Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote LPN Utilization Review Specialist in Quincy, MA vacancy
  • Ensemble is seeking Virtual Utilization Review Specialists to join our remote team. You will evaluate medical necessity, coordinate with physician advisors, and...  ...of resources. Must hold an unrestricted RN or LPN license and have 3+ years of acute care nursing experience... 
    Remote job

    Remote Jobs

    New York, NY
    1 day ago
  •  ...Alliance Health is seeking a UM Clinical Specialist-LTSS for full-time remote work, NC-based. You will perform utilization reviews and authorizations for I/DD and TBI waivers, ensuring services meet clinical guidelines and are provided in the least restrictive setting.... 
    Remote work
    Full time

    Alliance Health in

    Morrisville, NC
    2 days ago
  •  ...Seeking an experienced and detail-driven Utilization Review Specialist, the full-time remote position will manage a caseload of 50-75 patients, conducting admission and continuing-stay reviews, coordinating authorizations, and serving as a liaison between clinical operations... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    5 days ago
  •  ...Remote Authorization SpecialistThis role manages insurance authorization...  ...-certifications, concurrent reviews, verifying benefits,...  ...never disrupted by a payer issue.Utilization Review · Insurance...  ...experience as a UR/authorization specialist at the PHP and IOP levels of... 
    Remote work

    Adolescent Wellness Academy

    Davie, FL
    5 days ago
  •  ...ABA Utilization Review SpecialistSpectrum Billing Solutions offers industry-leading revenue cycle...  ...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.Your Responsibilities... 
    Remote work
    Work at office
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    5 days ago
  •  ...Coronis Health is seeking a remote Utilization Review Specialist to manage treatment authorization for behavioral health and substance abuse, interfacing with insurance and managed care entities. The role covers pre-certification, concurrent reviews, and appeals with... 
    Remote work

    Santa Barbara Cottage Hospital

    New York, NY
    4 days ago
  • $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 work
    Full time
    Work at office

    Quadrant Health Group

    Deerfield Beach, FL
    2 days ago
  •  ...Utilization Review Specialist | Remote | Full-TimeBanyan Treatment Centers is seeking an experienced and detail-driven Utilization Review Specialist to join our corporate team. In this remote role, you'll manage a caseload of 50–75 patients, conducting admission and continuing... 
    Remote work
    Temporary work

    Banyan Treatment Centers

    Pompano Beach, FL
    5 days ago
  •  ...Utilization Review Specialist The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients are medically necessary, efficient, and compliant with regulatory standards. This position involves thorough evaluation of... 
    Remote work

    Bradford at Warrior

    United States
    4 days ago
  •  ...excellence.Who We're Looking ForWe are seeking an experienced specialist who is passionate about making a difference in the lives of...  ...Health or related field required preferred.2-3 years of utilization review experience in behavioral health, addiction treatment, or managed... 
    Remote work
    Daily paid
    Full time

    The Florida House

    Deerfield Beach, FL
    2 days ago
  •  ...At Bradford Health Services, we don't just invest in our patients-we invest in our people. About the Role: The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients are medically necessary, efficient, and... 
    Remote work
    Part time

    BEHAVIORAL HEALTH LLC

    United States
    3 days ago
  • $70k - $100k

     ...of the Surgery Partners network, is seeking an experienced Utilization Review Specialist to join its team in Addison, Texas. This position is ideal...  ...is a hybrid opportunity offering the flexibility of three remote workdays per week while maintaining an onsite presence two... 
    Remote work
    Contract work
    2 days per week

    TEKsystems

    Addison, TX
    5 days ago
  • $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

    Advanced Recovery Systems LLC

    New York, NY
    4 days ago
  • $80 per hour

     ...healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity criteria, payer authorization...  ...healthcare operations.This role supports current and upcoming remote consulting opportunities focused on AI-assisted prior... 
    Remote work
    Hourly pay
    Part time
    For contractors
    Work at office
    Flexible hours

    24-MAG LLC

    New York, NY
    3 days ago
  • $39.4 - $53 per hour

     ...39.40 - $53/hr based on experience LPN pay scale $32.65 - $46.90/hr based on...  ...other weekend We are seeking Virtual Utilization Review Specialists to join our team. Essential job...  ...and Abilities Required: This is a remote role which requires access to high speed... 
    Remote work
    Temporary work
    Work at office
    Local area
    Monday to Friday
    Weekend work

    Remote Jobs

    New York, NY
    1 day ago
  •  ...to help improve the health of individuals and the quality of life in our community. New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up on patient accounts when authorization for stay is required, initiate pre-... 
    Remote work
    Local area

    New Horizons

    United States
    2 days ago
  • $41.6k - $47k

     ...Utilization Review SpecialistAt Umpqua Health, we're more than a healthcare organization we're...  ...healthier community.The Utilization Review Specialist supports Umpqua Health Alliance by...  ...to stay organized and productive in a remote, independent work environmentProactive... 
    Remote work
    Work at office
    Local area
    Immediate start
    Monday to Friday
    Shift work

    Umpqua Health

    Roseburg, OR
    5 days ago
  •  ...Responsible completion of assigned tasks related to preadmission reviews, continued stay reviews, medical necessity requests, and chart...  ...appropriate services, in the least restrictive environment, utilizing proven clinical interventions will lead to the provision of safe... 
    Remote work
    Work at office

    We Level Up NJ

    United States
    2 days ago
  • Spectrum Billing Solutions is seeking an ABA Utilization Review (UR) Specialist to join their team. This fully remote or hybrid position involves reviewing clinical information and obtaining authorizations for ABA services. Candidates should have 3-5 years of relevant... 
    Remote job

    Spectrum Billing Solutions

    Skokie, IL
    5 days ago
  • Diversified Treatment Alternative Centers is looking for a Utilization Review Specialist in Chadds Ford, PA. This role supports behavioral health...  ...case management. This position offers flexible hybrid or remote work options and a comprehensive benefits package. #J-188... 
    Remote job
    Flexible hours

    Diversified Treatment Alternative Centers

    Chadds Ford, PA
    3 days ago
  • $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 job
    Hourly pay
    Contract work

    Pyramid Consulting, Inc

    Long Beach, CA
    4 days ago
  • $65k - $85k

     ...Utilization Review Specialist (RN) – RemoteAt 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 strong experience in OASIS, coding, QA, and home health... 
    Remote work
    Monday to Friday
    Weekend work

    Concierge Home Care

    Jacksonville, FL
    5 days ago
  • $51 per hour

     ...Utilization Review Specialist (BCBA Licensee)Baltimore, MD (Remote – offsite) Contract To Hire $51/hr (W2) 100% Remote Must be Licensed in one of the 3 states: MD, VA or Washington D.C.Utilizing key principles of utilization management, the Utilization Review Specialist... 
    Remote work
    Contract work
    Work at office
    Work from home

    System One Holdings, LLC

    Baltimore, MD
    1 day ago
  • 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 work
    Full time
    Monday to Friday
    Flexible hours

    Diversified Treatment Alternative Centers

    Chadds Ford, PA
    3 days ago
  • $51 per hour

     ...Job Title: Utilization Review Specialist (BCBA Licensee) Location: Baltimore, MD (Remote – offsite) Type: Contract To Hire Compensation: $51/hr (W2) Work Model: 100% Remote Must be Licensed in one of the 3 states: MD, VA or Washington D.C. Overview... 
    Remote work
    Contract work
    Temporary work
    Work at office
    Local area
    Work from home

    System One

    Baltimore, MD
    8 days ago
  • Ascension Sacred Heart Hospital is seeking a nurse to join our Utilization Management team in a remote role. You will perform prospective, concurrent, and retrospective reviews to ensure medical necessity and alignment with reimbursement policies. Join a multidisciplinary... 
    Remote job

    Ascension

    Milton, FL
    15 hours ago
  • HonorHealth is seeking a Utilization Review RN Specialist to review and monitor health care utilization, ensuring medical necessity and appropriate...  ..., and driving accurate documentation for data reporting. Remote work is available after training, with a day shift in a major... 
    Remote job
    Day shift

    70 HonorHealth Support Services

    Phoenix, AZ
    4 days ago
  • Integra Partners is seeking a licensed Practical Nurse (LPN/LVN) experienced in managed care UM to perform pre-service and post-service utilization reviews and appeals for DMEPOS, working with our Medical Director in a NCQA-compliant UM program. You will review benefit... 
    Remote job

    Santa Barbara Cottage Hospital

    New York, NY
    3 days ago
  • TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews, assisting... 
    Remote job

    TurningPoint Healthcare Solutions

    Florida, NY
    4 days ago
  • $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 work
    Minimum wage
    Full time
    Work experience placement
    Local area
    Shift work

    Providence Health & Service

    Oregon, WI
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote LPN Utilization Review Specialist. Be the first to apply!