Job Opportunities
Find jobs near you, whether onsite, hybrid, or remote.- Similar Jobs to: Utilization Review Nurse
Utilization Review Nurse
RangamPenningtonCompany Description Rangam is a global, innovative Total Talent management firm dedicated to accelerating meaningful employment for everyone. As a minority-, woman-, and disability-owned firm, Rangam
Utilization Review Nurse
Umpqua HealthRoseburgAbout Umpqua Health At Umpqua Health, we’re more than just a healthcare organization; we’re a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of i
Utilization Review Nurse- Remote
Gainwell TechnologiesKansas CityLocation: Any city, AK, US, 99999Work Mode: Virtual (Exception only)It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put y
Utilization Review Registered Nurse
BJC HealthCare (New)New YorkAdditional Information About the RoleJoin a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all uni
REMOTE Utilization Review Nurse - Managed Care
DOCS Management ServicesCoos BayWelcome and thank you for considering a career at Advanced Health! We are searching for collaborative, innovative people committed to ashared community vision for healthto join our team. If you value
Physician Reviewer - Psychiatry (Utilization Review)
Dane Street, LLCNew YorkOverview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an active
Physician Reviewer - Psychiatry (Utilization Review)
Dane StreetNew YorkJob Overview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an ac
Utilization Review RN - Remote
Providence Health & ServicesRentonDescriptionUtilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that include prior authorization, concurrent hospital and skilled
Utilization Review Author-Remote
R1 RCMSalt Lake CityThe Utilization Review Specialist will be part of our Physician Advisory Team providing first level initial admission and continued stay case reviews. The Utilization Review Specialist will determine
Utilization Review Author-Remote
R1 RCMBoiseThe Utilization Review Specialist will be part of our Physician Advisory Team providing first level initial admission and continued stay case reviews. The Utilization Review Specialist will determine
Physician Reviewer - Orthopedic Surgery (Utilization Review)
Dane Street, LLCNew YorkOverview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an
Utilization Review Clinician - Behavioral Health
Centene CorporationCaliforniaYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offeri
Registered Nurse (RN) – Utilization Review, Per Diem
Dartmouth-HitchcockLebanonOverview Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through as
Endocrinology Utilization Review - Remote - 1099 (contract)
Medical Review Institute of AmericaOrlandoFlexible Independent Contractor (1099) Opportunity Prefer Medical State Licenses in one of the following: TX, MN, NM, DC, MD, OR, IN, PA, VA.About MRIoA Founded in 1983, Medical Review Institute of Am
Care Review Clinician- Utilization Review (RN/LPN- Mississippi based- REMOTE)
Molina HealthcareJacksonJob Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, i
RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)
The Valley Health SystemLas VegasResponsibilities The Valley Health System has expanded into an integrated health network that serves more than two million people in Southern Nevada. Starting with Valley Hospital Medical Center in 1
Utilization Management Nurse
MagnaCareChapel HillOverview About The Role BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with nationa
Utilization Management Nurse
Brighton Health Plan Solutions, LLCChapel HillAbout The RoleBHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national standard
Utilization Management Nurse
Humana IncMadisonBecome a part of our caring community Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against estab
Utilization Management Nurse – Remote
UnitedHealth GroupEden PrairieRequisition number:2358175Job category:NursingOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will
Account Executive- Commercial Insurance (Remote)
Insurance Office of AmericaRichardsonJob Description Title: Account Executive - Commercial LinesWork Mode: Remote with Occasional Travel/Southeastern US only | Location/Supporting: Longwood, FL | Book Focus: Construction, HospitalityPlea
Managed Care Specialist
Blue & Co., LLCRichardsonBlue & Co., LLC, is a top independent accounting and advisory firm. Healthcare is our largest niche with more than 145 experienced professionals dedicated specifically to the industry.We are currently
Work At Home Online Entry Level - Remote Focus Group Panelist
Apex Focus Group LLCRichardsonWe're currently looking for individuals across the country to take part in remote paid research, including remote focus groups, product trials, and consumer studies.Earn up to $750 a week in your free
Regional Sales Manager - IA, MO, NE
Dynatron Software, Inc.RichardsonDynatron Software is transforming the automotive service industry with intelligent SaaS solutions that drive measurable results for thousands of dealerships and service departments. Our proprietary an
REMOTE - Entry-Level - Financial Professional
GFI ProsRichardsonAbout the job REMOTE - Entry-Level - Financial Professional ***ATTENTION *** ---This is for a REMOTE or HYBRID part-time/full-time opportunity ---You MUST live and work in the United States to be cons