Remote Licensed OT Utilization Review
Centene Corporation
- Remote job
Centene Corp. is seeking a licensed therapist (PT/OT/ST) to perform clinical reviews of therapy services and/or DME for members in the TX and OK markets. This remote role requires a license and offers flexible hours from 8am to 6pm CST. Responsibilities include utilization reviews, making therapy determinations, and coordination with care management and providers to ensure appropriate care. Bachelor's degree and 2–4 years of related experience are required. #J-18808-Ljbffr Centene Corp.
- Centene Corporation seeks a Licensed Occupational Therapist to perform clinical reviews of therapy services and durable medical... ...standards and policies are met. This remote role supports TX and OK markets and collaborates with Utilization and Care Management teams to...Remote job
- ...Management Company LLC is seeking a licensed therapy professional to perform clinical reviews of therapy services and/or... ...supports TX and OK markets and is remote, with CST hours from 8:00 am to 6... ...experience, with licensure as PT, OT, or ST. #J-18808-Ljbffr Centene...Remote job
- Actalent is seeking a Utilization Specialty Therapist to conduct utilization reviews for specialty therapy services (speech-language... ..., and physical therapy) in a remote Texas-based role. The position... ...healthcare/home health, and a Texas license in Physical or Occupational...Remote job
$52 - $56 per hour
...medical necessity judgment you built in utilization management. 100% remote (U.S.) | Contract | $52$56/hr based... ...: intake, investigation, clinical review, decision and notification Apply... ...Active, unrestricted New York State RN license (compact alone does not qualify) ~3...Remote jobContract workAfternoon shift- ...Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical... ...candidate holds an active Louisiana or Compact RN license, 5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an...Remote workWork from homeMonday to FridayWeekend work
- ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information... ...position offers a day shift workload with flexible weekends and requires an active PA RN license. #J-18808-Ljbffr...Remote workFlexible hoursWeekend workDay shift
- ...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
- ...promotes healing and optimized learning. FHE Health is a facility licensed by both the Department of Children and Families (DCF) and... ...Health or related field required preferred. 2-3 years of utilization review experience in behavioral health, addiction treatment, or managed...Remote workDaily paidFull time
- ...Sedgwick is seeking a Telecommuter RN for Utilization Review in the United States. The role requires an active RN license, an associate degree (bachelor’s preferred), and... ...Certification is a plus. The position offers remote work with a comprehensive benefits package...Remote work
$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... ...field, an active RN/Social Work/Clinical Counselor license, and 2+ years of related experience. The position is...Remote workFull time- ...As Utilization Review Specialists, we are the liaisons between insurance payors and the treatment... ...behavioral health field.PreferredClinical license (LMFT, LCDC, LiCSW) or nursing degree (... ...as "recovering".Benefits100% remote first company to foster flexibility, inclusivity...Remote workWork at office
$18 - $20 per hour
...compassionate professional to join our Utilization Review department. At Camber, we do not just... ...at our Olathe corporate office, 3 days remote. What You Will Do Act as the... ...preferred. Licensure: Valid driver’s license and auto insurance. Clinical Insight...Remote workHourly payFull timeWork at office- ...Remote Drug Utilization Review Pharmacist Safe & Cost-Effective Medication Use Work from home analyze medication use patterns, apply clinical... ...PharmD or Bachelor of Pharmacy, an active U.S. pharmacist license, managed care, PBM, or health-plan preferred experience,...Remote jobWork from home
- ..., Inc. is seeking a Registered Nurse - Review Analyst for a remote contract role. The position requires at... ...care nursing experience and an active RN license. Responsibilities include clinical documentation review, applying utilization management criteria, and supporting...Remote jobContract workImmediate start
$90.9k - $129.9k
...career development. Summary Review and evaluate prior authorization submissions utilizing multiple computer systems, and... ...experience Current LPC, LCSW, or LMFT license in the state of WI (or license... ...expect in this role ~100% Remote home office. ~ Full-time...Remote workFull timeWork experience placementHome officeFlexible hours$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning... ...growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home... ...based on years of experience) Florida RN License Required OASIS Certification Required Home...Remote workMonday to FridayWeekend workWeekday work- 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... ...providers, and patients, requires nursing or related license, and offers benefits including medical, dental, and...Remote jobFull time
$62.4k - $72.8k
...Job Title: Utilization Review Specialist Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $30-35/hour Northpoint Recovery... ...team, the Utilization Review Specialist is a licensed professional who is responsible for ensuring that clinically...Remote workFull timeTemporary workWork at officeMonday to Friday$30.37 - $59.21 per hour
...for clinical member services review assessment processes. Responsible... ...care model. • Adheres to utilization management (UM) policies and... .... • Registered Nurse (RN). License must be active and... ...and/or skill level. xhyhwjd Remote working/work at home options...Remote workHourly payWork experience placementWork at officeWork from home$60k - $70k
...process. Full Time Office/Clerical Remote, Birmingham, AL, US Salary Range: $6... ...stage of the journey. We are seeking a Utilization Review Specialist to add to our dynamic team!... ...clinical appeals Active clinical license or relevant certification, such as RN,...Remote workFull timePart timeWork at office- ...Delivery System (DMC-ODS), including review of medical records to ensure proper utilization of treatment resources and... ...eligible list. The option for hybrid remote work may be available based on... ...SPECIAL REQUIREMENTS: License, Registration: Possession of a license...Remote workContract workLocal areaTrial periodFlexible hours
$250k - $275k
Location: 100% Remote (Work from Home) Compensation: $250,000 - $... ...are seeking a Remote Physician Reviewer to join our clinical team. In... ...plan guidelines to daily utilization reviews. Perform peer-to-peer... ...Active, unrestricted medical license in Florida (FL) or North Carolina...Remote jobFull timeWork from home- Case Manager - Utilization Review Specialist - RemoteFull-Time Position You must reside in one of these states to be eligible for position:... ...improvements. EDUCATION/TRAINING & EXPERIENCE Current state-issued RN license. Knowledge in areas such as InterQual Level of Care Criteria...Remote job
$75k - $90k
...application process. Clinical Reviewer - LCSW, LPC, LCPC - Salem,... ...000.00 Annually This is a remote position based in Salem,... ...apply evidence-based criteria to utilization management reviews; document... ...ability to travel. Valid Driver License and Proof of Auto Insurance...Remote workFull timeContract workWork from home- ...Alignment Health is seeking an inpatient review nurse to join our remote utilization management team. You will collaborate with the patient’s physician... ...at the right level. Requirements include a CA LVN/RN license, minimum 3 years in case management, experience with Milliman...Remote work
$275k
...'re Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first... .... Work Location: This is a remote position, open to candidates who reside... ...Board certification as an MD or DO ~ Licensed in one of these states: FL, NC, AZ...Remote workFull timeLocal areaWork from homeHome officeWeekend work$60k - $62k
...Job Description Remote- Work From Home, Jackson, Jackson, Michigan, United States Exempt Location USA/Remote Reports... ...to your geography and expertise. Position Overview The Utilization Review Specialist is responsible for all aspects of the...Remote workFull timePart timeWork from homeFlexible hours- ...Toney Healthcare is seeking a physician reviewer for a remote contract role in Utilization Management. This position focuses on evaluating medical necessity... ...essential. The ideal candidate holds an MD or DO license, with at least 5 years of behavioral health clinical...Remote workContract work
- ...A healthcare staffing firm is seeking a skilled Utilization Review RN to join their team. This fully remote position requires a valid PA RN license and prior experience in insurance utilization review. Responsibilities include conducting clinical reviews, applying evidence...Remote work
- ...Astrana Health is seeking a CA-licensed Utilization Review Nurse to support our Health Services Department. You will review outpatient services... ...plan criteria, applying clinical judgement. This is a remote position for CA-licensed nurses with residency in California...Remote workShift work
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