Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Hybrid/Remote Utilization Review Pro - Compliance Focus

Diversified Treatment Alternative Centers

Chadds Ford, PA
  • Remote job

Diversified Treatment Alternative Centers (DTAC) is seeking a detail-oriented Utilization Review Specialist to ensure authorization accuracy and regulatory compliance for our behavioral health programs. This role collaborates with Clinical, Admissions, and Revenue Cycle teams to minimize denials and support timely reimbursement. The position offers flexible hybrid or remote options, with a focus on maintaining medical necessity, efficient authorizations, and thorough documentation across EHR and #J-18808-Ljbffr Diversified Treatment Alternative Centers

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Hybrid/Remote Utilization Review Pro - Compliance Focus in Chadds Ford, PA vacancy
  •  ...Billing Solutions is seeking an ABA Utilization Review Specialist to review clinical information...  ...related services. This role supports remote or office/home hybrid work and emphasizes attention to medical necessity and HIPAA compliance. The ideal candidate has 3-5 years of... 
    Remote job
    Work at office
    Work from home

    Spectrum Billing Solutions

    Skokie, IL
    3 days ago
  • $20 per hour

     ...nationwide leader of affordable housing compliance. Since 1994, property managers,...  ...Zeffert for accuracy and speed on utility allowances, tenant file reviews, building accessibility, and...  ...Thinking: 2 years (Required) Work Location: Hybrid remote in St. Louis, MO 63141... 
    Remote work
    Full time
    Work experience placement
    Local area
    Monday to Friday
    Flexible hours

    Zeffert & Associates, Inc.

    Saint Louis, MO
    12 days ago
  •  ...Job Summary The Utilization Management Clinical Analyst...  ...conducts prospective reviews of authorization...  ...clinical quality and compliance. Monitor and analyze...  ...needs a primary focus of one’s actions; developing...  ...environment. Hybrid (onsite/remote) work schedule available... 
    Remote work
    Work at office

    Oakland Community Health Network

    Troy, MI
    6 days ago
  •  ...support the Ethos Medical Management Team, the full-time Utilization Review Specialist will ensure the efficient and timely...  ...Utilization Management and Independent Review requests remotely, while maintaining compliance and delivering exceptional client service. Key Responsibilities... 
    Remote work
    Full time
    Work at office

    Virtual Vocations Inc

    United States
    1 day ago
  •  ...Centene Corporation is seeking a Behavioral Health Utilization Review clinician to evaluate and authorize BH services, ensure appropriate...  ...role emphasizes quality improvement, case presentations, and compliance with regulatory guidelines. Qualified candidates will have nursing... 
    Remote work

    Centene Corporation

    Louisiana, MO
    2 days ago
  •  ...seeking a Senior Utility Management...  ...metro-area) with a focus on water, wastewater...  ...be provided in compliance with the...  ...quality assurance reviews of deliverables...  ...ArcGIS ArcMap and/or Pro and various extensions...  ...job. This is a hybrid position (in office/remote). We offer a... 
    Remote work
    For contractors
    Work at office
    Local area
    Work from home
    Work visa
    1 day per week

    Blue Cypress Consulting, LLC

    Seattle, WA
    2 days ago
  •  ...Centers (DTAC) is seeking a detail-oriented Utilization Review (UR) Specialist to support our behavioral health programs in a hybrid/remote setup in Chadds Ford, PA. You will...  ...reimbursement while maintaining regulatory compliance. #J-18808-Ljbffr Diversified Treatment... 
    Remote job

    Diversified Treatment Alternative Centers (DTAC)

    Chadds Ford, PA
    3 days ago
  •  ...A healthcare services provider is seeking a Remote Utilization Review Nurse to coordinate clinical resources, ensuring compliance with healthcare standards. Responsibilities include processing authorizations, reviewing documentation, and collaborating with teams to meet... 
    Remote work
    Contract work

    IntePros

    United States
    4 days ago
  •  ...Massachusetts workers’ compensation claims by reviewing medical treatment requests, evaluating records,...  ...This role offers a more predictable schedule and hybrid work arrangement in Manchester, NH. You will conduct utilization reviews, review treatment plans, apply state... 
    Remote job

    Medix™

    Manchester, NH
    4 days ago
  •  ...To support Utilization Management operations, the full-time Utilization Review Medical Director will conduct clinical reviews of Durable Medical Equipment (DME) requests remotely, ensuring compliance with Medicare and Medicaid guidelines while maintaining productivity... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    1 day ago
  •  ...To support a centralized Utilization Management department, the full-time Utilization Review Nurse will conduct timely utilization review...  ...patient status determinations and compliance with regulatory requirements while working remotely. Key responsibilities: Conduct... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    4 days ago
  • $114.3k - $127k

     ...not be considered.HYBRID SCHEDULE: Eversource...  ...approved for remote work and are subject...  ...execution, control, compliance and close-out...  ...functional groups utilizing the Risk and EVM processes...  ...procedures. Review and update the...  ...engaged workforce Focus on the customer... 
    Remote work
    Full time
    Contract work
    For contractors
    H1b
    Work at office
    Shift work

    Eversource Energy

    Hooksett, NH
    3 days ago
  • Montefiore WeCARE is seeking a Review Physician to support the Medical Director...  ...to ensure NYC HRA contractual compliance. The role involves performing medical...  ...WeCARE staff. The position offers a hybrid schedule with 1-2 days remote, Monday-Friday, and comprehensive benefits... 
    Remote work
    Monday to Friday

    ViziRecruiter,LLC.

    New York, NY
    3 days ago
  • $82.8k - $92k

     ...balance by offering hybrid schedules for...  ...roles approved for remote work and are subject...  ...Engineer, Reliability Compliance to support...  ...preparation, and review of NPCC regulatory...  ...Skill: Familiar with utility industry, especially...  ...workforce Focus on the customer Take... 
    Remote work
    For contractors
    H1b
    Work at office

    Eversource Energy

    Westwood, MA
    5 days ago
  •  .... The position is hybrid, with 3 days required...  ...and approved remote/telework locations...  ...priorities at Sprint Reviews, Monthly Status...  ...trends, capacity utilization metrics, change success...  ...improved, with a focus on increasing...  ...\n \n\nSecurity & Compliance:\n\n \n Ensure all... 
    Remote work
    For contractors
    Work experience placement
    Shift work
    Night shift

    VIATEQ Corporation

    Washington DC
    23 days ago
  •  ...Partners, a national DMEPOS network administrator, seeks a remote Utilization Review Medical Director. You will conduct clinical reviews of...  ...real-time queue. This full-time role emphasizes accuracy, compliance, and evidence-based decision making. Qualifications include... 
    Remote job
    Full time

    Remote Genie

    Brooklyn, NY
    3 days ago
  • A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have... 
    Remote job
    Contract work

    IntePros

    Phoenix, AZ
    5 days ago
  •  ...Job Description Job Description The utilization review and management (UM) component program...  ...of care, while supporting regulatory compliance and organizational risk management. The...  ...for lunch This is an in-office, no remote work capability position Travel ~... 
    Remote work
    Work at office

    MedTrust LLC

    Oklahoma City, OK
    17 days ago
  • $145.09k - $161.21k

     ...stakeholders support. Reviews informational responses...  ...relationships across the utility and energy industry....  ...analytics and the ability to focus on the broader...  ...commitments and results. HYBRID WORK POLICY: Eversource...  ...to roles approved for remote work and are subject to... 
    Remote work
    For contractors
    H1b
    Work at office

    Eversource

    Westwood, MA
    1 day ago
  •  ...Location: Florida - Remote WHY JOIN FCS...  ...in our network. Utilizing innovative...  ...License Required Hybrid Position Supports...  ...services team where our focus is to deliver best...  ...monitoring and compliance. Provides support...  ...Pharmacoinformatics Reviews drug utilization... 
    Remote work
    Private practice
    Work at office
    Local area
    Work from home

    Florida Cancer Specialists

    Fort Myers, FL
    3 days ago
  •  ...health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability,...  ...are classified as hybrid, onsite or remote. While the majority of our employees are...  ...State of Arizona. PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities... 
    Remote work
    Full time
    Work experience placement
    2 days per week
    1 day per week

    Blue Cross Blue Shield of Arizona

    Phoenix, AZ
    2 days ago
  •  ...Job Description: Manager of Clinical Utilization Management - Denial Compliance Location: Burbank, CA Position Type: Hybrid (85% remote, 15% onsite in Northridge, CA); Full-Time...  ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions... 
    Remote work
    Permanent employment
    Full time
    Temporary work
    Flexible hours

    Vivo HealthStaff

    Burbank, CA
    16 days ago
  •  ...Hybrid Litigation Paralegal We are seeking a dynamic...  ...will allow you to utilize your extensive knowledge...  ...large-scale document reviews, and guiding cases...  ...responsible for ensuring legal compliance, managing case files...  ...disability Hybrid remote/onsite work flexibility... 
    Remote work
    Permanent employment
    Temporary work
    Local area

    Jobot

    Fort Lauderdale, FL
    3 days ago
  •  ...Registered Nurse: Review and EvaluationAre you a registered nurse ready...  ...and step into a dynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion...  ...medical recordsExperience in utilization review, case management, quality... 
    Remote work
    Work from home

    The CKHobbie Group

    Harrisburg, PA
    1 day ago
  • $204k - $242k

     ...Operations Director (Hybrid) Ceribell United...  ...technology company focused on transforming the...  ...ED penetration and utilization Create core sales...  ...applicants, please review our Privacy Policy. Compliance Disclaimer If you believe...  ...compliance. #J-18808-Ljbffr Remote Genie
    Remote work
    Local area
    Flexible hours

    Remote Genie

    Brooklyn, NY
    3 days ago
  • $120k - $130k

     ...growing team. In this hybrid role, you’ll work 3 days in-office and 2 days remote, managing projects that...  ...on role performing and reviewing heavy construction...  ...start to finish, with a focus on heavy construction layout...  ...work for accuracy. Utilize AutoCAD Civil 3D to... 
    Remote work
    Work at office

    Spotlock

    Bridgewater, NJ
    2 days ago
  • $1,966 per week

     ...personalized managed health care, focused on what's important to you—...  ...Holidays Work-life balance. Remote/hybrid setting (once trained) ROLE...  ...: This individual will utilize clinical knowledge and communication...  ...decision to a second level reviewer. This individual interfaces... 
    Remote work
    Full time
    Temporary work
    Part time
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    Hines

    Rockford, IL
    2 days ago
  •  ...their resources, drive compliance, and focus on their core...  ...that is eligible for a hybrid schedule (3 days required onsite/2 days remote) after the first 90 days...  ...~ Drive efficient utilization of developer resources...  ...hiring process, such as reviewing applications, analyzing... 
    Remote work
    Contract work

    Agate Software

    Okemos, MI
    27 days ago
  •  ...analysts, the full-time Utilities Manager will oversee...  ...operations, and ensure compliance across multiple communities while working remotely. Key responsibilities...  ...and compliance, while reviewing their work for accuracy...  ...experience with a focus on setting expectations... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    2 days ago
  •  ...complex business tax returns. The role focuses on Partnerships and S Corporations, with...  ...personalized client support. You will work in a remote, customer-facing capacity, using video...  ..., explain tax concepts, and ensure compliance during peak filing periods. #J-18808-Ljbffr... 
    Remote job
    Seasonal work

    Intuit Inc.

    The Colony, TX
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Hybrid/Remote Utilization Review Pro - Compliance Focus. Be the first to apply!