Remote Utilization Management Specialist
Santa Barbara Cottage Hospital
- Remote job
Vanderbilt University Medical Center is seeking a Utilization Management professional to ensure accurate certification and complete chart documentation for appropriate admission status. The role involves coordinating with the multidisciplinary team to promote proper levels of care and timely patient throughput. The ideal candidate will have RN qualifications with UR experience, a strong understanding of InterQual criteria, and the ability to train others while maintaining high standards of #J-18808-Ljbffr Santa Barbara Cottage Hospital
- ...ABA Utilization Review SpecialistSpectrum Billing Solutions offers... ...industry-leading revenue cycle management services for healthcare... ...ABA Utilization Review (UR) Specialist to our growing team. The ABA... ...environment. This is a fully remote or office/home hybrid position...Remote 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- ...Working remotely in a full-time capacity, the Utilization Management Support Specialist will conduct audits of authorization case work, provide technical support for authorization processing, and assist in resolving quality issues to ensure compliance with service level...Remote workFull timeSecond jobWork at office
- ...Utilization Management Specialist (UM / Utilization Review Nurse) — Remote In this role, you'll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You...Remote workWork at officeLocal area
$13 - $14 per hour
...$13.00 - $14.00 per hour Job Type: Contract Location: Remote Schedule and Shift: Monday-Thursday from 8-4:30pm and Friday... ...regarding contracted health plans requirements related to Utilization Management and authorizations Acts as a liaison between providers,...Remote workHourly payContract workWork at officeShift work- Elevance Health in Columbus, Ohio is seeking a Utilization Management Representative II to manage incoming calls, triage cases and authorize sessions, with a hybrid work arrangement and required in-person trainings. The role emphasizes accurate benefit verification, eligibility...Remote jobFlexible hours
- HonorHealth is seeking a Case Management Utilization Management Clerk for a virtual role based in Arizona. Under supervision, you will support UM operations, organize workflows, manage payer communications, and document in EPIC to secure admissions approvals. You will...Remote job
- ...plans necessary work to meet utility standards Collects data on unit... ...about upcoming vegetation management work Collaborates with Removal... ...certification preferred ISA Utility Specialist certification preferred Must... ...of utility power lines; remote locations as well as urban,...Remote workFull time
$39.4 - $53 per hour
...of technology-enabled revenue cycle management solutions for health systems, including... ...weekend We are seeking Virtual Utilization Review Specialists to join our team. Resource Utilization... ...Skills and Abilities Required This is a remote role which requires access to high...Remote workTemporary workWork at officeLocal areaMonday to FridayWeekend work$114k - $161k
Job Title: Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Job Location: Marlborough, MA... ...Type: Hybrid - 3 days in office, 2 remote days per week 2025 Salary Range:... ...Concentric") is an employee-owned leading management consulting and financial advisory...Remote workWork at officeWork from homeFlexible hours2 days per week$128k - $191k
Job Title Principal Consultant - Utility Revenue Requirements Specialist Location Marlborough, MA or Washington, DC; open to remote employees Company Description Concentric Energy... ...( (“Concentric”) is an employee‑owned management consulting and financial advisory firm...Remote workWork at officeFlexible hours$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- Environmental Resources Management (ERM) is seeking a remote Utility Project Support Specialist to assist our client in the Danville, IL area. This remote, part-time role operates 20 hours per week with a 12-month term, extendable, and focuses on handling inquiries related...Remote jobPart time
- ## Utility Project Support Specialist (Field Based)Applylocations: Rolling Meadows, Illinois: Kankakee, Illinoistime... ...id: R00030418**ERM** is hiring remote **Utility Project Support... ...extendable**.**RESPONSIBILITIES:*** Manage large amount of inbound and outbound...Remote workPart timeFixed term contractCasual workShift work
- Ampcus Inc. is seeking a Utilization Management Specialist (Remote) to review medical necessity and authorization for clinical services. The role emphasizes clinical nursing expertise, care management experience, and adherence to guidelines and policies. The position requires...Remote job
- Tampa General Hospital is seeking an Utilization Management Nurse (UMN) to ensure patients receive appropriate care levels using national criteria... ...RN licensure and at least 3 years of nursing experience. Remote or hybrid work options may apply, with a focus on efficient...Remote job
- ...coordinating, integrating, and monitoring the utilization of behavioral health (BH) or physical... .... Refer to and work closely with Case Management to address member needs. Participates... ...Please note: There may be opportunity for remote work within all jobs posted by the CDPHP...Remote workContract workWork at office
- ...Remote Authorization SpecialistThis role manages insurance authorization for clients across our PHP and IOP programs... ...never disrupted by a payer issue.Utilization Review · Insurance Authorization/... ...experience as a UR/authorization specialist at the PHP and IOP levels of care...Remote work
- ...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
- ...Utilization Review Specialist The primary purpose of the Utilization Review Specialist is to create and manage the flow of revenue for each client through liaison with insurance companies... ...Satisfactory CORI and background check. Satisfactory drug screen Part Time Remote Role...Remote workPart timeWork at officeFlexible hours
- Elevance Health is seeking a candidate for a customer service role with responsibilities including managing claims and determining benefit eligibility. The position requires at least 1 year of customer service experience, strong communication skills, and a medical background...Remote jobContract workMonday to Friday
- Position Description This is program management support work carrying out assignments in the Industrial Wastewater Pretreatment Program... ...technical or subject‑matter information. An employee in this class utilizes knowledge of program management support and program subject...Remote workContract workFor contractorsWork experience placementWork at officeLocal area
- ...the UMAnalyst to resolve issues, including IPQI support. The role requires SQL experience and strong computer skills. This is a fully remote, permanent position with standard hours and occasional holiday/weekend rotation. #J-18808-Ljbffr Santa Barbara Cottage HospitalRemote jobPermanent employment
$85k - $95k
ICF's Disaster Management Division seeks a Senior Grants Specialist to support clients in implementing federally- and state... ...with stakeholders and staff utilizing excellent communication skills, understanding... ...1,147.00 - $137,949.00California Remote Office (CA99)SummaryLocation: Los...Remote workFull timeContract workFor contractorsWork experience placementLocal areaWork from home- As a Senior Program Specialist here at Honeywell, you will be the primary... ...You will be responsible for managing program activities,... ...considered.Experience supporting utility, infrastructure deployment, or... ...a customer's building or via remote services capabilities. We help...Remote workContract workTemporary workWork experience placementFlexible hours
$85k - $100k
...human life on Mars.SOURCING SPECIALIST, CONTRACTS (STARLINK)Starlink... ...focus on the negotiation and management of Starlink’s contracts with... ...connectivity services with datacenters, utility providers, contractors, and... ...and requires being onsite - remote work not...Remote workPermanent employmentContract workTemporary workFor contractorsWork at officeMonday to FridayWeekend work$88.92k - $134.86k
...system.Job Description:This role manages projects from work letter... ...Consultants, relocation Specialists.Level bids and prepare award... ...budget exposure and contingency utilization.Ensure compliance with... ...Houston 500 Dallas St; USA PA Remote; USA PA Lancaster; USA Remote...Remote workFull timeContract workFor contractorsWork at officeLocal areaWorldwideRelocation- ...business banks, providing banking and treasury management services to small, middle market, and... ...Online Banking, eBankingWires, ACH, Remote Deposit Capture, Positive Pay, Account Reconciliation... ...Ability to communicate with individuals utilizing a telephone; requires ability to hear...Remote workFull timeWork experience placementWork at officeLocal areaImmediate startFlexible hours
- Company DescriptionProSidian is a Management and Operations Consulting... ...a Configuration Management Specialist | Compliance / Risk /... ...Contract: No Overtime Pay Basis Remote (within USA - W/ On-Site Meetings... ...(Oil, And Gas/Power, And Utilities) Sector Experience (...Remote workFull timeContract workTemporary workFor contractorsWork at officeFlexible hours
$118.3k - $224.9k
...exceptional opportunity to join our Asset Management Program (AMP) team—a dynamic and... ...functionAble to solve routine customer problems utilizing resident processes/systemsFamiliarity... ...role is designated as on-site, hybrid or remote.The salary range for this role is 118,30...Remote workTemporary workWork experience placementWork at officeWorldwideRelocationFlexible hoursNight shiftWeekend work
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