Remote Utilization Review Specialist (Healthcare Pro)
EK Health Services Inc.
- Remote job
EK Health Services Inc. is hiring for a Utilization Review healthcare professional in a remote, full-time capacity. The UR HCP applies clinical knowledge to assess the medical necessity of provider requests and uses evidence-based guidelines appropriate to the jurisdiction for claims. This role emphasizes collaboration with insurers, providers, and patients, requires nursing or related license, and offers benefits including medical, dental, and vision, a 401K, PTO, holidays, and a monthly #J-18808-Ljbffr EK Health Services Inc.
- ...is a nationally recognized behavioral healthcare institution that delivers quality, medically... ...For We are seeking an experienced specialist who is passionate about making a... ...field required preferred. ~2-3 years of utilization review experience in behavioral health,...Remote workDaily paidFull time
$90.9k - $129.9k
...powerful solutions that solve some of healthcare’s most complex challenges. Join us and... ...for this role, rather you will provide utilization review and quality assurance. Your role in... ...expect in this role ~100% Remote home office. ~ Full-time position....Remote workFull timeWork experience placementHome officeFlexible hours$60k - $70k
...process. Full Time Office/Clerical Remote, Birmingham, AL, US Salary Range:... ...where they are. Bradford is more than a healthcare network; we are recovery communities... ...of the journey. We are seeking a Utilization Review Specialist to add to our dynamic team! The...Remote workFull timePart timeWork at office- ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure... ...years in utilization review or related fields, and proficiency with Microsoft Office and healthcare software. #J-18808-LjbffrRemote workWork at office
$30 - $45 per hour
A leading healthcare consulting agency is seeking an Operations Specialist III for a contract opportunity in Long Beach, CA... ...with experience in Epic EHR and Utilization Review. The selected candidate will... ...metrics. This position is remote and offers a pay range of $30...Remote jobHourly payContract work- ...revenue cycle management services for healthcare providers. Our team has deep industry... ...manner. We are seeking a ABA Utilization Review Specialist The ABA Utilization Review Specialist... ...rewarding environment. This is a fully remote or office/home hybrid position. Your...Remote workWork at officeFlexible hours
- ...The Arizona Health Care Cost Containment System (AHCCCS) is seeking a Behavioral Health Prior Authorization Utilization Review Consultant. The role focuses on monitoring, evaluating, and approving or denying payment for medical and behavioral health services for the Fee...Remote work
- ...FHE Health in the United States seeks an experienced Utilization Review Specialist to manage clinical authorization processes, ensuring timely, accurate, and compliant communications with insurance payers. You will support patient access by securing initial and continued...Remote work
- ...Delivery System (DMC-ODS), including review of medical records to ensure proper utilization of treatment resources and... ...behavioral health treatment. UR Specialists also interpret, advise and train... ...list. The option for hybrid remote work may be available based on the...Remote workContract workLocal areaTrial periodFlexible hours
- ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care. The role collaborates with Admitting, Financial...Remote work
- ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure...Remote workWork at office
$69.39k - $88.61k
...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management, authorization, compliance, and education within the Utilization Review department. The role requires a Bachelor...Remote workFull time- ...Corporation is seeking a licensed clinician to review ABA services and health status across... ...reviews, data analysis to improve utilization, and collaboration with BH providers. Time... ...MST, or CST is required, with flexible remote/hybrid options. #J-18808-Ljbffr Centene...Remote workFlexible hours
- Kent County Cmh Authority is seeking a Utilization Review Specialist to perform reviews for I/DD, mental health, and SUD services. You will assess... ...appropriate intensity settings. The role is full-time and remote with occasional local travel within the Kent County area....Remote jobFull timeLocal area
- HonorHealth in Phoenix is seeking an Utilization Review RN Specialist to review and monitor utilization, ensuring medically necessary care and appropriate discharge planning within Medicare, AHCCCS, Self-pay, and other payer guidelines. The ideal candidate has an RN license...Remote job
- ...Utilization Review Specialist - Join a Top 1% Workplace Are you looking for a fast-paced clinical... ...our Olathe corporate office, 3 days remote. What You Will Do Act as the... ...understanding of medical terminology and healthcare regulations. Analytical Mindset:...Remote workWork at office
- ...and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support medical necessity criteria while working remotely. Key responsibilities Verify insurance benefits, eligibility,...Remote workFull time
- ...Utilization Review (UR) Specialist Location: Open to candidates near Wyomissing PA & Chadds Ford PA (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday – Friday Diversified... ...: Bachelor's degree in Healthcare Administration, Nursing, Social Work...Remote workFull timeMonday to FridayFlexible hours
$34.82k - $55.99k
...The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion... ...Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$63.1k - $83.65k
...Position : Utilization Review Specialist Req.# : 26-144 FTE : Full-time, exempt Unit : UAW Department/Location : Utilization Management... ...requirements for this position. While the position is remote, the individual in this position will have occasional travel...Remote workFull timeTemporary workMonday to Friday$40k - $50k
...Full-time Description Utilization Review Specialist Full-Time- must be able to work a few weekends per month Location: Remote Preferred Residence: Candidates residing... ...Care, Behavioral Health, or a related healthcare setting required. Experience working...Remote workFull timePart timeWork at officeWeekend work- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote workContract workWork from home
- ...Utilization Review Specialist The primary purpose of the Utilization Review Specialist is to create and manage the flow of revenue for each client... ...in Microsoft Office Satisfactory CORI and background check. Satisfactory drug screen Part Time Remote Role...Remote workPart timeWork at officeFlexible hours
- ...Utilization Review Specialist We are seeking a Utilization Review Specialist to perform utilization review of intellectual and developmental disability... ...requirements for this position. While the position is remote, the individual in this position will have occasional...Remote workFull timeMonday to Friday
$63.1k - $83.65k
...making a difference by helping others. We are seeking a Utilization Review Specialist to perform utilization review of intellectual and... ...holiday requirements for this position. While the position is remote, the individual in this position will have occasional travel...Remote workFull timeTemporary workMonday to Friday- Spectrum Billing Solutions is seeking an ABA Utilization Review Specialist to review clinical data and obtain authorized services for ABA and related treatments. This role offers either remote work or a home-office hybrid setup, with collaboration across clinical staff...Remote jobWork from homeHome office
$24 - $26 per hour
...Utilization Review Specialist - Behavioral Health (Remote) PHP/IOP | Full-Time | Monday-Friday, 9 AM-5 PM ET | $24-$26/hour About the Role Principles Recovery Center (PRC) are hiring a Utilization Review (UR) Specialist to manage insurance authorizations...Remote workFull timeMonday to Friday- ...Athens Administrators has an immediate need for a full-time Utilization Review Specialist to support our Managed Care department and can be located remotely if technical requirements are met and the employee resides in a state Athens operates in. The schedule is Monday...Remote workFull timeImmediate startMonday to Friday
- ...part of Lifepoint Health, a diversified healthcare delivery network with facilities coast... ...exceptional care to others. As a Utilization Review Specialistjoining our team, you're embracing... ...contribute A Utilization Review Specialist who excels in this role:...Full timeTemporary workPart timeReliefFlexible hours
- ...Job Summary The Remote Physician Pro Fee Coding Specialist- Denials (OBGYN) is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes... ...Degree in Health Information Management, Healthcare Administration, or a related field preferred...Remote workFull timeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Review Specialist (Healthcare Pro). Be the first to apply!


