Remote LPN Utilization Review Specialist
Mass Digital Health
- Remote job
Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility and contract requirements, requiring clinical expertise and knowledge of Medicaid guidelines. Candidates must have an active LPN license, at least one year of experience in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical, dental, and 401(k) plans. #J-18808-Ljbffr Mass Digital Health
- Ensemble Health Partners is seeking Senior Virtual Utilization Review Specialists to join their remote team in the United States. This role involves conducting... ...or equivalent nursing experience, possess current LPN or RN compact licensure, and have strong communication...Remote job
- Kelsey-Seybold Clinic is seeking a Utilization Review Specialist (LVN) to conduct medical reviews and assess medical necessity for services requiring... ...experience in utilization review. Flexibility for remote work is provided for Texas residents. Competitive hourly pay...Remote jobHourly pay
- ...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
$60k - $75k
...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $60,000 - $75,000 a... ...position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be...Remote workFull timeWork at office- Dove Recovery is seeking a Utilization Review Specialist responsible for managing authorization and review activities for clients. The position requires... ...MCO processes. This full-time position offers potential remote flexibility and requires attention to detail. #J-18808-...Remote jobFull time
- United Cerebral Palsy of Georgia is hiring a Utilization Management Specialist in Miami, Florida. The role requires collaboration with Medical Directors to review healthcare services and authorize necessary services. Strong analytical skills are essential. This position...Remote jobLocal area
$50k
...lives of patients and their families What to Expect (Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment team to gather necessary information for concurrent reviews...Remote job- 100% remote position in any state except, NY, CA, HI, or AK Job Description Summary... ...Performing Discharge Care Coordination And Review Activities For Determining Efficiency,... ...Cases, And Provide Information Regarding Utilization Management Requirements And Operational...Remote workContract work
- Utilization Review (UR) Specialist Position Title: Utilization Review Specialist Department: Clinical / Billing Operations Reports To: Executive Director... ...Environment Fast-paced behavioral health environment. Remote flexibility depending on needs of department. Requires...Remote workFull time
- We are seeking Senior Virtual Utilization Review Specialists to work in Pacific Time and Mountain Time zones. The role is remote with a weekday schedule of three 12‑hour shifts per... ...center. They must hold a current unrestricted LPN or RN compact license and be willing to...Remote workWork at officeRotating shiftWeekday work
$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- TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must be a Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking skills and attention to detail. The...Remote job
- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental...Remote workWork at officeFlexible hours
- 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
$75k
...for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing license, with preference... ...with health, dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a supportive work...Remote jobMonday to Friday$20.38 - $36.44 per hour
...Utilization Review Specialist (LVN) Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of... ...located in Texas, you will have the flexibility to work remotely as you take on some tough challenges. You'll be rewarded...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaFlexible hours$20.38 - $36.44 per hour
Wisconsin Psychiatric Association Inc seeks a Utilization Review Specialist (LVN) who will conduct medical reviews and verify benefits. The role involves... ...and an active RN license. The position offers flexible remote work options adhering to company policies, along with a...Remote jobHourly payFlexible hours$34 - $47 per hour
Astrana Health is seeking a CA-licensed Utilization Review Nurse for remote work. This role involves using clinical judgment to approve or deny outpatient medical services based on Medical Necessity Criteria. Candidates must have at least one year of outpatient UM experience...Remote jobHourly payShift work- ...in Tampa, FL. This full-time position is primarily remote with required in-person training and periodic on-site... ...confirm medical services based on guidelines, conduct reviews, and assess clinical information. A valid LPN/LVN or RN license is essential, alongside clinical...Remote jobFull time
- ...and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his... ...a cohesive and rewarding environment. This is a fully remote or office/home hybrid position. Your Responsibilities:...Remote workFull timeWork at officeFlexible hours
- ...Opportunity with Banyan Treatment Centers! We are seeking a Utilization Review Specialist to join our corporate team in Pompano Beach, FL. The... ..., Weekdays (Weekend availability as needed). Location: Remote Key Responsibilities: Manage a caseload of 50–75 patients...Remote workFull timeTemporary workWeekend workWeekday work
- ...Job Description Job Description UR Specialist – Join Camber and Make an Impact At... ...difference every day. Job Summary The Utilization Review department manages all aspects of a... ...schedule of 2 days in office and 3 days remote after successfully completing their...Remote workWork at officeMonday to Friday
- ...Job Description Job Description Salary: Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday Friday Overview Diversified Treatment Alternative Centers (DTAC) is seeking...Remote workFull timeMonday to FridayFlexible hours
$55k - $70k
...Job Description Job Description 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...Remote workFlexible hours$30 - $34 per hour
A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying medical...Remote jobHourly pay$27.1 - $40.65 per hour
...Utilization Management Nurse, LVN/LPN (Work from Home) California, United States NeueHealth is a value-driven healthcare company grounded in... ...requiring prior authorization. Responsibilities include reviewing prior authorizations for treatments, medications, procedures...Remote workHourly payFull timeContract workWork at officeWork from home- ...Utilities Specialist I Full time; Non-Exempt; 40 hours/week; Overtime as required. Location:... ...account status and current billing. • Review loan documentation to determine utility... ...and/or move about the organization or remote office. The employee is frequently required...Remote workFull timeTemporary workWork at officeWork from homeFlexible hours
- ...Utility Maintenance Specialist All applications received during the recruitment period will be forwarded to the hiring department for review and consideration. Open Until Filled. Utility Maintenance... ...water tank pressure. Ensures remote pump stations are functioning...Remote work
- ...North America is seeking a New Homes Utility Interconnections Specialist to support the coordination and execution... ...the company policies and procedures. Remote work may be considered for exceptional cases. RESPONSIBILITIES Review project requirements and determine...Remote workFor contractorsWork experience placementWork at office
$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States NeueHealth is a value-driven healthcare... ...Summary: The Concurrent Utilization Review (UR) Nurse is responsible for... ...Corporate office preferred / remote may be considered Collaborative environment...Remote workHourly payWork at office
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