Healthcare Utilization Review Specialist
$20 - $30 per hourGuidelight Health
A behavioral healthcare organization is seeking a Utilization Review Specialist to conduct clinical auditing and negotiate authorizations. The ideal candidate has a Bachelor's degree in Social Work or Nursing and 1-2 years of healthcare experience. Responsibilities include conducting live reviews, coordinating with clinical teams, and ensuring compliance with regulations. The position offers a pay range of $20 - $30 USD, along with comprehensive benefits including medical, dental, and professional development opportunities. #J-18808-Ljbffr
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year,... ...Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary...SuggestedRemote work- ...Director of Utilization Review Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations... ...for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential...SuggestedTemporary workFlexible hours
- ...Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care entities. The role covers pre-certification, concurrent reviews, and appeals with a...SuggestedRemote work
- ...Description Utilization Management Specialist MSH Case Management FT Days EOW This position is responsible... ...need for initial and continued stay reviews, and process continued stay and... ...as we work together to transform healthcare. We encourage all team members to actively...SuggestedHourly payTraineeshipWork at officeLocal area
- ...Position: Case Review Specialist – Phone Intake & Documentation Location: Remote Remote Status... ...bachelor’s degree preferred, especially in Healthcare Administration, Health Information... ...experience in healthcare operations, utilization management, case management, intake, call...SuggestedWork at officeLocal areaRemote workMonday to FridayShift work
$18.92 - $23.46 per hour
...Recognized as a “Best Place to Work Modern Healthcare” – Join a team where people come first.... ...matters. Proven knowledge and skill in utilizing MS Office suite of software and pharmacy... ...applications. Duties/Responsibilities Review patient files for completeness and accuracy...Full timeContract workTemporary workLocal areaRemote workFlexible hours$23.1 per hour
...We are currently seeking a Health Care Specialist (HCS) to work full-time at our Bay Ridge... ...direct care staff. Conducts timely reviews of anecdotals and presents questions to... ...Basic computer skills – including email, utilizing Workday and related systems (DA, etc.) to...Full time$18.92 - $23.46 per hour
Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first.... ...applications. Duties/Responsibilities Review patient files for completeness and... ...documentation. Proven knowledge and skill in utilizing the MS Office suite of software and...Full timeContract workTemporary workLocal areaRemote workFlexible hours- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote... ...experience in clinical practice and knowledge of Utilization Review Guidelines. The position offers a...Remote work
$180 per hour
...Position: Medical Expert Type: Contract Compensation: $130–$180/hour Location: Remote Duration: Ongoing, reviewed monthly Commitment: 20+ hours/week Role Responsibilities Design clinically realistic prompts and scenarios from your specialty...Remote jobWeekly payContract workSummer workWork at office- ...About Amperos Amperos is healthcare's first AI-native denial management and revenue recovery... ...for a Senior Accounts Receivable Specialist to join our client onboarding team — a small... ...detail to act on immediately Conduct QA reviews of permanent BA work during the...Permanent employmentFull timeWork at officeImmediate startFlexible hours
- ...Job Description Job Description Healthcare Claims Specialist with EXCEL (Hybrid) Hybrid Schedule: Onsite Monday–Thursday | Remote Friday... ...experience who enjoys working with patients, managing data, and utilizing advanced Excel skills. Responsibilities: Provide...Immediate startRemote workMonday to Friday
- ...deeply values those who contribute to its healthcare ecosystem. If you are a dedicated... ...experience. Your Key Responsibilities Utilize radiographic and CT techniques to... ...quality diagnostic images for physician review Collaborate seamlessly with radiologists...Flexible hoursWeekend work
$100 per day
...various states and managing thousands of daily stops that keep healthcare running. Total Miles: 35 miles Rate: $100 Sign-On Bonus: $150... ...Vehicle model year 2016 or newer preferred; older vehicles are reviewed on a case-by-case basis Tech A smartphone (iOS 13+ or Android...Contract workFor contractorsSelf employmentFreelanceImmediate startRelocation package$15.92 - $19.44 per hour
...data collaboration platform trusted for healthcare. Guided by our mission to make the... ...of Information (ROI) Health Information Specialist to support a medical facility in Lynchburg... ...from these requirements will be reviewed by Datavant Human Resources and determined...Hourly payFull timeMonday to Friday$24.08 - $24.62 per hour
...About Us We’re Maimonides Health, Brooklyn’s largest healthcare system, serving over 250,000 patients each year through the system’s 3... ...entering patient data into computer and transmitting reports, utilizing computer systems effectively as they pertain to job responsibilities...Local area$150k - $300k
...Description Thrive Pet Healthcare is looking to add an Internal Medicine Specialist to Saint Francis Veterinary Center of New Jersey. Join our community of veterinary... ...laboratory Digital radiography with radiologist review CT scanning available State-of-the-art surgical...Flexible hours3 days per week- ...alternative application process. Intake Specialist Regular Full-Time New York City, NY, US... ...seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are... ...managed care funding source. May need to review financial information as needed to determine...Full timeLocal area
- ...seeking a qualified candidate to fill our AR Specialist position to assist with all financial... ..., dedicated to delivering quality healthcare directly to patients in care facilities... ...patient insurance for assigned regions utilizing the specific software and reports. Answer...Full timeWork at officeMonday to FridayFlexible hours
$20.98 per hour
...Eligibility Specialist Department: FQHC Eligibility Assistance Employment Type: Full Time... ...helping individuals and families access the healthcare coverage they deserve. As an... ...for case processing Educate patients on utilization of their health insurance coverage, including...Full time$18 - $22 per hour
...We're on a path to better healthcare. Join us Compensation Information: $18 - $22 / hour Department... ...How you make a difference The Recovery Specialist at Treasure Coast Forensic Treatment... ...Collaborate with the treatment team to review individual resident progress in...$24.93 - $34.28 per hour
Overview Title: Injury Prevention Specialist Location: Liverpool, NY Status: Full-time... ...Competitive Salary! ATI is a multi-service healthcare company that specializes in MSK health... ...supports workplace organizations in utilities, food service, heavy manufacturing, aviation...Hourly payFull timeTemporary workWork at officeLocal areaMonday to FridayFlexible hours- A leading company in the digital space is seeking a Promotional Review Editor in New Jersey. The role involves conducting editorial reviews of promotional and internal materials, ensuring regulatory compliance, and facilitating discussions with regulatory advisors. Ideal...
$17 - $20 per hour
Based in San Francisco, Arine is a rapidly growing healthcare technology and clinical services company with a mission to ensure individuals... ...Care team at Arine! As a valued team member, you will utilize Arine’s software platform to optimize patient outcomes, enhance...Hourly payTemporary workLive inRemote workMonday to FridayRotating shift$50k - $60k
Full-Time Community Outreach Specialist Reports To: Director of Marketing and Community Relations 131-72 40th Road Queens, New... ...community-focused initiatives to increase awareness, access, and utilization of healthcare services. This role focuses on understanding and...Full timeFlexible hoursWeekend workAfternoon shift- ...growing healthtech company transforming how healthcare organizations deliver care through AI-... .... We are seeking a Prior Authorization Specialist (Contract) to support high-volume... ...eligibility and benefits prior to submission Review provider documentation to confirm...Contract workRemote work
- Specialist, Quality Assurance Brazil-Home Office Care Access is working to make the future... ...sites through regular quality assurance reviews, site quality support, and assurance compliance... ...is required to work daily in QMS and utilize various software and platforms across...Work at officeLocal areaRemote workWorldwideHome officeVisa sponsorshipWork visaFlexible hoursShift work
- ...data collaboration platform trusted for healthcare. Guided by our mission to make the world... ...Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other... ...from these requirements will be reviewed by Datavant Human Resources and determined...Full timeWork experience placementWork at officeRemote work
$47k - $50k
...housing. Position: Housing Specialist Reports To: Sup II (Clinical... ...such matters as education, healthcare, housing, social services,... ...etc.) and local landlords. Review all approved housing... ...and all payments to landlord/utilities are up-to-date with apartment...Permanent employmentFull timeTemporary workLive inLocal area- ...that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported... .... What does a Crisis Intervention Specialist do? A Crisis Intervention Specialist... ...: Applications will be accepted and reviewed on a rolling basis. Please note that...Full timeLocal areaImmediate startAfternoon shift
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