Remote Inpatient Utilization Management Specialist
Cambia Health Solutions
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 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...Remote workWork 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- A leading health data platform company is looking for experienced inpatient coders. This remote role allows you to utilize your coding skills while working on critical health data. Candidates should have at least 3 years of inpatient coding experience and relevant certifications...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- ...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
- ...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
- ...Lumen Solutions Group Inc. seeks a Prior Authorization Specialist to support their Utilization Management team. The role involves authorization processing and provider support within a 100% remote setting. Ideal candidates will have experience in Utilization Management...Remote work
$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- ...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 workLocal area
$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- ...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... ...Solutions - Innovative revenue cycle management and advanced billing support systems for...Remote workWork at officeFlexible hours
$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 work$114k - $161k
...Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Job Title: Principal Consultant – Utility... ...Type: Hybrid – 3 days in office, 2 remote days per week 2025 Salary Range:... ...Concentric") is an employee‑owned leading management consulting and financial advisory...Remote workWork at officeWork from homeFlexible hours2 days per week- 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
$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$62.4k - $96.08k
...regional healthcare provider in Rochester, NY is seeking a Utilization Management Coordinator responsible for coordinating health services and... ...experience, and strong communication skills. The position may offer remote work on a case-by-case basis, and the salary ranges from $62...Remote work- ...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
- 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
- ...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. Your...Remote workWork at officeFlexible hours
$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- ...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
$72.36k - $143.72k
...Purpose This clinical position will support our Government Program lines of business. Utilizing key principles of utilization management, the Utilization Review Specialist (RN) will perform prospective, concurrent and retrospective reviews for authorization, appropriateness...Remote workWork experience placementWork at office- 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
$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$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- 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
- ...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
- ...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
$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
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