Remote ABA Utilization Review Specialist (UR)
Spectrum Billing Solutions
- Remote job
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 experience and strong communication skills. The role offers a supportive team environment and competitive salary, along with benefits including healthcare and 401K. Join us to contribute to optimizing healthcare provider revenue cycles in a rewarding setting. #J-18808-Ljbffr Spectrum Billing Solutions
- ...ABA Utilization Review Specialist Spectrum Billing Solutions offers industry-leading revenue cycle management... ...to add an ABA Utilization Review (UR) Specialist to our growing team. The... ...rewarding environment. This is a fully remote or office/home hybrid position....Remote workWork at officeFlexible hours
$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... ...appropriateness of Applied Behavior Analysis (ABA) services. This role leverages clinical expertise...Remote workContract workWork at officeLocal areaWork from home$55k - $70k
...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000 - $70,000 a year... ...position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be...Remote workFull timeWork at office- ...Utilization Review Specialist | Remote | Full-Time Banyan Treatment Centers is seeking an experienced and detail-driven Utilization Review Specialist... ...Room to grow join a rapidly expanding organization where UR professionals have visibility across the enterprise and opportunities...Remote workFull timeTemporary work
- 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 a detail-oriented and experienced Utilization Review (UR)...Remote workFull timeMonday to FridayFlexible hours
- ...Utilization Review Specialist The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients are medically necessary, efficient, and compliant with regulatory standards. This position involves thorough evaluation of...Remote work
- ...Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care entities. The role covers pre-certification, concurrent reviews, and appeals with...Remote work
- ...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
- ...Seeking an experienced and detail-driven Utilization Review Specialist, the full-time remote position will manage a caseload of 50-75 patients, conducting admission and continuing-stay reviews, coordinating authorizations, and serving as a liaison between clinical operations...Remote workFull time
$50k
...the 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...Remote work- Humana Inc. is seeking a Utilization Management Behavioral Health Professional for remote roles across several states. You will perform clinical reviews of behavioral health prior authorizations, coordinate with medical directors, and document all decisions in the system...Remote job
- Diversified Treatment Alternative Centers is looking for a Utilization Review Specialist in Chadds Ford, PA. This role supports behavioral health... ...case management. This position offers flexible hybrid or remote work options and a comprehensive benefits package. #J-188...Remote jobFlexible 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 jobHourly payContract work$41.6k - $47k
...Utilization Review Specialist At Umpqua Health, we're more than a healthcare organization we're a community-driven Coordinated Care Organization... ...with the ability to stay organized and productive in a remote, independent work environment Proactive communication with...Remote workWork at officeLocal areaImmediate startMonday to FridayFlexible hoursShift work$24 - $26 per hour
...Remote Authorization Specialist Remote | Full-Time | 9a-5p Monday-Friday | $24-$... ...certifications, concurrent reviews, verifying benefits, obtaining... ...that translate well: Utilization Review · Insurance Authorization... ...years of experience as a UR/authorization specialist...Remote jobFull timeMonday to Friday$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$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- ...facility in California is seeking experienced nursing professionals to review medical records and ensure appropriate admission status. The... ...or a Master's degree in a related field. The position offers remote work with emphasis on critical thinking and problem-solving skills...Remote 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 jobContract workWork from home
- NeighborHealth’s SCO RN UM Reviewer role is based in East Boston within the Senior Care Options team. You will review clinical appeals and service authorization needs to ensure medical necessity aligns with CMS standards and organizational determinations. The role requires...Remote job
- ...Utilization Review Specialist The Utilization Review Specialist (URS) exercises independent judgment and professional discretion in the practice of case management to a select group of patients. The URS collaborates with physicians to ensure that patients are at the...Shift work
$26 - $33 per hour
...-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated... ...reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy of admission...Hourly payFull timeTemporary work$70k - $100k
...of the Surgery Partners network, is seeking an experienced Utilization Review Specialist to join its team in Addison, Texas. This position is ideal... ...is a hybrid opportunity offering the flexibility of three remote workdays per week while maintaining an onsite presence two...Remote workContract work2 days per week$27.02 - $48.55 per hour
...About This Role The Utilization Review Clinician - ABA at Centene is responsible for reviewing members' care and health status related to Applied... ...Highlights Pay: $27.02 - $48.55 per hour Location: Remote, FL Schedule: Full Time What You'll Do Evaluate...Remote workHourly payFull timeFlexible hours$27.07 - $33.37 per hour
...Behavioral Healthcare Hospital in Bakersfield, California, seeks a Utilization Review Specialist to review medical records, prepare clinical appeals, and... ...High School Diploma, current California LVN license, and UR experience in behavioral/psychiatric settings; Associate...Hourly pay$65k - $85k
...Job Description Job Description Utilization Review Specialist (RN) – Remote $65K–$85K | OASIS & Coding Certified | Florida RN License Required Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home...Remote jobMonday to FridayWeekday work$67.8k - $133.1k
...Practice Management Specialist Optum is a global organization... ...Behavioral Analysis (ABA) providers as well as... ...flexibility to work remotely* from anywhere within... ...outcomes data, utilization/claims data, complaints... ...Care and/or Utilization Review experience in a Managed...Remote workWork experience placementHome office- Health Business Solutions LLC seeks an experienced Utilization Review Nurse in New York to provide clinical guidance, drive appropriate level of... ...RN license (US multi-state/compact), BSN preferred, 2+ years UR experience; CCM a plus; strong analytical and communication skills...
$25 - $27 per hour
...Overview Utilization Specialist Opportunity (8 hours shifts) at The Camp Recovery Center – Scotts Valley, CA Pay Range $25.00 - $27.00 We are... ...organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of...Hourly payFull timeWork at officeLocal areaMonday to FridayShift workNight shift- ...by Specialty Pediatrics* ICU MS Case Management/Utilization Review Pre-Cert Review* Prior Authorizations* Retrospective... ...Joint Commission/ Core Measure/National Safety Goals Additional Skills remote UR work CA and Medi-Cal experience/knowledge*Remote work
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