Utilization Review Specialist — Hybrid/Remote, Growth
Diversified Treatment Alternative Centers (DTAC)
- Remote job
Diversified Treatment Alternative Centers (DTAC) is seeking a detail-oriented Utilization Review (UR) Specialist to support our behavioral health programs in a hybrid/remote setup in Chadds Ford, PA. You will manage authorizations and eligibility verification across clinical, admissions, and revenue cycle teams, ensuring medical necessity, preventing denials, and aiding timely reimbursement while maintaining regulatory compliance. #J-18808-Ljbffr Diversified Treatment Alternative Centers (DTAC)
- ...in Olathe, KS seeks a detail-oriented Utilization Review Specialist to bridge clinical teams and health... ...services for children, youth, and adults. Hybrid work location starts after a 90-day... ...with 2 days in the office and 3 days remote. The role demands accuracy, urgency,...Remote workWork at office
- ...Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday – Friday Overview Diversified Treatment... ...Stable organization focused on quality and growth Opportunities for professional development...Remote workFull timeMonday to FridayFlexible hours
- ...streamlined manner. We are seeking a ABA Utilization Review Specialist The ABA Utilization Review... ...rewarding environment. This is a fully remote or office/home hybrid position. Your Responsibilities:... ...talented and skilled individuals. Growth opportunities Benefits - Medical,...Remote workWork at officeFlexible hours
- ...Looking For We are seeking an experienced specialist who is passionate about making a... ...field required preferred. 2-3 years of utilization review experience in behavioral health, addiction... ...Opportunities for Professional Growth & Development Free CEU’s Free CPR Certification...Remote workDaily paidFull time
- ...Delivery System (DMC-ODS), including review of medical records to ensure proper utilization of treatment resources and... ...health treatment. UR Specialists also interpret, advise and train... ...eligible list. The option for hybrid remote work may be available based on...Remote workContract workLocal areaTrial periodFlexible hours
- Spectrum Billing Solutions is seeking an ABA Utilization Review Specialist to review clinical data and obtain authorized services for... ...and related treatments. This role offers either remote work or a home-office hybrid setup, with collaboration across clinical staff to...Remote jobWork from homeHome office
$62.4k - $72.8k
...Job Title: Utilization Review Specialist Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $30-35/hour Northpoint Recovery... ...platform in 2015. Now celebrating 10 years of growth in 2025, Northpoint is a leading behavioral healthcare...Remote workFull timeTemporary workWork at officeMonday to Friday$90.9k - $129.9k
...career development. Summary Review and evaluate prior authorization submissions utilizing multiple computer systems, and... ...should expect in this role ~100% Remote home office. ~ Full-time... ...innovation, and inclusion fuel our growth. Gainwell Technologies is an...Remote workFull timeWork experience placementHome officeFlexible hours$18 - $20 per hour
...compassionate professional to join our Utilization Review department. At Camber, we... ...As a Utilization Review Specialist, you serve as the vital link... .... Work Location: Hybrid after a positive 90-day... ...Olathe corporate office, 3 days remote. What You Will Do Act...Remote workHourly payFull timeWork at office- Spectrum Billing Solutions is seeking an ABA Utilization Review Specialist. The role supports review of clinical data to determine medical... ...for ABA and related services. It is a fully remote or office/home hybrid position with a collaborative, detail-focused team....Remote jobWork at office
- ...Utilities Specialist I - Hybrid Full time; Non-Exempt; 40 hours/week; Overtime as required. Location... ...account status and current billing. Review loan documentation to determine... ...and/or move about the organization or remote office. The employee is frequently required...Remote workFull timeTemporary workWork at officeWork from homeFlexible hours
$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- ...can cultivate the roots of their own recovery story. As a Utilization Review Specialist at Alsana, you will support utilization management... ...package designed to support your health, well-being, and growth, including: Medical, Dental, and Vision insurance with multiple...Remote jobTemporary work
$60k - $62k
...Job Description Remote- Work From Home, Jackson, Jackson, Michigan, United States Exempt Location USA/Remote... ...your geography and expertise. Position Overview The Utilization Review Specialist is responsible for all aspects of the authorization of treatment...Remote workFull timePart timeWork from homeFlexible hours- ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining insurance authorizations, communicating with managed care organizations, and collaborating with clinical teams....Remote workPart timeWeekend work
- ...The Arizona Health Care Cost Containment System (AHCCCS) is seeking a Behavioral Health Prior Authorization Utilization Review Consultant. The role focuses on monitoring, evaluating, and approving or denying payment for medical and behavioral health services for the Fee...Remote work
- ...Hansei Solutions is seeking an Utilization Review Specialist to act as the vital link between insurance payors and treatment facilities, advocating for clients to secure maximum authorized treatment days. The role emphasizes communication, organization, data entry, multitasking...Remote work
- ...CVS Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical expertise to ensure medically... ...RN license, 5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an Associate degree...Remote workWork from homeMonday to FridayWeekend work
- ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant communications with insurance payers. You will support patient access by securing initial and continued...Remote work
- ...support the Ethos Medical Management Team, the full-time Utilization Review Specialist will ensure the efficient and accurate processing of Utilization... ...Management and Independent Review requests while working remotely and providing exceptional client service. Key...Remote workFull timeWork at office
$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 workHourly payContract work- ...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
$65.52k - $95.5k
...Utilization Review Specialist The Utilization Review Specialist will ensure regulatory compliance with CMS Conditions of Participation with regard to Utilization Management. Perform Utilization Review according to CMS and commercial payor guidelines. Participate in...Remote work- ...As Utilization Review Specialists, we are the liaisons between insurance payors and the treatment facilities we service, advocating for clients to... ...sobriety if personally represented as "recovering".Benefits100% remote first company to foster flexibility, inclusivity, and...Remote workWork at office
$24 - $26 per hour
...Utilization Review Specialist – Behavioral Health (Remote) PHP/IOP | Full-Time | Monday–Friday, 9 AM–5 PM ET | $24–$26/hour About the Role Principles Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage insurance authorizations for adolescent...Remote workFull timeMonday to Friday- ...Utilization Review Specialist The primary purpose of the Utilization Review Specialist is to create and manage the flow of revenue for each client... ...in Microsoft Office Satisfactory CORI and background check. Satisfactory drug screen Part Time Remote Role...Remote workPart timeWork at officeFlexible hours
- ...Sedgwick is seeking a remote RN Utilization Review professional in Tennessee to provide timely utilization reviews and advocate for cost-effective patient care. You will assess medical conditions, coordinate with clinicians, and support evidence-based treatment decisions...Remote workFlexible hours
- ...Regional office in Temecula, CA is hiring a Full-Time RN Central Utilization Review Nurse. You will plan, coordinate, and manage patient needs... ...communications, ensuring UR compliance, and may shift to a hybrid schedule after 90 days. Weekend and holiday coverage is required...Full timeWork at officeShift workWeekend work
$60k - $70k
...alternative application process. Full Time Office/Clerical Remote, Birmingham, AL, US Salary Range: $60,000.00 To $70,000... ...for every stage of the journey. We are seeking a Utilization Review Specialist to add to our dynamic team! The Utilization Review Specialist...Remote workFull timePart timeWork at office- ...Intermountain Health’s St. Marys Regional Hospital seeks an RN Utilization Review Care Management I to perform utilization review screenings,... ...ensure compliant, efficient, and patient-centered services. Remote work is offered where approved, with shifts enterprise-wide and...Remote workShift work
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