Remote Utilization Management Specialist
CorroHealth Inc
- Remote job
CorroHealth Inc. seeks a remote Utilization Management Coordinator to manage end-to-end authorization, from notification through discharge, within US hours. You will document in EMR and payer portals, verify eligibility, and liaise with hospitals and payers to prevent delays while ensuring HIPAA compliance. This role supports a dynamic revenue cycle environment. Required are 2 years of related experience, knowledge of managed care contracts, and proficiency in MS Office. #J-18808-Ljbffr CorroHealth Inc
- ...Job Description Job Description Utility Vegetation Management Specialist Who are we? We’re dedicated to the growth of our employees. We... ...vehicle operation and foot patrol of utility power lines; remote locations as well as urban, city environment; physical...Remote workFull time
- ...offers industry-leading revenue cycle management services for healthcare providers.... ...manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR... ...rewarding environment. This is a fully remote or office/home hybrid position....Remote workWork at officeFlexible hours
- Cambia Health Solutions is seeking an UM IP Clinical Specialist to support inpatient utilization management. You will receive, research, and act on documentation and requests from diverse sources, collaborating with licensed clinicians to guide appropriate actions and...Remote job
- Randstad USA is seeking an experienced Prior Authorization Specialist to join our national Utilization Management team. 100% remote role with a Monday-Friday schedule, 8:00 AM - 5:00 PM CST. You will manage authorization queues, verify eligibility, gather medical documentation...Remote jobMonday to Friday
- Elevance Health is seeking an Utilization Management Representative II in Florida. The role involves managing inbound calls, triage, case openings, and authorizations for inpatient and outpatient services. Candidates must reside in Lake Mary, Tampa, or Miami, FL and be...Remote jobWeekend work
- Elevance Health seeks an Utilization Management Representative I to coordinate precertification and prior authorization reviews. The role is primarily virtual with occasional in-person training, offering flexibility and autonomy while maintaining essential onboarding....Remote job
- Providence California Regional Services seeks a Senior Utilization Management Assistant to support the Care Management team. This REMOTE, part-time role offers 8-hour Evening shifts under the supervision of the Regional Director of Care Management. You will perform complex...Remote jobPart timeAfternoon shift
- Providence California Regional Services is seeking a Senior Utilization Management Assistant for a remote, per diem role. You will support the Care Management team in coordinating patient care, performing clerical duties, and contributing to efficient care workflows from...Remote jobDaily paid
- Elevance Health is seeking an Utilization Management Representative II in Florida. The role involves handling incoming calls, triaging cases, authorizing inpatient and outpatient services, and gathering demographic information. The position supports a hybrid/virtual work...Remote job
$80k - $150k
...Job Description Job Description Job Title Asset Management Specialist Location: Remote (United States) FLSA Classification Exempt... ...Management Specialist with experience in CASCADE and ELECTRIC UTILITIES for a REMOTE WORK role for our Utility Services...Remote jobTemporary workWork at officeWork from home$68.89k - $92.14k
...Pay Plan Title: Utilization Management Specialist III Working Title: Utilization Management Specialist III - MH/SU FLSA Status: Exempt Posting Salary Range: $68,890- $92,138 Office Location: Remote within North Carolina POSTING DETAILS: Make an Impact...Remote workFull timeWork at officeLocal areaImmediate startWork from homeFlexible hours$53.19k - $82.43k
...Best Hospitals. What You Will Do in This Role: The Utilization Management Specialist provides advanced operational and workflow support to Utilization... ...information is current and complete. *Approved Remote States: Arizona, California, Colorado, Florida, Georgia,...Remote workFull time- ...is seeking a Registered Nurse to conduct level of care medical necessity reviews within patient records. You will perform utilization management activities to assure compliance with accreditation and regulatory requirements, and support pre‑authorization processes, documentation...Remote job
- 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
- ## 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
- ERM is hiring remote Utility Project Support Specialists to support our client based in the Danville, IL area. In this critical role, you will be supporting... ...duration of 12 months, extendable. RESPONSIBILITIES Manage large amount of inbound and outbound phone calls Track...Remote workPart timeFixed term contractCasual workShift work
- ...To support the treatment of addiction and mental health issues, the full-time Remote Utilization Review Specialist will manage pre-authorizations and concurrent reviews, collaborating with case managers and the multidisciplinary treatment team to ensure compliance with...Remote workFull time
- ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and... ...necessity criteria while working remotely. Key responsibilities Verify...Remote workFull time
$46.76 - $51.76 per hour
...~5+ years Clinical nursing experience. ~2+ years Care Management. ~ Bachelor's Degree in Nursing. Responsibilities:... ...State Licensure Upon Hire. LPN - Licensed Practical Nurse - State Licensure. CNS - Clinical Nurse Specialist Preferred....Remote workWork at office- ...Allegheny Health Network seeks an RN Utilization Review professional to obtain pre-certifications, coordinate authorizations and manage denials for a seamless patient care continuum... ...levels of care and timely approvals. This remote role requires PA RN licensure (or multi-...Remote work
- To support a growing behavioral healthcare team, the remote Licensed Utilization Review Specialist will ensure clinically appropriate care and cost-effective utilization of services, managing the review process from patient admission through discharge while collaborating...Remote work
- ...Description Subject Matter Expert (SME) - Energized Line Maintenance & Utility Safety Assessment Overview We are seeking an... ...Date: October-November timeframe Work Arrangement: Primarily remote with a hybrid component Travel: Required for onsite field...Remote work
- ...Job Description Job Description Utilities Specialist I - Hybrid - 3 days on site, 2 days WFH Full time; Non-Exempt; 40 hours/week;... ...a stationary position and/or move about the organization or remote office. The employee is frequently required to stand or walk...Remote workFull timeTemporary workWork at officeWork from homeFlexible hours
- ...Position: Utilization Manager - Children's Services Company/Location: Kentucky River Community Care/Remote Work Employment type : Regular Full-Time Credentials: High school diploma and one year of relevant experience preferred. Special skills: Computer...Remote jobFull timeMonday to FridayShift work
- ...highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management team. In this role, you will serve as a vital link... ...timelines. Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST...Remote workFull timeLive inWork from homeMonday to Friday
$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...: The Patient Access Specialist is responsible for... ...processing physician orders, and utilizing an overlay tool while providing... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workWork at officeLocal area$17 - $18.15 per hour
...technology-enabled revenue cycle management solutions for health systems... ...Patient Access Associate Specialist plays a critical role in... ...processing physician orders, and utilizing an overlay tool while... ...Monster Top Workplace for Remote Work 2024 Great Place to...Remote workWork at officeLocal area- ...Job Description Job Description Utility Management Specialist Hazen’s Utility Management Services (UMS) group is seeking a skilled and motivated management consultant to be based in Fort Collins, Colorado. You will join our growing presence in the greater Colorado...Temporary workWork at officeFlexible hours
$200k - $300k
.... As a premier global asset management organization with more than... .... Role SummaryThe Portfolio Specialist is a member of the Investment... ...identify potential solutions utilizing existing capabilities, and... ...Maryland, Colorado, Washington and remote workers$200,000.00-$300,000....Remote workFull timeLocal areaWork from home1 day per week- ...Northpoint Recovery Holdings, LLC is seeking a licensed Utilization Review Specialist to ensure clinically appropriate care, discharge planning, and cost-effective utilization across the treatment continuum. You will lead reviews of admissions, stays, discharges, and appeals...Remote work
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