Remote Utilization Review Strategist
The Recovery Village
- Remote job
The Recovery Village is hiring a Remote Utilization Review Specialist responsible for coordinating insurance reviews and supporting patient care. This role requires effective communication with managed care companies and a strong background in psychiatric or chemical dependency settings. The successful candidate will have a Bachelor's degree in a relevant field, experience in utilization review, and proven organizational skills. Join us in our mission to support individuals struggling with substance abuse and mental health issues. #J-18808-Ljbffr The Recovery Village
- 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 jobFull timeWork from home
$57.24k - $62.18k
...Paid Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills... ...will defer decision to a second level reviewer. This individual interfaces with case managers...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hours$35 - $45.94 per hour
Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About The Role You will perform frequent case... ...the Supervisor, Utilization Review. Work Location This is a remote position, open to candidates who reside in: Arizona; Florida;...Remote workHourly payFull timeWork from homeHome office$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour... ...Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license. Member assessments...Remote workHourly payFull timeContract workImmediate startShift work3 days per week$211.2k - $277.2k
...Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance... ...Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...Senior Utilization Review Specialist Within Health is revolutionizing eating disorder treatment through our innovative telehealth platform. We provide remote clinical services at the Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) levels...Remote workWork at officeWork from homeShift work
$93k
...healthcare-focused technology company is seeking a Nurse Educator/Review Coordinator to enhance provider education related to claim reviews, aiming to minimize Medicare claims errors. This full-time remote position requires strong organizational skills, clear...Remote jobFull time$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour... ...Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license. Member assessments...Remote workHourly payFull timeContract workImmediate startShift work3 days per week- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for...Remote job
- ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr Medix™Remote job
- COMAGINE HEALTH in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an active RN... ...skills are crucial. The position offers a remote work option along with comprehensive benefits, enhancing...Remote work
- ...are seeking a high‑performing Physician Reviewer to join our Group Health division. The role... ...for delivering timely, defensible utilization review determinations across a high-volume... ...Mac operating systems. Work Environment Remote work from home. Full‑time, Monday-Friday...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayNight shift
- CVS Health is looking for a highly skilled Utilization Management Nurse (RN) for a remote position. In this role, you will ensure patients receive appropriate healthcare services through reviews of clinical cases and collaboration with providers. The ideal candidate will...Remote job
$69.38k - $92.28k
MVP Health Care seeks a Professional Concurrent Review RN to ensure members receive appropriate care while navigating the healthcare... ...candidates are experienced RNs looking to transition into utilization management, requiring strong clinical judgment and excellent communication...Remote job- ...Remote Registered Nurse Position Join a stable work-from-home team! This is a great opportunity for a local remote position.... ...experience performing care for hospitalized patients ~2 years of Utilization Review (UR) experience reviewing hospital admissions for medical...Remote workFull timeReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
$60k - $75k
...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $60,000... ...position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be considered...Remote workFull timeWork at office- ...State and Territorial Epidemiologists is seeking a Clinical Review Supervisor to provide operational supervision of clinical staff conducting utilization reviews and specialty review activities. This fully remote position requires a strong background in health care and...Remote job
- 6AM City, LLC is looking for an experienced Utilization Review Nurse for a hybrid role based in Uniondale, Long Island. In this position, you will conduct utilization reviews, evaluate patient medical records, and collaborate with healthcare providers. The ideal candidate...Remote job
$260k - $275k
Medix™ is seeking a Board-Certified Physician for a fully remote, non-clinical role in Utilization Management. The position involves reviewing clinical documentation to determine the appropriateness of inpatient, outpatient, and pharmacy services. Ideal candidates will...Remote job- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote jobContract work
- Dove Recovery is seeking a Utilization Review Specialist responsible for managing authorization and review activities for clients. The position... ...MCO processes. This full-time position offers potential remote flexibility and requires attention to detail. #J-18808-Ljbffr...Remote jobFull time
$93.12k - $167.62k
United Cerebral Palsy of Georgia is looking for a Psychologist Reviewer - ABA to work virtually and collaborate with medical directors... ...an active license to practice. Candidates will ensure proper utilization of plan benefits and mentor staff. The position offers a salary...Remote job$77.91k
E2E Alignment Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position involves reviewing inpatient admissions, coordinating care, and ensuring quality and cost-effective patient outcomes. The ideal candidate...Remote job- ...Technician to support retail pharmacy operations remotely. This role involves processing prescriptions, performing prior authorization reviews, and coordinating care for patients.... ...pharmacy, ideally with experience in utilization review. A strong knowledge of insurance processes...Remote job
- Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization reviews across Southern California ministries, requiring effective problem-solving and decision-making skills...Remote jobPart time
- ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with...Remote workPrice workExtra incomeFor contractorsFlexible hours
$180k - $220k
...looking for a Senior Workplace Strategist – AI-Native Occupancy... ...enterprises think about space, utilization, and portfolio performance.... ...data-driven organization. Remote-first work environment within... ...ensure your application is reviewed quickly, objectively, and fairly...Remote jobFull time$1,600 - $1,800 per week
...Now Hiring: Registered Nurse – Utilization Management Location: Buckley AFB & Peterson AFB... ...No weekends, no holidays, no telehealth/remote work Minimum Qualifications U.S... ...in Utilization Management, Utilization Review, or Case Management Preferred Certifications...Remote workContract workImmediate startMonday to Friday- Greenkey Resources LLC is hiring a remote Clinical Reviewer based in Arizona. In this role, you'll review medical appropriateness and provide... ...determinations. If you hold an MD and have experience in utilization review, this position invites you to be part of a collaborative...Remote job
- ...Council of State and Territorial Epidemiologists is seeking a Clinical Review Supervisor to provide operational supervision of clinical staff conducting utilization review activities. This fully remote position requires an RN license and relevant experience in patient...Remote job
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