Remote Licensed OT: Utilization Review & Therapy Expert
Centene Corp.
- Remote job
Centene Corporation seeks a Licensed Occupational Therapist to perform clinical reviews of therapy services and durable medical equipment for members, ensuring practice standards and policies are met. This remote role supports TX and OK markets and collaborates with Utilization and Care Management teams to optimize care delivery. The position requires a Bachelor's degree and 2–4 years of related experience, with knowledge of therapy regulations and utilization management. #J-18808-Ljbffr Centene Corp.
- Centene Corp. is seeking a licensed therapist (PT/OT/ST) to perform clinical reviews of therapy services and/or DME for members in the TX and OK markets. This remote role requires a license and offers... .... Responsibilities include utilization reviews, making therapy...Remote jobFlexible hours
- Actalent is seeking a Utilization Specialty Therapist to conduct utilization reviews for specialty therapy services (speech-language, occupational... ...and physical therapy) in a remote Texas-based role. The... ...healthcare/home health, and a Texas license in Physical or Occupational...Remote job
- ...Management Company LLC is seeking a licensed therapy professional to perform clinical reviews of therapy services and/or... ...supports TX and OK markets and is remote, with CST hours from 8:00 am to 6... ...experience, with licensure as PT, OT, or ST. #J-18808-Ljbffr Centene...Remote job
- ...an experienced California RN or LVN with strong Utilization Management and inpatient review experience for a 100% remote role focused on inpatient clinical review, UM,... ...hospital teams while maintaining a California license. #J-18808-Ljbffr Medix Staffing Solutions, Inc...Remote job
- A leading staffing agency is looking for a Utilization Review Registered Nurse to work remotely with a major health insurance client. This role involves evaluating patient care cases and ensuring requested services align with medical necessity while adhering to confidentiality...Remote work
- Jobgether is seeking a Case Manager - Utilization Review Specialist based in the United States. This fully remote role focuses on admission and concurrent reviews, medical necessity, and appeal coordination to improve reimbursement outcomes and compliance with clinical...Remote job
- ...Management Location: 100% Remote Schedule: M-F 9:00am... ...an Illinois state RN license Assess and analyze... ...surgeries, outpatient therapies, DME) using evidence-based... ...Works with the Utilization Management team primarily... ...necessity/utilization review and other utilization...Remote workContract work
$85 per hour
...Requirements Must be eligible to work in Remote Fluent proficiency in English (... ...Healthcare Valid professional license or certification in the relevant... ...Why this role At $85/hr, this Utilization Review Nurse / Managed Care Expert position compensates Healthcare...Remote workHourly payContract work$52 - $56 per hour
...medical necessity judgment you built in utilization management. 100% remote (U.S.) | Contract | $52$56/hr based... ...: intake, investigation, clinical review, decision and notification Apply... ...Active, unrestricted New York State RN license (compact alone does not qualify) ~3...Remote jobContract workAfternoon shift$30 - $35 per hour
A-Line Staffing is seeking a Clinical Review Therapist (OT or PT) in Texas with 3+ years of licensed therapy experience for a fully remote role restricted to Texas residents. The position supports a Fortune 500 company, offering growth opportunities, and follows a Monday...Remote jobHourly payMonday to Friday$53 - $55 per hour
...school based experience to provide VIRTUAL therapy services to school students in MISSOURI. This position is 100% remote/work from home, utilizing our HIPPA/FERPA compliant platform with... ...schedule. Preference will be given to OTs who have availability during school hours...Remote workPart timeWork from home$90.9k - $129.9k
...development. Summary Review and evaluate prior authorization submissions utilizing multiple computer... ...work, marriage and family therapy or equivalent A... ...Current LPC, LCSW, or LMFT license in the state of WI (or... ...expect in this role ~100% Remote home office. ~ Full-...Remote workFull timeWork experience placementHome officeFlexible hours- ...Specialist plays an integral role in the review process as they are responsible for communicating... ...Bachelor’s Degree preferred. LPN or RN license required for this role.. JOB... ...equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A...Remote workTemporary workWork at officeWork from home
- ...A healthcare staffing agency is seeking a Utilization Management RN to work remotely from PA, DE, or NJ. The role involves assessing clinical information... ...position offers a day shift workload with flexible weekends and requires an active PA RN license. #J-18808-Ljbffr...Remote workFlexible hoursWeekend workDay shift
- ...Health Corporation is seeking an RN Concurrent Review Nurse to join a remote team delivering inpatient clinical... ...candidate holds an active Louisiana or Compact RN license, 5+ years inpatient nursing, and 2+ years in utilization management or discharge planning, with an...Remote workWork from homeMonday to FridayWeekend work
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
- ...System (DMC-ODS), including review of medical records to ensure proper utilization of treatment resources... ...The option for hybrid remote work may be available based... ..., Marriage and Family Therapy, Registered Nursing or a... ...REQUIREMENTS: License, Registration: Possession...Remote workContract workLocal areaTrial periodFlexible hours
$65k - $85k
Position Summary The Licensed Vocational Nurse (LVN) - Utilization Management & Inpatient Case Management... ...management, concurrent review, inpatient case... ...independently in a fully remote environment. Budgeted Compensation... ..., outpatient procedures, therapies, DME, and other covered...Remote workWork at office- Gainwell Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews ensuring medical necessity based on criteria, policies... ..., and support review determinations.The role is full-time with remote options for US-based employees. Expect to review records,...Remote jobFull time
- ...healthcare staffing firm is seeking an experienced Registered Nurse in Michigan to provide utilization review for healthcare services. Candidates should possess a valid RN license and experience in both utilization review and Interqual. This opportunity offers a...
$70k - $80k
We’re seeking an MST‑CAN Expert to train, guide, and support MST... ...implementation of Multisystemic Therapy for Child Abuse and Neglect—... ..., Program Implementation Reviews, and provides feedback on treatment... .... Driver’s License & Travel: Valid U.S. driver’s...Remote workFull timeTemporary workLocal areaVisa sponsorshipWeekend workAfternoon shift- Actalent is seeking a Utilization Specialty Therapist to perform utilization review for authorization requests related to specialty therapies (speech-language, occupational, and physical) across multiple regions and product lines. The role supports training and network...Remote job
- ...Remote Drug Utilization Review Pharmacist Safe & Cost-Effective Medication Use Work from home analyze... ...therapeutic duplications, and inappropriate therapy, preparing recommendations for... ...Pharmacy, an active U.S. pharmacist license, managed care, PBM, or health-plan preferred...Remote jobWork from home
- ...Physician - Women’s Hormone Expert - Remote (MD/DO only) Work from any... ...highly value physicians who are licensed in multiple states. Who... ...experience treating. Review lab results with patient and... ...and/or Hormone Replacement Therapy is preferred. NCMP (NAMS-...Remote workExtra incomeFull timePart time
- ...brighter place.What We Offer The Regional OT (Operations Technology) Expert - Americas is responsible for the... ...sites — provide direct on-site and remote implementation support for OT... .... firewall rule standardization and reviews, domain policy management, CAR OT data...Remote workFull timeLocal area
$80k - $100k
...a dedicated and experienced Remote Licensed Marriage and Family Therapist... ...clients through effective therapy and support. Our organization... ...therapy sessions with clients utilizing our user-friendly... ...focused approach. Regularly reviewing and adjusting treatment strategies...Remote workFull timeWork at officeWork from home$70k - $85k
...Licensed Marriage and Family Therapist (LMFT) $70K-85K... ...Position Requirement: Remote Full-Time and Part-time... ...problem. Want to do group therapy? Sure! Want to do long-... ..., treatment plan reviews, and case notes according... ...gaps in our community. Utilize creativity in interventions...Remote workFull timePart timePrivate practiceWork from homeFlexible hours- ...Licensed Clinical Social Worker (LCSW/LICSW)Position Requirement: Remote Full-Time and Part-time Positions AvailableIf... .... Want to do group therapy? Sure! Want to do... ...diagnosis, treatment plan reviews, and case notes... ...gaps in our community.Utilize creativity in interventions...Remote workFull timePart timePrivate practiceWork from homeFlexible hours
- Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings... ...Medicine with active California licenses with experience in the... ...guidelines. IMR physicians must be experts in the Medical Treatment Utilization...Remote workExtra incomeContract work
- ...Occupational Therapist (OT) We are looking for... ...join our team! You will utilize your clinical expertise... ..., teach, and deliver therapy interventions and treatment... ...denials subsequent to review of documentation by... ...Current, unrestricted state license as an Occupational...Remote workFull timePart time
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