Remote Afterhours Utilization Management Specialist
Elevance Health
- Remote job
Elevance Health offers a hybrid work arrangement with virtual-heavy duties and periodic in-person training. The role of Afterhours Utilization Management Representative I involves coordinating precertification and prior authorization reviews, handling calls, and ensuring timely responses to member and provider inquiries. Responsibilities include screening cases, authorizing initial sessions, and maintaining data accuracy in the UM system, while balancing multiple tasks in a fast-paced #J-18808-Ljbffr Elevance Health
- Elevance Health is seeking an Afterhours Utilization Management Representative I. This role supports precertification and prior authorization review, with virtual full-time work and periodic in-person training sessions. Responsibilities include handling calls, verifying...Remote jobFull 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. Responsibilities...Remote workWork at officeFlexible hours
- ...Utilization Management Specialist Under general supervision by management, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in order to authorize services. Reviews health care services to...Remote workContract workLocal area
$13 - $14 per hour
...$13.00 - $14.00 per hour Job Type: Contract Location: Remote Schedule and Shift: Monday-Thursday from 8-4:30pm and Friday... ...regarding contracted health plans requirements related to Utilization Management and authorizations Acts as a liaison between providers,...Remote workHourly payContract workWork at officeShift work$51 per hour
...Utilization Management Specialist (UM / Utilization Review Nurse) — Remote In this role, you'll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You...Remote workContract workWork at officeLocal areaFlexible hours$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- Point32Health is seeking an UM Specialist to manage daily non-clinical reviews within the Utilization Management department under the Precertification Team Manager. You will coordinate coverage determinations for designated products, handle medical necessity denial letters...Remote job
$51.46k - $60k
...schedule: Monday through Friday from 9:00 AM-5:30 PM (2-days remote, 3-days in office) Responsibilities Obtaining initial and... ...procedures Preparing regular summary reports and presentations on utilization management data Other duties as assigned Job Requirements Bachelor's...Remote workFull timeTemporary workWork at officeMonday to FridayFlexible hoursShift work- Orbital Engineering, Inc. seeks an Electric Utility Asset Management Specialist with Cascade experience for a remote role within our Utility Services team. You will support the implementation of DNV Cascade 4 and help develop asset management programs for electric utilities...Remote job
- Astrana Health is seeking a California-based Utilization Management (UM) Coordinator to support the UM department in reviewing, monitoring, and processing prior authorization requests while ensuring compliance with regulatory standards and health plan guidelines. The UM...Remote job
- A healthcare services company seeks a Utilization Management Representative I, offering remote work with in-person training. Responsibilities include managing service claims, ensuring contract eligibility, and maintaining customer relations. Candidates must have a HS diploma...Remote jobContract workFlexible hours
$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...Remote job- Utility Vegetation Management Specialist Position located in the Detroit, Michigan area / client service territory. Who You Are: You are energetic and... ...vehicle operation and foot patrol of utility power lines; remote and urban locations; exposure to noise, dust, grease,...Remote workFull time
$46.76 - $51.76 per hour
...references. Follows NCQA Standards and departmental SOPS to manage member assignments. Conducts research and analysis of... ...internal stakeholders. Nice to Have: Prior experience in utilization management, care management, or payer-side review of ABA services...Remote jobWork at office$80k - $150k
...Job Description Job Description Job Title Asset Management Specialist Location: Remote (United States) FLSA Classification Exempt... ...Management Specialist with experience in CASCADE and ELECTRIC UTILITIES for a REMOTE WORK role for our Utility Services...Remote jobTemporary workWork at officeWork from home$114k - $161k
Job Title: Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Job Location: Marlborough, MA... ...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$128k - $191k
Principal Consultant - Utility Revenue Requirements Specialist Job Title: Principal Consultant - Utility Revenue... ...MA or Washington, DC; also open to remote employees Company Description:... ...Concentric”) is an employee-owned leading management consulting and financial advisory...Remote workWork at officeFlexible hours$128k - $191k
Job Title Principal Consultant - Utility Revenue Requirements Specialist Location Marlborough, MA or Washington, DC; open to remote employees Company Description Concentric Energy... ...( (“Concentric”) is an employee‑owned management consulting and financial advisory firm...Remote workWork at officeFlexible hours$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- ...Utility Project Support Specialist ERM is hiring remote Utility Project Support Specialists to support our client based in the Danville, IL area. In this critical... ...12 months, extendable. Responsibilities: Manage large amount of inbound and outbound phone calls...Remote workPart timeFixed term contractCasual workShift work
- ...Utility Project Support Specialist ERM is hiring remote Utility Project Support Specialists to support our client based in the Danville, IL area. In this critical... ...of 12 months, extendable. Responsibilities Manage large amount of inbound and outbound phone calls Track...Remote workPart timeFixed term contractCasual workShift work
- ...Working remotely in a full-time capacity, the Behavioral Health Utilization Review Specialist will manage the authorization of treatment through insurance and managed care companies, performing pre-certification, concurrent, and appeal reviews while ensuring compliance...Remote workFull time
- ...2 days ago Requisition ID: 9252 UR Specialist – Join Camber and Make an Impact At... ...difference every day. Job Summary The Utilization Review department manages all aspects of a patient’s stay... ...schedule of 2 days in office and 3 days remote after successfully completing their...Remote workFull timeWork at officeMonday to Friday
- ...anomalies in those trends? Do you enjoy managing projects and building relationships with... ...Essential Functions Core functional knowledge of utility operations and rate schedules Ability to... ...available; 50% in the office, 50% remote About LCS London Computer Systems (LCS),...Remote workLive inWork at officeRelocationWork visa
- Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care entities. The role covers pre-certification, concurrent reviews, and appeals with a...Remote job
- Gateway Foundation, Inc. is seeking a dedicated professional in Chicago for a full-time position focused on obtaining clinical service authorizations and supporting clinical staff. The role requires a Bachelor's degree and 1+ years of relevant experience. Responsibilities...Remote jobFull time
- Elevance Health is seeking a candidate for a customer service role with responsibilities including managing claims and determining benefit eligibility. The position requires at least 1 year of customer service experience, strong communication skills, and a medical background...Remote jobContract workMonday to Friday
- Position Description This is program management support work carrying out assignments in the Industrial Wastewater Pretreatment Program... ...technical or subject‑matter information. An employee in this class utilizes knowledge of program management support and program subject...Remote workContract workFor contractorsWork experience placementWork at officeLocal area
- ...Welcome to Digital Direction, your source for Managed Telecom Solutions. We help CIO’s, IT... .... The position offers virtual office (remote). Principal Duties and... ...CSRs Build inventory records in our CRM utilizing CSRs Possess a high understanding of...Remote workContract workLocal area
- ...Patient Access Associate Specialist Ensemble is a leading provider... ...-enabled revenue cycle management solutions for health systems... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workWork at officeLocal area
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