Remote PT Utilization Review Advisor
Sedgwick Claims Management Services Ltd
- Remote job
Sedgwick Claims Management Services Ltd is seeking a Physical Therapy Utilization Review Advisor to evaluate physical therapy services for injured workers. The role involves ensuring compliance with guidelines and optimizing patient care through collaboration with various healthcare professionals. The ideal candidate will possess a Master’s degree in Physical Therapy and have at least eight years of relevant experience. A diverse benefits package, including tuition reimbursement and generous PTO, is offered. #J-18808-Ljbffr Sedgwick Claims Management Services Ltd
- Physical Therapy Utilization Review Advisor PRIMARY PURPOSE Counsels providers (physical therapists, occupational therapists, and physicians) as it... ...Reviews medical records and physical therapy (PT) treatment plans to ensure they meet the appropriate guidelines...PTS cardWork at office
$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... ...certification (e.g., BCBA, LSW, LMHC, PT, OT, SLP, RN). Proven experience in utilization...Remote workPTS cardWork at officeFlexible hours- ...Degree Manage Others No The Utilization Management (UM) Clinical Reviewer is responsible for... ...Tuesday - Saturday (fully remote) Key Responsibilities: Review... ...cases to Physician Advisors or Medical Directors as appropriate... ...Physical Therapy (PT), Occupational Therapy (OT...Remote jobPTS cardFull timeWork at officeLocal areaWeekend work
$104k - $143k
...Humana Inc in Austin, Texas is seeking a Utilization Management Clinical Pharmacist 2 (VSP/PT) who will complete medication reviews and ensure quality patient outcomes. The role involves determining appropriate courses of action while promoting cost-effective medication...Remote workPTS cardFlexible hours$104k - $143k
...Humana Inc in Phoenix, Arizona seeks a Utilization Management Clinical Pharmacist 2 (VSP/PT). This pharmacist will conduct medication reviews and make decisions independently to ensure quality patient outcomes. The position offers flexible hours, a potential pay range...Remote workPTS cardFlexible hours$10 - $17.1 per hour
...digital channels, and through remote selling. It is part of Saks... ....10* Job Description Selling Advisor You Will Be As a Selling Advisor... ...is remote or in‑person. Utilize selling tools and digital store... ...Saks Global. We look forward to reviewing your application. Saks Global...Remote workPTS cardHourly payFull timePart timeSeasonal workFlexible hours- ...West, LLC in Towson, Maryland, is seeking self-motivated FT/PT Physician Advisors to join our team. The Physician Advisor will serve as a clinical resource, addressing utilization issues, peer to peer reviews, and hospital reimbursement matters. Ideal candidates must hold...PTS card
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Remote workContract workWork from home
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
$40 per hour
...PT (20-30 hours week) – Remote Work Environment Non-Exempt: $40.00 hour Supports Medical Review Services. The Nurse Reviewer plays a critical role in supporting the Medical... ...medical claims against industry standards, utilizing research of relevant ICD-10, CPT, and...Remote workPTS cardContract workWork at officeLocal areaImmediate start- ...team, you will own contract risk review and enforcement while serving... ...job level. Work Model We utilize a hybrid work model with in-office... ..., Wednesdays, and Thursdays. Remote placement will not be... ...Time Zone Requirements Primarily PT. The position will primarily work...Remote workPTS cardContract workWork at officeLocal areaRelocationFlexible hours
- ...looking for a Clinical Appeals Reviewer (Licensed Healthcare... ...United States. This is a fully remote clinical decision-making role... ...Active license as an RN, PT, OT, RT, or other qualified healthcare... ...review, Medicare appeals, utilization review, or related clinical decision...Remote jobPTS cardFull timeContract workFlexible hours
- ...Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote workWork from homeFlexible hours
- A healthcare review organization seeks a Physician Reviewer/Advisor in Delaware, Ohio. This role involves utilizing clinical expertise to review insurance appeals and claims while ensuring compliance with established guidelines. Responsibilities include thorough medical...Extra income
$104k - $143k
...part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes... ...and comprehensive medication reviews for prescriptions requiring pre‑... ...season Travel: While this is a remote position, occasional travel to Humana...Remote workPTS cardDaily paidFull timeContract workApprenticeshipMonday to FridayFlexible hoursShift workWeekend work$172.36k - $258.55k
A leading healthcare company is seeking a Physician Advisor for Utilization Management. The role requires a California license and significant... ...utilization management. Responsibilities include processing reviews, liaising with medical staff, and overseeing case...Remote job- Providence Swedish Medical Center is seeking a remote Physician Advisor to lead utilization management efforts. This role involves working closely with medical... ...healthcare delivery. The Physician Advisor will review cases for medical necessity, manage denials, and guide...Remote job
$331.41k - $373.44k
Pacificmedicalcenters is seeking a fully remote Physician Advisor to lead utilization management efforts within Washington. This role entails collaborating... ...,411 to $373,442 per year, with duties including case reviews and driving strategic initiatives. #J-18808-Ljbffr...Remote job$27.02 - $48.55 per hour
...flexibility. This is a fully remote role. Candidates must hold an... ...medical necessity and clinical reviews of authorization requests to determine... ...or interdepartmental teams on utilization processes to promote high... ...license (e.g., Nursing, PT, OT). Compensation & Benefits...Remote workPTS cardHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- A healthcare solutions provider in New Jersey is seeking a Physician Advisor to provide clinical guidance and conduct physician-to-physician reviews. The candidate will support utilization review and ensure adherence to medical necessity criteria. Qualifications include...Remote job
- Sedgwick is seeking a Physical Therapy Utilization Review Advisor in Austin, Texas. The role involves counseling providers about the appropriate use of physical therapy services and reviewing medical records to ensure compliance with guidelines. The ideal candidate has...PTS card
- Sedgwick is seeking a Physical Therapy Utilization Review Advisor in Raleigh, North Carolina, to provide counsel and review physical therapy services for optimal outcomes. Candidates must hold a Master’s degree in Physical Therapy and have 8 years of relevant experience...PTS card
- Sedgwick in Hartford, Connecticut is seeking a Physical Therapy Utilization Review Advisor to counsel providers and review therapy services to ensure compliance with guidelines. The ideal candidate will have a Master's degree in Physical Therapy, eight years of related...PTS card
- Sedgwick is seeking a Physical Therapy Utilization Review Advisor to enhance patient care by counseling providers and reviewing treatment plans. Ideal candidates should have a Master's degree in Physical Therapy and a minimum of eight years of relevant experience. The...PTS card
- Sedgwick is looking for a Physical Therapy Utilization Review Advisor in Indianapolis, Indiana. You will counsel providers on the appropriate use of physical therapy services and evaluate treatment plans to ensure compliance with guidelines. The ideal candidate must have...PTS card
- WellSky is seeking a Utilization Review Clinician responsible for reviewing medical records to determine medical necessity. In this position, you... ...will possess a Bachelor's degree, an active RN, OT, or PT license, and have 4-6 years of related clinical experience. Join...PTS card
- Sedgwick in Albany, NY is seeking a Physical Therapy Utilization Review Advisor to counsel providers on the appropriate use of physical therapy services and monitor their effectiveness for injured workers. This role requires a Master’s degree in Physical Therapy and at...PTS card
- Santa Barbara Cottage Hospital is looking for a Utilization Review Clinician to ensure that medical necessities are reviewed effectively. This role involves collaboration with physicians and healthcare providers to manage patient care through established guidelines. The...PTS card
- Sedgwick is seeking a Physical Therapy Utilization Review Advisor based in Boston, MA. This role involves counseling providers on the appropriate use and implementation of physical therapy services and requires eight years of related experience. Ideal candidates hold a...PTS card
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