Remote Authorization & Utilization Specialist
Cedars-Sinai
Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced operational support for the UR team. You will manage an assigned portfolio of cases, assemble and review documentation, and coordinate payer submissions to ensure timely and compliant authorizations.
The role requires collaboration with UR Nurses, Case Management, Revenue Cycle, and external payers within CMS guidelines. Ideal candidates have at least 2 years in hospital authorization management or related fields
#J-18808-LjbffrVacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Authorization & Utilization Specialist in United States vacancy
- ...and a strong background in prior authorizations? We are seeking a highly organized... ...-oriented Prior Authorization Specialist to join our national Utilization Management team. In this role, you... ...Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:0...Remote workFull timeLive inWork from homeMonday to Friday
Randstad USA
Elgin, IL3 days ago - ...Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced operational support for utilization review processes. You will... ...other teams to ensure timely, accurate, and compliant authorization workflows using EPIC/CS-Link and payer portals. Responsibilities...Remote work
Cedars-Sinai
United States3 days ago - ...Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced operational support for the UR Nurses, ensuring timely, accurate, and compliant authorization processes. You will manage case portfolios, prepare documentation for payer submissions, and coordinate...Remote work
Cedars-Sinai
United States3 days ago - Randstad USA is seeking an experienced Prior Authorization Specialist to join our national Utilization Management team. 100% remote role with a Monday-Friday schedule, 8:00 AM - 5:00 PM CST. You will manage authorization queues, verify eligibility, gather medical documentation...Remote jobMonday to Friday
- Centene Corporation is seeking a dedicated professional to support the prior authorization request process and assist the utilization management team in Florida. The role ensures timely authorization determinations, documents medical information, and verifies insurance...Remote jobHourly payFull time
- ...Cincinnati Children's is seeking a Utilization Review professional to perform admission and... ...with relevant experience and works remotely in the United States. The position includes... ..., and care teams to ensure proper authorization, documentation, and discharge planning...Remote work
CO00 Children's Hospital Medical Center
United States8 hours ago - ...Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced operational support for UR Nurses, ensuring timely, accurate, and compliant utilization reviews. The role handles authorization workflows from submission to final determination and collaborates...Remote work
Cedars-Sinai
United States2 days ago - ...Cedars-Sinai is seeking an Utilization Management Specialist to provide advanced operational support for UR Nurses and ensure timely, compliant authorization workflows. You will manage case portfolios, coordinate documentation, and interact with payers to prevent denials...Remote work
Cedars-Sinai
United States3 days ago - ...Providing advanced operational support, the remote California Utilization Management Specialist will manage authorization workflows, ensure compliance with regulatory standards, and facilitate communication with payers while collaborating with UR Nurses and other departments...Remote work
Virtual Vocations Inc
United States5 days ago $22 - $26 per hour
...initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits... ...prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established...Remote workMonday to FridayShift workBrightSpring Health Services
United States1 day ago- ...JOB SUMMARY The Authorizations Coordinator is responsible for efficiently obtaining authorizations... ...to ninety (90) days before going fully remote. ESSENTIAL RESPONSIBILITIES:... ...medical procedures and terminology Utilizes sound judgment, analytical thinking,...Remote workPermanent employmentWork at office
Joseph Spine
United States5 days ago - ...Elevance Health is seeking a detail-oriented Utilization Management Representative II to manage inbound calls, determine eligibility, and authorize care. The role supports virtual work with required in-person training sessions and may require commuting within a reasonable...Remote work
Elevance Health
Tampa, FL2 days ago - ...Kent County Cmh Authority is seeking a Utilization Review Specialist to perform reviews for I/DD, mental health, and SUD services. You will assess treatment... ...appropriate intensity settings. The role is full-time and remote with occasional local travel within the Kent County...Remote workFull timeLocal area
Kent County CMH Authority
United States1 day ago - ...Looking For We are seeking an experienced specialist who is passionate about making a... ...Responsible for managing all clinical authorization processes to ensure timely, accurate,... ...field required preferred. 2-3 years of utilization review experience in behavioral health...Remote workDaily paidFull time
The Florida House
United States3 days ago - 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
- ...Supporting the prior authorization request process, the full-time remote Authorization Specialist will manage complex authorization requests, verify member insurance... ...Experience with data entry and maintaining complex authorization requests in a utilization management system...Remote workFull time
Virtual Vocations Inc
United States3 hours ago - ...What You Will Do in This Role: The Utilization Management Specialist provides advanced operational and... ...support payer communication, authorization coordination, documentation integrity... ...current and complete. *Approved Remote States: Arizona, California, Colorado...Remote work
Cedars-Sinai
Central City, CO2 days ago - ...Central Authorization Specialist - 177641 BayCare is currently in search of our newest Team Member who... ...Bay area. Position Details: Location: Remote (must reside in Florida) - Following... ...timely turnaround for authorizations. Utilize electronic scheduling/registration/financial...Remote workFull timeContract workWork at officeMonday to FridayShift work
BayCare
Clearwater Beach, FL7 hours ago - ...Description Summary of Role The Pre-Authorization Specialist is responsible for verifying eligibility, obtaining insurance benefits, and... ...-authorization process and finding effective solutions. Utilizing available resources and information to resolve issues efficiently...Remote workFull timeWork at office
Orthopaedic Associates of Wisconsin
United States3 days ago $21 - $23 per hour
...Infusion Prior Authorization Specialist – Remote Position – Full Time Position Summary We’re looking for an EXPERIENCED U.S. based Infusion Prior... ...healthcare preferred. Experience in prior authorization, utilization review, insurance verification, and EMR systems. [ preferred...Remote workHourly payFull timeShift workNYX Health Group
Dallas, TX6 hours ago$50k - $55k
...Authorizations Specialist - Conservative Department: RCM: Authorizations Employment Type: Full... ...Specialist Location: REMOTE or HYBRID Entity: Alliance Health... ...payer medical policy guidelines while utilizing these guidelines to manage authorizations...Remote workFull timeMonday to FridayAlliance Health System
Matawan, NJ2 days ago$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 timeCincinnati Children's
United States5 days ago- Principles Recovery Center is seeking a remote Utilization Review Specialist to manage insurance authorizations for adolescent and adult behavioral health, PHP, and IOP programs. The role requires 2+ years of UR experience and fluency with ASAM, LOCUS, and CALOCUS criteria...Remote job
- ...behavioral health guidelines. The role involves prior authorization reviews, data analysis to improve utilization, and collaboration with BH providers. Time-zone... ...in PST, MST, or CST is required, with flexible remote/hybrid options. #J-18808-Ljbffr Centene CorporationRemote workFlexible hours
- ...Logan Health is hiring a Utilization Management Specialist to join the UM team. The role focuses on reviewing... ..., case management and insurers to authorize care and ensure medical necessity.... ...proficiency, with a four-day work week and remote options for Montana residents. #J-...Remote work
Logan Health
United States2 days ago $68.89k - $92.14k
Pay Plan Title: Utilization Management Specialist III Working Title: Utilization Management Specialist III... ...$68,890- $92,138 Office Location: Remote within North Carolina POSTING... ...of care needed and making service authorization decisions regarding individual service...Remote workWork at officeLocal areaImmediate startWork from homeFlexible hours$37.5 - $54.25 per hour
...Expertise to Logan Health’s Utilization Management Team! Our Mission... ...for a Utilization Management Specialist to join our dedicated team!... ...person-centered care! Fully remote opportunity - Must currently... ...insurance partners to facilitate authorizations and medical necessity...Remote workFull timeImmediate start10 hours per weekShift workRotating shiftWeekend workDay shiftAfternoon shiftLogan Health Medical Center
New York, NY2 hours ago$19 - $20 per hour
## Grant Specialist, Authorization ManagementApply: In Person: Amber Specialty Pharmacy, S 152nd St, Omaha... ...Assistance and co-pay cards are utilized, and exploring financial assistance while... ...traverse conferences, meetings, and remote events.* Constantly operates a computer...Remote workHourly payFull timeWork experience placementWork at officeLocal areaMonday to FridayHy-Vee
Omaha, NE3 days ago- 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 job
- ...Providence, NJ, seeks a Patient Access Specialist to manage initial authorization requests and ensure timely patient... ...schedule (2 days in office, 3 days remote) and standard hours Monday-Friday 8... ..., clinical, and billing teams, utilize Brightree, and maintain accurate records...Remote workFull timeWork at officeMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Authorization & Utilization Specialist. Be the first to apply!
Related searches
- sewing specialist United States
- graduation specialist United States
- sem specialist United States
- aircraft records specialist United States
- technology integration specialist United States
- consumer insights specialist United States
- drilling fluids specialist United States
- vulnerability management specialist United States
- evaluation specialist United States
- escalation specialist United States