

    WNS Global Services

    Remote
    22 days ago
  •  ...Job Summary The Bill Review Specialist connects our clinical data with strategy. In this role, you will apply specialized expertise in medical data entry, and national repricing systems to analyze complex, high-exposure medical claims and litigation demands. By conducting... 
    Full time

    Dane Street, LLC

    Remote
    6 days ago
  •  ...Storyboard Production Reviewer is a remote review track for evaluating AI outputs across storyboard review workflows. Reviewers grade craft, constraints, and tooling adherence; flag production-readiness issues; and document the corrected approach so the modeling team... 
    Remote job
    Hourly pay
    For contractors
    10 hours per week

    AuraOne Human Data

    Remote
    2 days ago
  • $90 per hour

    Gridnaut Recruiting is hiring a remote Civil Engineer Reviewer contractor (pay $90/hr). Contribute to frontier AI research and evaluation work. Ideal candidates: The workflows are calibrated to the design complexity, public safety stakes, and regulatory scope of major... 
    Contract work
    For contractors
    Remote work

    Gridnaut Recruiting

    Remote
    6 days ago
  •  ...Job Responsibilities: ~ This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation... 
    Remote job

    SGS Consulting

    Remote
    4 days ago
  •  ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters ~ Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter the... 
    Remote job
    Live in
    Work from home

    SGS Consulting

    Remote
    4 days ago