Remote Psychologist Reviewer (ABA & Utilization Review)
$93.12k - $167.62kUnited Cerebral Palsy of Georgia
United Cerebral Palsy of Georgia is looking for a Psychologist Reviewer – ABA to work virtually and collaborate with medical directors for behavioral health services. This role requires a Ph.D. or Psy.D. in psychology and an active license to practice. Candidates will ensure proper utilization of plan benefits and mentor staff. The position offers a salary range of $93,120 to $167,616, alongside a comprehensive benefits package including a 401(k) contribution. #J-18808-Ljbffr
$93.12k - $167.62k
...Psychologist Reviewer - Aba Work location - Virtual This role enables associates to work virtually full-time, except for required in-person... ...Health Providers to ensure appropriate and consistent utilization of plan benefits, out of network services, and clinical guidelines...Remote workFull timeWork experience placementLocal areaMonday to Friday$86k - $154.7k
...Join to apply for the Psychologist Reviewer role at RemoteWorker US 1 day ago Be among the first... .... Job Description Centene is hiring a Remote Psychologist – Join Our Kentucky Medicaid... ..., as well as participating in Utilization Management clinical rounds. We're Seeking...Remote workFull timeWork at officeRelocation packageFlexible hours- ...A leading medical review organization is seeking Board‑Certified physicians in Pediatric Hematology Oncology for flexible, remote Utilization Reviews. This role requires conducting independent reviews of pediatric cases, engaging in peer-to-peer discussions, and ensuring...Remote workPart timeFlexible hours
- ...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
- ...additional details. Office Location: Remote Option Available; Flexible for any of Partners... ...is responsible for facilitating the review of service plans and service... ...appropriate services at a given time. The IDD Utilization Management Reviewer screens authorization...Remote workWork at officeFlexible hours
- ...the direction of the Supervisor, the Behavioral Health Utilization Management (BHUM) Reviewer is responsible for completing medical necessity reviews.... ...clinical judgment in their application. Work Arrangement Remote role Monday through Friday from 8:00 AM EST to 5:00...Remote workWork at officeMonday to FridayFlexible hoursWeekend work
- ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring treatment aligns... ...Comprehensive Benefits Package Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid...Remote workMonday to FridayFlexible hoursWeekend work
- ...Specialty Health System (StarCare) is seeking a full time Utilization Management (UM) Reviewer to join its outstanding Utilization Management team... ...will work in a hybrid work environment (combination of remote and on-site) and must be able to work on-site when job duties...Remote workFull timeWork at officeMonday to Friday
- ...ChenMed is looking for a Licensed Physician Reviewer – Ortho for a remote role based in Miami, FL. This position involves conducting Utilization Management reviews and advising other physician reviewers while participating in quality improvement efforts. The ideal...Remote work
- ...A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday – Friday work week. Responsibilities include reviewing medical records...Remote workFor contractorsMonday to FridayFlexible hours
$211.2k - $277.2k
...Physician Reviewer - Utilization Management You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services... ...Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United States...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...Overview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible...Remote workPrice workExtra incomeFor contractorsFlexible hours
$260k - $275k
...Medix™ is seeking a Board-Certified Physician for a fully remote, non-clinical role in Utilization Management. The position involves reviewing clinical documentation to determine the appropriateness of inpatient, outpatient, and pharmacy services. Ideal candidates will...Remote work- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity... ...a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- ...MVP Health Care is seeking a Sub-Acute RN UM Reviewer-Medicare to join our Utilization Management team. In this remote role, you will conduct clinical reviews to ensure compliance with Medicare guidelines and support high-quality patient outcomes. The ideal candidate...Remote work
- ...A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating...Remote work
- ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Remote workFull timeCasual workMonday to Friday
- ...Remote Physician Reviewer – Utilization Management ****This Person Needs to sit in PA, NJ, or Delaware**** IntePros is seeking a Physician Reviewer to support a leading healthcare organization in a fully remote capacity. This role is responsible for reviewing medical necessity...Remote work
- ...applicants Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our... ...independent medical reviews on a flexible, remote (telework) basis. This is a non-clinical, contract...Remote workExtra incomeContract workFor contractorsFlexible hours
- ...Physician Reviewer – Utilization Management (Remote)-Full Time Overview We are seeking a Board-Certified Physician to support utilization management activities by reviewing clinical documentation and determining the medical appropriateness of inpatient, outpatient, and...Remote workFull timeLocal areaWeekend work
$65k - $75k
Gainwell Technologies LLC is seeking a Nurse Reviewer (RN) to perform clinical reviews remotely in the United States. Responsibilities include reviewing... ..., 5+ years of clinical experience, and 2+ years in utilization review or claims auditing. This full-time position...Remote workFull time$105 - $115 per hour
...EPITEC is seeking a Physician Reviewer to evaluate clinical service requests and utilize medical expertise for decision-making. The role is non-patient-facing and... .... This position offers flexible hours, fully remote work (excluding CA, NY, HI, or AK), and competitive...Remote workHourly payFlexible hours- ...A healthcare organization is seeking a Physician Clinical Reviewer specializing in Dermatology to join their utilization management team. This remote role involves reviewing medical service requests, collaborating with healthcare professionals, and ensuring compliance...Remote work
- ...A healthcare organization is seeking a Physician Clinical Reviewer for a remote opportunity. In this role, you will be a key member of the utilization management team, performing medical reviews of service requests and collaborating with physicians to ensure compliance...Remote work
- ...pharmacy benefits manager is seeking a Physician Clinical Reviewer specialized in Dermatology for a remote role. This position involves reviewing clinical... .... This is an opportunity to contribute to effective utilization management processes while working within a...Remote work
$174.07k - $374.92k
...divh2Full-Time Utilization Management Physician Reviewer/h2pWere building a world of health around every individual shaping a more connected, convenient... ...community at a time./ppCompany: Oak Street Health/ppLocation: Remote/ Treehouse/ppRole Description:/ppThis full-time role is...Remote workHourly payFull time- ...Clinical Psychologist – Utilization Review - 100% Remote Candidate must be authorized to work in USA without requiring sponsorship Location: 100% Remote Duration: 2+ months contracts Must-Haves (Hard and/or soft Skills): Psychology Testing experience Degree Requirements...Remote workTemporary workLocal area
$93.12k - $167.62k
...A leading health company in New York seeks a Psychologist Reviewer to assess appropriateness of care in various settings, including therapy and psychological services. Candidates must hold a Ph.D. or Psy.D. and an active license to practice. The role provides a hybrid...Work at office2 days per week1 day per week$93.12k - $167.62k
...Elevance Health is seeking a Psychologist Reviewer for a hybrid role in Indianapolis, IN, requiring in-office work 1-2 days a week. The role involves collaborating with healthcare providers to assess the appropriateness of various therapies. Qualifications include a Ph...Work at office2 days per week1 day per week- ...health outcomes. Our remote workforce collaborates... ...Applied Behavior Analysis (ABA) Consultant – Alabama... ...(PA) program reviewing ABA therapy services.... ...license as a Licensed Psychologist or Licensed Psychiatrist... ..., Medicaid policy, or utilization management preferred Equal...Remote workRelief
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