Remote Inpatient Utilization Specialist (Clinical)
Cambia Health Solutions
Cambia Health Solutions seeks a UM IP Clinical Specialist to support inpatient utilization management by researching requests, coordinating with licensed clinicians, and ensuring accurate case documentation and timely actions.
The role emphasizes collaboration with clinical staff, adherence to regulatory standards, and efficient case handling in a fast-paced healthcare insurance environment.
#J-18808-LjbffrVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Inpatient Utilization Specialist (Clinical) in Boise, ID vacancy
- ...Cambia Health Solutions seeks a UM IP Clinical Specialist to support inpatient utilization management by researching requests, coordinating with licensed clinicians, and ensuring accurate case documentation and timely actions.The role emphasizes collaboration with clinical...Remote work
- ...Cambia Health Solutions seeks an UM IP Clinical Specialist to review inpatient utilization requests, research information, and coordinate with clinicians to support efficient reviews. The role emphasizes accuracy, timeliness, and adherence to regulatory standards. Work...Remote workWork from home
- ...Cambia Health Solutions is seeking an UM IP Clinical Specialist to support inpatient utilization management. You will receive, research, and act on documentation and requests from diverse sources, collaborating with licensed clinicians to guide appropriate actions and...Remote work
- ...Cambia Health Solutions is seeking an experienced Utilization Management Inpatient Clinical Specialist to support IP UM reviews from a home office across Washington, Oregon, Idaho, and Utah. The role partners with licensed clinicians to verify information, respond to...Remote workHome office
$28.2 - $38.2 per hour
...Utilization Management Inpatient Clinical Specialist Work from home within Washington, Oregon, Idaho or Utah Preference will be given to current employees and... ...production, and quality standards for all work. #LI-Remote Pay ranges vary based on the candidate’s work...Remote workWork at officeImmediate startWork from homeFlexible hours- ...means collaboration with top clinical, technical and business professionals... ...you living your life's work?Remote position. Hiring nationwide!!... ...abstracts information from inpatient and outpatient records by... ...as a Certified Coding Specialist CCS or Certified Coding Specialist...Remote workFull timeWork experience placementMonday to FridayFlexible hours
- ...scalable solutions and clinical expertise help solve... ...JOB SUMMARY: IP Coding Specialist are an important part... ...Specialist will be an Inpatient coder or could be asked... ...chart types. This is a remote US based position.... ...diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS,...Remote workWork at officeWork from homeRelocation package
- ...Inpatient Coding Specialist – Remote (Must Reside FL) We are seeking a detail-oriented and experienced Inpatient... ...the organization's operational, clinical, and financial needs. Shift: 1,... ...ensure complete and accurate coding. Utilize EPIC software for coding and...Remote workShift work
- ...Completes data entry of abstracted inpatient/outpatient diagnosis and/or... ...guidelines and regulations. Utilizes the 3M Encoder to verify and... ...working knowledge of clinical documentation improvement program... ...RN clinical documentation specialists (inpatient coding...Remote workFull timeWeekend workDay shift
- ...addition to: reviews complex inpatient documentation at a highly skilled... ...and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS... ...guidelines and updated coding clinics. Knowledgeable in researching... ...to perform other related duties. #REMOTE #LI-REMOTE...Remote workWork at office
- ...delivering an unmatched level of clinical expertise, our medical center is... ...Summary: FLORIDA RESIDENCY REQUIRED (REMOTE) Experienced Inpatient Coding Specialist responsible for accurately coding... ...of autosuggested codes by utilizing the evidence review buttons. Completes...Remote workHourly payWork experience placement
$66.1 - $74.44 per hour
...majority of patient types of inpatient records, including more complex... ...Association (AHA) Coding Clinic guidance. Follows Stanford Health... ...to validate information. Utilizes Epic, 3M Coding and Reimbursement... ...-DRG). The Inpatient Coding Specialist II is responsible for...Remote workHourly payWork experience placementLocal area$37.5 - $54.25 per hour
...Bring Your Clinical Expertise to Logan Health’s Utilization Management Team! Our Mission: Quality... ...Utilization Management Specialist to join our dedicated team... ...-centered care! Fully remote opportunity - Must currently... ...doing: Review all daily inpatient and observation...Remote workFull timeImmediate start10 hours per weekShift workRotating shiftWeekend workDay shiftAfternoon shift- Inpatient Coding Specialist Schedule: Flexible Shifts! You provide your manager with... .... Job Location Type: Remote Your experience matters At... ...-10-PCS, and/or AHA Coding Clinic), AHIMA Standards of Ethical... ...diagnosis and procedure codes utilizing ICD 10-CM/PCS codes...Remote jobTemporary workPart timeReliefVisa sponsorshipRelocation packageFlexible hours
- ...Health With eight hospitals and over 180 clinics, we are the region’s largest... ...neighbors throughout the region. Organization Utilization Management Job Summary Facilitates optimal... ...And many more... Ask us about our current inpatient nursing supplemental Pay Program! Achieve...Remote workTemporary workWork experience placementLive outFlexible hours
$60k - $70k
...Full Time Office/Clerical Remote, Birmingham, AL, US Salary... .... We are seeking a Utilization Review Specialist to add to our dynamic team... ...records, treatment plans, and clinical data to determine the appropriateness... ...with residential, inpatient, partial hospitalization,...Remote workFull timePart timeWork at office- ...Advanced Inpatient Coder Specialist (REMOTE)BayCare is currently in search of our newest Team Member who... ...hold reports. Serves as a liaison to Clinical Documentation Specialist Team and... ...as well as PSI/HAC reviews.Strong utilization of anatomy, pathophysiology, and pharmacology...Remote workFull timeRelocation packageShift work
- ...Solventum seeks a Clinical Documentation Specialist (CDI) to review inpatient records for SOI/ROM, quality outcomes, medical necessity, and appropriate reimbursement... ...initiatives, and potential travel up to 10%; remote US-based work with competitive compensation. #J-...Remote work
- ...CVS Health is hiring a Behavioral Health Utilization Management Clinician for a remote role with a Louisiana-preferred location. You will review services... ...compact RN with psychiatric experience, 3+ years of clinical practice, and the ability to work Sundays through Thursdays...Remote work
- ...Cincinnati Children's is seeking a Utilization Review professional to perform admission and continued... ...medical necessity and certification for inpatient stays. The role requires RN licensure with relevant experience and works remotely in the United States. The position...Remote work
- ...Humana is seeking a Licensed Behavioral Health Utilization Management Professional to coordinate, document, and communicate medical... ...services and benefit determinations for members. This remote role requires clinical judgment, strong communication, and independent problem-...Remote work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician to work remotely with a Louisiana preference. The role supports evidence-based... ...an RN with psychiatric specialization, 3+ years of clinical experience, and EMR documentation experience. 40 hours...Remote workFlexible hoursWeekend work
- ...CVS Health is seeking a Behavioral Health Utilization Management Clinician for a 100% remote role nationwide. The position features a 12.5% shift differential... ...with providers, and manage crisis calls with clinical judgment to ensure timely, appropriate BH services....Remote workShift workWeekend workAfternoon shift
- ...Optum is seeking a Behavioral Health Utilization Review Specialist to support case management and care coordination remotely. You will review cases, determine levels of care, and coordinate transitions between inpatient and outpatient settings. You will collaborate...Remote workMonday to Friday
- ...Savista is seeking an Inpatient Coding Specialist - Facility to code inpatient hospital-based claims and physician... ...visits for multiple clients from a remote USA location. You will validate MS-DRG/APC assignments, abstract clinical data, and ensure coding accuracy while...Remote workTemporary workFlexible hours
- ...To enhance coding quality and compliance, the full-time remote Inpatient Coding Specialist will review and analyze complex clinical documentation to accurately assign diagnosis and procedure codes while serving as a technical resource for education and mentoring within...Remote workFull time
- ...A leading staffing firm is seeking a Utilization Management professional who is responsible for inpatient medical necessity and utilization review. The ideal candidate... ...problem-solving skills, and at least 4 years of clinical nursing experience, preferably in the healthcare...
- ...detail-oriented Prior Authorization Specialist to join our national Utilization Management team. In this role,... ...documentation, and routing requests to clinical reviewers. You will directly... ...Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:00...Remote workFull timeLive inWork from homeMonday to Friday
- ...Mercor is seeking a Clinical Documentation Integrity (CDI) Specialist to support remote work. The role focuses on reviewing AI-agent CDI/coding attempts and ensuring... .... Qualified candidates have 2+ years in inpatient CDI or DRG auditing, ICD-10-CM/PCS proficiency,...Remote work
- ...Providing advanced operational support, the remote California Utilization Management Specialist will manage authorization workflows, ensure compliance with... ...support timely utilization review activities Prepare clinical review packets and ensure documentation integrity...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Inpatient Utilization Specialist (Clinical). Be the first to apply!
Related searches
- sewing specialist Boise, ID
- technology integration specialist Boise, ID
- evaluation specialist Boise, ID
- educational technology specialist Boise, ID
- policy specialist Boise, ID
- performance improvement specialist Boise, ID
- assessment specialist Boise, ID
- criminal justice specialist Boise, ID
- performance specialist Boise, ID
- powerpoint specialist Boise, ID

