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
- ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize... ...in a cohesive and rewarding environment. This is a fully remote or office/home hybrid position. Responsibilities Review...Remote workWork at officeFlexible hours
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ...along with experience in Epic EHR and Utilization Review. The selected candidate will perform... ...program metrics. This position is remote and offers a pay range of $30-$45 per...Remote workHourly payContract 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- ...US 2 days ago Requisition ID: 9252 UR Specialist – Join Camber and Make an Impact At Camber... ...difference every day. Job Summary The Utilization Review department manages all aspects of a... ...of 2 days in office and 3 days remote after successfully completing their first...Remote workFull timeWork at officeMonday to Friday
$55k - $70k
...Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K About the Role As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare...Remote workFlexible hours$75k
...Santa Barbara Cottage Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical necessity reviews and collaborating with clinical teams to make informed decisions. Candidates must hold an...Remote work$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- 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
$35 - $50 per hour
AMN Healthcare is seeking a Remote RN for Utilization Review in Providence, Rhode Island. This position requires a valid RN license and experience in utilization review. The role offers a pay rate between $35.00 and $50.00 per hour, working M-F for 40 hours a week. Applicants...Remote jobHourly pay- Title: Utilization Review Specialist - Mental Health/Behavioral Health - REMOTE Location: Remote - Servicing 4 locations in Florida Contract - 13 Weeks - Monday through Friday 8:30 AM to 5:00 PM - 2 Contracts Available Pay: Starting at 28.00 an Hour The UR Specialist...Remote workContract workWork at officeMonday to Friday
- ...development, and leadership programs… and more! Description The Utilization Review (UR) Specialist is a Registered Nurse responsible for conducting thorough... ...the time may be required. Work Type: This position is a remote position outside traditional office, often from home or...Remote workWork at office
$29.62 - $45.31 per hour
...Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department... ...requests, customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work$35.62 - $52.99 per hour
...Job Summary and Responsibilities As our Utilization Review LVN, your focus will be to provide high quality, cost-effective care which will... ...to support optimal patient care and operational flow. As a remote employee, we will provide you with the equipment needed to...Remote workContract work- An established industry player in health care is seeking a Utilization Review Nurse to join their dedicated team. In this vital role, you will evaluate medical records and apply clinical expertise to ensure the delivery of necessary health services. Your contributions...
$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 workHourly pay- ...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
- ...of this position is to ensure that the utilization process is thorough, organized and streamlined... ...management, appeals, and peer-to-peer review processes Requirements ~ High... ...Washington State, Oregon, or Minnesota. #LI-REMOTE Our Values Connection: Care deeply...Remote workFull timeLocal area
$41.6k - $47k
...Utilization Review Specialist HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE- Full-Time, Exempt... ...skills with the ability to stay organized and productive in a remote, independent work environment Proactive communication...Remote workFull timeWork at officeLocal areaImmediate startMonday to FridayFlexible hoursShift work- ...an Appeals and Grievances Clinical Specialist to manage member complaints and... ...case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities... ...practice and knowledge of Utilization Review Guidelines. The position offers a...Remote job
$40 per hour
...Job Title: Utilization Management LPN Allmed Benefits: Vision Insurance, Health Insurance, Dental... ...utilization management operations by reviewing authorization requests, ensuring timely... ...Ability to work independently in a remote environment Additional Information...Remote workWeekly payContract workCasual workMonday to Friday$51 per hour
...Job Title: Utilization Review Specialist (BCBA Licensee) Location: Baltimore, MD (Remote – offsite) Type: Contract To Hire Compensation: $51/hr (W2) Work Model: 100% Remote Must be Licensed in one of the 3 states: MD, VA or Washington...Remote workContract workWork at officeLocal areaWork from home$24 - $56.17 per hour
...Job Title Provides support for clinical member services review assessment processes. Job Description Verifies that services... ...teams to promote the Molina care model. Adheres to utilization management (UM) policies and procedures. Required Qualifications...Remote workHourly payFull timeContract workWork experience placementWork at office- ...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
- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
$24 - $56.17 per hour
...Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services... ...multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required...Remote workHourly payContract workWork experience placementWork at office- ...Make it happen at Hopkins! This is a remote position. Our organization is registered for... ...general supervision of the UM Team Manager, the Utilization Management Specialist performs UM activities which includes admission review, concurrent review, retrospective chart...Remote workWork experience placementLocal areaShift work
$60k
...Integra is looking for a LPN/LVN experienced in the managed care payor environment... ...to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual... ...Career development opportunities Remote Opportunities We are actively seeking...Remote workTemporary workLocal area$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- ...with customers? LCS is seeking a Metered Utilities Specialist whose primary function is to manage customer utilities and rate reviews. Essential Functions Core functional knowledge... ...available; 50% in the office, 50% remote About LCS London Computer Systems (LCS), based...Remote workLive inWork at officeRelocationWork visa
- ...talented Team. Job Title: Utilization Management Specialist- 49936-1 Location(s): Remote Job Summary: Utilizing key... ...management, the Utilization Review Specialist will perform prospective... ...experience. ~ RN/LPN state licensing or compact....Remote workWork experience placementWork at office
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