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  •  ...company is seeking a Utilization Review Specialist to support their...  ..., benefits, the ability to work from home, advancement opportunities and...  ...patients based on insurance medical necessity criteria. Consult...  ...assessments from the EMR chart for reviews and authorization... 
    Work from home
    Medical
    Remote job
    Flexible hours

    Jordan And Associates Consulting

    Philadelphia, PA
    8 days ago
  •  ...Certification Details BLS New York State RN License Job Details ~ Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned from Consultation reports, History and Physical reports, Operative reports, Progress... 
    Medical

    New York City Health and Hospitals Corporation - 50 Water St...

    New York, NY
    1 day ago
  •  ...Job Description Description of Role: Clinical Bill Review Nurse (Workers Compensation) Required Credentials...  ...$35-$40 per hour (non-exempt) Location: REMOTE - Work from Home Performs a complete review of medical records associated with the bill and a line-by-line... 
    Work from home
    Medical
    Hourly pay
    Remote work

    Elite

    Dallas, TX
    9 days ago
  •  ...Healthcare Services is seeking a travel nurse RN Utilization Review for a travel nursing job in New York, New York. Job Description...  ...Type: Travel Use clinical knowledge to review medical charts for accuracy and sequencing of diagnosis to those assigned from... 
    Medical
    Shift work

    Integrated Healthcare Services

    New York, NY
    1 day ago
  •  ...Practitioner (NP) to serve as a Clinical Chart Reviewer and Evaluator, responsible for...  ...standards.  Review patient charts and medical records to ensure documentation accurately...  ...documentation and care protocols. Comfortable working independently in a remote environment,... 
    Medical
    Remote work
    Flexible hours

    FitOn and FitOn Health

    Tampa, FL
    1 day ago
  •  ...Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are...  ...for this position) Location - Remote "Work from Home" but must live in the state of Florida...  ..., claimant or carrier to determine the medical necessity of the treatment utilizing... 
    Work from home
    Medical
    Remote work
    Live in

    Elite

    Tampa, FL
    3 days ago
  •  ...Job Description Job Title: Coding Quality Review Specialist (Remote – U.S. Only) Location: Work from Home (Excluding CA, AK, NY, CO) Employment Type: Full...  ...certification for MS-DRG required ~10+ years of medical coding experience, including 3+ years in MS-DRG... 
    Work from home
    Medical
    Full time
    Remote work

    NMC Staffing

    Tobyhanna, PA
    4 days ago
  •  ...Description Position Title: Coding Quality Review (CQR) Specialist Location: Remote (U....  ..., NY, CO) Position Type: Full-Time | Work From Home Start Timeline: ASAP Compensation...  ...audits of inpatient and outpatient medical coding across multiple HIM Service Centers... 
    Work from home
    Medical
    Hourly pay
    Full time
    Immediate start
    Remote work

    Cybex Hire

    Rosedale, IN
    1 day ago
  •  ...to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review Institute of America . 1 day...  ...and healthcare plan guidelines. Work remotely with flexible hours, as little...  .... Role is remote (work-from-home). Legal and Privacy California residents... 
    Work from home
    Medical
    Remote job
    Full time
    Contract work
    For contractors
    Work at office
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    3 days ago
  •  ...Job Description Job Description Coding Quality Review Specialist - Nashville, TN Full-time Work From Home Job Summary As a Coding Quality Review (...  ...Demonstrateand applyexpert level knowledge of medical coding practices and concepts Participateon special... 
    Work from home
    Medical
    Full time

    i4 Search Group Healthcare

    Nashville, TN
    9 days ago
  • Job Title External Physician Reviewer Job Type Occasional Category Medical Services Location Work from Home FSM Based - Fort Smith, AR 72903 US Work from Home LR Based - Little Rock, AR 72201 US (Primary) Education Professional Travel Job Description AFMC is... 
    Work from home
    Medical
    Full time
    Contract work
    Local area

    Arkansas Foundation for Medical Care

    Fort Smith, AR
    3 days ago
  •  ...benefitted, on-call position.** *****This position is work from home within driving distance to Sacramento, CA.** **...  ...is responsible for monitoring Dignity Health Medical Foundation inpatient admissions and concurrent review for appropriate level of care and medical... 
    Work from home
    Medical

    Dignity Health

    Rancho Cordova, CA
    more than 2 months ago
  •  ...Oscar. We're hiring a Utilization Review Registered Nurse to join our...  ...frequent case reviews, check medical records and speak with care...  ...Utilization Review Supervisor. Work Location: Oscar is a...  ...this is a remote / work-from-home role. You must reside in one... 
    Work from home
    Medical
    Hourly pay
    Full time
    Work at office
    Remote work
    2 days per week
    1 day per week

    Oscar Health

    Dallas, TX
    9 days ago
  •  ...Description HOW YOU’LL MAKE A DIFFERENCE: This Commercial Reviewer fills a remote role (work from home) in MountainSeed’s Appraisal Review Department. The...  ...paid parental leave, and a flexible work environment. Medical, Dental, Vision, Life, Disability, and 401K plans... 
    Work from home
    Medical
    Work at office
    Remote work
    Flexible hours

    MountainSeed Appraisal Management LLC

    Atlanta, GA
    18 days ago
  •  ...It takes great medical minds to create powerful solutions that solve...  ...us and put your expertise to work in ways you never imagined possible...  ...individual for a Nurse Reviewer (RN) who will be responsible for...  ...States and in the state of primary home residency. An active compact... 
    Work from home
    Medical
    Full time
    Contract work
    Remote work
    Flexible hours

    Gainwell Technologies LLC

    Florida
    12 hours ago
  • $33.85 - $40.63 per hour

     ...position requires fieldwork 3-4 days per week. You may work from your home office when not in the field. The individual is...  ...that they will work in.The Physical Therapist Reviewer is responsible for performing medical record reviews specific to services billed related... 
    Work from home
    Medical
    Full time
    Contract work
    Work at office
    Immediate start
    Home office
    Live in
    3 days per week

    Elevance Health

    Fort Wayne, IN
    more than 2 months ago
  •  ...Professional/Dispute Resolution Review - Sarasota Join to apply for...  ...FT (40 hours/week) - Remote Work Environment - APPLICANTS MUST...  ...Essential Responsibilities Reviews medical records/case files, writes a...  ...Coordinator Work from Home in United States (Spanish speaker... 
    Work from home
    Medical
    Full time
    Contract work
    Work at office
    Local area
    Immediate start
    Remote work

    Healthcare Quality Strategies, Inc. (HQSI)

    Orlando, FL
    2 days ago
  •  ...graduates who desire an engaging work environment where they are...  ...Response projects. Document Review Analysts will review documents...  ...Position Details Remote work-from-home opportunity Pay rate: $22 per...  ...is desired Experience with medical billing/coding or experience... 
    Work from home
    Medical
    Hourly pay
    Temporary work
    Work at office
    Remote work
    Home office

    MedStar Health

    Mc Lean, VA
    3 days ago
  •  ...It takes great medical minds to create powerful solutions that solve...  ...us and put your expertise to work in ways you never imagined possible...  ...individual for a Nurse Reviewer (RN) who will be responsible for...  ...States and in the state of primary home residency, active compact... 
    Work from home
    Medical
    Permanent employment
    Full time
    Contract work
    Temporary work
    Remote work
    Flexible hours
    Monday to Friday

    Gainwell Technologies LLC

    Alabama
    15 hours ago
  •  ...with heart, each and every day. This position will be remote working from home anywhere in the US. **Schedule is Monday - Friday 8am-5pm...  ...collaborative process to implement, coordinate, monitor and evaluate medical review cases. Applies the appropriate clinical criteria/guideline... 
    Work from home
    Medical
    Hourly pay
    Bi-weekly pay
    Full time
    Temporary work
    Local area
    Remote work
    Flexible hours
    Shift work
    Monday to Friday

    CVS Health

    Little Rock, AR
    3 hours agonew
  •  ...Overview UWorld Themis Bar Review is looking for new grads and experienced...  ...to schools and students while working collaboratively with...  ...to work productively from your home office, on a campus or on the...  ...Comprehensive benefits package (medical, vision, dental, life,... 
    Work from home
    Medical
    Remote job
    Worldwide
    Home office

    UWorld, LLC

    Remote
    more than 2 months ago
  •  ...we look for opportunities. We work with our clients to create innovative...  ...will be responsible for reviewing, managing, and signing...  ...holidays, HealthBenefits. Medical with HSA and FSA options, dental...  ...Models. In-office, work-from-home, or hybrid, depending on position... 
    Work from home
    Medical
    Work at office
    Local area
    Flexible hours

    BGM Group

    Minneapolis, MN
    7 days ago
  •  ...to apply for the Coding Quality Audit Reviewer role at HCA Healthcare 1 week ago Be among...  ...years. This position is fully remote/work from home! Schedule: Monday-Friday Day Shift...  ...plans and programs include: Comprehensive medical coverage that covers many common... 
    Work from home
    Medical
    Full time
    Temporary work
    Part time
    Remote work
    Flexible hours
    Day shift
    Monday to Friday

    HCA Healthcare

    Falls Church, VA
    23 hours ago
  •  ...put health first** The Claims Review Representative 3 makes appropriate...  ...processes and techniques, and works under limited guidance due to...  ...processing and adjudicating medical claims + Knowledge with CPT,...  ...Reimbursement - Parent Leave **Work at Home Requirements** - To ensure... 
    Work from home
    Medical
    Bi-weekly pay
    Full time
    Contract work
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Home office

    Humana

    Juneau, AK
    21 days ago
  •  ...documentation, and communication of medical services and/or benefit...  ...Behavioral Health Professional work assignments involve moderately...  ...Work includes computer-based review of moderately complex to complex...  ...for your schedule. To ensure Home or Hybrid Home/Office employees... 
    Work from home
    Medical
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Home office

    Humana

    Phoenix, AZ
    more than 2 months ago
  •  ...Number: R1044466 Summary Job Description Summary Performs medical reviews using established criteria sets and/or performs utilization...  ...hours/week) Monday-Friday from 8:00 am - 4:30 pm ET , and will work from home after 6 months of on-site training and once production... 
    Work from home
    Medical
    Remote job
    Full time
    For contractors
    Work at office
    Local area
    Monday to Friday

    BlueCross BlueShield of South Carolina

    Myrtle Beach, SC
    2 days ago
  •  ...site at Beacon Hill clinic, 3 days/week working from home. Clinic will issue all necessary...  ...care, including care coordination and medication reconciliation, with the goal of reducing...  ...necessary equipment to work remotely.) - Charting: EPIC (experience is REQUIRED) -----... 
    Work from home
    Medical
    Weekly pay
    Permanent employment
    Contract work
    Temporary work
    Long term contract
    Local area
    Immediate start
    Remote work
    Shift work
    Weekend work
    2 days per week
    3 days per week

    First Connect Health

    Seattle, WA
    2 hours agonew
  •  ...concurrent, and retrospective reviews for inpatient acute care, rehabilitation...  ...and impact of insured's medical condition, medical...  ...to more junior professionals. Works autonomously, only requiring "...  ...stakeholders. If you will be working at home occasionally or permanently,... 
    Work from home
    Medical
    Hourly pay
    Contract work
    Temporary work
    Local area
    Day shift

    The Cigna Group

    Sacramento, CA
    more than 2 months ago
  •  ...base. We are currently looking for FT Medical Assistant to assist in remote physiological...  ...are tired of spending all your time 'charting', this is the job for you. Nurses will work from home. The primary responsibilities include: Review patient vitals and care plans in our... 
    Work from home
    Medical
    Remote work

    Welby Health, Inc.

    San Diego, CA
    1 day ago
  •  ...is seeking a travel nurse RN Home Health for a travel nursing job...  ...in the case management of peer review of client records and provides...  ...other staff members regarding medical and nursing issues....  ...Nurses License in state in which working. ~ Current First Aid and BLS... 
    Work from home
    Medical
    Contract work
    Temporary work
    Part time
    Local area
    Shift work
    3 days per week

    MedAdventures

    Roanoke, VA
    6 days ago