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
$32.65 - $53 per hour
...currently looking for a Sr. Virtual Utilization Review Specialist in United States. This role plays... ...level of care at the right time. Working remotely, the role collaborates closely with... ...Requirements: Active and unrestricted RN or LPN license (RN compact license preferred...Remote jobFull timeFlexible hours- ...Working remotely in a full-time capacity, the State Licensed Utilization Review Specialist will manage the review, investigation, and resolution of member and provider appeals... ...Active, unrestricted clinical license (RN or LPN required) Minimum of 2-3 years of clinical...Remote workFull time
$30 - $45 per hour
...consulting agency is seeking an Operations Specialist III for a contract opportunity in Long... ...along with experience in Epic EHR and Utilization Review. The selected candidate will perform... ...program metrics. This position is remote and offers a pay range of $30-$45 per...Remote workHourly payContract work$60k - $75k
...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $60,000 - $75,000 a... ...position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be...Remote workFull timeWork at office$50k
...the 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- Dove Recovery is seeking a Utilization Review Specialist responsible for managing authorization and review activities for clients. The position requires... ...MCO processes. This full-time position offers potential remote flexibility and requires attention to detail. #J-18808-...Remote jobFull time
- ...Providence is seeking an experienced RN for Utilization Review to provide essential patient care while working remotely in Irvine, California. This role involves conducting clinical reviews and managing utilization efficiently in a dynamic regulatory environment. The...Remote workDaily paid
- ...Providence Health Plan Group is seeking an RN Utilization Review for a remote, per diem position in Los Angeles. You will be responsible for conducting utilization reviews across Southern California ministries and require a strong clinical background. Ideal candidates...Remote workDaily paid
- ...Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization reviews across Southern California ministries, requiring effective problem-solving and decision-making skills...Remote workPart time
$55k - $70k
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue‑cycle management professionals specializing in the substance use disorder, mental...Remote workWork at officeFlexible hours- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental...Remote workWork at officeFlexible hours
$75k
...for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing license, with preference... ...with health, dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a supportive work...Remote jobMonday to Friday- TurningPoint Healthcare Solutions is seeking a Utilization Review Nurse to join their team in a fully remote role. The ideal candidate must be a Licensed Nurse Practitioner (LPN) or Registered Nurse (RN) with strong critical thinking skills and attention to detail. The...Remote job
$29.62 - $45.31 per hour
...Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department Investigate... ..., customer service inquiries, provider resolutions, etc.) Remote Work This position offers 100% remote work for candidates...Remote workMinimum wageFull timeWork experience placementLocal areaShift work- ...TryApplyNow is seeking a Licensed Vocational Nurse (LVN) for a full-time remote position in Utilization Review within San Diego County. This role involves reviewing and managing cases to determine medical necessity and eligibility for services provided to Scripps Clinic...Remote workFull time
$20.38 - $36.44 per hour
...Utilization Review Specialist (LVN) Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one... ...located in Texas, you will have the flexibility to work remotely as you take on some tough challenges. You'll be rewarded...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaFlexible hours$34 - $47 per hour
Astrana Health is seeking a CA-licensed Utilization Review Nurse for remote work. This role involves using clinical judgment to approve or deny outpatient medical services based on Medical Necessity Criteria. Candidates must have at least one year of outpatient UM experience...Remote jobHourly payShift work$30 - $34 per hour
...A healthcare services company is seeking an experienced Utilization Review Nurse to work remotely. The ideal candidate must hold an active LVN license in California and have experience in outpatient utilization management. Responsibilities include approving or denying...Remote workHourly pay- ...Utilization Review (UR) Specialist Position Title: Utilization Review Specialist Department: Clinical / Billing Operations Reports To: Executive... ...Fast-paced behavioral health environment. Remote flexibility depending on needs of department. Requires...Remote workFull time
- ...Utility Maintenance Specialist All applications received during the recruitment period will be forwarded to the hiring department for review and consideration. Open Until Filled. Utility Maintenance... ...water tank pressure. Ensures remote pump stations are functioning...Remote work
$55k - $70k
...Job Description Job Description Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals...Remote workFlexible hours- ...Job Description Job Description UR Specialist – Join Camber and Make an Impact At... ...difference every day. Job Summary The Utilization Review department manages all aspects of a... ...schedule of 2 days in office and 3 days remote after successfully completing their...Remote workWork at officeMonday to Friday
- ...potential for extension) Location Remote (Must be in Michigan) Work... ...Summary The Technical Specialist I will support the Gas Engineering... ...understanding of building or utility design, construction practices... .... Key Responsibilities Review preplanned work to determine...Remote workContract workWork at officeShift work
- ...Metered Utilities Specialist Are you someone who enjoys research and has a keen eye for detail?... ...to manage customer utilities and rate reviews. Essential Functions Core functional... ...available; 50% in the office, 50% remote About LCS London Computer Systems...Remote workLive inWork at officeRelocationWork visa
$75k - $100k
...New Homes Utility Interconnections Specialist Location: Teaneck, NJ, United States Location Type: On-site... ...the company policies and procedures. Remote work may be considered for exceptional cases. Responsibilities Review project requirements and determine appropriate...Remote workFor contractorsWork experience placementWork at office- ...provider in the United States is seeking a Utilization Management Nurse to work remotely. This role involves performing clinical utilization reviews, collaborating with healthcare partners,... ...be current Licensed Practical Nurses (LPN) with proficiency in Microsoft Office...Remote workWork at office
- ...Position: Case Review Specialist – Phone Intake & Documentation Location: Remote Remote Status: Remote Job Id: 1678 # of Openings: 1 About OncoHealth OncoHealth... ...2 years of experience in healthcare operations, utilization management, case management, intake, call center...Remote workWork at officeLocal areaMonday to FridayShift work
- ...Case Review Specialist OncoHealth is a leading digital health company dedicated to helping... ...experience preferred Experience working remote independently A minimum of 2-4... ...us! Through the use of OncoHealth's utilization management system, OneUM, our customers...Remote workLocal areaMonday to FridayFlexible hoursShift workWeekend work
$115k - $135k
...Description RMC is seeking an Electric Utility Specialist for a full-time hybrid position in... ...Hybrid Role - 4 days in office, 1 day remote Position Summary: The Electric... ...virtual meetings and site assessments. Review electrical drawings, specifications, and...Remote workFull timeContract workTemporary workWork at officeLocal areaFlexible hours$13 - $14 per hour
...Job Type : Contract Location- Remote Schedule and Shift: Monday-Thursday... ...contracted health plans requirements related to Utilization Management and authorizations. Acts... ...process and requirements Reviews benefit language and medical records to...Remote workHourly payContract workWork at officeShift work
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