Remote GI Utilization Review Specialist (1099)
Medical Review Institute
- Remote job
A leading medical review organization is seeking Board-Certified physicians in Gastroenterology for a flexible remote opportunity. This role requires conducting independent Utilization Reviews for just 1-2 hours per week, with no minimum commitment. Candidates must have a Medical Degree, a current medical license in Oregon, Board Certification in Gastroenterology, and 5 years of clinical experience. Adherence to HIPAA regulations and company policies is mandatory, making this a suitable role for qualified professionals looking for flexibility. #J-18808-Ljbffr Medical Review Institute
- A leading medical review organization is seeking Board-Certified physicians in Gastroenterology for a flexible remote opportunity. This role requires conducting independent Utilization Reviews for just 1-2 hours per week, with no minimum commitment. Candidates must have...Remote workGeographic information systemFlexible hours
$55k - $70k
...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000 - $70,000 a... ...position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be...Remote workFull timeWork at officeLocal area- ...To support the Ethos Medical Management Team, the full-time Utilization Review Specialist will ensure the efficient and timely processing of Utilization Management and Independent Review requests remotely, while maintaining compliance and delivering exceptional client...Remote workFull timeWork at office
- ...To support effective utilization management, the part-time Senior Utilization Review Specialist will conduct concurrent and retrospective reviews of hospital services,... ...while collaborating with clinical teams in a fully remote capacity. Key Responsibilities Perform...Remote workPart time
$50k
...lives of patients and their families What to Expect (Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment team to gather necessary information for concurrent...Remote work$90.9k - $129.9k
...patient interactions for this role, rather you will provide utilization review and quality assurance.Your role in our missionReview and evaluate... ...and proceduresWhat you should expect in this role100% Remote home office.Full-time position.Applications will be accepted...Remote workFull timeHome officeFlexible hours- ...Spectrum Billing Solutions is seeking an ABA Utilization Review (UR) Specialist to join their team. This fully remote or hybrid position involves reviewing clinical information and obtaining authorizations for ABA services. Candidates should have 3-5 years of relevant...Remote work
- Spectrum Billing Solutions is seeking an ABA Utilization Review Specialist to review clinical information and obtain authorizations for ABA and related services. This role supports remote or office/home hybrid work and emphasizes attention to medical necessity and HIPAA...Remote jobWork at officeWork from home
- ...Utilization Review Specialist Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing... ...is seeking a full-time Utilization Review Specialist (REMOTE) to play a key role in ensuring the efficient, accurate, and...Remote workFull timeWork at office
- ...leadership programs... and more! Description The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough... ...time may be required. Work Type: This position is a remote position outside traditional office, often from home or another...Remote workWork at office
- ...ABA Utilization Review Specialist Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers... ...in a cohesive and rewarding environment. This is a fully remote or office/home hybrid position. Your Responsibilities:...Remote workWork at officeFlexible hours
- ...Utilization Review Specialist Remote, United States About the Role The purpose of this position is to ensure that the utilization process is thorough, organized and streamlined to provide the best possible length of stays for our patients. Given the complex nature...Remote work
$35 - $40 per hour
...Job Title: Utilization Review Specialist Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $35-40/hour Northpoint Recovery Holdings, LLC began 2009 as Ashwood Outpatient and officially launched the Northpoint platform in 2015. Now celebrating...Remote workFull timeTemporary workWork at officeMonday to Friday$62k - $70k
...of this position is to ensure that the utilization process is thorough, organized and streamlined... ...timely manner Completes peer to peer reviews with insurance MDs to advocate for... ...Charlie Health-sponsored benefits. #LI-REMOTE Please note that this role is not available...Remote workFull timeLocal area- ...Healthcare Utilization Review Specialist Join our team at Company and build a meaningful career in employee benefits solutions. As a Healthcare Utilization Review Specialist, you'll play a vital role in ensuring our clients and members receive the right care at the...Remote workFull timeTemporary workSummer workFlexible hours
- ...to help improve the health of individuals and the quality of life in our community. New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up on patient accounts when authorization for stay is required, initiate pre-...Remote workLocal area
$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...Remote jobHourly payContract work$16.74 - $26.92 per hour
...Job Description Job Description The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence... ...an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...HealthHelp is seeking a remote Utilization Review clinician (RN/LPN/LVN) to support medical necessity determinations across client programs. You will review cases, coordinate with providers, and ensure timely decisions in line with policy and regulatory requirements. Ideal...Remote workWork at office
$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with...Remote workMonday to FridayWeekend workWeekday work- Ascension Sacred Heart Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment with reimbursement policies. Join a multidisciplinary...Remote job
$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- ...Flexible Independent Contractor (1099) Require a DC or Maryland... ...Founded in 1983, Medical Review Institute of America (MRIoA)is... ...specializing in technology-driven utilization management and clinical... ...Reviews . This is a flexible remote opportunity requiring just 1–...Remote workFull timeContract workFor contractorsFlexible hours
- ...tracking various permits, the full-time Permit Specialist will manage the full lifecycle of permit... ...while coordinating with agencies, utilities, and internal teams. Key... ...permit acquisition, including submittal, review, and receipt of required permits Research...Remote workGeographic information systemFull time
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote workContract workWork from home
- ...facility in California is seeking experienced nursing professionals to review medical records and ensure appropriate admission status. The... ...or a Master's degree in a related field. The position offers remote work with emphasis on critical thinking and problem-solving skills...Remote work
- ...Who We're Looking For We are seeking an experienced specialist who is passionate about making a difference in the lives of... ...Health or related field required preferred. ~2-3 years of utilization review experience in behavioral health, addiction treatment, or managed...Remote jobDaily paidFull time
- ...We are seeking a Permit Specialist who researches, prepares, submits... ...coordinates with agencies, utilities, vendors, and internal teams... ...applications are completed accurately, reviewed efficiently, and approved on... ...to work effectively in a remote environment. ~ The...Remote workGeographic information systemTemporary workFor subcontractorMonday to FridayShift work
- Centene Corporation seeks a Registered Nurse to perform concurrent reviews, determine member health status, evaluate medical necessity, and contribute to discharge planning according to policies. This remote role supports inpatient services assessment and collaboration...Remote job
- ...EmployeePosition Title:Information Systems Specialist 6 - GIS AnalystJob... ...of up to 2 days per week of remote work upon successful... ...interview materials will be reviewed along with external applicants... ...complete. This information is utilized during the pay equity analysis...Remote workGeographic information systemPermanent employmentFull timeWork at officeLocal area2 days per week
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