Remote LPN Utilization Review Specialist
Mass Digital Health
Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical reviews based on patient eligibility and contract requirements, requiring clinical expertise and knowledge of Medicaid guidelines. Candidates must have an active LPN license, at least one year of experience in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical, dental, and 401(k) plans. #J-18808-Ljbffr
- ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize... ...in a cohesive and rewarding environment. This is a fully remote or office/home hybrid position. Your Responsibilities...Remote workWork at officeFlexible hours
$50k
...lives of patients and their families What to Expect (Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment team to gather necessary information for concurrent...Remote work$62k - $70k
...of this position is to ensure that the utilization process is thorough, organized and streamlined... ...timely manner Completes peer to peer reviews with insurance MDs to advocate for... ...Charlie Health-sponsored benefits. #LI-REMOTE Please note that this role is not available...Remote workFull timeLocal area- ...Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday – Friday Overview Diversified Treatment Alternative Centers (DTAC) is seeking a detail-oriented and experienced Utilization Review (UR...Remote workFull timeMonday to FridayFlexible hours
- ...Utilization Review Specialist Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing... ...is seeking a full-time Utilization Review Specialist (REMOTE) to play a key role in ensuring the efficient, accurate, and...Remote workFull timeWork at office
$35 - $40 per hour
...Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $35-40/hour Northpoint Recovery Holdings, LLC began 200... ...POSITION SUMMARY: As a key member of the Northpoint team, the Utilization Review Specialist is a licensed professional who is responsible for ensuring...Remote workFull timeTemporary workWork at officeMonday to Friday- ...Exeter, NH/ South Burlington, VT/ Hybrid/ Remote Employment Status: Full-time FLSA Status: Non-Exempt Reports To: Utilization Review Process Manager Job Summary: Under the supervision... ...Process Manager, the Utilization Review Specialist will use professional discretion and...Remote workFull timeWork at office
- ...Job Description Job Description Job Title: Utilization Review Specialist LPN Job Location: Baton Rouge, LA Company: Seaside Health System Seaside Health System is seeking a dedicated and compassionate Utilization Review-LPN to join our team in our Baton...Full timeLocal area
$65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with...Remote workMonday to FridayWeekend workWeekday work$29.62 - $45.31 per hour
...Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department... ...requests, customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- ...facility in California is seeking experienced nursing professionals to review medical records and ensure appropriate admission status. The... ...or a Master's degree in a related field. The position offers remote work with emphasis on critical thinking and problem-solving skills...Remote work
$55k - $70k
...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000 - $70,000 a... ...position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be...Remote workFull timeWork at officeLocal area$16.74 - $26.92 per hour
...Job Description Job Description The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence... ...Management department, and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES:...Remote workHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours- ...an Appeals and Grievances Clinical Specialist to manage member complaints and... ...case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities... ...practice and knowledge of Utilization Review Guidelines. The position offers a...Remote work
- ...Utilization Specialist Part time 20 hours a week then will go to a Full Time Opportunity Location: Central... ...to Orlando or Villages from time to time (remote, but available for onsite meetings) Key Responsibilities Review any new Medicare patients from last 3...Remote workFull timePart time
- ...Services. Standards & Practices Associates review high profile national advertising... ...support, and other documentation obtained and utilized in the clearance process is an integral... ...Hybrid role; In-Office days Mon.-Thurs.; Fri. Remote US Tech Solutions is a global staff...Remote workContract workFixed term contractWork at office
- ...talented Team. Job Title: Utilization Management Specialist- 49936-1 Location(s): Remote Job Summary: Utilizing... ...utilization management, the Utilization Review Specialist will perform... ...experience. ~ RN/LPN state licensing or compact....Remote workWork experience placementWork at office
- ...Medusind in Costa Mesa, CA is seeking an UR Representative to conduct Utilization Reviews ensuring proper authorization for behavioral health services. You will review cases across multiple platforms, coordinate peer reviews, and enter authorization data while maintaining...
- ...Utilization Review Specialist – North Little Rock, AR (72113) Are you an experienced healthcare professional looking for an opportunity to make a difference in patient care management? We’re seeking a Utilization Review Specialist to join our team in North Little Rock,...Work at office
- ...supervision of the HIM Manager, monitors utilization of resources, risk management, and quality... ...preadmission and retrospective chart reviews - Coordinate with discharge planning on... ...environment placement Required - LPN license or RHIT credential (coding certifications...
$24.03 - $24.75 per hour
...Qualifications: Certifications/Licenses: None required Education: Associates or Bachelors level LPN or RN and/or Bachelors or Masters level CADC/LADC with 2 years utilization review experience, preferred experience working with individuals with psychiatric or substance use...Full timeWork at officeShift work$26 - $28 per hour
...in early 2026. Location: On-Site in Long Beach, CA Schedule: 8-hour shifts Pay Range: $26.00-28.00 hourly PositionSummary Our Utilization Review department manages both outpatient and inpatient patients. We work with Medicare, Medicare HMO, Medi-Cal , commercial...Hourly payLocal areaShift workWeekend work$27 - $38 per hour
...Join to apply for the Utilization Review Specialist role at Tully Hill Treatment & Recovery Do you have a passion for helping others? Tully Hill Treatment... ...medical record and good computer skills. Current RN, LPN licensure or other NYS QHP certification required. Ensure quality...Hourly payFull timeContract workTemporary workWork experience placement- ...Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Utilization Review Specialist in Omaha to join its Medical Management team. The individual ensures that medical treatment requests from providers are medically appropriate and reviewed...Work at office
- ...for compassionate, innovative healthcare for nearly 50 years. Your next great chapter starts here. Job Summary: The Utilization Review (UR) Specialist ensures patients receive appropriate, cost-effective care by reviewing service utilization, coordinating treatment, and...Work experience placement
- ...Job Desciption The Utilization Review Specialist (URS) exercises independent judgment and professional discretion in the practice of case management to a select group of patients. The URS collaborates with physicians to ensure that patients are at the appropriate level...Shift work
$26 - $33 per hour
...We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialist joining our team, you're embracing a vital mission dedicated to making communities healthier® . Join us on this...Hourly payFull timeTemporary work- ...position is ON-SITE at the corporate office in West Palm Beach. Ambrosia Behavioral Health is seeking an experienced Utilization Review (UR) Specialist to join our Revenue Cycle team in South Florida. Ambrosia provides comprehensive behavioral health treatment for adults...Work at officeImmediate start
- ...Memorial Physician Practices is hiring a Utilization Review Specialist in Tucson, Arizona, who will facilitate clinical reviews and advocate for patients accessing mental health services. This PRN role involves working with managed care organizations and is vital for ensuring...Relief
- ...A healthcare service provider in Alabama is looking for a Utilization Review Specialist. This entry-level role involves ensuring healthcare services provided to patients are necessary and compliant. Candidates should have a Bachelor's degree in Nursing or Health Administration...Full time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote LPN Utilization Review Specialist. Be the first to apply!


