Clinical Utilization Reviewer - Remote (AZ Resident)

Blue Cross Blue Shield of Arizona

Remote job

Blue Cross Blue Shield of Arizona is looking for a dedicated professional to handle customer inquiries in health insurance. This role emphasizes excellence in service and compliance, with necessary experience in a clinical or health-related field. Candidates must hold a relevant degree or behavioral health license and have at least two years of relevant work experience. This position offers a hybrid work model, requiring some onsite presence based on classification. Join our mission to inspire health and make it easy for our community. #J-18808-Ljbffr Blue Cross Blue Shield of Arizona

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Clinical Utilization Reviewer - Remote (AZ Resident) in Phoenix, AZ vacancy

Initial Clinical Reviewer - Remote - AZ
...health and make it easy. AZ Blue offers a variety... ...classified as hybrid, onsite or remote. While the majority of... ...People Leaders: must reside in AZ, required to be... ...years of experience in clinical field of practice,... ...Knowledge of managed care, utilization management, and quality...
Remote work
Full time
Contract work
Work experience placement
Work at office
1 day per week
Blue Cross Blue Shield of Arizona
United States
3 days ago
BH UM Clinical Reviewer- Remote AZ
...health and make it easy. AZ Blue offers a variety... ...classified as hybrid, onsite or remote. While the majority of... ...People Leaders: must reside in AZ, required to be... ...is primary for utilization management functions but... ...year(s) of experience in clinical field of practice, health...
Remote job
Full time
Contract work
Work experience placement
Work at office
1 day per week
Blue Cross Blue Shield of Arizona
Phoenix, AZ
2 days ago
Clinical Utilization Management Reviewer - Remote
...Excellus BCBS is hiring for a Utilization Management position based in... ...The ideal candidate will have clinical experience, strong... ...performing pre-service clinical reviews and collaborating with healthcare... ...salary range and potential for remote work based on departmental needs...
Remote work
Excellus BlueCross BlueShield
Albany, NY
5 days ago
Clinical Utilization Management Reviewer - Remote
...NYS RN license and 3+ years of clinical experience. Responsibilities include clinical reviews and collaboration with providers... ...Preferred candidates will have utilization management experience and... ...based on experience, and potential for remote work. #J-18808-Ljbffr...
Remote work
Excellus BlueCross BlueShield
Jamestown, NY
2 days ago
Clinical Utilization Management Reviewer - Remote
...physical health services in Town of De Witt, NY. The position demands extensive clinical experience and knowledge of utilization management, with responsibilities including performing clinical reviews and collaborating with providers. Applicants should possess an Associate...
Remote work
Excellus BlueCross BlueShield
East Syracuse, NY
5 days ago
Claims Clinical Documentation Reviewer
$68k - $71.03k
...Claims Clinical Documentation Reviewer Job No: 541748 Work Type: Full-time Location: REMOTE OPTIONS, VARIOUS-STATEWIDE, PHOENIX... ...over and under service utilization, conduct prepayment claims... ...associate license within AZ). Preferred: Advanced...
Remote work
Resident
Full time
Part time
Internship
Work at office
Work from home
Long distance
Flexible hours
Arizona Department of Administration
United States
4 days ago
Loan Officer - Consumer Direct ( Hybrid - Greater Phoenix, AZ area)
...Loan Officers for our Tempe, AZ Branch. The individual will be... ...2-3 days onsite and 2-3 days remote. Essential Duties and Responsibilities... ...compliant office environment, utilizing typical office equipment and... ...Compensation Information For residents of the states of CA & CO, and...
Remote work
Resident
Minimum wage
Work at office
CMG Financial
Tempe, AZ
5 days ago
Utility Plant Operator II (Rotational Assignment - Greenway)
...Utility Plant Operator II The City of Peoria's Water Department... ...maintenance on treatment plants and remote site equipment. This is... ...offered. The City of Peoria, AZ is a thriving city in the Northwest... ...the level of service to our residents to sustain and enhance the...
Remote work
Resident
Shift work
Night shift
Day shift
Afternoon shift
City of Peoria, AZ
Peoria, AZ
4 days ago
Remote RN Clinical Reviewer - Utilization & Data
$50 per hour
GreenLife Healthcare Staffing is looking for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting utilization reviews and ensuring healthcare documentation compliance for a respected non-...
Remote job
Hourly pay
GreenLife Healthcare Staffing
New York, NY
2 days ago
Remote RN Clinical Reviewer - Utilization & Quality
$45 - $50 per hour
Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies. With a competitive pay of $45 - $50...
Remote job
Hourly pay
kozmetickesluzby.vecnakraska.sk - Jobboard
New York, NY
4 days ago
Clinical Documentation Specialist (Remote -Texas Resident) - Clinical Data
$71.92k - $115.08k
...minimum of 3 years inpatient clinical experience, advanced... ...Duties: Concurrently review inpatient admissions to identify... ...to data reporting. Utilize the hospital’s designated clinical... .... Work Schedule: Remote work, Texas resident preferred, Monday through...
Remote work
Resident
Monday to Friday
University of Texas Medical Branch
Galveston, TX
2 days ago
Manufacturing Planner II - Onsite Tucson, AZ
$68.9k - $131.1k
...America Location: US-AZ-TUCSON-9020 ~ 9020 S... ...Planner II will utilize Engineering Manufacturing... ...in engineering design reviews Manage and maintain... ...fantastic weather lets residents enjoy the outdoors year... ...as on-site, hybrid or remote. The salary range...
Remote work
Resident
Temporary work
Work experience placement
Interim role
Work at office
Relocation
Flexible hours
Raytheon
Tucson, AZ
1 day ago
Medical Coder, 40hrs
$23 - $28 per hour
...Full Time 40 Hours - Remote Massachusetts Residents Only As a Medical Coder... ...Classification of Disease 10-Clinical Modification (ICD-10-CM) and... ...TruBridge encoder integration to review Medical Necessity edits... ..., including E/M coding utilizing the 2023 guidelines...
Remote work
Resident
Full time
Temporary work
Apprenticeship
Local area
Flexible hours
TaraVista Behavioral Health
Devens, MA
7 days ago
Remote Civil Engineer — Aviation Stormwater & Utilities
...Group, Inc. (MDG) is seeking an experienced Civil Engineer for a remote position, with preference for Florida residents. Candidates should have a minimum of five years of experience in stormwater and utilities design. Key responsibilities include leading drainage system...
Remote job
Resident
Mohsen Design Group, Inc. (MDG)
Florida, NY
2 days ago
Utilization Review Nurse- Remote
$41 - $45.5 per hour
...Senior Analyst Location: Remote (within plan states: IL... ..., TN) Remote only for residents of IL, TX, NM, OK, MT,... ...supports members through clinical assessments, health education, and utilization management. Key... ...concurrent, and retrospective reviews for inpatient, rehab,...
Remote work
Resident
Mindlance
Wausau, WI
5 days ago
Certified Medical Coder
$25 - $33 per hour
...- In-Office if Local / Remote if Non-Local)... ...s worth it! One in ten residents in a skilled nursing facility... ...accuracy requirements Review provider medical coding... ...payor input Work with clinical and non-clinical groups... ...states: WA, OR, ID, UT, AZ, TX, VA, FL, GA, PA, IA...
Remote work
Resident
Hourly pay
Full time
Live in
Local area
Immediate start
Home office
Monday to Friday
United Wound Healing
Salt Lake City, UT
4 days ago
Physician Reviewer - Utilization Management
$211.2k - $277.2k
...re hiring a Physician Reviewer to join our Utilization Management team. Oscar... ...services by reviewing clinical information and... ...Work Location: This is a remote position, open to candidates who reside in the United States.... ...these states: FL, NC, AZ OR possess an active Interstate...
Remote work
Resident
Full time
Local area
Work from home
Home office
Weekend work
Oscar Health
United States
4 hours ago
Certified Medical Coder
$19 - $33.5 per hour
...Transplant Epic Additional Requirements: Must reside in the USA Must have a valid coding... ...States $60,000.00-$75,000.00 2 weeks ago Remote Full Time Profee General Surgery Medical Coder... ...IMMEDIATE OPENING - Remote Position (UT, SC, AZ, TX, KY, WY, ID, GA, AR) - Full-Time...
Remote work
Resident
Hourly pay
Full time
Relocation package
Omega Healthcare Management Services
New York, NY
4 days ago
Clinical Documentation Improvement Specialist
$48.13k - $81.23k
...orchestration. As our Clinical Documentation Improvement (... ...concurrent and retrospective reviews of inpatient medical records.... ...CMI, LOS, and optimal resource utilization. Educates physicians and... ...CA PRIVACY NOTICE: California resident job applicants can learn more...
Remote work
Resident
Work experience placement
Local area
R1
United States
5 days ago
Clinical Documentation Specialist
...Clinical Documentation Specialist (CDS) Sanford Health, the... ...site with consideration of remote work, after one year or possibly... ...will consist primarily of reviewing medical record... ...and diagnoses for inpatients/residents. The CDS utilizes the hospital's designated clinical...
Remote work
Resident
Full time
Part time
Work experience placement
Work from home
Shift work
Weekend work
Day shift
Sanford Health
United States
2 days ago
Clinical Utilization Management Reviewer - Remote
...coordinate behavioral health services for members, ensuring adherence to all necessary standards. The role involves performing clinical reviews, collaborating with healthcare providers, and advocating for member needs. Ideal candidates will have at least 3 years of...
Remote work
Excellus BlueCross BlueShield
Rochester, NY
2 days ago
Remote Weekend Clinical Reviewer (CA) - $39/hr
$39 per hour
InfiCare Staffing is looking for a Remote Clinical Reviewer for California residents. This role involves reviewing inpatient psychiatric cases, ensuring timely and accurate assessments, and collaborating with internal teams. The position is entirely remote, offering weekend...
Remote job
Resident
Flexible hours
Shift work
Weekend work
InfiCare Staffing
California, MO
2 days ago
Clinical Utilization Management Reviewer - Remote
...focuses on behavioral health and requires a strong background in clinical experience, compliance with standards, and effective... ...and have proficiency in Microsoft Office. This role may involve remote work opportunities depending on departmental needs. #J-18808-Ljbffr...
Remote work
Work at office
Excellus BlueCross BlueShield
Utica, NY
5 days ago
Certified Medical Records Coder- PD
...analyzes medical records, extracts clinical, pathological, therapeutic... .... Participates in on site, remote and/or external training... ...Demonstrates proficiency in utilizing official coding books as well... ...to advanced medical care for residents of the North Fork and Shelter...
Remote work
Resident
Hourly pay
Daily paid
Full time
Summer work
Shift work
Day shift
Stony Brook University
Stony Brook, NY
1 day ago
Account Manager - Phoenix - AZ (56441)
...Account Manager - Phoenix - AZ Phoenix - Tempe, AZ 85283... ...Reliability Services. This position is remote and directly supports Phoenix... ...as set by ATS Leadership Utilization of our CRM Microsoft Dynamics... ...; (b) U.S. lawful permanent residents (i.e., "green card" holders);...
Remote work
Resident
Permanent employment
Full time
Live in
Work at office
Local area
Relocation
Applied Technical Services LLC
Tempe, AZ
2 days ago
Utilization Review Registered Nurse - PRN
...great opportunity for a local remote position. Schedule PRN... ...patients. ~2 years of utilization review (UR) experience reviewing hospital... ..., delivering services to residents primarily in the greater St.... ...Responsibilities Uses clinical and analytical skills to review...
Remote work
Resident
Relief
Local area
Work from home
Monday to Friday
Flexible hours
Shift work
BJC HealthCare
Saint Louis, MO
1 day ago
Remote Clinical Reviewer - Utilization Review
...Comagine-Health is hiring a Clinical Reviewer based in Washington DC. This full-time remote/hybrid position will assess the medical necessity and quality of healthcare services. Ideal candidates have 3 years of clinical experience and an active RN license. The role involves...
Remote work
Full time
Comagine-Health
Washington DC
5 days ago
Remote Customer Care Specialist - 6‑Month Temp (AZ Residents)
...Specialist to provide exceptional service while addressing the healthcare needs of patients in Buckeye, Surprise, and Apache Junction, AZ. This is a 6-month temporary role with potential for permanent placement. The ideal candidate will be knowledgeable in medical...
Remote job
Resident
Permanent employment
Temporary work
Flexible hours
SuperCare Health
Buckeye, AZ
2 days ago
Utilization Review Nurse
$34 - $40 per hour
...range $34.00/hr - $40.00/hr Remote (Compact Licensure Required)... ...Medix is seeking an experienced Utilization Review Nurse to support our mission... ...000.00-$85,000.00 1 day ago Clinical Review Nurse - Prior... ...Review RN - Remote (Arizona Residents Only) North Carolina, United...
Remote work
Resident
Full time
Medix
New York, NY
3 days ago
RN-Utilization Review/Case Manage Nurse - RFT
$32 - $48 per hour
...RN-Utilization Review/Case Manage Nurse - RFT Hot Job Gibson City, IL... ...combination of in person and remote considered) GENERAL... ...healthcare services to the residents of the Communities we serve.... ...on a case-by-case basis with clinical staff. Demonstrates working...
Remote work
Resident
Hourly pay
Full time
Work at office
Relocation package
Shift work
Gibson Area Hospital
Gibson City, IL
5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Utilization Reviewer - Remote (AZ Resident). Be the first to apply!