Senior Utilization Review Coordinator - Remote Healthcare
Integrated Management Strategies
- Remote job
Integrated Management Strategies (IMS) is seeking an experienced Sr Review Coordinator to join our healthcare consulting practice. This role is fully remote within the US and focuses on utilization review of plans of service for home and community-based programs, impacting access to services for the MD population. You will review complex plans, act as a resource for non-clinical reviewers, and ensure timely, quality decisions in line with contract, state, and URAC requirements. #J-18808-Ljbffr Integrated Management Strategies
$20 - $30 per hour
...cutting-edge behavioral healthcare company dedicated to... ...delivering exceptional care, utilizing state-of-the-art... ...Department/Location: Remote FLSA Status: Exempt Travel... ...Utilization Review on Behalf of the Clinics... ...treating clinicians. Coordinate Peer-to-Peer (P2P) Review...Remote work$60k - $83.2k
...care. With human-centered, healthcare-relevant, and value-based solutions... ...Requirements The Clinical Review Coordinator conducts all mandatory case... ...process. The role is remote work, but you must reside... ...policies, standards of care, and utilization review criteria applicable...Remote workFull timeContract workFor contractorsWork at officeShift work$219k - $286.9k
Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient... ...information and applying evidence-based guidelines. This remote role in the United States offers work from home with...Remote jobSeniorWork from home- ...Detail-oriented and knowledgeable, the full-time remote Utilization Review Coordinator will manage client insurance authorization processes for Spravato and TMS services, ensuring timely submission of clinical documentation and coordinating with various teams to maintain...Remote workFull time
- ...Patient Chart Reviewer In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be... ...Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred....Remote workFull timeMonday to Friday
- ...and claims submission, and utilization review, we help treatment centers optimize... ...Exempt Hourly Reports To: Senior RCM DirectorSupervisory... ...managers, facility staff, and healthcare partners.Collaborate with... ...desk and working on a computer.Remote PositionBenefits:•...Remote workHourly payWork at office
$18 - $20 per hour
...Utilization Review Coordinator PRIMARY PURPOSE: To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic...Remote workWork at officeLocal areaFlexible hours$55k - $75k
...process. Full Time Office/Clerical Remote, US 5 days ago Requisition ID: 5788... ...post-treatment lives. We are seeking a Utilization Review Coordinator to add to our dynamic team. The... ...plays a critical role in ensuring that healthcare services provided to patients are medically...Remote workFull timePart timeWork at office- ...Arizona's largest nonprofit healthcare systems, our culture... ...: Case Management Remote 8:30 - 4:00 Responsibilities... ...Network Manager for Utilization Management, assists in... ...via the clinical review and appeal processes.... ...position supports Care Coordination department efforts in...Remote workWork at officeShift work
$64k
...Salary $64,000 The UR and RCM Support Coordinator is responsible for securing and... ...care. Reporting to the Director of Utilization Review with a dotted-line relationship to the... ...Comfort working independently in a remote environment while maintaining tight collaboration...Remote workFull timeContract workPart timeWork at officeShift work- ...Utilization Review / Utilization Management Coordinator Opportunity Turning Point Care Center provides comprehensive behavioral health care for adults experiencing... ...and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has...Work at officeLocal area
- ...common goal of creating new beginnings. Healthcare professionals have a unique... ...of benefits for incoming patients. Coordinates the utilization management functions of a patient caseload... ...interdisciplinary treatment team and performance of reviews, with external review organizations/...Local area
$20 per hour
...Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve... ...admission, continued stay and discharge reviews on all managed care clients. •... ...Intermediate level. 3-5 years' experience in Utilization Review or related position in a healthcare...Full timeWork at officeLocal areaFlexible hours- ...Avenues Recovery Center is Now Hiring: Utilization Review Specialists Avenues Recovery... ...documentation integrity, and continued stay coordination across our network. Position... ...Nursing background, clinical background or healthcare knowledge strongly preferred...Full timeTemporary workWork at officeImmediate startFlexible hours
- ...Serves as liaison to on-site external reviewers. Uses Midas for recording reviews and... ...most respected providers of hospital and healthcare services, Universal Health Services,... ...study required Six months psychiatric utilization review either for hospital or external...Local areaFlexible hours
- ...Center of Augusta is seeking a dedicated, compassionate Utilization Review Coordinator to add to our growing team. Lighthouse Care Center of... ...'s largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily...Local area
- ...Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit... ..., regularly exercises clinical judgment in the review and assessment of patient¿s admissions. Utilizes best practice workflows, evidence-based screening...Live in
- A healthcare provider in Savannah, GA is seeking a Per Diem Utilization Review Coordinator. The role involves coordinating Utilization Review functions, ensuring timely and appropriate processes, and maintaining confidentiality. Candidates must possess a Master's degree...Daily paid
- ...Utilization Review Coordinator Per Diem Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and... ...nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built...Daily paidTemporary workReliefLocal area
- ...Remote Drug Utilization Review Pharmacist Safe & Cost-Effective Medication Use Work from home analyze medication use patterns, apply clinical... ...and career advancement. About us: We are a confidential healthcare partner providing managed-care pharmacy services...Remote jobWork from home
- ...Remote DUR Pharmacist Safe & Cost-Effective Medication Use Work From Home Analyze... ...all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists... ...advancement. About Us We are a confidential healthcare partner providing managed-care...Remote jobWork from home
$88k - $115k
...With human-centered, healthcare-relevant, and value-based solutions... ....? Requirements The Senior Nurse Reviewer performs complex medical record... ...years of Medicare-related utilization review, medical review, or... ...functions. This is a remote position. While performing...Remote workSeniorFull timeContract workLocal area$89k - $100k
...is on a mission to accelerate healthcare’s transformation with useful... ...across diverse product lines. Utilize the Redox dashboard and... ...data analysis (e.g., Project Coordinator, Interface Analyst, HL7 Engineer... ...following: Benefits & Perks 100% remote first culture (must be based...Remote workSeniorFull timeFlexible hours- ...RN Utilization Review Coordinator The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post-discharge... ...and enhances collaborative relationships with the healthcare team, physicians, patients, and families to maximize the...Full timeLocal area
$25 - $30 per hour
...UM Coordinator At Altais, we're on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should... ...information or assistance related to authorizations. Review authorization requests per established level of...Remote workWork at officeLocal areaFlexible hours$78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast...Remote workFull timeContract workWork at officeWork from homeFlexible hours$21.7 - $27 per hour
...bit about this role: The Utilization Management Coordinator plays a vital role in supporting... ...: This is a full-time, remote position working five 8-... ...across multiple case types Review member inpatient status... ...equivalent Experience in healthcare operations, utilization management...Remote workFull timeContract workInternshipWork at officeMonday to FridayShift workWeekend work$54 - $66 per hour
A prominent healthcare staffing agency is seeking a Utilization Review Nurse in Sacramento, CA, responsible for managing the daily operations of the UM Pre-Authorization team. The ideal candidate will ensure accurate processing of referral requests, maintain regulatory...Senior- ...Universal Health Services, Inc. Pembroke Hospital in Pembroke, MA is seeking a full-time Utilization Review Coordinator to ensure timely authorization for continued treatment across payer types. The role collaborates with a multidisciplinary team to meet payer criteria...Full time
- ...A leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services. Responsibilities include... ...experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
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