Remote Utilization Management Specialist I
Elevance Health
- Remote job
Elevance Health is seeking a Utilization Management Representative I to coordinate precertification and prior authorization reviews. This full-time remote role offers flexibility with required in-person training sessions and optional alternate locations within commuting distance. You will handle incoming calls and post-service claims work, determine contract and benefit eligibility, and authorize inpatient admissions, precertifications, and post-authorization activities. #J-18808-Ljbffr Elevance Health
- ...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
- ...Utilization Management Specialist We are seeking a full-time Utilization Management Specialist to provide oversight of person-centered plans to improve quality of care and ensure plans are individualized to meet the needs of each client. Supports Utilization Management...Remote workFull timeTemporary workWork experience placementWork from home
$21.68 - $31.08 per hour
...required. Work Location: This is a fully remote, permanent work-from-home position. What will YOU be doing for us? Utilize internal practices and policies to perform... ...quality and accuracy. Communicate with management and other internal staff on audit findings...Remote workHourly payPermanent employmentSecond jobWork at officeWork from homeWeekend work- ...ABA Utilization Review SpecialistSpectrum Billing Solutions offers... ...industry-leading revenue cycle management services for healthcare... ...ABA Utilization Review (UR) Specialist to our growing team. The ABA... ...environment. This is a fully remote or office/home hybrid position...Remote workWork at officeFlexible hours
$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year, based on... ...Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment...Remote work- ...Working remotely in a full-time capacity, the Utilization Management Support Specialist will conduct audits of authorization case work, provide technical support for authorization processing, and assist in resolving quality issues to ensure compliance with service level...Remote workFull timeSecond jobWork at office
$13 - $14 per hour
...$13.00 - $14.00 per hour Job Type: Contract Location: Remote Schedule and Shift: Monday-Thursday from 8-4:30pm and Friday... ...regarding contracted health plans requirements related to Utilization Management and authorizations Acts as a liaison between providers,...Remote workHourly payContract workWork at officeShift work- Vanderbilt University Medical Center is seeking a Utilization Management professional to ensure accurate certification and complete chart documentation for appropriate admission status. The role involves coordinating with the multidisciplinary team to promote proper levels...Remote job
$32.65 - $43.9 per hour
...of technology-enabled revenue cycle management solutions for health systems, including... .... We are seeking Virtual Utilization Review Specialists to join our team. Essential job... ...Abilities Required: This is a remote role which requires access to high speed...Remote workTemporary workWork at officeLocal area$114k - $161k
...Job Title: Principal Consultant Utility Return on Equity & Cost of Capital Specialist Job Location : Marlborough... ...: Hybrid 3 days in office, 2 remote days per week 2025... ...Concentric") is an employee-owned leading management consulting and financial advisory...Remote workWork at officeWork from homeFlexible hours2 days per week- ...our service to our vegetation management clients. We’re transparent... ...plans necessary work to meet utility standards Collects data on unit... ...preferred ISA Utility Specialist certification preferred Must... ...patrol of utility power lines; remote locations as well as urban, city...Remote workFull time
$128k - $191k
Job Title Principal Consultant - Utility Revenue Requirements Specialist Location Marlborough, MA or Washington, DC; open to remote employees Company Description Concentric Energy... ...( (“Concentric”) is an employee‑owned management consulting and financial advisory firm...Remote workWork at officeFlexible hours- ...Utility Project Support Specialist ERM is hiring remote Utility Project Support Specialists to support our client based in the Danville, IL area. In this critical... ...12 months, extendable. Responsibilities: Manage large amount of inbound and outbound phone calls...Remote workPart timeFixed term contractCasual workShift work
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...Remote job
$58.24k - $72.8k
ERM is seeking a Remote Utility Project Support Specialist to assist with customer inquiries regarding utility line projects. This part-time role involves managing a high volume of calls and ensuring customer satisfaction. The ideal candidate will possess strong communication...Remote jobPart time- Environmental Resources Management (ERM) is seeking a remote Utility Project Support Specialist to assist our client in the Danville, IL area. This remote, part-time role operates 20 hours per week with a 12-month term, extendable, and focuses on handling inquiries related...Remote jobPart time
- ...coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical... .... Refer to and work closely with Case Management to address member needs. Participates... ...Please note: There may be opportunity for remote work within all jobs posted by the CDPHP...Remote workContract workWork at office
- FHE Health is seeking a Utilization Review Specialist to manage clinical authorization processes and coordinate with insurance payers for timely authorizations. The role supports access to treatment while ensuring documentation reflects medical necessity and compliance....Remote job
- Elevance Health is seeking a candidate for a customer service role with responsibilities including managing claims and determining benefit eligibility. The position requires at least 1 year of customer service experience, strong communication skills, and a medical background...Remote jobContract workMonday to Friday
- ...innovators, program and construction managers and other professionals delivering... ...world. Join us. AECOM is seeking a Utility Asset Management Specialist to be based in Baltimore, MD.... ...you're working from an AECOM office, remote location or at a client site, you will...Remote workFull timeWork at officeWorldwideRelocation
- ...the UMAnalyst to resolve issues, including IPQI support. The role requires SQL experience and strong computer skills. This is a fully remote, permanent position with standard hours and occasional holiday/weekend rotation. #J-18808-Ljbffr Santa Barbara Cottage HospitalRemote jobPermanent employment
- The University of Miami is seeking a Case Manager to review medical records for admission necessity and to coordinate discharge planning for outpatient, observation, and inpatient care within a multidisciplinary team. You will secure pre-certifications, communicate with...Remote job
$85k - $95k
ICF's Disaster Management Division seeks a Senior Grants Specialist to support clients in implementing federally- and state... ...with stakeholders and staff utilizing excellent communication skills, understanding... ...1,147.00 - $137,949.00California Remote Office (CA99)SummaryLocation: Los...Remote workFull timeContract workFor contractorsWork experience placementLocal areaWork from home- ...Seeking an experienced and detail-driven Utilization Review Specialist, the full-time remote position will manage a caseload of 50-75 patients, conducting admission and continuing-stay reviews, coordinating authorizations, and serving as a liaison between clinical operations...Remote workFull time
$77.6k - $176k
Program Management Specialist, SeniorThe Opportunity: As a program management specialist, you know... ...You Have: Experience managing programs utilizing rapid fielding or rapid prototyping... ...have their cameras on during meetings.Remote: If this position is listed as remote,...Remote workFull timeContract workPart timeWork at officeLocal area- The Sourcing Specialist's primary role is to promote and implement tactical... ...activities while proactively managing assigned commodities, supply... ...schedule is an option for remote work on Mondays and Fridays.... ...standard office environment, utilizing standard office equipment...Remote workFull timeContract workMonday to FridayFlexible hours
- ...Rogers Behavioral Health in Wisconsin is seeking a UR Case Management Specialist to lead care coordination from admission to discharge, monitor... ...standards. This is a full-time hybrid role with potential remote or on-site duties, requiring strong communication and #J-188...Remote workFull time
- ...technology-enabled revenue cycle management solutions for health systems,... ...The Patient Access Associate Specialist plays a critical role in... ...patient education documents. Utilizes auditing and reporting systems... ...Monster Top Workplace for Remote Work 2024 Great Place to Work...Remote workLocal area
$18 - $19.15 per hour
...Patient Access Associate Specialist Ensemble is a leading provider... ...-enabled revenue cycle management solutions for health systems... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workFull timeReliefWork at officeLocal areaShift workNight shiftWeekend workDay shift$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... ...Medicaid program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract work
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