Remote Psychologist - Peer Review Specialist
Optum
- Remote job
Optum is seeking a Licensed Psychologist, Peer Reviewer for a remote position. This role involves applying clinical criteria to various insurance cases, providing clinical determinations, and participating in peer consultations. The ideal candidate should have a doctoral degree in psychology, a current unrestricted license, and at least 3 years of post-licensure experience. The role offers flexibility and is essential for enhancing health outcomes for individuals across the United States. #J-18808-Ljbffr Optum
- Stryker Corporation is seeking a Psychologist Peer Review for ALERT to apply clinical and benefit criteria in treatment cases. This role involves... ...reviews and making coverage determinations while working remotely from anywhere in the U.S. The ideal candidate holds a Ph.D....Remote job
$91.7k - $163.7k
UnitedHealth Group is looking for a licensed Psychologist Peer Review to conduct clinical reviews and make treatment determinations. This remote position allows professionals to connect with patients and ensure quality care delivery. Candidates should have a Ph.D. or Psy...Remote job$91.7k - $163.7k
Texas Health Institute is looking for a Psychologist Peer Review for ALERT, focusing on clinical criteria application across commercial, Medicaid, and Medicare cases. This role allows for remote work from anywhere in the U.S. The ideal candidate will hold a doctoral-level...Remote job- UnitedHealth Group is looking for a Psychologist Peer Review to apply clinical criteria for treatment coverage while working flexibly from anywhere in the U.S. In this role, you will be responsible for outpatient treatment reviews, participating in peer consultations,...Remote job
- ...MI (LSS) is looking for a dedicated and passionate Hybrid-Remote, Certified Peer Specialist to join our Family Centered Treatment Team. If you're... ...feedback to team members, including participation in peer reviews. Participate in a rotating 24/7 phone support system that...Remote workPart timeWork experience placementWork at officeFlexible hoursAfternoon shift
- ...are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist... ...rewarding environment. This is a fully remote or office/home hybrid position.... ...authorization denials including referral for peer review. Document and record all necessary...Remote workWork at officeFlexible hours
- ...healthcare technology company is seeking physicians with a minimum of 5 years clinical experience, preferably in Family Medicine, for a peer review role. Responsibilities include reviewing medical records and making standard of care determinations while working from home with...Remote workWork from homeFlexible hours
- ...Utilization Review Specialist The primary purpose of the Utilization Review Specialist is to create... ...Provides corrective criticism and peer review. Reported to work as assigned... ...background check. Satisfactory drug screen Part Time Remote Role Charles River RecoveryRemote workPart timeWork at officeFlexible hours
- ...Peer Specialist Under the direction of the Family Engagement Specialist, the DJJOY Peer Specialists will assist CMSO staff by engaging... ...candidate may be considered. Telecommuting applications will be reviewed and approved on a case by case basis in accordance with the...Remote workPlacement yearWork at office
$50k
...(Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary... ...gather necessary information for concurrent reviews Schedule peer-to-peer reviews and coordinate urgent/expedited appeals Staff...Remote job- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include reviewing medical records, assessing clinical guidelines, and providing improvement recommendations. Candidates must have an active...Remote jobWork from homeFlexible hours
$86k - $154.7k
Join to apply for the Psychologist Reviewer role at RemoteWorker US 1 day ago Be among the first 25... ...Job Description Centene is hiring a Remote Psychologist - Join Our Kentucky Medicaid... ...note reviews, appeals, and occasional peer-to-peer consultations, as well as participating...Remote workFull timeWork at officeRelocation packageFlexible hours$24.75 - $28.75 per hour
..., compassionate primary care specialists. Our goal is to combine education... ...is seeking a Substance Use Peer Specialist to join the new... ...Angeles, CA. There is no hybrid or remote schedule. Essential Job... ...Mental Health case conference review with Psychiatry, Addiction...Remote workHourly payFull timeWork at office- Dane Street, LLC is hiring a Peer / Record Review Quality Analyst responsible for managing medical file reviews and ensuring client standards are met. The ideal candidate must have strong communication skills, an educational background in healthcare or business, and the...Remote jobWork from home
- Dane Street, LLC is seeking Board Certified Physicians to join our Disability Peer Review team. This telework opportunity allows physicians to evaluate disability claims remotely, offering complete flexibility in scheduling and the ability to dictate workload based on...Remote jobWork from home
$24.52 - $28.32 per hour
Boulder Care is hiring a Peer Recovery Specialist for a 100% remote, full-time position. We are looking for individuals who: Have a peer certification -... ...meetings and trainings as requested/ scheduled Regularly review general patient status with other members of patient's...Remote workFull timeContract workTemporary workFor contractorsFor subcontractorCurrently hiringWork at officeLocal areaMonday to Friday- Description The Peer Navigation Specialist supports the implementation of a multi-year prevention and navigation... ...of field-based, in-office, and remote work based on program needs and... ...requires the ability to listen attentively, review participant and program information,...Remote workContract workWork at officeLocal areaWeekend workAfternoon shift
- ...MI (LSS) is looking for a dedicated and passionate Hybrid-Remote, Certified Peer Specialist to join our Family Centered Treatment Team. If you're... ...feedback to team members, including participation in peer reviews. Participate in a rotating 24/7 phone support system that...Remote workPart timeWork experience placementWork at officeFlexible hoursAfternoon shift
$87.7k - $157.8k
...perspective on workplace flexibility. Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist Reviewers (Applied... ...for medical necessity and appropriateness of care Conduct peer reviews with psychologists, behavioral health therapists...Remote workFull timePart timeWork at officeFlexible hours- ...Working remotely in a full-time capacity, the Behavioral Health Utilization Review Specialist will manage the authorization of treatment through insurance and managed care companies, performing pre-certification, concurrent, and appeal reviews while ensuring compliance...Remote workFull time
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ...experience in Epic EHR and Utilization Review. The selected candidate will perform chart... ...program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract work$29.62 - $45.31 per hour
...Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department... ...requests, customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work$75k - $80k
...learning center that provides professional and peer‑led learning assistance and equitable... ...educators across campus. The Learning Specialist in Peer Education will have the opportunity... ...: this role combines both in‑office and remote work to provide flexibility and support collaboration...Remote workWork at office- Concentra, Inc is hiring a Psychologist for a telecommute position focused on medical reviews. The role allows for flexible scheduling and requires a New Jersey license. This independent contractor position pays on a per-case basis and involves reviewing health claims,...Remote jobContract workFor contractorsFlexible hours
- ...Utilization Review Specialist The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients are medically necessary, efficient, and compliant with regulatory standards. This position involves thorough evaluation of...Remote work
$145k - $199.07k
...client facilities with revenue assurance by evaluating payor peer-to-peer cases. This remote position requires strong clinical knowledge and the... ...independently in a fast-paced environment. Responsibilities include reviewing authorization requests and providing written analyses....Remote work- Overview Are you an accomplished Psychologist? Candidates must have a New Jersey license. Are... ...: Relying on clinical background, reviews health claims providing medical interpretation... ...professional association guidelines and peer reviewed literature that support sound...Remote workTemporary workFor contractorsLocal areaMonday to FridayFlexible hours
$43 - $47 per hour
...in Torrance, CA is seeking a Senior Healthcare Recruiter for a remote RN position. The ideal candidate will have at least 1 year of Home... ...must possess an active CA RN License. Responsibilities include reviewing and processing chart tasks in a back office setting. This is a...Remote work- ...Team of licensed clinicians leads peer reviews, develops practice guidelines, and... ...Must be licensed as a Licensed Clinical Psychologist (LCP) Must be licensed in Maryland Must be able to provide telehealth . Work Remotely Yes MD, US...Remote workContract workPart timePrivate practice
- ...We are currently seeking a Peer Recovery Specialist certified in either Louisiana, Tennessee, Indiana, Florida or Washington to support our members in Washington State. This is a 100% remote position , but it requires working 9 AM – 5 PM Pacific Standard Time, Monday...Remote workHourly payTemporary workWork experience placementWork at officeMonday to Friday
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