Remote Utilization Management Specialist III
Trillium Health Resources
- Remote job
Trillium Health Resources is seeking an Utilization Management Specialist III - MH/SU to perform comprehensive clinical review of service requests for individuals with mental health, substance use, or related conditions. The role emphasizes timely decisions, documentation, and provider consultation. The position requires a Master’s degree in a relevant field and active North Carolina licensure; travel within the NC catchment is expected. Remote work options are available for many roles. #J-18808-Ljbffr Trillium Health Resources
$68.89k - $92.14k
Pay Plan Title: Utilization Management Specialist III Working Title: Utilization Management Specialist III MH/SUFLSA Status: Exempt Posting Salary Range: $68,890- $92,138 Office Location: Remote within North Carolina POSTING DETAILS: Make an Impact Trillium Health Resources...Remote workWork at officeLocal areaImmediate startWork from homeFlexible hours- ...direction of the Assigned Management, upon successful... ...regulations the Enrollment Specialist performs enrollment... ...all member enrollments utilizing multiple Health Plan... ...accurately. Level III - in addition to Level... ...may be opportunity for remote work within all jobs posted...Remote workWork experience placementWork at officeWork from homeHome office
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ...along with experience in Epic EHR and Utilization Review. The selected candidate will perform... ...program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract work- Trillium Health Resources in North Carolina is seeking a Utilization Management Specialist III - MH/SU to join our team. You will perform comprehensive... ...support providers with guidance and documentation. This remote role offers standard work hours, strong benefits, and...Remote job
- ...DescriptionProSidian is a Management and Operations Consulting... ...Seeks a Subject Matter Expert III - Subject Matter Specialist (NSS011) headquartered near CONUS - Washington, DC (Remote) to support requirements... ...| Oil & Gas | Power & Utilities | Distribution Engineering...Remote workFull timeTemporary workFor contractorsWork at officeFlexible hours
- ...Job Description Job Description Utility Vegetation Management Specialist Who are we? We’re dedicated to the growth of our employees. We... ...vehicle operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...Remote workFull time
- ...To support the central RCM team, the full-time RCM Specialist III will manage a portfolio of accounts, perform end-to-end revenue cycle management... ...verification, billing, and collections, while working remotely and assisting with training and special projects. Key Responsibilities...Remote workFull timeWork at office
$63.1k - $83.65k
...Position : Utilization Review Specialist Req.# : 26-144 FTE : Full-time, exempt Unit : UAW Department/Location : Utilization Management Compensation: $63,102.73-$83,647.81 The Final... ...position. While the position is remote, the individual in this...Remote workFull timeTemporary workMonday to Friday- ...Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges. Qualifications include RN...Remote work
- ...Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote Per Diem role. The 8-hour day shifts provide support within the Care Management team to coordinate patient care. You will work under the supervision of the Regional...Remote jobDaily paidDay shift
- Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote, per diem role. You will support the Care Management team in coordinating patient care, performing clerical duties, and contributing to efficient care workflows from...Remote jobDaily paid
$114k - $161k
...Job Title: Principal Consultant Utility Return on Equity & Cost of Capital Specialist Job Location : Marlborough... ...: Hybrid 3 days in office, 2 remote days per week 2025... ...Concentric") is an employee-owned leading management consulting and financial advisory...Remote workWork at officeWork from homeFlexible hours2 days per week- Cambia Health Solutions is seeking an UM IP Clinical Specialist to support inpatient utilization management. You will receive, research, and act on documentation and requests from diverse sources, collaborating with licensed clinicians to guide appropriate actions and...Remote job
- Elevance Health is seeking an Utilization Management Representative II in Florida. The role involves handling incoming calls, triaging cases, authorizing inpatient and outpatient services, and gathering demographic information. The position supports a hybrid/virtual work...Remote job
- Centene Corporation is seeking a dedicated professional to support the prior authorization request process and assist the utilization management team in Florida. The role ensures timely authorization determinations, documents medical information, and verifies insurance...Remote jobHourly payFull time
- Cedars-Sinai is seeking a skilled Utilization Management Specialist to support UR Nurses in timely, compliant utilization review processes. You will manage case portfolios, assemble documentation for payer submissions, and monitor payer timelines to prevent delays. In collaboration...Remote job
- Elevance Health is seeking a detail-oriented Utilization Management Representative II to manage inbound calls, determine eligibility, and authorize care. The role supports virtual work with required in-person training sessions and may require commuting within a reasonable...Remote job
- Providence California Regional Services seeks a Senior Utilization Management Assistant to support the Care Management team. This REMOTE, part-time role offers 8-hour Evening shifts under the supervision of the Regional Director of Care Management. You will perform complex...Remote jobPart timeAfternoon shift
$87k - $120k
...Project Controls Specialist III The Project Controls Specialist III is responsible for implementation... ...identified, we are open to a remote-based role with ability to travel to... ...forecasting Update & Review change management, forecast and progress updates in Viewpoint...Remote workTemporary workFor contractorsWork at officeFlexible hours$37.5 - $54.25 per hour
# Quality, Compassionate Care For All.## Utilization Management SpecialistApply: Remote: Hybrid: Full time: Posted Today: Req19247Bring Your Clinical Expertise... ...Health is searching for a Utilization Management Specialist to join our dedicated team!Our Utilization Management...Remote workFull timeImmediate start10 hours per weekShift workRotating shiftWeekend workDay shiftAfternoon shift- Randstad USA is seeking an experienced Prior Authorization Specialist to join our national Utilization Management team. 100% remote role with a Monday-Friday schedule, 8:00 AM - 5:00 PM CST. You will manage authorization queues, verify eligibility, gather medical documentation...Remote jobMonday to Friday
- Elevance Health is seeking an Utilization Management Representative II in Florida. The role involves managing inbound calls, triage, case openings, and authorizations for inpatient and outpatient services. Candidates must reside in Lake Mary, Tampa, or Miami, FL and be...Remote jobWeekend work
- ...America’s Best Hospitals. What You Will Do in This Role: The Utilization Management Specialist provides advanced operational and workflow support to... ...authorization information is current and complete. *Approved Remote States: Arizona, California, Colorado, Florida, Georgia,...Remote job
- ...Description Dayforce is a global human capital management (HCM) company headquartered in Toronto,... ...you go. For this role, we are open to remote work and can hire anywhere in India.... ...is currently seeking a Wage Attachment Specialist III to join our Dayforce Managed Team. We...Remote work
- ...offers industry-leading revenue cycle management services for healthcare providers.... ...streamlined manner. We are seeking a ABA Utilization Review Specialist The ABA Utilization Review Specialist... ...environment. This is a fully remote or office/home hybrid position. Your...Remote workWork at officeFlexible hours
- AECOM is seeking a Proposal Specialist III to support the West Region on pursuits, including EOIs, RFQs, RFPs, and pre-qualification efforts. This remote-friendly role can be based anywhere in the US where AECOM has an office. You will lead medium to large proposals, develop...Remote jobWork at office
- AECOM is seeking a Proposal Specialist III to collaborate with the West Region BD and operations team on pursuits, including preparing EOIs, RFQs, RFPs, and pre-qualification efforts. This remote-friendly role can be based from several US locations with AECOM offices. You...Remote job
$31 per hour
...Sales & Account Management (Blended) Specialist III, Enrollment Kaiser Permanente is seeking Call-In/On... ...-site with the flexibility to work remotely, the primary location will be in-office... ...departments and/or brokers; utilizing comprehensive foundational knowledge...Remote workHourly payPrice workTemporary workWork at officeLocal areaFlexible hours$45.76k - $73.22k
...Job Description We’re hiring a Utilization Management Specialist to join the Commercial Pharmacy Phone & UMS Team! The Utilization Management Specialist... ...with a purpose – giving you flexibility to work remotely with intentional in-person connection – that supports a...Remote workFull timeWork at officeLocal areaFlexible hours2 days per week- ...Utility Project Support Specialist ERM is hiring remote Utility Project Support Specialists to support our client based in the Danville, IL area. In this critical... ...of 12 months, extendable. Responsibilities: Manage large amount of inbound and outbound phone calls...Remote workPart timeFixed term contractCasual workShift work
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