Remote Inpatient Utilization Management Specialist
Cambia Health Solutions
- Remote job
Cambia Health Solutions in Tacoma, WA is looking for a UM IP Clinical Specialist to support the Clinical Services team. In this role, you will research and manage inpatient utilization management cases, collaborating with clinical professionals. Candidates must possess clinical experience and strong communication skills. Benefits include flexible work-from-home options, competitive pay, and comprehensive health coverage. #J-18808-Ljbffr Cambia Health Solutions
- Cambia Health Solutions is seeking a UM IP Clinical Specialist to support Inpatient Utilization Management cases. In this role, you will work from home and leverage your clinical knowledge to manage requests and collaborate with healthcare professionals. The ideal candidate...Remote jobWork at officeWork from home
- Connections Health Solutions is seeking a Utilization Management Coordinator to handle authorizations and ensure proper utilization of services. This fully remote role requires support for inpatient care reviews and compliance with regulations. Applicants should have at...Remote job
$34 - $39 per hour
...specializes in accounts receivable management services offering two... ...industry with our unique focus on utilizing cutting-edge technology and... ...isolation that can come with remote work, so we’ve dialed in on... ...employees. What you’ll do Review inpatient hospital medical records and...Remote workHourly payFull timePart timeFlexible hours- ...Case Manager - Utilization Review Specialist - Remote The Utilization Review Specialist assumes responsibility and accountability for admission and... ...case fails to meet admission standards. Compares inpatient medical records to established criteria and confers...Remote work
$16.5 - $18.5 per hour
...Inpatient Utilization Management Specialist Salary Range $16.50 - $18.50 Hourly Position Type Part Time Job Shift Day Education Level High School Travel Percentage Negligible Category Insurance Description Sign-on Bonus: $500 Participate in daily treatment...SuggestedHourly payFull timePart timeRelocation packageShift work- ...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
- Elevance Health is hiring a Utilization Management Representative II in Miami, Florida, responsible for managing incoming calls, authorizing sessions, and providing customer service in a healthcare setting. The ideal candidate will have a high school diploma or equivalent...Remote job
- United Cerebral Palsy of Georgia is hiring a Utilization Management Specialist in Miami, Florida. The role requires collaboration with Medical Directors to review healthcare services and authorize necessary services. Strong analytical skills are essential. This position...Remote jobLocal area
- ...electrical make ready design, and utility standards• Review and approve... ...designers, technicians, and specialists• Mentor team members (10-15... ...teams• Partner with project managers and leadership on workload... ...This role is designated as remote, giving you the flexibility to...Remote workWork at officeWork from home
$77.91k
E2E Alignment Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position involves reviewing inpatient admissions, coordinating care, and ensuring quality and cost-effective patient outcomes. The ideal candidate...Remote job$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$13 - $14 per hour
...Job description: Job Type : Contract Location- Remote Schedule and Shift: Monday-Thursday from 8-4:30pm and Friday... ...families regarding contracted health plans requirements related to Utilization Management and authorizations. Acts as a liaison between providers...Remote workHourly payContract workWork at officeShift work- Utility Vegetation Management Specialist Who are we? We’re dedicated to the growth of our employees. We truly believe in your development. For those who... ...operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...Remote workFull time
$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- A leading healthcare company in Washington, D.C. is seeking a Medical Director to oversee inpatient medical necessity reviews and utilization management. This role requires strong analytical and communication skills, as well as 5+ years of clinical experience post-residency...Remote job
$56.3k - $84.5k
...Utility Program Outreach Specialist We are seeking a Utility Program Outreach Specialist who will be responsible... ...program and incentive processes and manage enrollment from initial engagement... ...offers role-dependent options for remote, hybrid, and in-office work. AI...Remote workFull timeTemporary workWork at officeFlexible hours$114k - $161k
Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Job Title: Principal Consultant - Utility Return... ...: Hybrid - 3 days in office, 2 remote days per week 2025 Salary Range:... ...") is an employee‑owned leading management consulting and financial advisory...Remote workWork at officeWork from homeFlexible hours2 days per week- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing Solutions is a unique team... ...Solutions - Innovative revenue cycle management and advanced billing support systems...Remote workWork at officeFlexible hours
- ...healthcare solutions company based in Newtown Square is seeking a Utilization Management RN Coder. This role involves reviewing patient medical... ...certifications, and an unrestricted RN license. The position supports remote flexibility, ensuring compliance with healthcare regulations...Remote job
$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$60.2k - $107.4k
Job Overview The Utilization Management RN Coder will accurately and efficiently review and extract pertinent case details from patient medical... ...years of experience in ED, Telemetry, or CCU 1+ years of inpatient coding experience Preferred Qualifications Pre‑...Remote workMinimum wageFull timeLocal area$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- ...ERM is hiring remote Utility Project Support Specialists to support our client based in the Danville, IL area . In this critical role, you will be... ...12 months, extendable . RESPONSIBILITIES: Manage large amount of inbound and outbound phone calls Track...Remote workPart timeFixed term contractCasual workShift work
- A leading non-profit healthcare organization is seeking a Lead Coding Specialist to assist in coding supervision and compliance. This fully remote position requires at least five years of inpatient or outpatient coding experience. Candidates must be an AHIMA Certified Coding...Remote job
- ...Engineering is seeking a detail-oriented Engineering Operations Specialist to support utility-scale projects in Denver, CO. This hybrid position... ...strong attention to detail is essential as the role includes managing priorities and schedules across multiple projects....Remote jobWork at office
$85.7k - $128.54k
...while providing ample opportunities for growth and innovation. Utilization Management Nurse Lead Responsibilities Reviews reporting to assign... ...regulatory requirements. Serves as first-line SME/resource for inpatient UM questions; provides 1:1 coaching/shadowing support when...Remote jobImmediate start$24.61 - $34 per hour
...Inpatient Coding Specialist Inpatient Coding Specialist III Compensation: $24.61–$34.00 per hour (... ...impact in everything we do. Work remotely in a structured, performance-driven environment... ..., and DRG validation criteria. Utilize complete patient medical record...Remote workHourly payFull timeWork from home- Lead Coding Specialist Inpatient, $5000 Bonus, Fully Remote, CCS or RHIT certified, FT, 08A-4:30P Baptist Health is the region’s largest not-for-profit... ...and external customers, problem-solving and personnel management skills Knowledgeable in health information systems,...Remote job
$19.83 - $29.49 per hour
...Behavioral Health Specialist - Inpatient Psychiatry Waltham (nights) Position Summary: We're looking... ...lead to behavioral escalation and utilizes non-verbal and verbal techniques to de... ...Waltham Job Posting Category: Behavioral Health Remote Eligibility: Onsite Only...Remote workHourly payDaily paidTemporary workPart timeWork at officeShift workNight shiftWeekend work- ...to pay for health care. The Certified Inpatient Coding Specialist codes and abstracts all pertinent... ...and CMS guidelines and regulations. Utilizes the 3M Encoder to verify and assign AHA... ...accredited Health Information Technology or Management program. Will consider candidate with...Remote workFull timeWeekend workDay shift
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