Remote Role Responsibilities * Review and assess clinical documentation for accuracy, completeness ... Experience in CDI, case management, utilization review, or quality improvement. * Exposure to ...
Quick apply
Remote Role Responsibilities * Review and assess clinical documentation for accuracy, completeness ... Experience in CDI, case management, utilization review, or quality improvement. * Exposure to ...
Registered Nurse - Clinical Documentation
Toronto, ON · Remote
CA$60 - CA$80/hr
Remote Role Responsibilities * Review and assess clinical documentation for accuracy, completeness ... Experience in CDI, case management, utilization review, or quality improvement. * Exposure to ...
Quick apply
Registered Nurse - Clinical Documentation
Toronto, ON · Remote
CA$60 - CA$80/hr
Remote Role Responsibilities * Review and assess clinical documentation for accuracy, completeness ... Experience in CDI, case management, utilization review, or quality improvement. * Exposure to ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
This is far more than a typical reviewer role-this position serves as the internal practice leader ... utilization, realization, turnaround times, and quality control to ensure firm KPIs are ...
This is far more than a typical reviewer role-this position serves as the internal practice leader ... utilization, realization, turnaround times, and quality control to ensure firm KPIs are ...
Data Science, AI Compute Strategy, Canada
Toronto, ON · On-site +1
We are open to candidates in Canada, either hybrid or remote. Responsibilities * Build analytical ... Analyze GPU demand, utilization, and unit economics to identify opportunities to improve ...
Data Science, AI Compute Strategy, Canada
Toronto, ON · On-site +1
We are open to candidates in Canada, either hybrid or remote. Responsibilities * Build analytical ... Analyze GPU demand, utilization, and unit economics to identify opportunities to improve ...
Mining Project Manager
Toronto, ON · Remote
The Project Manager is responsible for maintaining a high level of utilization, consistently ... This will involve a high degree of business travel to remote and/or hardship sites for up to eight ...
Quick apply
Mining Project Manager
Toronto, ON · Remote
The Project Manager is responsible for maintaining a high level of utilization, consistently ... This will involve a high degree of business travel to remote and/or hardship sites for up to eight ...
Mining Project Manager
Toronto, ON · Remote
The Project Manager is responsible for maintaining a high level of utilization, consistently ... This will involve a high degree of business travel to remote and/or hardship sites for up to eight ...
Mining Project Manager
Toronto, ON · Remote
The Project Manager is responsible for maintaining a high level of utilization, consistently ... This will involve a high degree of business travel to remote and/or hardship sites for up to eight ...
Mining Project Manager
Toronto, ON · Remote
The Project Manager is responsible for maintaining a high level of utilization, consistently ... This will involve a high degree of business travel to remote and/or hardship sites for up to eight ...
Quick apply
Mining Project Manager
Toronto, ON · Remote
The Project Manager is responsible for maintaining a high level of utilization, consistently ... This will involve a high degree of business travel to remote and/or hardship sites for up to eight ...
Mining Project Manager
Toronto, ON · Remote
The Project Manager is responsible for maintaining a high level of utilization, consistently ... This will involve a high degree of business travel to remote and/or hardship sites for up to eight ...
Mining Project Manager
Toronto, ON · Remote
The Project Manager is responsible for maintaining a high level of utilization, consistently ... This will involve a high degree of business travel to remote and/or hardship sites for up to eight ...
Lead Infrastructure Engineer
Toronto, ON · Remote
CA$220K - CA$260K/yr
This is a fully remote position that offers a competitive salary range of $220,000 to $260,000 USD ... Monitor infrastructure utilization and cost, identifying opportunities to improve efficiency ...
Lead Infrastructure Engineer
Toronto, ON · Remote
CA$220K - CA$260K/yr
This is a fully remote position that offers a competitive salary range of $220,000 to $260,000 USD ... Monitor infrastructure utilization and cost, identifying opportunities to improve efficiency ...
Delivery Director
Toronto, ON · On-site +1
Ensure delivery performance, resource utilization, and profitability align with contractual ... Represent MiraCloud in executive-level customer discussions, implementation reviews, and delivery ...
Delivery Director
Toronto, ON · On-site +1
Ensure delivery performance, resource utilization, and profitability align with contractual ... Represent MiraCloud in executive-level customer discussions, implementation reviews, and delivery ...
Infrastructure Engineer
Toronto, ON · Remote
CA$140K - CA$190K/yr
This is a fully remote position that offers a competitive salary range of $140,000 to $190,000 USD ... Monitor infrastructure utilization and cost, identifying opportunities to improve efficiency ...
Infrastructure Engineer
Toronto, ON · Remote
CA$140K - CA$190K/yr
This is a fully remote position that offers a competitive salary range of $140,000 to $190,000 USD ... Monitor infrastructure utilization and cost, identifying opportunities to improve efficiency ...
Review strategist work for technical accuracy and strategic quality before client delivery ... Maintain visibility into project health, capacity, utilization, and delivery risks across the team.
Quick apply
Review strategist work for technical accuracy and strategic quality before client delivery ... Maintain visibility into project health, capacity, utilization, and delivery risks across the team.
Review strategist work for technical accuracy and strategic quality before client delivery ... Maintain visibility into project health, capacity, utilization, and delivery risks across the team.
Quick apply
Review strategist work for technical accuracy and strategic quality before client delivery ... Maintain visibility into project health, capacity, utilization, and delivery risks across the team.
Review strategist work for technical accuracy and strategic quality before client delivery ... Maintain visibility into project health, capacity, utilization, and delivery risks across the team.
Quick apply
Review strategist work for technical accuracy and strategic quality before client delivery ... Maintain visibility into project health, capacity, utilization, and delivery risks across the team.
Review strategist work for technical accuracy and strategic quality before client delivery ... Maintain visibility into project health, capacity, utilization, and delivery risks across the team.
Quick apply
Review strategist work for technical accuracy and strategic quality before client delivery ... Maintain visibility into project health, capacity, utilization, and delivery risks across the team.
Remote Optum Utilization Review information
What is a Remote Optum Utilization Review?
A Remote Optum Utilization Review position involves working for Optum, a healthcare services company, to evaluate medical records and determine the necessity and appropriateness of healthcare services. Employees in this role review clinical documentation to ensure that treatments meet established guidelines and help to manage healthcare costs while ensuring patient care is not compromised. The position is remote, meaning you can work from home or another location outside of a traditional office. Utilization review professionals often interact with healthcare providers, insurance companies, and patients, using their clinical expertise to make informed decisions.
What are the key skills and qualifications needed to thrive as a Remote Optum Utilization Review nurse?
To thrive as a Remote Optum Utilization Review Nurse, you need a current RN license, strong clinical judgment, knowledge of utilization management, and experience in case review or discharge planning. Proficiency with medical review software, electronic health records, and familiarity with UM guidelines such as InterQual or Milliman is typically required. Exceptional communication, attention to detail, and critical thinking are vital soft skills for effective collaboration and decision-making in a remote environment. These skills ensure accurate assessments, regulatory compliance, and optimal patient outcomes while maintaining efficiency in a virtual workflow.
How does a Remote Optum Utilization Review nurse typically collaborate with multidisciplinary teams while working from home?
As a Remote Optum Utilization Review nurse, collaboration with multidisciplinary teams is primarily conducted through secure digital platforms, including video calls, emails, and electronic health record systems. You’ll regularly communicate with physicians, social workers, case managers, and other healthcare providers to review patient cases, coordinate care plans, and ensure compliance with clinical guidelines. Despite working remotely, maintaining clear and timely communication is essential for effective patient advocacy and decision-making. Team meetings and case discussions are scheduled virtually, fostering a supportive environment and ensuring you stay connected to the broader healthcare team.
What is the difference between Remote Optum Utilization Review vs Remote UnitedHealthcare Utilization Review?
| Aspect | Remote Optum Utilization Review | Remote UnitedHealthcare Utilization Review |
|---|---|---|
| Credentials | Licenses in relevant states, certifications like CCM or CRC often preferred | Licenses in relevant states, certifications like CCM or CRC often preferred |
| Work Environment | Remote, home-based with flexible hours | Remote, home-based with flexible hours |
| Employer & Industry | Optum, healthcare services and utilization management | UnitedHealthcare, health insurance and utilization review |
Both roles involve reviewing healthcare claims and authorizations remotely, requiring similar credentials and work environments. The main difference lies in the employer and specific healthcare focus: Optum specializes in healthcare services and utilization management, while UnitedHealthcare focuses on health insurance and claims review. Candidates often compare these roles to determine the best fit based on employer and industry specialization.
What are the most commonly searched types of Optum Utilization Review jobs in Toronto, ON?
The most popular types of Optum Utilization Review jobs in Toronto, ON are:
What are popular job titles related to Remote Optum Utilization Review jobs in Toronto, ON?
For Remote Optum Utilization Review jobs in Toronto, ON, the most frequently searched job titles are:
What job categories do people searching Remote Optum Utilization Review jobs in Toronto, ON look for?
The top searched job categories for Remote Optum Utilization Review jobs in Toronto, ON are:
- Remote Dental Utilization Review
- Remote Preservice Review Nurse
- Optum Utilization Review Nurse
- Temporary Aetna Utilization Review Nurse
- Remote Aetna Utilization Review
- Remote Insurance Utilization Review
- Remote Utilization Review
- Full Time Navihealth Utilization Review
- Remote Navihealth Utilization Review
- Remote Bcba Utilization Review
CA$80/hr
Full-time
Re-posted 28 days ago
Job description
About the job
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.
Position: Registered Nurses (Data labelling and training)
Type: Contract
Compensation: $60–$80/hour
Location: Remote
Role Responsibilities
- Review and assess clinical documentation for accuracy, completeness, and quality.
- Analyze healthcare workflows and recommend process improvements.
- Interpret patient records and clinical notes to support product development.
- Identify documentation gaps, inconsistencies, and edge cases.
- Collaborate with product, engineering, and operations teams to refine AI-driven healthcare tools.
- Ensure adherence to healthcare regulations, policies, and best practices.
Qualifications
Must-Have
- Active Registered Nurse (RN) license.
- 3–5+ years of clinical nursing experience.
- Strong understanding of clinical documentation and healthcare workflows.
- Experience working with EHR systems (Epic, Cerner, Meditech, etc.).
- Excellent analytical, communication, and problem-solving skills.
Preferred
- Experience in CDI, case management, utilization review, or quality improvement.
- Exposure to healthcare technology, AI tools, or digital health products.
- Ability to collaborate effectively with cross-functional teams.
Application Process (Takes 20–30 mins to complete)
- Upload resume
- AI interview based on your resume
- Submit form
Resources & Support
- For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
- For any help or support, reach out to: support@mercor.com
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.