Remote LPN Utilization Review Specialist
Mass Digital Health
Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility and contract requirements, requiring clinical expertise and knowledge of Medicaid guidelines. Candidates must have an active LPN license, at least one year of experience in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical, dental, and 401(k) plans. #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote LPN Utilization Review Specialist in United States vacancy
- ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize... ...in a cohesive and rewarding environment. This is a fully remote or office/home hybrid position. Your Responsibilities...Remote workWork at officeFlexible hours
Spectrum Billing Solutions
Skokie, IL5 days ago - ...Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday – Friday Overview Diversified Treatment Alternative Centers (DTAC) is seeking a detail-oriented and experienced Utilization Review (UR...Remote workFull timeMonday to FridayFlexible hours
Diversified Treatment Alternative Centers (DTAC)
Chadds Ford, PA1 day ago - ...treatment of addiction and mental health issues, the full-time Remote Utilization Review Specialist will manage pre-authorizations and concurrent reviews,... ...diploma or equivalent with a state license (e.g., RN, LPN, LCSW, LMHC) preferred Minimum of three years' experience...Remote workFull time
Virtual Vocations Inc
United States5 days ago $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 workNurseRemotely
United States1 day ago- ...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
Ethos Risk Services
United States4 days ago $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 areaCharlie Health Outreach
United States4 days ago- ...Exeter, NH/ South Burlington, VT/ Hybrid/ Remote Employment Status: Full-time FLSA Status: Non-Exempt Reports To: Utilization Review Process Manager Job Summary: Under the supervision... ...Process Manager, the Utilization Review Specialist will use professional discretion and...Remote workFull timeWork at office
Socket
Austin, TX5 days ago $35 - $40 per hour
...Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $35-40/hour Northpoint Recovery Holdings, LLC began 200... ...POSITION SUMMARY: As a key member of the Northpoint team, the Utilization Review Specialist is a licensed professional who is responsible for ensuring...Remote workFull timeTemporary workWork at officeMonday to FridayNorthpoint-Recovery-Holdings,-LL
Meridian, ID5 days ago- ...Job Description Job Description Job Title: Utilization Review Specialist LPN Job Location: Baton Rouge, LA Company: Seaside Health System Seaside Health System is seeking a dedicated and compassionate Utilization Review-LPN to join our team in our Baton...Full timeLocal area
Seaside Health System
Baton Rouge, LA8 days ago $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 workConcierge Home Care
Jacksonville, FL5 days ago$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 workProvidence Health & Service
Salem, OR3 days ago- ...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
Santa Barbara Cottage Hospital
United States1 day ago - ...an Appeals and Grievances Clinical Specialist to manage member complaints and... ...case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities... ...practice and knowledge of Utilization Review Guidelines. The position offers a...Remote work
Health First
New York, NY3 days ago $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... ...Management department, and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...Utilization Specialist Part time 20 hours a week then will go to a Full Time Opportunity Location: Central... ...to Orlando or Villages from time to time (remote, but available for onsite meetings) Key Responsibilities Review any new Medicare patients from last 3...Remote workFull timePart time
Enterprise Engineering
Orlando, FL4 days ago - ...We believe that our collective efforts will shape a healthier future for the communities we serve.How you’ll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy...Temporary workFlexible hours
LifePoint Health
Oklahoma City, OK2 days ago - ...vision, life, accident insurance, and telehealth options for those working 20 hours or more per week. About the Role The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients are medically necessary, efficient, and...Part time
Bradford Health Services
Knoxville, TN5 days ago - ...certified programs: a Part 820 Residential Reintegration Program and a Part 822 Outpatient Rehabilitation Program. As a Utilization Review Specialist, you will play a vital role in ensuring that clinical services are medically necessary, appropriately authorized, and compliant...Work at office
Air Comfort Corporation
Middletown, NJ1 day ago - ...Bradford Health Services, LLC seeks an Utilization Review Specialist to ensure medical necessity and efficient care across patient records and treatment plans. The role collaborates with clinicians, insurers, and case managers to enable timely approvals while controlling...
Bradford Health Services, LLC
Knoxville, TN2 days ago - ...Utilization Review Specialist – North Little Rock, AR (72113) Are you an experienced healthcare professional looking for an opportunity to make a difference in patient care management? We’re seeking a Utilization Review Specialist to join our team in North Little Rock,...Work at office
The Wellstone Group
Brooklyn, NY5 days ago - ...Medusind in Costa Mesa, CA is seeking an UR Representative to conduct Utilization Reviews ensuring proper authorization for behavioral health services. You will review cases across multiple platforms, coordinate peer reviews, and enter authorization data while maintaining...
Medusind Inc
Brooklyn, NY2 days ago $55k
...immerse yourself in a rewarding career for years to come! As the Utilization Review Specialist, you will work in an office based setting located in... ...Preferred in Behavioral Health/HealthCare or related field; OR LPN or RN Minimum 2 years of relevant experience in a...Extra incomeWork at officeOaks Integrated Care
Ewing, NJ2 days ago- ...hospitals 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-...Local area
New Horizons of the Treasure Coast and Okeechobee
Florida, NY1 day ago - ...supervision of the HIM Manager, monitors utilization of resources, risk management, and quality... ...preadmission and retrospective chart reviews - Coordinate with discharge planning on... ...environment placement Required - LPN license or RHIT credential (coding certifications...
West River Health Services
Hettinger, ND3 days ago - ...Medical Center Health System in Odessa, TX seeks a detail‑oriented support clerk to assist the Utilization Management department with utilization reviews, data collection, and care coordination activities. The position requires a high school diploma, at least one year...
Medical Center Health System
Odessa, TX1 day ago - ...Lifepoint Health invites applications for a Utilization Review Specialist at El Dorado Springs Behavioral Health. This role supports admissions reviews, treatment authorization, and discharge planning within our psychiatric care setting. You will collaborate with the care...
LifePoint Health
Tucson, AZ1 day ago - ...Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Utilization Review Specialist in Omaha to join its Medical Management team. The individual ensures that medical treatment requests from providers are medically appropriate and reviewed...Work at office
Berkshire Hathaway Homestate Companies
Omaha, NE5 days ago $26 - $28 per hour
...in early 2026. Location: On-Site in Long Beach, CA Schedule: 8-hour shifts Pay Range: $26.00-28.00 hourly PositionSummary Our Utilization Review department manages both outpatient and inpatient patients. We work with Medicare, Medicare HMO, Medi-Cal , commercial...Hourly payLocal areaShift workWeekend workView Behavioral Health
Long Beach, CA5 days ago$24.03 - $24.75 per hour
...Qualifications: Certifications/Licenses: None required Education: Associates or Bachelors level LPN or RN and/or Bachelors or Masters level CADC/LADC with 2 years utilization review experience, preferred experience working with individuals with psychiatric or substance use...Full timeWork at officeShift workSocket
Henderson, NV2 days ago$27 - $38 per hour
...Join to apply for the Utilization Review Specialist role at Tully Hill Treatment & Recovery Do you have a passion for helping others? Tully Hill Treatment... ...medical record and good computer skills. Current RN, LPN licensure or other NYS QHP certification required. Ensure quality...Hourly payFull timeContract workTemporary workWork experience placementTully Hill
Tully, NY3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote LPN Utilization Review Specialist. Be the first to apply!
Related searches