Remote Utilization Management Specialist (RN/SW) - MT
Logan Health
Logan Health is seeking a Utilization Management Specialist to join our dedicated team. You’ll review admissions across the Logan Health system, collaborate with physicians, case management, and insurers to ensure appropriate authorization and medical necessity.
This role emphasizes strong communication, clinical judgment, and bedside-to-ballot coordination. The position offers a four 10-hour shift schedule, remote work with Montana residency, and a competitive benefits package.
#J-18808-LjbffrVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Specialist (RN/SW) - MT in United States vacancy
- ...Logan Health Medical Center is seeking a Utilization Management Specialist to review admissions across the... ...appropriate status. This role suits an RN or Social Worker with acute care experience... ...insurers. The position is fully remote for Montana residents and offers a...Remote work
Logan Health Medical Center
United States1 day ago - ...UnitedHealth Group in the DC area is seeking an HCBS Utilization Management Nurse to perform pre-service coverage reviews for PDN and PCS, reporting... ...and appropriate care. Requires a District of Columbia RN license and 2+ years in clinical settings, managed care, and...Remote work
UnitedHealth Group
Washington DC1 day ago - ...is seeking an experienced Registered Nurse to join our Utilization Management team in a remote capacity. The role focuses on ensuring members receive appropriate... ...care. The ideal candidate will have an unrestricted RN license, 2+ years in adult acute or critical care, and...Remote work
CVS Health
United States5 days ago - ...Logan Health is hiring a Utilization Management Specialist to join the UM team. The role focuses on reviewing admissions, validating documentation... ...communication and EMR proficiency, with a four-day work week and remote options for Montana residents. #J-18808-Ljbffr...Remote work
Logan Health
United States2 days ago - ...talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region. Organization Utilization Management Job Summary Facilitates optimal reimbursement through accurate certification and complete chart documentation ensuring that...Remote workTemporary workWork experience placementLive outFlexible hours
Vanderbilt University Medical Center
United States3 days ago $28.5 - $38.5 per hour
...Training on-site with consideration of remote work after 6 months to 1 year Job Summary... ...patient's medical records. Performs utilization management (UM) activities in accordance with UM... ...holds an unencumbered registered nurse (RN) license with the State Board of...Remote workFull timeLocal areaMonday to FridayShift workWeekend workDay shift- ...a partner company seeking a Clinical Denials Management Specialist based in the United States. The role is fully remote and focuses on reviewing, appealing, and preventing... ...a healthcare system, working with nursing, utilization management, revenue integrity, and patient...Remote work
Jobgether
United States1 day ago - ...Mesa, AZ, in partnership with Select Medical, seeks a Case Manager (RN/SW) for Per Diem 8 hours/day onsite coverage. Compensation is $... ...and cost-effective care across the continuum, ensuring payments meet utilization criteria and safety. CCM preferred. #J-18808-LjbffrHourly payDaily paid
Select Medical
Arizona City, AZ1 day ago $69.39k - $88.61k
...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management, authorization, compliance, and... ...s degree in a related field, an active RN/Social Work/Clinical Counselor license,...Remote workFull timeCincinnati Children's
United States5 days ago- ...Health in Dallas seeks a Denials Management Specialist to lead denial resolution... ...requires collaboration with Utilization Management and other teams, with a hybrid schedule (remote with onsite 2x/month) in a pediatric... .... The ideal candidate has RN licensure, at least 3 years...Remote work
Nahsedfw
Dallas, TX3 days ago - ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure... ...strong team-oriented environment. Requirements include active RN or LVN licensure, a minimum of two years in utilization review...Remote workWork at office
HealthHelp
New York, NY4 days ago - ...Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and discharge planning in collaboration...Remote workPart timeRelief
Trinity Health
Mishawaka, IN2 days ago - ...Healthcare- Turkey Creek Medical Center is seeking a PRN Remote Clinical Utilization Review Specialist to evaluate the necessity and efficiency of hospital... ...necessity, and document all activities in the case management system. You will work with insurance providers to...Remote workRelief
Tennova Healthcare- Turkey Creek Medical Center
United States1 day ago $65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning... ...and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team... ...Collaborate with Branch Directors, Clinical Managers, and field clinicians Support...Remote workMonday to FridayWeekend workWeekday workConcierge Home Care
United States4 days ago$65k - $88.6k
...Humana Healthy Horizons in Kentucky seeks a Utilization Management Behavioral Health Professional 2 to coordinate, document, and communicate medical... ...with providers and members to ensure optimal care. The remote position includes standard hours, occasional travel for meetings...Remote workHumana
New York, NY3 days ago- ...Capturis, part of Conservice and a national utility management leader, is seeking an Invoice Specialist. In this remote/hybrid role, you will request payment extensions, ask for expedited payments, and verify payments with providers to prevent service disconnection. You...Remote work
Conservice
Logan, UT4 days ago - ...Avsis is seeking a detail-oriented Utilization Management Administrative Support professional for a remote US-based role. You will handle email requests from provider offices, gather missing information for claims processing, and prepare correspondence for enrollees and...Remote work
Avesis
United States4 days ago - ...Utility Vegetation Management Specialist Job Type – Full Time Who You Are: You’re energetic and enjoy working outdoors. You understand that... ...vehicle operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...Remote workFull time
Atlas Field Services
Ann Arbor, MI5 days ago - ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care. The role collaborates with Admitting, Financial...Remote work
Cincinnati Children's Hospital Medical Center
Cincinnati, OH12 hours ago $80k - $150k
...Asset Management SpecialistOrbital Engineering, Inc. is currently seeking an Asset Management Specialist with experience in CASCADE and ELECTRIC UTILITIES for a REMOTE WORK role for our Utility Services team to support the implementation of DNV Cascade 4 utility asset...Remote workTemporary workWork at officeWork from homeOrbital Engineering
Hammond, IN3 days ago- ...Trillium Health Resources is seeking an Utilization Management Specialist III - MH/SU to perform comprehensive clinical review of service requests... ...Carolina licensure; travel within the NC catchment is expected. Remote work options are available for many roles. #J-18808-...Remote work
Trillium Health Resources
United States1 day ago - ...Humana, Inc. is seeking a remote UM Administration Coordinator to support utilization management operations. You will handle provider and member phone interactions, perform back-office tasks, and assist with prior authorizations while reporting to the Supervisor, UM Management...Remote work
Humana
Salt Lake City, UT3 days ago $35 - $37 per hour
...poster from The Judge Group. Job Title: Remote Registered Nurse (RN) - Temp to Perm Pay Rate: $36-37/hr... .... No NPs, whether practicing or not. Utilization Review experience is helpful but not... ...: Monday – Friday, 8:00 AM – 4:30 PM MT, with rotating weekends (approximately...Remote workPermanent employmentFull timeTemporary workMonday to FridayThe Judge Group, LLC
New York, NY3 days ago$90.9k - $129.9k
...for this role, rather you will provide utilization review and quality assurance. Your role... ...outcomes into the Medicaid Management Information System (MMIS) for processing... ...you should expect in this role ~100% Remote home office. ~ Full-time position....Remote workFull timeWork experience placementHome officeFlexible hoursGainwell Technologies LLC
Columbus, OH21 hours ago- ...Brigham Health Plan is seeking a skilled RN to support vendor-related... ...ensure effective collaboration between the Utilization Management (UM) department and vendors. The position... ...requires on-call availability monthly and a remote work setup with occasional onsite meetings...Remote jobMonday to Friday
- Banner Health is seeking a fully remote RN in the Utilization Review Department to impact patient care across our health system. You will review clinical information, conduct audits of billings, and collaborate with providers on medical decisions from home. Requires 5+...Remote job
$53.19k - $82.43k
...Best Hospitals. What You Will Do in This Role: The Utilization Management Specialist provides advanced operational and workflow support to Utilization... ...information is current and complete. *Approved Remote States: Arizona, California, Colorado, Florida, Georgia,...Remote workFull time$78k - $112.84k
...Expertise to Logan Health’s Utilization Management Team! Our Mission : Quality... ...a Utilization Management Specialist to join our dedicated team!... ...This position is ideal for an RN or Social Worker with strong... ...person-centered care! Fully remote opportunity - Must currently...Remote workFull timeImmediate start10 hours per weekShift workRotating shiftWeekend workDay shiftAfternoon shift$63.1k - $83.65k
...Position : Utilization Review Specialist Req.# : 26-144 FTE : Full-time, exempt... ...Department/Location : Utilization Management Compensation: $63,102.7... .... While the position is remote, the individual in this... ...); or Registered Nurse (RN) in Michigan with at least...Remote workFull timeTemporary workMonday to Friday- Cedars-Sinai seeks a detail-oriented Utilization Management Specialist to support UR Nurses and manage the authorization lifecycle using EPIC/CS-Link. You will ensure timely, accurate documentation and compliance with CMS and payer requirements, collaborating with Case...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Specialist (RN/SW) - MT. Be the first to apply!
Related searches
- graduation specialist United States
- specialist teaching assistant United States
- cybersecurity specialist United States
- irb specialist United States
- deduction specialist United States
- entry level safety specialist United States
- disclosure specialist United States
- junior specialist United States
- partner success specialist United States
- gaming specialist United States