Remote Utilization Management Specialist I
Elevance Health
- 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 is preferred. This is a contract position with Monday through Friday hours. Work is primarily virtual, with some onsite training required. Eligible employees will receive a comprehensive benefits package including medical and 401(k). #J-18808-Ljbffr Elevance Health
- ...offers industry-leading revenue cycle management services for healthcare providers.... ...manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR... ...rewarding environment. This is a fully remote or office/home hybrid position. Responsibilities...Remote workWork at officeFlexible hours
- ...Utilization Management Specialist Under general supervision by management, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in order to authorize services. Reviews health care services to...Remote workContract workLocal area
$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$55k - $70k
...Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue‑cycle management professionals specializing in the substance use disorder, mental...Remote workWork at officeFlexible hours$51 per hour
...Utilization Management Specialist (UM / Utilization Review Nurse) — Remote In this role, you'll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You...Remote workContract workWork at officeLocal areaFlexible hours$51.46k - $60k
...Location: 3828 W. Taylor Chicago, IL 60624 Shift schedule: Monday through Friday from 9:00AM-5:30PM (2-days remote, 3-days in office) Utilization Management Specialists are responsible for: Obtaining initial and subsequent authorizations of clinical services from insurance...Remote workFull timeTemporary workWork at officeMonday to FridayFlexible hoursShift work- ...professional in Albany, NY, responsible for coordinating and monitoring utilization of behavioral health and physical health services. The ideal... ...compliance with regulatory standards. Opportunities for remote work exist on a case-by-case basis. #J-18808-Ljbffr Univera...Remote work
- Orbital Engineering, Inc. seeks an Electric Utility Asset Management Specialist with Cascade experience for a remote role within our Utility Services team. You will support the implementation of DNV Cascade 4 and help develop asset management programs for electric utilities...Remote job
$46.76 - $51.76 per hour
...references. Follows NCQA Standards and departmental SOPS to manage member assignments. Conducts research and analysis of... ...internal stakeholders. Nice to Have: Prior experience in utilization management, care management, or payer-side review of ABA services...Remote jobWork at office$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...Remote job- Utility Vegetation Management Specialist Responsibilities Assesses vegetation around powerlines and plans necessary work to meet utility standards Collects... ...operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...Remote workFull time
- WellSense Health Plan is seeking an Inpatient Utilization Management Clinician to evaluate inpatient treatments, ensuring medical necessity and optimizing health outcomes. This fully remote role involves supporting care transitions and collaborating with care management...Remote job
- ...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
$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$128k - $191k
Principal Consultant - Utility Revenue Requirements Specialist Job Title: Principal Consultant - Utility Revenue... ...MA or Washington, DC; also open to remote employees Company Description:... ...Concentric”) is an employee-owned leading management consulting and financial advisory...Remote workWork at officeFlexible hours$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- ...Working remotely in a full-time capacity, the Behavioral Health Utilization Review Specialist will manage the authorization of treatment through insurance and managed care companies, performing pre-certification, concurrent, and appeal reviews while ensuring compliance...Remote workFull time
- ...2 days ago Requisition ID: 9252 UR Specialist – Join Camber and Make an Impact At... ...difference every day. Job Summary The Utilization Review department manages all aspects of a patient’s stay... ...schedule of 2 days in office and 3 days remote after successfully completing their...Remote workFull timeWork at officeMonday to Friday
- Gateway Foundation, Inc. is seeking a dedicated professional in Chicago for a full-time position focused on obtaining clinical service authorizations and supporting clinical staff. The role requires a Bachelor's degree and 1+ years of relevant experience. Responsibilities...Remote jobFull time
$55k - $70k
...Job Description Job Description Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are... ...Solutions is a unique team of revenue cycle management professionals specializing in the...Remote workFlexible hours- ...Welcome to Digital Direction, your source for Managed Telecom Solutions. We help CIO’s, IT... .... The position offers virtual office (remote). Principal Duties and... ...CSRs Build inventory records in our CRM utilizing CSRs Possess a high understanding of...Remote workContract 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... ...Medicaid program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract work$17 - $18.15 per hour
...Patient Access Specialist Ensemble is a leading provider of technology... ...-enabled revenue cycle management solutions for health systems... ...physician orders, and utilizing a overlay tool while providing... ...~ Monster Top Workplace for Remote Work 2024 ~ Great Place to...Remote workWork at officeLocal area$80k - $150k
Role Description Orbital Engineering, Inc. is currently seeking an Asset Management Specialist with Cascade experience for a REMOTE WORK role for our Utility Services team to support the implementation of DNV Cascade 4 utility asset management software. ~Support the...Remote workFull timeTemporary workWork at officeWork from home- ...Patient Access Specialist Ensemble is a leading provider of technology... ...-enabled revenue cycle management solutions for health systems... ...physician orders, and utilizing an overlay tool while providing... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workFull timeWork at officeLocal area
- ...Job Title Endpoint Privilege Management Specialist Position Details Job Code: JPC - 42708 Type: Contract Location: Remote Experience: 2 - 5 Years Primary Skills... ...metering and data collection systems within a utilities/energy environment. This role requires...Remote workContract work
$20.45 - $24.7 per hour
...Medical Coding Specialist Ensemble is a leading provider of technology‑enabled revenue cycle management solutions for health systems, including... ...requirements for observation cases, utilizing third‑party software such... ...& Travel This is a remote position; however, candidates...Remote workHourly payTemporary workWork at officeLocal area- ...Revenue Cycle Management Specialist- Collections The Revenue Cycle Management Specialist- Collections responsibility is to ensure timely collection... ...claim corrections as needed within timely filing limits. Utilize billing software to maintain accurate and detailed records...Remote workWork at office
- ...project plan, implement and monitor supply chain expense or utilization opportunities to optimize total organizational expenses. As part... ...to optimize the selection, standardization towards formulary management, and utilization of product and services for the organization...Remote workFull timeContract workPart timeWork experience placementWork at officeWork from homeShift work
- ...Summary The primary function of the position manages administrative tasks related to asset... ...to support departmental operations, utilizing advanced Excel skills for analysis and presentation... ...tool crib settings and occasionally at remote locations such as warehouses and job...Remote workWork experience placementWork at office
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