Remote GI Utilization Review Specialist (1099)
Medical Review Institute
A leading medical review organization is seeking Board-Certified physicians in Gastroenterology for a flexible remote opportunity. This role requires conducting independent Utilization Reviews for just 1-2 hours per week, with no minimum commitment. Candidates must have a Medical Degree, a current medical license in Oregon, Board Certification in Gastroenterology, and 5 years of clinical experience. Adherence to HIPAA regulations and company policies is mandatory, making this a suitable role for qualified professionals looking for flexibility. #J-18808-Ljbffr
- ...Alliance Health is seeking a UM Clinical Specialist-LTSS for full-time remote work, NC-based. You will perform utilization reviews and authorizations for I/DD and TBI waivers, ensuring services meet clinical guidelines and are provided in the least restrictive setting....Remote workFull time
- ...To support effective utilization management, the part-time Senior Utilization Review Specialist will conduct concurrent and retrospective reviews of hospital services,... ...while collaborating with clinical teams in a fully remote capacity. Key Responsibilities Perform...Remote workPart time
- ...ABA Utilization Review SpecialistSpectrum Billing Solutions offers industry-leading revenue cycle... ...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.Your Responsibilities...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- Nationwide Children's Hospital is seeking a utilization review professional to evaluate behavioral health cases, ensuring medical necessity and... .... After a 90-day in-office training, the position offers remote work from home options. #J-18808-Ljbffr Nationwide-ChildrenRemote jobWork at officeWork from home
- ...At Bradford Health Services, we don't just invest in our patients-we invest in our people. About the Role: The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients are medically necessary, efficient, and...Remote workPart time
- ...excellence.Who We're Looking ForWe are seeking an experienced specialist who is passionate about making a difference in the lives of... ...Health or related field required preferred.2-3 years of utilization review experience in behavioral health, addiction treatment, or managed...Remote workDaily paidFull time
- ...Healthcare Utilization Review Specialist Join our team at Company and build a meaningful career in employee benefits solutions. As a Healthcare Utilization Review Specialist, you'll play a vital role in ensuring our clients and members receive the right care at the...Remote workTemporary workSummer workFlexible hours
- Spectrum Billing Solutions is seeking an ABA Utilization Review (UR) Specialist to join their team. This fully remote or hybrid position involves reviewing clinical information and obtaining authorizations for ABA services. Candidates should have 3-5 years of relevant...Remote job
- FHE Health is seeking a Utilization Review Specialist to manage clinical authorization processes and coordinate with insurance payers for timely authorizations. The role supports access to treatment while ensuring documentation reflects medical necessity and compliance....Remote job
- CorVel Corporation is seeking an UR Intake Specialist to provide staff support such as typing reports, handling... ...while answering incoming calls and supporting the Utilization Review/Case Management department. This remote role requires strong communication, multitasking,...Remote jobWork at office
- ...HealthHelp is seeking a remote Utilization Review clinician (RN/LPN/LVN) to support medical necessity determinations across client programs. You will review cases, coordinate with providers, and ensure timely decisions in line with policy and regulatory requirements. Ideal...Remote workWork at office
- Medical Review Institute of America (MRIoA) seeks Board-Certified Family Medicine physicians to perform independent Utilization Reviews. This flexible, fully remote 1099 contractor role requires 1-2 hours per week with no minimum commitment. Applicants must hold an MD/...Remote jobFor contractorsFlexible hours
$16.74 - $26.92 per hour
...Job Description Job Description The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence... ...an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- Gastroenterology Utilization Review - Remote - Contract (1099) Join to apply for the Gastroenterology Utilization Review - Remote - Contract (1099) role at Medical Review Institute of America. Flexible Independent Contractor (1099) Remote Opportunity Founded in 1983,...Remote jobContract workFor contractorsFlexible hours
- HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost-effective, high-quality care. This role... ...and a strong collaboration with physicians and care teams. Remote work is available after training. #J-18808-Ljbffr...Remote job
- Ascension Sacred Heart Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment with reimbursement policies. Join a multidisciplinary...Remote job
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...Remote job
- ...Flexible Independent Contractor (1099) Require a DC or Maryland... ...Founded in 1983, Medical Review Institute of America (MRIoA)is... ...specializing in technology-driven utilization management and clinical... ...Reviews . This is a flexible remote opportunity requiring just 1–...Remote workFull timeContract workFor contractorsFlexible hours
- Rheumatology (MD/DO) Utilization Review - Remote Contract (1099) Apply for this independent contractor position with Medical Review Institute of America. Flexible Independent Contractor (1099) Opportunity Fully remote, 1-2 hours per week, no minimum commitment. Covered...Remote jobContract workFor contractorsFlexible hours
$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- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote workContract workWork from home
- A healthcare organization is seeking Board-Certified physicians in Oncology for a flexible, remote utilization review role. This position requires a Medical Degree (MD or DO) with a current license in Florida, Minnesota, or Oregon, and an active Board Certification in Medical...Remote jobFlexible hours
$62k - $70k
...of this position is to ensure that the utilization process is thorough, organized and streamlined... ...timely manner Completes peer to peer reviews with insurance MDs to advocate for... ...Charlie Health-sponsored benefits. #LI-REMOTE Please note that this role is not available...Remote workFull timeLocal area$80.2k - $93.8k
...Position Summary The Permit Specialist manages the permitting and regulatory... ...Application Management: Review contractor prepared permits,... ...-of-Way (ROW) permits from utility companies, municipalities, state... ...assigned project areas. No remote work will be possible. Must be...Remote workGeographic information systemFull timeFor contractorsWork at officeLocal areaFlexible hoursAfternoon shift$35 - $42 per hour
...searching for a Right of Way Specialist to join our talented Construction... ...needed for transportation, utility, and municipal infrastructure... ...Conduct property research, review title information, prepare acquisition... ...in the following areas: Remote with a preference of...Remote workGeographic information systemHourly payLocal areaRelocationVisa sponsorshipFlexible hours$52.38 - $78.58 per hour
...Staff Acoustics & Noise Control Specialist, you will have the... ...Work may include regulatory review, ambient sound surveys, noise... ...work assignments. Ability to utilize audio/videoconferencing software... ...assignments on both plant sites and remote greenfield locations are...Remote workGeographic information systemFull timePart timeWork experience placementWork at officeLocal areaRelocationVisa sponsorshipFlexible hours- ...currently seeking a Right of Way Specialist to join our team. We are... ...Communicate daily with the utility client, contractors, landowners... ...experience identifying encroachments, reviewing encroachment locations and... ...of utility power lines; remote locations as well as urban,...Remote workGeographic information systemWeekly payFull timeTemporary workFor contractors
- ...Revenue Specialist, Commercial Billing The Revenue Specialist, Commercial... ..., request, acquire, and review medical records, provider... ...knowledge of account information. Utilizing information to manage claim... ...claim and resolution for HI/GI account receivables. Review...Remote jobGeographic information systemFlexible hours
- ...As an Electric Utilities Data Processor, you are tasked with operational excellence. You will... ...to: • Preparing Data: Verify and review data received from data controllers to ensure... ...GIS platforms • familiarity with remote collaboration tools • experience in telecom...Remote workGeographic information system
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