Remote Utilization Management Admin Specialist
Humana
- Remote job
Humana is seeking an UM Administration Coordinator to contribute to the administration of utilization management and provide non-clinical support for policies and procedures. The role involves moderately complex administrative tasks, basic computations, and semi-routine assignments. The position offers remote work with standard 40-hour weeks, typically 8:00 AM–5:00 PM Central Time. Prior experience in healthcare administration and strong MS Office skills are valued. #J-18808-Ljbffr Humana
- ...Job Description Job Description Utilities Specialist I - Hybrid - 3 days on site, 2 days WFH Full time; Non-Exempt; 40 hours/week;... ...a stationary position and/or move about the organization or remote office. The employee is frequently required to stand or walk...Remote workFull timeTemporary workWork at officeWork from homeFlexible hours
- ...Description Subject Matter Expert (SME) - Energized Line Maintenance & Utility Safety Assessment Overview We are seeking an... ...Date: October-November timeframe Work Arrangement: Primarily remote with a hybrid component Travel: Required for onsite field...Remote work
- ...Job Description Job Description Utility Vegetation Management Specialist Who are we? We’re dedicated to the growth of our employees. We... ...vehicle operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...Remote workFull time
- ...highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management team. In this role, you will serve as a vital link... ...timelines. Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST...Remote workFull timeLive inWork from homeMonday to Friday
- ...Northpoint Recovery Holdings, LLC is seeking a licensed Utilization Review Specialist to ensure clinically appropriate care, discharge planning, and cost-effective utilization across the treatment continuum. You will lead reviews of admissions, stays, discharges, and appeals...Remote work
- ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining insurance authorizations, communicating with managed care organizations, and collaborating with clinical teams....Remote workPart timeWeekend work
- ...Utilization Specialist Part time 20 hours a week then will go to a Full Time Opportunity Location: Central Florida; must be willing to travel to Orlando or Villages from time to time (remote, but available for onsite meetings) Key Responsibilities Review any new...Remote workFull timePart time
- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and... ...necessity criteria while working remotely. Key responsibilities Verify...Remote workFull time
- ...To support the treatment of addiction and mental health issues, the full-time Remote Utilization Review Specialist will manage pre-authorizations and concurrent reviews, collaborating with case managers and the multidisciplinary treatment team to ensure compliance with...Remote workFull 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....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... ...Medicaid program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract work- ...Minnesota Adult & Teen Challenge in Minneapolis is seeking a Utilization Review Coordinator to obtain and maintain insurance authorizations... ...and DHS requirements. Training is provided; initial in-person in Minneapolis with remote work thereafter. #J-18808-Ljbffr...Remote work
- ...Utilization Review Specialist – Join a Top 1% Workplace Are you looking for a fast-paced clinical role... ...treatment teams and health plans. You will manage initial, concurrent, and discharge... ...our Olathe corporate office, 3 days remote. What You Will Do Act as the...Remote workWork at office
- ...Bradford Health Services seeks an experienced Utilization Review Specialist to join our Birmingham-based team. You will evaluate patient records... ...compliance. You will collaborate with physicians, case managers, and insurers to obtain authorizations, monitor deadlines...Remote work
- ...Utilization Review (UR) Specialist Location: Open to candidates near Wyomissing PA & Chadds Ford PA (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday – Friday Diversified... ...The Utilization Review Specialist manages the full lifecycle of authorizations...Remote workFull timeMonday to FridayFlexible hours
$24 - $26 per hour
...Utilization Review Specialist – Behavioral Health (Remote) PHP/IOP | Full-Time | Monday–Friday, 9 AM–5 PM ET | $24–$26/hour About the Role Principles Recovery... ...hiring a Utilization Review (UR) Specialist to manage insurance authorizations for adolescent and adult...Remote workFull timeMonday to Friday- 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
$40k - $50k
...Description Utilization Review Specialist Full-Time- must be able to work a few weekends per month Location: Remote Preferred Residence: Candidates residing in Florida, Tennessee, Texas... ...authorizations, communicating with managed care organizations, and collaborating with...Remote workFull timePart timeWork at officeWeekend work$60k - $70k
...process. Full Time Office/Clerical Remote, Birmingham, AL, US Salary Range:... ...of the journey. We are seeking a Utilization Review Specialist to add to our dynamic team! The Utilization... ..., insurance companies, and case managers to facilitate timely approvals and...Remote workFull timePart timeWork at office$30 - $35 per hour
...Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $30-35/... ...key member of the Northpoint team, the Utilization Review Specialist is a licensed professional who is... ...discuss with clinical care team and management staff when patient no longer meets medical...Remote workFull timeTemporary workFor contractorsWork at officeMonday to Friday- ...Allegheny Health Network seeks an RN Utilization Review professional to obtain pre-certifications, coordinate authorizations and manage denials for a seamless patient care continuum... ...levels of care and timely approvals. This remote role requires PA RN licensure (or multi-...Remote work
$20 - $22 per hour
HKA Enterprises is seeking a Remote Call Center Representative to support a 24/7 facilities, utilities, water, and sanitation customer service operation. This full-time, work-from-home role requires a dedicated home office and reliable internet, with shifts between 12:0...Remote jobHourly payFull timeWork from homeHome officeShift work- ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a strong team-oriented environment...Remote workWork at office
- ...Cleveland Clinic Health System is seeking an experienced Utilization Management RN Reviewer to work remotely with a focus on admission, concurrent and retrospective reviews. The role supports payer communications, data collection, and clinical decision-making to ensure...Remote workWork at office
- ...Cleveland Clinic is seeking an Utilization Management RN Reviewer to support remote operations from home. The role covers admission and concurrent reviews, and ensures medical necessity criteria are applied to hospital stays and discharges. Qualifications include RN...Remote work
$68.89k - $92.14k
...Pay Plan Title: Utilization Management Specialist III Working Title: Utilization Management Specialist III - MH/SU FLSA Status: Exempt Posting Salary Range: $68,890- $92,138 Office Location: Remote within North Carolina POSTING DETAILS: Make an Impact...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours$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- Cambia Health Solutions is seeking an UM IP Clinical Specialist to support inpatient utilization management. You will receive, research, and act on documentation and requests from diverse sources, collaborating with licensed clinicians to guide appropriate actions and...Remote job
- ...behavioral health guidelines. The role involves prior authorization reviews, data analysis to improve utilization, and collaboration with BH providers. Time-zone residency in PST, MST, or CST is required, with flexible remote/hybrid options. #J-18808-Ljbffr Centene CorporationRemote workFlexible hours
- CVS Health Corporation seeks a Behavioral Health Utilization Management Clinician. This remote role prefers Louisiana residency and requires Sunday-Thursday, 8:00 AM-5:00 PM CST. You will review treatment plans, apply guidelines, coordinate with teams, and support crisis...Remote job
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