Remote Licensed OT: Therapy Utilization Reviewer
$30.58 - $55.09 per hourCentene
- Remote job
Centene is seeking a Licensed Occupational Therapist to perform clinical reviews of therapy services and/or durable medical equipment for members, with a focus on improving review and execution based on practice standards. Remote position supporting TX and OK markets, with hours from 8am to 6pm CST. The role requires a Bachelor's degree and 2-4 years of related experience, with licensure as OT (Registered) or PT/ST as applicable. Pay range is $30.58 - $55.09 per hour. #J-18808-Ljbffr Centene
- Centene Corp. is seeking a licensed therapist (PT/OT/ST) to perform clinical reviews of therapy services and/or DME for members in the TX and OK markets. This remote role requires a license and offers... .... Responsibilities include utilization reviews, making therapy...Remote jobFlexible hours
- Centene Corporation seeks a Licensed Occupational Therapist to perform clinical reviews of therapy services and durable medical equipment... ...and policies are met. This remote role supports TX and OK markets and collaborates with Utilization and Care Management teams to optimize...Remote job
$52 - $56 per hour
...medical necessity judgment you built in utilization management. 100% remote (U.S.) | Contract | $52$56/hr based... ...: intake, investigation, clinical review, decision and notification Apply... ...Active, unrestricted New York State RN license (compact alone does not qualify) ~3...Remote jobContract workAfternoon shift$53 - $55 per hour
...school based experience to provide VIRTUAL therapy services to school students in MISSOURI. This position is 100% remote/work from home, utilizing our HIPPA/FERPA compliant platform with... ...schedule. Preference will be given to OTs who have availability during school hours...Remote workPart timeWork from home$75k - $90k
...application process. Clinical Reviewer - LCSW, LPC, LCPC - Salem,... ...000.00 Annually This is a remote position based in Salem,... ...apply evidence-based criteria to utilization management reviews; document... ...ability to travel. Valid Driver License and Proof of Auto Insurance...Remote workFull timeContract workWork from home$230k
...community at a time. Company: Oak Street Health Title: Utilization Management Physician Reviewer Location: Fully Remote Hours: Full-Time, Monday - Friday, 8am -5pm CST... ...skills * A current, clinical, unrestricted license to practice medicine in the United States. (NCQA...Remote workHourly payFull timeLocal areaMonday to Friday- ...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
- ...Toney Healthcare is seeking a physician reviewer for a remote contract role in Utilization Management. This position focuses on evaluating medical necessity... ...essential. The ideal candidate holds an MD or DO license, with at least 5 years of behavioral health clinical...Remote workContract work
- ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient... ...and unencumbered Registered Nurse license required Active and unencumbered Nurse... ...Flexible work solutions include remote options, hybrid work schedules, competitive...Remote workMonday to FridayFlexible hoursWeekend 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
- ...Medix Staffing Solutions, Inc. is seeking a Physician Reviewer to join our Utilization Management team. This remote role evaluates medical necessity and clinical... ...determinations. Eligible candidates must have FL or NC license (or IMLCC), 6+ years of clinical practice, and 1+...Remote work
$275k
...'re Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first... .... Work Location: This is a remote position, open to candidates who reside... ...Board certification as an MD or DO ~ Licensed in one of these states: FL, NC, AZ...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...Oak Street Health is seeking a Utilization Management Physician Reviewer for a fully remote, full-time role. You will render timely coverage determinations for... ...appropriate care. The role requires an active MD/DO license in the United States, 1+ year UM experience, and a...Remote workFull time
- ...and best practices. Role Description This is a remote contract role for a Utilization Management Physician Reviewer. Responsibilities include conducting clinical reviews... ...MD or DO with current, unrestricted license to practice medicine. Minimum 5 years of clinical...Remote workContract work
$35 - $40 per hour
...containment, and analytics. Job Title RN Utilization Management Reviewer Responsibilities Conduct timely... ...Bachelor’s Degree preferred. Valid, current license issued by the Massachusetts Board of... ...require weekends. Location: Fully remote work at home role. Secure, private...Remote workHourly payTemporary workMonday to FridayFlexible hoursWeekend work$220k - $275k
...00 - USD275000 per year + +Benefits Location: Remote- Must have NC or FL license OR IMLCC Schedule: Full-time | Monday – Friday... ...seeking a qualified and detail-oriented Physician Reviewer to join our Utilization Management team. In this role, you will evaluate...Remote workFull timeCurrently hiringLocal areaMonday to Friday- ...Management Company LLC is seeking a licensed therapy professional to perform clinical reviews of therapy services and/or... ...supports TX and OK markets and is remote, with CST hours from 8:00 am to 6... ...experience, with licensure as PT, OT, or ST. #J-18808-Ljbffr Centene...Remote job
$211.2k - $275k
...Location: 100% Remote (Must reside in an eligible U.S. state; must be Licensed in FL or NC and/or active Interstate Medical Licensure Compact (IMLCC) or... ...collaborative clinical operations team as a Physician Reviewer in Utilization Management . In this role, you will evaluate...Remote workLocal areaImmediate startHome officeMonday to FridayWeekend work$35 - $40 per hour
...employees across 5 countries. Job title: RN Utilization Management Reviewer Job Description: We are currently... ...must hold a valid, current license issued by the Massachusetts Board of... ...May require weekends This is a fully remote work at home role. You must have a secure...Remote workHourly payTemporary workCurrently hiringMonday to FridayFlexible hoursWeekend work$204.76k - $292.52k
...join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization... ...with a valid, unrestricted license is required Completion of... ...Current Contingent Worker please see job aid HERE to apply #LI-RemoteRemote workHourly payFull timeWork at officeLocal area- ...Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department. This role... ...submission to clients. Maintain proper credentialing, state licenses, and any special certifications Utilize current...Remote work
- ...Medicaid Services (CMS) reviewing the prior authorization (PA) and step therapy (ST) criteria that... ...Part D requirements and utilization management principles,... ..., active, unrestricted license to practice pharmacy in... ...Conditions: US-based fully remote/work-from-home position...Remote workContract workReliefSeasonal workWork at officeWork from home
- ...Details 8:30AM-5:00PM, Monday-Friday, Remote with on-site orientation/training... ...Graduate of an accredited school of nursing; Licensed to practice as a Registered Nurse in... ...field; Two years' experience as Utilization Reviewer/Care Coordinator or Clinical Documentation...Remote jobFull timeMonday to FridayDay shift
$250k - $275k
Location: 100% Remote (Work from Home) Compensation: $250,000 - $... ...are seeking a Remote Physician Reviewer to join our clinical team. In... ...plan guidelines to daily utilization reviews. Perform peer-to-peer... ...Active, unrestricted medical license in Florida (FL) or North Carolina...Remote jobFull timeWork from home- ...time outpatient and inpatient occupational therapy services, with potential involvement at... ...Must hold a current, good-standing OT license in Alaska, or a good-standing OT license... ...to apply Experience working in rural, remote, or culturally diverse healthcare settings...Remote workWeekly payFull timeContract workLocal areaImmediate startWork from home
- ...Orthopedic Spine Surgeon Reviewer Dane Street, a nationally recognized Independent... ...with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental...Remote workPrice workExtra incomeFor contractorsFlexible hours
- Devoted Health is seeking a licensed dental hygienist to join its Clinical Operations team as a Dental Claims Reviewer. You will perform first-level clinical reviews of dental... .... You will ensure timely, accurate utilization management, support high-quality patient...Remote job
$40 - $65 per hour
...negotiable and subject to change. Fully Remote, 1099 Contract Opportunity... ...Deliver engaging, high-quality OT instruction in a remote... ...'s or Doctorate in Occupational Therapy from an ACOTE-accredited program - A Minnesota OT license from the MN Board of Occupational...Remote workHourly payFull timeContract workFor contractorsImmediate start- ...integrating, and monitoring the utilization of physical health (PH)... ...to the Medical Director for review. Refer to and work closely with... ...Associates degree and active NYS RN license required. Bachelors degree... ...There may be opportunity for remote work within all jobs posted...Remote workContract workWork at office
$38 - $41 per hour
...healthcare organization based in California is seeking a Utilization Clinical Reviewer for a remote position. The role involves assessing medical records... ..., strong analytical skills, and an active clinical license in California. Competitive hourly compensation ranges...Remote jobHourly pay
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