Remote Licensed Psychologist, Peer Review Specialist
Unitedhealth Group
- Remote job
UnitedHealth Group is seeking a licensed psychologist to perform peer review for Commercial, Medicaid, and Medicare cases, determining coverage decisions and treatment modifications as required. The role supports remote work from NY, NJ, or CT with engagement in peer consultations and guideline-compliant reviews. The ideal candidate holds a Ph.D. or Psy.D., with 5+ years post-licensure, experience in testing and insurance, and proficiency with Windows, Outlook, Word, and Excel. #J-18808-Ljbffr UnitedHealth Group
$91.7k - $163.7k
...and inclusion, talented peers, comprehensive... ...Connecting. Growing together.Psychologist Peer Revieweris for an... ....Services reviewed may include, but are not... ...the flexibility to work remotely * from anywhere within... ...challenges. Candidates must be licensed in the state of...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeMonday to Friday- UnitedHealthcare/Optum, part of UnitedHealth Group, seeks a licensed doctoral-level psychologist to perform peer reviews and determine coverage for Commercial, Medicaid... ...in New York, New Jersey, or Connecticut with remote work flexibility, this position focuses on...Remote job
$91.7k - $163.7k
...guided by inclusion, talented peers, comprehensive benefits and... .... The role of the Psychologist Peer Review involves applying clinical... ...have the flexibility to work remotely* as you take on some tough... ...Required Qualifications: ~ Licensed doctoral level (Ph.D. or Psy...Remote workMinimum wagePermanent employmentFull timeWork experience placementLocal areaWork from home$91.7k - $163.7k
Optum seeks a licensed psychologist (Ph.D./Psy.D.) in Florida for a full-time Psychologist Peer Reviewer role focused on outpatient public sector and ABA cases. You will apply clinical... ...a standard M-F schedule (8:30am-5pm CST). Remote work is available for Florida residents....Remote jobFull time- UnitedHealth Group is seeking a Florida-licensed Psychologist to serve as a Peer Reviewer for outpatient/ABA services and to handle insurance determinations... ...ensuring compliance with federal and state requirements. Remote work is available for Florida-based employees, with a...Remote jobFull time
- Optum, part of UnitedHealth Group, seeks a Psychologist Peer Reviewer in a full-time remote-capable role. You will apply clinical criteria to Commercial/Medicaid... ...determinations. The role requires a Florida-licensed doctoral-level psychologist with 3+ years of experience...Remote workFull time
- ...Utilization Review Specialist The primary purpose of the Utilization Review Specialist is to create... ...Provides corrective criticism and peer review. Reported to work as assigned and... ...Satisfactory CORI and background check. Satisfactory drug screen Part Time Remote Role...Remote workPart timeWork at officeFlexible hours
$55k - $70k
...programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55... ...have prior UR & clinical experience. Remote hires and applicants without prior... ...cases are escalated appropriately through peer reviews or appeals. Operational...Remote workFull timeWork at office- ...ABA Utilization Review Specialist Spectrum Billing Solutions offers industry-leading revenue cycle... ...rewarding environment. This is a fully remote or office/home hybrid position. Your... ...denials including referral for peer review. Document and record all necessary...Remote workWork at officeFlexible hours
$50k
...Complete pre-authorizations, concurrent reviews, and internal utilization review assessments... ...for concurrent reviews Schedule peer-to-peer reviews and coordinate urgent/expedited... ...School diploma or equivalent and a state license (e.g., Registered Nurse, Licensed Practical...Remote work$39.4 - $53 per hour
...unrestricted LPN or Current RN compact license Must be available to work... ...Virtual Utilization Review Specialists to join our team.... ...Works collaboratively with peers to achieve departmental goals... ...Abilities Required: This is a remote role which requires access to...Remote workTemporary workWork at officeLocal areaMonday to FridayWeekend work- ...of assigned tasks related to preadmission reviews, continued stay reviews, medical... ...the client's treatment. Arranges for Peer Reviews as requested will coordinate both... ...the role. Complies with all State Licensing and Regulatory Guidelines . Actively...Remote workWork at office
$24.52 - $28.32 per hour
...Boulder Care is hiring a Peer Recovery Specialist for a 100% remote, full-time position. We are looking for individuals... ...as requested/ scheduled Regularly review general patient status with other... ..., criminal records, education/licensing verification, and professional references...Remote workFull timeContract workTemporary workFor contractorsFor subcontractorCurrently hiringWork at officeLocal areaMonday to Friday- UnitedHealth Group's Optum division is hiring a Psychologist Peer Reviewer for outpatient public sector and ABA cases. You will apply clinical... ...requests, appeals, and ongoing outpatient care. A Florida licensed doctoral psychologist with 3+ years' experience and strong...Remote jobLocal area
- CVS Health is seeking a Care Associate for Behavioral Health Medicare Reviews. This fully remote role supports members and providers, coordinating peer-to-peer reviews and timely communications. You will work Monday-Friday, 9:00 AM-5:30 PM EST, with a strong emphasis on...Remote jobMonday to Friday
- ...Dane Street, LLC is seeking Board Certified Physicians to join our Disability Peer Review team. This telework opportunity allows physicians to evaluate disability claims remotely, offering complete flexibility in scheduling and the ability to dictate workload based on...Remote workWork from home
$62k - $80k
...OASIS Review Coding Specialist This is a remote position that provides flexibility and control over assigned workload. The OASIS Review Coding Specialist... ...and documented accurately and timely. Conducts peer audits as needed/assigned. Regularly provides feedback...Remote workTemporary workWork experience placementWork at officeFlexible hours- A healthcare solutions company in McLean seeks experienced peer reviewers with at least 5 years in clinical settings. Responsibilities include... ...recommendations. Candidates must have an active medical license, board certification (for physicians), and strong communication...Remote jobWork from homeFlexible hours
- ...years clinical experience, preferably in Family Medicine, for a peer review role. Responsibilities include reviewing medical records and... ...home with a flexible schedule. Applicants must have an active license, board certification, and strong critical thinking and communication...Remote jobWork from homeFlexible hours
- Dane Street, LLC is hiring a Peer / Record Review Quality Analyst responsible for managing medical file reviews and ensuring client standards are met. The ideal candidate must have strong communication skills, an educational background in healthcare or business, and the...Remote jobWork from home
- ...and compliant manner. We are hiring licensed therapists to join our diverse network... ...Team of licensed clinicians leads peer reviews, develops practice guidelines, and provides... ...Must be able to provide telehealth . Work Remotely Yes AK, US...Remote workContract workPart timePrivate practice
- ...RESPONSIBILITIES I. JOB SUMMARY: Facilitates peer review and performance improvement activities (case review, professionalism review... ...years of clinical experience. Knowledge of regulatory and licensing agency standards, medical staff bylaws, and rules/regulations....Full timeWork at officeDay shift
- ...We are currently seeking a Peer Recovery Specialist certified in Tennessee to support our members in the Substance Use Disorder Program. This position is hybrid, working from home and the community. We would love to connect with you if: You are a Peer Recovery...Remote workHourly payTemporary workWork experience placementWork at officeWork from home
- ...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
$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- ...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
- ...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
- ...Utilization Review Specialist The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients... .... Preferred Qualifications: Registered Nurse (RN) license or equivalent clinical certification. Experience with...Remote work
- ...Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The... ...guidelines. Candidates must have an active LPN license, at least one year of experience in a... ...setting, and the ability to work in a remote environment. Comprehensive benefits are provided...Remote workContract workWork from home
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ...experience in Epic EHR and Utilization Review. The selected candidate will perform chart... ...program metrics. This position is remote and offers a pay range of $30-$45 per hour...Remote workHourly payContract work
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