San Francisco, CA · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Senior Hospitalist Clinical Reviewers to support a ... Experience with medical coding, utilization review, or physician audit processes. * Experience ...
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San Francisco, CA · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Senior Hospitalist Clinical Reviewers to support a ... Experience with medical coding, utilization review, or physician audit processes. * Experience ...
New
Los Angeles, CA · On-site +1
$69 - $80/hr
Follow the UR process as defined in the Utilization Review Plan in accordance with the CMS Conditions of Participation for Utilization Review * Collaborate with Care Coordinators to identify and ...
Los Angeles, CA · On-site +1
$69 - $80/hr
Follow the UR process as defined in the Utilization Review Plan in accordance with the CMS Conditions of Participation for Utilization Review * Collaborate with Care Coordinators to identify and ...
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Demonstrates a working knowledge of Utilization Management, UM review processes, and regulatory ...
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Demonstrates a working knowledge of Utilization Management, UM review processes, and regulatory ...
Rancho Cordova, CA · On-site +1
$53.46 - $79.52/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Demonstrates a working knowledge of Utilization Management, UM review processes, and regulatory ...
Rancho Cordova, CA · On-site +1
$53.46 - $79.52/hr
As a remote employee, we will provide you with the equipment needed to work from home, including a ... Demonstrates a working knowledge of Utilization Management, UM review processes, and regulatory ...
REMOTE WORK FROM HOME JOB PURPOSE AND SUMMARY The Utilization Management Pharmacist supports the ... KEY RESPONSIBILITIES - Review oncology medication requests and related clinical documentation for ...
REMOTE WORK FROM HOME JOB PURPOSE AND SUMMARY The Utilization Management Pharmacist supports the ... KEY RESPONSIBILITIES - Review oncology medication requests and related clinical documentation for ...
REMOTE WORK FROM HOME JOB PURPOSE AND SUMMARY The Utilization Management Pharmacist supports the ... KEY RESPONSIBILITIES - Review oncology medication requests and related clinical documentation for ...
REMOTE WORK FROM HOME JOB PURPOSE AND SUMMARY The Utilization Management Pharmacist supports the ... KEY RESPONSIBILITIES - Review oncology medication requests and related clinical documentation for ...
REMOTE WORK FROM HOME JOB PURPOSE AND SUMMARY The Utilization Management Pharmacist supports the ... KEY RESPONSIBILITIES - Review oncology medication requests and related clinical documentation for ...
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REMOTE WORK FROM HOME JOB PURPOSE AND SUMMARY The Utilization Management Pharmacist supports the ... KEY RESPONSIBILITIES - Review oncology medication requests and related clinical documentation for ...
San Francisco, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
San Francisco, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
San Jose, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
San Jose, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
Sacramento, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
Sacramento, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
Long Beach, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
Long Beach, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
Los Angeles, CA · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...
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Los Angeles, CA · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...
New
Los Angeles, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
Los Angeles, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
San Diego, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
San Diego, CA · Remote
$30.37 - $59.21/hr
Adheres to utilization management (UM) policies and procedures. Required Qualifications At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization ...
San Jose, CA · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...
New
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San Jose, CA · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...
New
Palo Alto, CA · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...
New
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Palo Alto, CA · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...
New
San Francisco, CA · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...
New
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San Francisco, CA · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...
New
$74 - $82/hr
We are seeking an experienced Staff Dentist to join our clinical team and play a critical role in supporting our Utilization Management (UM) and Utilization Review (UR) programs. This fully remote ...
$74 - $82/hr
We are seeking an experienced Staff Dentist to join our clinical team and play a critical role in supporting our Utilization Management (UM) and Utilization Review (UR) programs. This fully remote ...
San Jose, CA · Remote
$30.37 - $59.21/hr
Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred. To all current Molina employees: If you are interested in applying for this position, please ...
San Jose, CA · Remote
$30.37 - $59.21/hr
Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred. To all current Molina employees: If you are interested in applying for this position, please ...
Sacramento, CA · Remote
$30.37 - $59.21/hr
Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred. To all current Molina employees: If you are interested in applying for this position, please ...
Sacramento, CA · Remote
$30.37 - $59.21/hr
Utilization review, prior authorization, inpatient review desirable. MCG experience, strongly preferred. To all current Molina employees: If you are interested in applying for this position, please ...
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.
The most popular types of Weekend Utilization Review jobs in California are:
For Remote Weekend Utilization Review jobs in California, the most frequently searched job titles are:
The top searched job categories for Remote Weekend Utilization Review jobs in California are:
Cities in California with the most Remote Weekend Utilization Review job openings:
$70 - $100/hr
Full-time
Posted yesterday
New
Job Type: Contractor
Location: Remote
We are seeking experienced Senior Hospitalist Clinical Reviewers to support a high-impact project focused on inpatient clinical quality, documentation accuracy, and medical review. In this role, you will apply your hospitalist expertise and clinical judgment to evaluate inpatient cases, identify complex or ambiguous clinical scenarios, and provide clear, well-reasoned feedback.
This opportunity is ideal for experienced physicians with a strong background in hospital medicine, inpatient quality, medical auditing, clinical documentation, and quality assurance.
Key Responsibilities
