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)
- ...We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist... ...environment. This is a fully remote or office/home hybrid position. Your... ...talented and skilled individuals. ~ Growth opportunities ~ Benefits – Medical...Remote workWork at officeFlexible hours
- ...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
- 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
- ...Location: 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... ...Process Manager, the Utilization Review Specialist will use professional discretion and...Remote workFull timeWork at office
$35 - $40 per hour
...Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $35-40/hour Northpoint... ...in 2015. Now celebrating 10 years of growth in 2025, Northpoint is a leading... ...member of the Northpoint team, the Utilization Review Specialist is a licensed professional who is...Remote workFull timeTemporary workWork at officeMonday to Friday- ...life in our community. New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up on patient... ...company to obtain authorization. This position is considered a Hybrid role. As a Utilization Review Specialist , your...Remote workLocal area
- ...Corporation is seeking a licensed clinician to review ABA services and health status across... ...reviews, data analysis to improve utilization, and collaboration with BH providers.... ...MST, or CST is required, with flexible remote/hybrid options. #J-18808-Ljbffr Centene CorporationRemote workFlexible 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$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- ...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
$20 per hour
...have partnered with Zeffert for accuracy and speed on utility allowances, tenant file reviews, building accessibility, and training. Headquartered in... ...: 2 years (Required) Critical Thinking: 2 years (Required) Work Location: Hybrid remote in St. Louis, MO 63141...Remote workFull timeWork experience placementLocal areaMonday to FridayFlexible hours$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- ...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
- ...Gainwell Technologies LLC is looking for a Utilization Review Nurse to work remotely in Maine. You will conduct reviews for medical necessity and appropriateness... ...include flexible work hours and opportunities for career growth in a collaborative environment. #J-18808-Ljbffr...Remote workFlexible hours
$80k - $90k
...Sourcing Specialist (Hybrid) Locations: Alachua, FL | Smyrna... ...in-office / 2 days remote) Position Overview... ...such as manufacturing, utilities, healthcare,... ...end-to-end proposal reviews, evaluate supplier bids... ...support your professional growth and well-being:...Remote workFull timeContract workWork at office- ...meetings Job Description A Day In The Life The Utilization Review Specialist (RN) is responsible for ensuring appropriate utilization... ...Ridge. Once established this position will be 50/50 hybrid & onsite. Training Schedule: Onsite M-F 8AM -4:30PM...Work at officeWeekend work
- BuildASign, a Texas-based company, is seeking a Paid Social Specialist to plan, optimize, and report on paid social campaigns, primarily... ..., and collaboration with the marketing team to drive revenue growth. Hybrid schedule with health benefits and 401(k). #J-18808-Ljbffr...Remote job
$59.7k
Job Description Job Title: Utilization Review/Reimbursement Specialist Primary Location: Remote Department: Admissions/Access Employment Type: Regular Compensation Range: $28.70 and goes up based on experience Hours : Monday - Friday 8:30am -5...Remote workFull timeWork at officeMonday to FridayWeekend work$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- ...Job Description Job Description Utilities Specialist I - Hybrid - 3 days on site, 2 days WFH Full... ...account status and current billing. • Review loan documentation to determine... ...and/or move about the organization or remote office. The employee is frequently...Remote workFull timeTemporary workWork at officeWork from homeFlexible hours
- ...Alternative Centers (DTAC) is seeking a detail-oriented Utilization Review Specialist to ensure authorization accuracy and regulatory... ...support timely reimbursement. The position offers flexible hybrid or remote options, with a focus on maintaining medical necessity,...Remote jobFlexible hours
$55k - $70k
...health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $... ...for professional development and growth. A supportive and collaborative... ...have prior UR & clinical experience. Remote hires and applicants without prior...Remote workFull timeWork at officeLocal area- ...Massachusetts workers’ compensation claims by reviewing medical treatment requests, evaluating records,... ...This role offers a more predictable schedule and hybrid work arrangement in Manchester, NH. You will conduct utilization reviews, review treatment plans, apply state...Remote job
- ...Working remotely or in a hybrid capacity, the full-time Utilization Management Specialist will manage inquiries related to medical and pharmacy reviews, coordinate authorizations, and ensure accurate documentation and communication with internal and external stakeholders...Remote workFull time
$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- ...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
- ...Standards & Practices Associates review high profile national advertising... ...other documentation obtained and utilized in the clearance process is an integral... ..., research, or communications Hybrid role; In-Office days Mon.-Thurs.; Fri. Remote US Tech Solutions is a global...Remote workContract workFixed term contractWork at office
- ...health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability,... ...are classified as hybrid, onsite or remote. While the majority of our employees are... ...State of Arizona. PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities...Remote workFull timeWork experience placement2 days per week1 day per week
- ...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
$21 - $25 per hour
...Wealth - Traditional Asset Specialist (Hybrid - Oak Brook, IL)) #26-1618... ...one of our office locations, remote roles can sit in any of the... ...Inspira Financial, we know growth comes from people who are willing... ...a fast-paced environment. Review and process daily cash...Remote workWork at officeWork from homeRelocationMonday to FridayFlexible hours
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