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- ...Utilization Review Assistant The Utilization Review Assistant ensures the timely and accurate collection of data and documents necessary for the utilization review process as well as independent medical review. This is a hybrid opportunity, requiring initial onsite...SuggestedWork at officeImmediate startWork from home2 days per week3 days per week
- ...Health Services, we don’t just invest in our patients—we invest in our people. About the Role: REMOTE POSITION The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing...SuggestedFull timePart timeRemote workWeekend 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 specializing...SuggestedWork at officeRemote workFlexible hours- ...to impact others in a meaningful way - we warmly invite you to join our growing family! We are currently seeking to hire Utilization Review Specialists to join our corporate NJ Team! The Utilization Review Specialist collaborates with Avenues Recovery facilities...SuggestedTemporary workCurrently hiringFlexible hours
$55 per hour
...Akkodis Akkodis is hiring a Concurrent Review Nurse to support our client in the Healthcare... ...: Experience in case management, utilization management, or discharge planning. Experience... ...Nurse, Out-Patient Case Manager Travel Pediatric ICU Registered Nurse - $840 per week...SuggestedFull timeContract workTemporary workLocal areaRemote work- ...Job Description Job Description Summary: The primary responsibility of this role consists of reviewing member transportation requests that are over the contractual mileage guidelines. ESSENTIAL FUNCTIONS Reviewing and making approval/denial determinations for...SuggestedFlexible hours
$40.72 - $63.12 per hour
...Job Description Job Description Job Title: Utilization Review Nurse (RN) Location: Las Vegas, Nevada Job Type: Full-Time Salary: $40.72 – $63.12 per hour Position Summary: We are seeking an experienced Utilization Review Nurse (RN) to join a healthcare...SuggestedHourly payFull timeWork at officeShift workWeekend work$65 per hour
...Job Description Job Description RN Case Manager / Utilization Review - Syracuse, NY (#25268) Location: Acute Care/Academic Medical... ...recertification prior to employment. Experience: Must have Pediatric experience. Minimum of 1.5 years of recent experience (...SuggestedHourly payFull timePrivate practiceMonday to FridayDay shift- ...Job Description Job Description Job Title: Utilization Review Coordinator Reports To: Assistant Administrator Supervises: None Position Type: Full Time Hours of Work: 8am-4pm Schedule: M-F Utilization Review Coordinator Job Description...SuggestedFull timeWork at office
- Insight Global is looking for a Utilization Review Registered Nurse to sit remotely with one of their large health insurance clients. This person will be responsible for evaluating 3.5 patient care cases per hour (both inpatient and outpatient) and collaborating with doctors...SuggestedHourly payRemote work
$2,210 per week
...setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills to obtain patient specific... ...be met, this individual will defer decision to a second level reviewer. This individual interfaces with case managers and disease...SuggestedFull timeTemporary workPart timeCasual workWork at officeRemote workWork from homeAll shiftsMonday to FridayFlexible hours$4,801.16 - $7,761.5 per month
...advancement, and more. Benefits of Working at HHS webpage contains additional details. Position Details Functional Title: Utilization Review Nurse Job Title: Nurse II Agency: Health & Human Services Comm Department: UR Wav & Comm Srvs Ran Mmt St Posting Number:...SuggestedFull timeTemporary workPart timeWork at officeRemote workShift work$32.48 - $38.98 per hour
...unique communities we serve. Summary: This position facilitates utilization management processes to support the right care is provided at... ...throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care...SuggestedHourly payFull timeMonday to Friday$76k - $85k
...challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing a medical management software system on a day-to-day...SuggestedFor contractorsH1bWork at officeLocal areaRemote work- ...regulatory timelines Collaborate with multidisciplinary teams Summary Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing clients' members with...SuggestedContract workRemote work
- Utilization Review RN page is loaded## Utilization Review RNlocations: Remotetime type: Full timeposted on: Posted Todayjob requisition id: JR26-31830## Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click...Work at officeHome officeShift workWeekend work
- ...for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Overview Functional Title: Utilization Review Nurse Job Title: Nurse II Agency: Health & Human Services Commission Department: UR Hospice Random Moment Study Posting Number...Full timeTemporary workPart timeRemote workShift work
$51.43 - $79.84 per hour
...remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization Management (UM), medical...Daily paidLive inRemote workShift workDay shift- ...plan of care for members based on authorization and concurrent review. Provides monthly telephonic outreach to ensure members needs are... ...network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards,...Contract workRemote workMonday to FridayFlexible hours
- RN- Utilization Review Nurse Inpatient (*Hybrid*) Must reside within the New York Tri-State Area - NY, NJ, or CT. COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! Responsibilities Reviews planned, in process, or completed health care services to...Local areaWork from home
$54 - $66 per hour
We are recruiting for a Utilization Review Nurse to join a large healthcare organization within the Sacramento region. The Utilization Review Nurse is responsible for overseeing the daily operations of the UM Pre-Authorization team, ensuring referral requests are processed...Contract workWork at office$65 per hour
...coordinate patient care, manage resources, and ensure appropriate utilization of healthcare services while maintaining high-quality patient... ...care planning and discharge planning. Conduct utilization review to ensure appropriate level of care and services. Collaborate...Hourly payWeekly payLocal areaShift work$71.61k - $111k
Utilization Review Nurse - Albany Medical Center Overview Responsible for utilization management, quality screening, and delay management for assigned patients. Department/Unit Care Management/Social Work Work Shift Day (United States of America) Salary Range $71,6...Full timeShift work$20 - $30 per hour
...the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being of... ...care. Join us in making a lasting impact! Title: Utilization Review Coordinator Reports to: Senior Director of Revenue Cycle...Full timePart timeRemote work$35 - $45.94 per hour
...Job Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members...Hourly payFull timeRemote workWork from homeHome office$17.44 per hour
...Utilization Review Specialist I Join a team that CARES! Here at ODMHSAS, we believe in I.C.A.R.E. – Integrity, Compassion, Accountability, Respect, and Excellence. Our mission is to promote healthy communities and provide the highest quality care to enhance...Hourly payFull timeWork at officeFlexible hoursWeekend work- ...Description Description: Schedule: Monday - Friday 5:30am-1:30pm Community Medical Services (CMS) is hiring a Texas Grant Utilization Reviewer. Under the supervision of the Regional Operations Director, the Texas Grant Utilization Reviewer is responsible for...Temporary workWork at officeMonday to FridayFlexible hours
$40 per hour
...Job Description Job Description Description: Job Title: Utilization Review Nurse (Remote) Pay Rate: $40/hr. Job Type: Full-Time, Remote Hours: Monday-Friday 8am-5pm Benefits: ~10 Paid Holidays ~80 Hours of Paid Time Off (PTO) ~ Medical, Dental...Remote jobFull timeMonday to Friday$31.38 - $53.56 per hour
...Southwest Health System, Inc. as a Full-Time Case Management/Utilization Review RN, where your impact is felt daily! This exciting position... ...in a health care setting working directly with adult, pediatric or geriatric patients. 3-5 years' experience preferred. Knowledge...Hourly payFull timePart timeWork experience placementFlexible hoursDay shift- ...Job Description Job Description Description: Conifer Park is looking for an Utilization Review Coordinator to join the Medical Records team at our site in Glenville, NY. This is an On Site position. In this role, you will provide utilization review monitoring of...