Average salary: $68,962 /yearly
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...complex issues.
The Preservice Review/Prior Authorization RN will... ...the flexibility to work remotely * from anywhere within the U.... ...Bachelor of Science degree in Nursing or a Master of Science degree... ...Experience with InterQual
~ Utilization Review experience
*All...
Remote job
Hourly pay
Minimum wage
Work experience placement
Local area
Weekend work
Registered Nurse RN Utilization Management Care Reviewer Remote Location Remote in Phoenix, AZ : Primary City/State: Arizona, Arizona Department Name:
Utilization Mgmt Work Shift:
Day Job Category:
Clinical Care Find your path in health care. At Banner Health...
Remote job
Full time
Shift work
Monday to Friday
...Job Summary
We offer remote work opportunities (AK, AR, AZ, FL, HI, IA, ID... ...Supervises staff who conduct retrospective review of medical claims for appropriate DRG or... ...claims
•2+ years of UM experience utilizing commercially developed UM criteria
•2+...
Remote job
Contract work
Temporary work
Local area
Shift work
...Responsibilities
Utilization Review Coordinator
Via Linda Behavioral Hospital is a brand-new behavioral health provider serving... ...Bachelor’s Degree in Social Services, Human Development, Nursing, Business, or related field required. Master’s degree and registered...
Suggested
Full time
Local area
...Regular FT 40 Hours Per Week
Shifts: Mid
As a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing... ...Qualifications
Education:
~Prefer a bachelor's degree in Nursing.
Experience:
~Preferred to have at least three (3) years...
Suggested
Hourly pay
Shift work
...Join us as an Medical Director to conduct chart and peer reviews from your home office.
This is a Part Time 25 hours a... ...to evaluate the medical necessity of services that do not meet utilization review criteria. Review appeals for denied services related to...
Remote job
Holiday work
Full time
Part time
Work from home
Home office
Weekend work
Monday to Friday
...Job Summary
We offer remote work opportunities (AK, AR, AZ, FL, HI, IA,... ...accreditations onsite visits and desktop reviews.
•Monitor regulatory agencies and standards... ...principles and delivery systems, URAC utilization, case and disease management standards;...
Remote job
Temporary work
Local area
...Description & Requirements
Maximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews... ...wellness programs and enticing discount programs
*This is a remote position. North Dakota residency preferred, but not required.*...
Remote job
Permanent employment
Contract work
For contractors
Home office
...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed... ...position is on-site and cannot be done remotely.
For nearly 60 years, Calvary... ...university in social work, mental health, nursing, or related field, preferred....
Remote job
Relief
Local area
...Experienced Document Review Attorney – Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on...
Remote job
Hourly pay
Full time
Flexible hours
...Description
Job Description Summary:
The Registered Nurse will utilize standard criteria to review post-service and prepayment reviews of Outpatient... ...review)
~ Minimum 1 year of experience working remotely.
~ Behavioral Health Claims review (post-payment and...
Remote job
Local area
...a part of the #1 full truckload carrier in the nation. Be a part of Swift Transportation.
Job Responsibilities: What you will do
Review violations, log and follow up to ensure compliance.
Are to include but are not limited to the following, other duties may be assigned...
Suggested
Local area
...fuels our passion and drives every decision we make.
Job Posting Title
Physician Clinical Reviewer- GI- REMOTE
Summary
Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet the...
Remote job
Work experience placement
Internship
Local area
...medical necessity and clinical reviews of authorization requests to... ...interdepartmental teams on utilization processes to promote high quality... ...from an Accredited School of Nursing or Bachelor’s degree in... ...flexible approach to work with remote, hybrid, field or office work...
Remote job
Holiday work
Flexible hours
...analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity,... ...Requirements
Minimum three (3) years’ experience practicing nursing as a licensed Registered Nurse
Minimum of three (3) years’...
Remote job
Full time
Flexible hours
...additional income as a collaborating physician (Chart Reviews). Our collaborators over see our highly skilled Nurse Practitioners in the field as stated by state law.... ...Physician - 1099 (Chart Reviews)
Location: Remote Opportunity - State of Missouri
Hours: Flexible...
Remote job
Full time
For contractors
Relief
Flexible hours
...Job Description
Role: Purchase Reviewer (Resource)
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description... ...and without supervision when required or needed
•Utilize electronic systems and other tools/resources
•Clearly communicate...
Local area
Job title: UM Nurses Remote
Location: Fully Remote
Duration: 11+ Months
UM (Utilization Management) experience is REQUIRED.
INTERQUAL experience is REQUIRED.
Shift:... ...potential consultants and employees. We invite you to review the position requirements and apply today if...
Remote job
Local area
Shift work
...Job Description
Role: Purchase Reviewer-1153
Estimated Duration: 6+ months
Location: Phoenix, AZ
Position Description... ...and expectations •Research and escalate constituent concerns, utilizing systems and tools to verify compliance standards and interpreting...
Holiday work
Full time
Casual work
Local area
Shift work
Monday to Friday
...credentialing experience preferred.
Two (2) years contract reviewing experience preferred.
Knowledge and understanding of the medical... ...skills.
Strong organizational skills and the ability to utilize multiple types of office equipment (i.e. phones, copier, fax, etc...
Holiday work
Contract work
For contractors
Local area
