Remote Utilization Management Specialist I
Elevance Health
- Remote job
A healthcare services company seeks a Utilization Management Representative I, offering remote work with in-person training. Responsibilities include managing service claims, ensuring contract eligibility, and maintaining customer relations. Candidates must have a HS diploma or GED, with preferred experience in call centers and medical terminology. Strong communication and problem-solving skills are necessary. Join our team to make a positive impact while working in a flexible environment. #J-18808-Ljbffr Elevance Health
- ...Santa Barbara Cottage Hospital is hiring an LTC Utilization Management Reviewer for remote work in New Mexico. The role involves conducting Nursing Facility Level of Care determinations, performing utilization reviews, and ensuring services meet long-term care criteria...Remote work
$56.3k - $84.5k
...Utility Program Outreach Specialist We are seeking a Utility Program Outreach Specialist who will be responsible... ...program and incentive processes and manage enrollment from initial engagement... ...offers role-dependent options for remote, hybrid, and in-office work. AI...Remote workFull timeTemporary workWork at officeFlexible hours$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per year, based on... ...Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment...Remote work- ...electrical make ready design, and utility standards• Review and approve... ...designers, technicians, and specialists• Mentor team members (10-15... ...teams• Partner with project managers and leadership on workload... ...This role is designated as remote, giving you the flexibility to...Remote workWork at officeWork from home
- A health services provider in Virginia seeks a Utilization Management Representative I to handle incoming calls and manage claims work. The successful candidate will need a high school diploma and at least 1 year of customer service experience. Responsibilities include...Remote job
- A healthcare services organization seeks a Utilization Management Representative I to manage incoming calls and claims work. This role enables virtual work with flexibility, focusing on customer relations and authorization processes. Candidates must have a high school...Remote job
- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing Solutions is a unique team... ...Solutions - Innovative revenue cycle management and advanced billing support systems...Remote workWork at officeFlexible hours
- Utility Vegetation Management Specialist Who are we? We’re dedicated to the growth of our employees. We truly believe in your development. For those who... ...operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...Remote workFull time
$55k - $70k
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental...Remote workWork at officeFlexible hours$60.2k - $107.4k
...Utilization Management RN Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy...Remote workMinimum wageFull timeWork experience placementLocal area$60.2k - $107.4k
UnitedHealth Group seeks a Utilization Management RN Coder to review patient medical records and craft appeal letters. The role offers the flexibility to telecommute across the U.S. Candidates should have an Associate's degree, RN license, and relevant coding certifications...Remote job- ...healthcare solutions company based in Newtown Square is seeking a Utilization Management RN Coder. This role involves reviewing patient medical... ...certifications, and an unrestricted RN license. The position supports remote flexibility, ensuring compliance with healthcare regulations...Remote job
- Cedarparktexasedc is seeking a Licensed Registered Nurse for a remote position focused on admissions, case management, and utilization management. This role involves reviewing service requests for compliance and coordinating with interdisciplinary teams for discharge planning...Remote jobFull time
- Ascension is seeking a Remote Registered Nurse for Utilization Management. Your vital role will involve providing healthcare services related to admissions and discharge planning, ensuring compliance with federal regulations. You will review service requests for medical...Remote job
$60.2k - $107.4k
Stryker Corporation is hiring a Utilization Management RN Coder who will review medical records and craft appeal letters. This remote role requires a working knowledge of coding systems like ICD-9, ICD-10, and CPT. The ideal candidate should possess an Associate's degree...Remote job- ...Utility Project Support Specialist ERM is hiring remote Utility Project Support Specialists to support our client based in the Danville, IL area. In this critical... ...12 months, extendable. Responsibilities: Manage large amount of inbound and outbound phone calls...Remote workPart timeFixed term contractCasual workShift work
$58.24k - $72.8k
ERM is seeking a Remote Utility Project Support Specialist to assist with customer inquiries regarding utility line projects. This part-time role involves managing a high volume of calls and ensuring customer satisfaction. The ideal candidate will possess strong communication...Remote jobPart time$60.2k - $107.4k
UnitedHealth Group is hiring a Utilization Management RN Coder in San Francisco. This role involves reviewing patient medical records, drafting appeal letters, and educating clients about coding compliance. Candidates need an Associate's degree and a valid RN license,...Remote job$60.2k - $107.4k
The University of Minnesota School of Nursing seeks a Utilization Management RN Coder. The successful candidate will review patient medical records, write appeal letters, and ensure accurate coding practices. Requirements include an Associate's degree, RN license, and...Remote job- Humana Inc is seeking a Utilization Management RN in Washington, DC to collaborate with healthcare teams in reviewing medical care against established... ...benefits and a bonus incentive plan, alongside a remote working policy and the requirement for occasional travel to...Remote jobWork at office
$60.2k - $107.4k
...is seeking a Behavioral / Mental Health Care Advocate to manage case management and utilization review for behavioral health and substance abuse cases.... ...passion for improving treatment outcomes. This fully remote role offers flexibility in working hours and a salary between...Remote work- ...Metered Utilities Specialist Are you someone who enjoys research and has a keen eye for detail... ...anomalies in those trends? Do you enjoy managing projects and building relationships... ...schedule available; 50% in the office, 50% remote About LCS London Computer...Remote workLive inWork at officeRelocationWork visa
- Freese and Nichols is seeking a Utility Coordinator in Fort Worth to manage utility conflicts in transportation projects. Key responsibilities include identifying... ...and proficiency in Microsoft Office, with options for remote work up to 40%. Join us to contribute to high-quality...Remote jobWork at office
$60.2k - $107.4k
Job Overview The Utilization Management RN Coder will accurately and efficiently review and extract pertinent case details from patient medical records, craft defensible appeal letters per process instructions, and participate as representatives in tele‑hearings. The role...Remote workMinimum wageFull timeLocal area$17 per hour
...technology-enabled revenue cycle management solutions for health systems... ...Patient Access Associate Specialist champion. This role is... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workWork at officeLocal area$17 per hour
...Patient Access Associate Specialist Ensemble is a leading provider... ...-enabled revenue cycle management solutions for health systems... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workReliefWork at officeLocal area$17 per hour
...Patient Access Associate Specialist Ensemble is a leading provider... ...-enabled revenue cycle management solutions for health systems... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workWork at officeLocal area$14 per hour
...team at CMGT! As a leading management company specializing in Homeowners... ...off, flexible scheduling, remote work opportunities, team... ...currently seeking a Site Visit Specialist in the surrounding areas for... ...Must be highly comfortable utilizing software (i.e., smart phones...Remote workHourly payWork from homeFlexible hours- ...opportunities with expert program management, cutting-edge technology, and... ...Redetermination (Appeals) Specialist supports the Medicare Appeals... ..., and punctuation skills. Remote, work from home M-F, 40 hours... ...disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary...Remote workFor contractorsWork experience placementWork at officeWork from home
- ...Patient Access & Eligibility Specialist Overview The Patient Access &... ...supporting patient access to care management services by ensuring accurate... ...Care Management (CCM), Remote Patient Monitoring (RPM), and... .... Technology & Data Accuracy Utilize electronic medical records (EMR...Remote workHourly payFor contractorsMonday to FridayShift work
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