Remote Utilization Management Specialist
Cedars-Sinai
Las Vegas, NV
- Remote job
Cedars-Sinai in Nevada is seeking a qualified Utilization Management Specialist to support UR Nurses and ensure timely, compliant authorization processes using EPIC/CS-Link and AIDIN. You will partner with Case Management, Revenue Cycle, and payers to assemble documentation, track submissions, and resolve status discrepancies. This fast-paced role requires 2+ years in hospital authorization or related areas, strong attention to detail, and the ability to prioritize cases by deadlines, ensuring #J-18808-Ljbffr Cedars-Sinai
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Specialist in Las Vegas, NV vacancy
- ...Utilization Management Specialist We are seeking a full-time Utilization Management Specialist to provide oversight of person-centered plans to improve quality of care and ensure plans are individualized to meet the needs of each client. Supports Utilization Management...Remote workFull timeTemporary workWork experience placementWork from home
Community Mental Health Partnership of Southeast Michigan
United States1 day ago $90.9k - $129.9k
...for this role, rather you will provide utilization review and quality assurance. Your role... ...outcomes into the Medicaid Management Information System (MMIS) for processing... ...you should expect in this role ~100% Remote home office. ~ Full-time position....Remote workFull timeWork experience placementHome officeFlexible hoursGainwell Technologies LLC
Columbus, OH4 days ago$37.5 - $54.25 per hour
...Strive for Excellence. Logan Health is searching for a Utilization Management Specialist to join our dedicated team! Our Utilization Management... ...quality, compassion and person-centered care! Fully remote opportunity - Must currently reside in the State of Montana...Remote workFull timeImmediate start10 hours per weekShift workRotating shiftWeekend workDay shiftAfternoon shiftLogan Health
Clancy, MT1 day ago- US Tech Solutions is seeking a Utilization Management Specialist to support non-clinical review activities within the UM department. You will coordinate coverage determinations, prepare denial letters, and monitor daily processes in collaboration with healthcare providers...Remote job
$65k - $88.6k
Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 to support coordination, documentation... ...communication of medical services and benefit determinations. This remote role requires clinical experience and Kentucky licensure....Remote job- ...Ascension is seeking a Registered Nurse for Utilization Management in a remote-capable role. This position focuses on reviewing admissions and service requests for medical necessity, coordinating care, and ensuring compliance with reimbursement guidelines. It supports...Remote work
Ascension
United States4 days ago - ...in Morrisville, NC is seeking an UM Clinical Specialist-Behavioral Health to perform utilization reviews and care management for PHIP-enrolled providers. The role emphasizes... ...services with flexibility for a primarily remote schedule and occasional office attendance for...Remote jobWork at office
- Humana is seeking a Utilization Management Behavioral Health Professional 2 to support coordination, documentation, and determinations for medical services and benefits. The role is remote, with duties that require clinical knowledge, independent decision-making, and adherence...Remote job
- Cedars-Sinai is seeking a highly organized Utilization Management Specialist to provide advanced operational and workflow support for UR Nurses, ensuring timely, accurate, and compliant utilization review processes. You will manage authorization lifecycles, coordinate with...Remote job
$65k - $88.6k
Humana Healthy Horizons in Kentucky seeks a Utilization Management Behavioral Health Professional 2 to coordinate, document, and communicate medical... ...with providers and members to ensure optimal care. The remote position includes standard hours, occasional travel for meetings...Remote job- Elevance Health, Inc. is seeking an Utilization Management Representative II. The role is primarily virtual full-time with required in-person training sessions. The position is based in Mason, OH with potential considerations for Durham, NC and Tampa, FL. Schedule is 8...Remote jobFull timeMonday to Friday
- Cedars-Sinai in Minnesota is seeking an Utilization Management Specialist to support UR Nurses in timely, compliant authorization workflows. You will prepare review packets, monitor payer timelines, and coordinate with Case Management, Revenue Cycle, and payers to ensure...Remote job
- Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 to support coordination, documentation... ...judgment, and collaboration with providers and members, in a remote setting. Requirements include a nursing degree or a Human...Remote jobWork at office
- CVS Health is hiring an experienced Registered Nurse (RN) for Utilization Management to ensure appropriate care at the right time through evidence-based review and coordination. This role supports 24/7 operations and may require evenings, weekends, and holidays from a...Remote jobWork from homeWeekend workAfternoon shift
$65k - $88.6k
Humana Healthy Horizons in Kentucky seeks a remote utilization management behavioral health professional to coordinate, document and communicate decisions about medical services and benefits. The role is remote nationwide and full-time, with a pay range of $65,000 to $8...Remote jobFull time- ...offers industry-leading revenue cycle management services for healthcare providers.... ...streamlined manner. We are seeking a ABA Utilization Review Specialist The ABA Utilization Review Specialist... ...environment. This is a fully remote or office/home hybrid position. Your...Remote workWork at officeFlexible hours
- ...nurturing spaces where individuals can cultivate the roots of their own recovery story. As a Utilization Review Specialist at Alsana, you will support utilization management activities including medical necessity reviews, clinical documentation, and patient status determination...Remote jobTemporary work
- ...partnership with UR Nurses to support timely utilization review activities. Prepare and assemble... ...up on pending payer determinations. Manage the authorization lifecycle for assigned... ...information is current and complete. Approved Remote States Arizona, California, Colorado,...Remote job
- Utility Vegetation Management Specialist Job Type - Full Time Who You Are: You’re energetic and enjoy working outdoors. You understand that this space... ...operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...Remote workFull time
- ...: Under the direction of the Precertification Team Manager, the Utilization Management (UM) Specialist is responsible for managing daily non-clinical review... ..., hospitals, and internal stakeholders. Location: Remote (Canton, MA) Candidate Location: Locals to New England...Remote workWork experience placementWork at officeLocal area
- CVS Health is hiring a Registered Nurse (RN) for Utilization Management to assess and coordinate care, ensuring appropriate utilization and outcomes... .../critical care, and flexibility for a 24/7 operation. This remote, full-time position offers a comprehensive benefits package...Remote jobFull time
- CVS Health is seeking an experienced Registered Nurse to join our Utilization Management team in a remote capacity. The role focuses on ensuring members receive appropriate, high-quality services across the continuum of care. The ideal candidate will have an unrestricted...Remote job
- CVS Health is seeking a Registered Nurse (RN) for Utilization Management to ensure appropriate care delivery and coordinate patient care with clinical teams. The role emphasizes evidence-based review, care coordination, and collaboration with providers to optimize outcomes...Remote jobFull timeFlexible hoursAfternoon shift
- Logan Health is seeking a Utilization Management Specialist to join our team in a fully remote role focused on inpatient admissions reviews, physician documentation assessment, and authorizations across the Logan Health system. The position emphasizes collaboration with...Remote job
- Intermountain Healthcare Inc. is seeking an RN Utilization Review Care Management I for a fully remote, part-time role. You will review records, apply clinical guidelines, and collaborate with providers and members to ensure appropriate, cost-effective care across multiple...Remote jobPart timeWeekend work
- CVS Health is hiring a Registered Nurse (RN) for Utilization Management to help ensure members receive appropriate care at the right time through evidence-based review and care coordination. This remote role supports a 24/7 operation and requires an active RN license and...Remote job
- CVS Health is seeking a Registered Nurse (RN) for Utilization Management. Join a collaborative team focused on ensuring members receive appropriate care through evidence-based reviews and care coordination. Responsibilities include supporting coverage determinations, applying...Remote jobWeekend workAfternoon shift
$95k - $130k
...Project Controls Specialist – Cost Controls (Electric Utilities) Location: Washington, DC / Maryland (Hybrid)... ...disciplined execution across program management, business intelligence, and field... ...position with flexibility for remote work and periodic in-person client...Remote workFull timeFor contractorsWork at officeCARIAN
Washington DC1 day ago- CVS Health in the United States is seeking a Registered Nurse (RN) to join our Utilization Management team. You will help ensure members receive the right care at the right time through evidence-based clinical review and care coordination. The role involves reviewing clinical...Remote job
- Intermountain Health’s St. Marys Regional Hospital seeks an RN Utilization Review Care Management I to perform utilization review screenings, assessments,... ...compliant, efficient, and patient-centered services. Remote work is offered where approved, with shifts enterprise-...Remote jobShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Specialist. Be the first to apply!
Related searches
- patient safety specialist Las Vegas, NV
- credit card specialist Las Vegas, NV
- health program specialist Las Vegas, NV
- microsoft specialist Las Vegas, NV
- transportation specialist Las Vegas, NV
- color specialist Las Vegas, NV
- hearing specialist Las Vegas, NV
- bilingual specialist Las Vegas, NV
- microbiology specialist Las Vegas, NV
- maintenance specialist Las Vegas, NV