Remote Inpatient UM Clinical Specialist
Cambia Health Solutions
- Remote job
Cambia Health Solutions is seeking an UM IP Clinical Specialist to review inpatient utilization management requests, collaborate with licensed clinicians, and ensure accurate documentation. You will work in a fast-paced environment, independently handling a high-volume caseload while maintaining confidentiality and quality standards. The role emphasizes effective communication with providers and teams, adherence to regulatory requirements, and participation in continuous process improvements #J-18808-Ljbffr Cambia Health Solutions
- Cambia Health Solutions is seeking an UM IP Clinical Specialist to support inpatient utilization management. You will research and act on IP UM requests, coordinate... ...case handling across multiple locations through a remote work setup. The role emphasizes independent work with...Remote job
- Cambia Health Solutions is seeking an experienced Utilization Management Inpatient Clinical Specialist to support IP UM reviews from a home office across Washington, Oregon, Idaho, and Utah. The role partners with licensed clinicians to verify information, respond to requests...Remote jobHome office
- ...manage the total cost of care. We are currently looking for a UM Clinical Support Specialist to join our growing team! The UM Clinical Support... ...located at 7600 North 16 th Street, Suite 140 Phoenix, AZ 85020 Remote Essential Functions Works independently with minimal...Remote jobFull timeWork at officeLocal areaWork from home
- tango is a leader in home health management seeking a UM Clinical Support Specialist to join our growing team in Phoenix, AZ. The role focuses on data collection, analysis, reporting, and maintaining utilization and productivity logs to support decision making. You will...Remote job
$28.2 - $38.2 per hour
...sustainable health care system. Who We Are Looking For Every day, Cambia’s dedicated team of Utilization Management Inpatient (UM IP) Clinical Specialist are living our mission to make health care easier and lives better. As a member of the Clinical Services team, our...SuggestedWork at officeImmediate startWork from homeFlexible hours- ...Completed application via the UM Careers websiteLetter... ....Job SummaryAs a Clinical Pharmacist, you will be... ...Collaborate closely with inpatient solid tumor teams to... ...eligible for hybrid or mobile/remote work mode are at the... ...Pharmacist Specialist - Ambulatory Solid TumorsJob...Remote workFull timeMonday to FridayDay shift
- ...Completed application via the UM Careers websiteLetter... ...and monitoring of clinical pharmacy services in Solid... ...Transplant in both the inpatient and outpatient setting;... ...for hybrid or mobile/remote work mode are at the... ...TitleClinical Pharmacist Specialist - Solid Organ TransplantJob...Remote workFull timeLocal areaRotating shiftDay shift
- Alignment Health is seeking an organized, detail-oriented remote UM Coordinator (inpatient) to join our UM team. This part-time weekend role requires availability every Saturday and Sunday during Pacific Time hours, assisting with census, records, and discharge planning...Remote jobPart timeShift workWeekend workWeekday work
- ...Operations and Coding department, the Senior Clinical Coding Specialist plays a critical role in ensuring the... ...Coding Specialist reviews complex inpatient medical records, assigns appropriate... ...$100,000 annually Work Location: Remote (within Texas only) -Must come onsite...Remote workFull timeApprenticeshipWork experience placementWork at officeLocal areaRelocation package
$71.39k - $132.79k
...and next steps. Our partner is looking for a Clinical Denials Management Specialist based in the United States. In this fully remote role, you will leverage your clinical... ...involving medical necessity, clinical validation, inpatient versus observation status, neonatal...Remote workFull timeHome office$41.47k - $62.21k
...but saving them. Together. Alignment Health is seeking an organized, detail-oriented, and customer service-oriented remote UM Coordinator (inpatient) to join our UM team. This is a part-time weekend role that requires availability every Saturday and Sunday during Pacific...Remote jobPart timeWork at officeMonday to FridayWeekend workWeekday work- Cambia Health Solutions seeks an UM IP Clinical Specialist to review inpatient utilization requests, research information, and coordinate with clinicians to support efficient reviews. The role emphasizes accuracy, timeliness, and adherence to regulatory standards. Work-...Remote jobWork from home
$92k - $128k
...It’s a great time to be a part of ZOLL!Job Type: Remote Job SummaryThe Clinical Implementation Specialist (CIS) will coordinate post-sale customer education... ...passionate advocate for improving patient outcomes in an inpatient hospital setting.Required/Preferred Education and...Remote workMinimum wageOngoing contractFull timeLocal areaWorldwide- ...Clinical Specialist Utilization Management Under the general supervision of the Director of... ...treatment provider network for psychiatric inpatient, detox, residential authorizations and... ...of Michigan. This position can work remotely with supervisory approval. Currently...Remote workTemporary workWork at office
$125k - $145k
...incredible memories while providing world-class patient care. Remote/Virtual Position : Position requires 80-90% travel with focus on states MA, DE, MD, IL, & GA Coverage Area: Hospice Inpatient Center NE region focus Salary: $125,000-$145,000/year...Remote workFull timeFlexible hours$148.3k - $214.93k
...ShiftMultiple shifts availableOverview:Title: Clinical Pharmacy Specialist - Specialty PharmacyLocation: Norfolk... ...(Preferred)Keywords: #Indeed, Inpatient Pharmacy, Clinical Pharmacist,... ....For positions that are available as remote work,Sentara Health employs associates...Remote workFull timeTemporary workLocal areaShift work- A Abbott Laboratories está contratando um Especialista Clínico, Vessel Closure, para a região de Cincinnati. Você apoiará pacientes e equipes hospitalares, com foco em fechamento de vasos e demonstração prática de produtos atuais. O papel envolve visitas a clientes, educa...Remote job
- Job Description - Clinical Nutrition Specialist- Pediatrics (260002XD) Job Description Clinical Nutrition... ...workflows and providing intermittent inpatient coverage to ensure continuity of care... ...Circle Tampa 33601 Eligible for Remote Work : On Site Job Organization #J-1...Remote work
- ...possibilities. Job Description The Clinical Specialist is a resource for the execution of the... ...of customers on HDS portfolio in both inpatient and outpatient infusion settings,... ...of flexibility and work-life balance. Remote or field-based positions will have different...Remote workFull timeWork at officeShift work
$100k - $125k
...transforming how health systems use clinical AI to capture the full value... ...As a Clinical Operations Specialist at SmarterDx, you will be... ...quality. **This role is fully remote within the US**... ...qualifications ~2+ years of inpatient, bedside nursing experience (...Remote work$62.19 - $87.07 per hour
...Pharmacist Clinical Specialist General Hematology Clinic Location: UCHealth Anschutz Inpatient Pavilion, Aurora, CO Department: UCH Amb HOPD Pharmacy (Oncology) Work... ...onsite role and does not offer a hybrid or remote option Summary: Coordinates comprehensive...Remote workFull timeWork experience placementShift work- ...site Hospital Utilization Management (UM) Nurse, you are the primary link between the clinical floor and administrative compliance. Unlike remote roles, this position relies heavily on... ...are in the correct Patient Class (e.g., Inpatient vs. Outpatient with Observation). By...Remote workFull timeImmediate startShift work
$262.15k - $393.22k
...Management (RMD Non-Acute UM) is a market-facing... ...for optimizing clinical outcomes, quality performance... .... Partner with PCPs, specialists, hospitals, and delegated... ..., and avoidable inpatient or post-acute utilization... ...requiring a combination of remote work, home-based...Remote workFull timeWork at officeLocal areaWork from home- Providence Swedish is seeking a Dietitian Inpatient (Registered Dietitian) to join a multidisciplinary team delivering comprehensive nutrition... ...tools. The incumbent will contribute to pediatric-focused clinical nutrition, meet Washington licensure requirements, and...Daily paid
$20.1 - $26.13 per hour
...26.13 Scheduled Weekly Hours 40 Position Overview Responsible for administrative management, tracking, and coordination of inpatient clinical denials, including patient status determinations, medical necessity denials, and readmission-related denials. Ensures inpatient...Full timeTemporary workPart timeWork at officeFlexible hours- ...Fully Remote Position Perform utilization review activities, including concurrent and retrospective reviews of inpatient cases using evidence-based InterQual criteria and Medical Policy. Obtain clinical information from facility EMR to expedite timely decisions....Remote workWork at officeNight shiftAfternoon shift
- ...UASI is seeking an Inpatient Coding Specialist to join our team. This remote role emphasizes coding accuracy, compliance, and independent work habits from home. Over 40 years of experience and Top Workplace recognition support a stable, growth-oriented environment....Remote workWork from homeFlexible hours
- ...About the Role Join a growing startup as a Clinical Trainer / Support Specialist to join our growing Customer Success team. Your mission? To champion... ...across the U.S. This role offers the flexibility of remote work, allowing you to ignite change in patient care from...Remote workPermanent employmentFull timeWork at officeHome office
- ...Masimo Clinical Specialist Bring more to life. Are you ready to accelerate your potential and make a real difference within life sciences... ...part of the Sales Team located in East London and working remotely to cover Eastern UK territory. In this role, you will...Remote workWork from homeFlexible hoursNight shift
- ...following requirements:**Must Have a minimum of 3 years of Hospital Inpatient Coding Experience****Must have one or more of the following; (... ...options available!We have immediate openings for contract, remote, Hospital Coders.Oxford offers competitive pay and excellent benefits...Remote workFull timeContract workImmediate startWork from home
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