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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
Innovative Systems GroupRichardson3 days ago Be among the first 25 applicantsThis is full-time remote, but candidates must reside in IL or TXContract: 12/22/2025 to 03/31/2026RN working in theinsuranceormanaged careindustry using medi
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
SPECTRAFORCEWashingtonOverviewTitle:Clinical Review Nurse – Prior Authorization Review Location:Fully Remote(PST Time Zone - WA/OR Resident) Duration:12-Month (Potential for Extension) About the RoleWe are seeking an exper
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 Nurse(Austin/Richardson TX) (Remote)
Madea Home Care ServicesPlanoREMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties RN working in the insurance or managed care industry using medically ac
Behavioral Health Utilization Review Registered Nurse
Hines & Associates IncRockfordDescription:Nurses - are you 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? Check out Hines & Associates!ABOUT US:H
Utilization Review Nurse RN - Grace Medical Center
LifeBridge HealthBaltimoreUtilization Review Nurse RN - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER Part-time - Weekends - Day shift - 8:00am-4:30pm RN OTHER 96385 $40.12-$62.19 Experience based Posted:
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 Spine (Utilization Review)
Dane Street, LLCGranite HeightsDane 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 active T
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
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesEagle RiverDescription We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational t
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesAlaskaDescription We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational t
Care Review Clinician - Utilization Review (KY RN license- REMOTE)
Molina HealthcareLouisvilleJOB DESCRIPTIONJob SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical
Care Review Clinician- Inpatient Utilization Review (RN-CA License)
Molina HealthcareLong BeachJOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinica
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
Dane Street, LLCNew YorkDane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Physical Medicine and Rehabilitation
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
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
Remote - Radiologist Utilization Review - 1099 (contract)
Medical Review Institute of AmericaSalt Lake CityFlexible Independent Contractor (1099) Require a DC or Maryland State Medical LicenseAbout MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Rev
Care Review Clinician- Utilization Review (RN/LPN- Mississippi based- REMOTE)
Molina HealthcareJacksonJOB DESCRIPTIONJob SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical
Medical Director - Case Management and Utilization Review
Memorial Healthcare SystemHollywoodComplexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal
(RN) Care Review Clinician- Utilization Review (Remote, MS based)
Molina HealthcareUnited StatesJOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinica
Part-Time Associate Physician Advisor - Utilization Review
Medical Review Institute of AmericaSalt Lake CityPart-Time | Remote (U.S. Based)Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions
RN CASE MANAGER - UTILIZATION REVIEW (FULL-TIME)
Valley Health System Consolidated ServicesLas 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