Remote Utilization Management Assistant
New paradigm staffing
- Remote job
We’re looking for an organized and dependable Utilization Management Assistant to join New Paradigm Staffing, helping clinical and insurance teams manage medical necessity reviews. This role is perfect for someone who wants exposure to the clinical-review side of healthcare without needing a clinical license. You’ll support the UM team by preparing case files, gathering documentation, and assisting with review coordination across payer systems. What You’ll Do Prepare UM case files and documentation packets Check requests for completeness Upload clinical notes into payer platforms Track review progress and update internal logs Follow HIPAA and privacy standards at all times What We’re Looking For Strong organizational and multitasking skills Comfortable working with multiple digital systems Clear, professional communication Why You’ll Love Working Here Fully remote Great entry path toward UM coordinator roles Supportive training and structured workflows Apply today and take the first step toward your future as a Utilization Management Assistant. #J-18808-Ljbffr New paradigm staffing
- ...Humana is seeking a Utilization Management Administration Coordinator to provide non-clinical support for optimal treatment and care of members. This role works fully remote within the Home Solutions organization, and requires managing various administrative tasks including...Remote workWork at office
- ...Remote Utilization Management Support Clerk We’re looking for a detail-oriented and motivated Remote Utilization Management Support Clerk to join... ...medical review Upload and organize records in UM systems Assist nurses and medical directors with administrative tasks Track...Remote work
- ...Humana is seeking a dedicated Utilization Management Administration Coordinator to provide non-clinical support and manage authorizations within their remote team. You will collaborate with nursing staff and engage with providers to verify clinical information. Ideal candidates...Remote workWork at office
$40k - $52.3k
...Humana seeks a Utilization Management Administration Coordinator with over 1 year of administrative experience. The role is fully remote, requiring management of chart reviews, authorizations, and engagement with providers and members. Strong skills in Microsoft Word,...Remote work- ...Job Description Job Description Utilization Management Assistant Location : Onsite in Dubuque, IA. Also accepting remote applicants. Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization...Remote workFull timeWork at office
- ...Coordinator to provide non-clinical support in ensuring the best treatment and services for members. The role is fully remote, requiring skills in managing authorizations and clinical information requests, along with administrative capabilities using Microsoft Office...Remote workWork at office
$19.87 - $28.06 per hour
Join to apply for the Utilization Management Assistant role at CHI . Job Summary and Responsibilities As a Utilization Management Assistant, you will receive, process, facilitate and document all payer communications. This position supports denial mitigation by sending...Hourly payFull timeWork at officeWork from home- ...Management And Program Assistant Serves as a Management and Program Assistant in Technical Operations. This job is open to the public U.S.... ...and routine tasks in support of administrative program; utilizing automated systems to maintain data; and supporting the office...Remote workContract workWork at office
- ...Management And Program Assistant In Technical Operations Serves as a Management and Program Assistant in Technical Operations. This job is... ...and routine tasks in support of administrative program; utilizing automated systems to maintain data; and supporting the office...Remote workContract workWork at officeTrial period
- ...Dane Street, LLC is seeking a remote Physician Reviewer for full-time work from home. The role requires an MD or DO, board-certified in Internal or Family Medicine, to perform utilization reviews, including preauthorization and appeals. Ideal candidates will have prior...Remote workFull timeWork from home
- ...A leading insurance provider in Omaha, Nebraska is seeking a full-time Utilization Review Nurse to ensure effective management of injured workers' treatments. This role does not require prior utilization review experience and is perfect for skilled nurses looking to transition...Remote workFull timeWork at officeWork from home
- ...Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Remote workContract workWork from home
- ...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
$17.71 - $22.79 per hour
...Materials Management Specialist Mass General Brigham relies on a... ...and timely manner. Restocks utilizing proper rotation, organization... ...utilizing proper rotation. Assists with identification of what... ...Hearing Constantly (67-100%) Remote Type: Onsite Work Location...Remote workHourly payShift workDay shift- 4004 Aetna Medicaid Administrators is seeking a Utilization Management Nurse Consultant for a crucial role in a 24/7 operation based in Florida. This position works from home and requires applicants to reside in Florida. The ideal candidate will have clinical experience...Remote workWork from home
- ...Utilization Management Assistant The Utilization Management Assistant performs secretarial or clerical functions to support the administrative operations of the Utilization Management department. This position assists by reviewing and scanning prior authorization forms...Work at officeLocal areaMonday to Friday3 days per week1 day per week
- ...Health Information Management Position The primary responsibility of the position is... ...standard compliance and performance related utilization management data. Process of daily,... ...collection of data and documentation. Assists in data collection for all Health Plan...Local areaImmediate start
- ...A leading payment management solutions provider seeks an Offsite Invoice Payment Specialist to manage utility invoice entries in a work-from-home setup. The role requires high typing speed and self-motivation along with the ability to work independently. Candidates must...Remote workWork from home
$75.27k - $95.96k
The City of Pearland, TX is seeking to hire a full‑time Management Assistant to lead and improve aspects of the day‑to‑day business operations of our Utilities - Pearland Water department . Our Management Assistant earns a competitive salary of $75,266.43 - $95,964.70...Full timeWork at office- A leading health care organization is looking for a Utilization Management Assistant based in Omaha, Nebraska. This full-time position involves processing payer communications, following up on account authorizations, and supporting the Utilization Management Hub department...Full time
$21.3 - $31.54 per hour
...is to maintain standard compliance and performance‑related utilization management data. You will process daily, weekly, and monthly UM reports... ...including distribution and collection of data and documentation; assist in data collection for all health‑plan audits and in...Daily paidWork at officeLocal areaImmediate startShift work- .../Part Time: Full time Department: UM Denial And Appeal Shift: 8:30a - 5:30p Job ID: 425409 We are searching for a Utilization Management Assistant- Someone who receives, processes and completes data entry of demographic information on all referral/authorization requests...Full timePart timeLocal areaShift work
$23 - $29.35 per hour
.../ Experience: High School graduation or equivalent preferred. Two years of experience of acute hospital setting in utilization review, case management, business office or related department preferred. Experience in a managed care environment is desirable. Strong knowledge...Hourly payWork at office- ...the Serials Acquisitions and Management group, as well as the Electronic... ...received by the library. Assists in the acquisitions and/or cataloging... ...and online bibliographic utilities, such as OCLC Connexion.... ...compliant with Harvard University remote work policies. There may be...Remote workWork experience placementFlexible hoursShift work
- O. R. Colan Associates in Phoenix, AZ is hiring a Utilities Right of Way Agent to acquire right-of-way rights for various projects. This role offers flexibility to work from home but requires residing within a 100-mile radius of Phoenix. The ideal candidate will have at...Remote jobWork from home
$75.27k - $95.96k
The City of Pearland, TX is hiring a full-time Management Assistant to enhance day-to-day operations in the Utilities department. This role involves providing administrative support, project management, and communication with stakeholders. Offering a salary range of $7...Full time- COMAGINE HEALTH is seeking a Clinical Utilization Review Nurse (RN) for a full-time remote position, focused on medical necessity assessments in healthcare. Applicants must have a BA/BS in Nursing and at least 3 years of clinical experience. The role requires strong communication...Remote jobFull timeContract workWork from home
$40 - $60 per hour
...Remote Utility Support Assistant / Billing Coordination Clerk Remote position Position: Remote Utility Support Assistant / Billing Coordination... ...Overview: Evolution Sports Group is a leading sports management company that specializes in providing top-notch services...Remote workFull timePart timeWork at officeWork from homeHome officeFlexible hoursDay shiftAfternoon shift- ...Behavioral Health Case Manager Responsible for providing telephonic... ...authorization of services utilizing established mental health and... ...triage calls from members to assist them in finding the... ...position is full-time, fully remote (work from home) and requires...Remote workFull timeWork from homeShift workWeekend workAfternoon shift
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