Average salary: $125,424 /yearly

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 ...Case Management & Continuing Care, the Sr. Director of Utilization Review (UR) is responsible for overseeing the development,...  ...~ Medical, dental, vision, disability, life, AD&D and business travel insurance ~ Manager Time Off – 20 days per year ~ Discretionary... 
Travel
Holiday work
Contract work
Local area
Relocation bonus
Flexible hours

Other Executive

Dallas, TX
15 hours agonew
 ...to clinical information given by providers and internal criteria for medical necessity and appropriateness of care ~ Conduct peer reviews with psychologist and licensed therapist/certified Behavior Analyst for outpatient and/or psychological testing requests ~... 
Suggested
Holiday work
Remote job
Flexible hours

Centene

Baton Rouge, LA
15 hours agonew

$31.7 - $42.35 per hour

Description Summary: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to...  ...May be asked to work overtime or take call May be asked to travel to other facilities to assist as needed Demonstrate adherence... 
Travel
Full time

Christus Health

Irving, TX
8 hours agonew
 ...appropriateness of admissions and continued stays, and documents findings based on Departmental standards. • While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department. • Identifies at-risk populations using... 
Suggested
Internship
Shift work

Albany Medical Center

Valatie, NY
3 days ago
 ...time, non-benefited position. Only UND students are eligible to be hired in this position. Duties & Responsibilities Generate, review, and edit for accuracy auto-generated closed captioning for pre-recorded educational materials Generate, review, and edit for... 
Suggested
Hourly pay
Part time
Remote job

University of North Dakota

Grand Forks, ND
4 days ago
 ...citizens of Hamilton County. Job Description: POSITION: Plan Reviewer DEPARTMENT: Surveyor WORK SCHEDULE: 8:00 a.m. - 4:30 p.m....  ...work extended and/or evening hours, and occasionally travel out of town for meetings, conferences and/or training, sometimes... 
Travel
Hourly pay
Full time
Contract work
For contractors
Local area
Relocation
Outdoor
Work alone
Night shift
Afternoon shift

Hamilton County Indiana

Noblesville, IN
1 day ago
 ...with Job Experience Free Parking Provided An estimated 10% travel is possible. MINIMUM QUALIFICATIONS: • Registered Nurse with...  ...complainants and physicians. • Coordinate with Medical Coordinators to review patient files to opine on standard of care. • Draft... 
Travel
Full time

New Wave People

Albany, NY
3 days ago
JOB TITLE (#25009): Maternal Nurse Reviewer / Contract - Metropolitan Area Minimum of 4 years clinical practice experience in a facility...  ..., including Word, Excel, and Teams. Must have the ability to travel to on-site review assignments within the metropolitan area (... 
Travel
Holiday work
Full time
Contract work
Private practice

Greenlife Healthcare Staffing

New York County, NY
3 days ago
JOB TITLE (#24992): Dental Hygienist Reviewer / Contract - Upstate, NY Minimum of 2 years experience in the provision of clinical services...  ...skills (written and verbal). Must have the ability to travel to on-site review assignments. Benefits The salary for this... 
Travel
Contract work
Part time
Private practice

Greenlife Healthcare Staffing

New York County, NY
3 days ago
 ...Responsibilities UTILIZATION REVIEW COORDINATOR Arbour Counseling Services, a subsidiary of Universal Health Services, provides...  ...available "Perks at Work" Program offering employee discounts on travel, electronics, entertainment, home appliances, food, auto, and... 
Travel
Temporary work
Local area
Flexible hours

UHS

Worcester, MA
1 day ago
Overview: Collateral Reviewer Location: On-site- Dallas, TX $17/hr. to $19/hr. Summary: The Post-Closing Collateral Reviewer responsibilities include, preparing collaterals based on Warehouse guidelines. Clearing exceptions, paying Mortgage Insurance... 
Suggested

New American Funding

Dallas, TX
2 days ago
Completes final design review of electrical assembly drawing sets prior to release to the production staff. Reviews each project's prepared...  ...Opportunities •Potential for Annual Bonus •Minimal to no travel required Learn more about us at Trachte is an Equal... 
Travel
Holiday work
Temporary work

Trachte, LLC

Madison, WI
2 days ago
 ...in the industry. Offering some of the most competitive pay packages available, we prioritize the well-being and flexibility of our travelers! As a Traveler with Medical Talent, you`ll have the opportunity to work in diverse settings, expand your skill set, and make a... 
Travel
Holiday work
Shift work

CHRISTUS System Office

Coppell, TX
1 day ago
 ...Description Summary: The UM Reviewer serves as a contact and resource person to Health Solutions' members for the utilization review (UR) of healthcare services. The UM Reviewer will be responsible for complying with utilization review procedures in accordance with... 
Suggested
Holiday work
Immediate start
Weekend work

Apex Health Solutions

Houston, TX
3 days ago
 ...lead us to creating amazing customer experiences. The Vuori Refund Review Specialist is an integral part of the Customer Experience Loop....  ...degree, 1 years of equivalent work experience. Available for travel to HQ as needed Ability to self-manage Highly Skilled... 
Travel
Work experience placement
Casual work

Vuori, Inc

San Diego, CA
17 hours ago
The Itemization Review Manager is responsible for the overall aspects of the medical review team including personnel hiring, quality assurance...  ...Participate in leadership calls as needed •May be required to travel overnight to attend meetings and/or training •Additional... 
Travel
Full time
Flexible hours
Night shift

CERiS

Fort Worth, TX
17 hours ago
Job Title External Physician Reviewer Job Type Occasional Category Medical Services Location Work from Home FSM Based...  ...Rock, AR 72201 US (Primary) Education Professional Travel Job Description AFMC is looking to contract with physicians... 
Travel
Full time
Contract work
Local area
Work from home

Arkansas Foundation for Medical Care

Fort Smith, AR
4 days ago
 ...Company: Schultheis & Panettieri, LLP Position: Audit Manager, Reviewer Job Location: Hauppauge, NY Salary Range: $100,000-$150,000 Looking to work at a firm that encourages a work/life balance? We are a growing midsize CPA firm specializing in the audits... 
Full time
Part time
Local area
Remote job
Home office

Schultheis & Panettieri LLP

Hauppauge, NY
17 hours ago
 ...contract benefits. Conducts Medical / Surgical medical necessity reviews. Compiles information needed to process prior authorization...  ...shift •Works within a standard office environment, with minimal travel •Extensive computer work with prolonged sitting Company... 
Travel
Contract work
Temporary work
Interim role
Local area
Remote job
Shift work

TriWest Healthcare

Phoenix, AZ
1 day ago
 ...University Health Care is the employer of choice in South Jersey. Short Description: Major responsibilities include 1) review language in research related agreements and 2) review and reconciliation of regulatory terms/issues in clinical trial... 
Contract work

Cooper University Hospital

Camden, NJ
1 day ago
The City of Pflugerville is seeking its next Plan Reviewer to join our team! The person we seek will believe in and exhibit the City's P.F.I.R.S.T. core values: Positive, Forward-thinking, Integrity, Resilience, Service, and Teamwork. City of Pflugerville employees... 
Holiday work
Full time
Part time
For contractors
Work experience placement
For subcontractor

City of Pflugerville

Pflugerville, TX
1 day ago
 ...Description We are looking for a Technical Reviewer on a New York project that has a minimum of (1) year prior experience in the construction and/or utility industry. This will be an administrative position. Responsibilities •Review and enter contractor field... 
For contractors

Joe Knows

New York, NY
4 days ago
 ...Position Type Full Time Education Level Graduate Degree Travel Percentage Negligible Job Shift Day Job Category...  ...position! Position Summary: To conduct continued stay reviews of medical record documentation using pre-established criteria... 
Travel
Full time
Local area
Flexible hours
Shift work

PROGRESSIONS INC

Philadelphia, PA
3 days ago
 ...expertise, knowledge and standard operating procedures necessary to review and approve preliminary plans, construction drawings, design...  ...are just a few of the incentives available to MSD employees. Travel Insurance MSD provides travel insurance for employees in the... 
Travel
Holiday work
Full time
Contract work
Part time
Local area
Immediate start
Flexible hours

Louisville MSD

Louisville, KY
1 day ago
JOB SUMMARY: Manages the Warranty Review Center's daily activities, including all warranty claim authorization and statistical activities...  ...or records, typically weighing 5 lbs. or less. Occasional travel required, including possible overnight stays. MANAGEMENT... 
Travel
Work experience placement
Local area
Night shift

Isuzu Motors Limited

Anaheim, CA
17 hours ago
 ...activities of ICF/MR facilities including utilization and quality reviews as well as, review and processing of referred reports to...  ...understand new review programs and monitoring tools. Able to travel to on-site facility within New York State, required. Must have... 
Travel
Hourly pay

IPRO

Albany, NY
17 hours ago
 ...throughout the region. Position Overview: * Performs chart review of identified patients to identify quality, timeliness and...  ...Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date... 
For contractors
Local area
Immediate start
Shift work
Night shift

Capital Health

Pennington, NJ
2 days ago
SUMMARY OBJECTIVE: Support the Loan Review Program, as assigned, to minimize the impact of losses, assess the quality of the bank's...  ...pounds. This work involves sitting most of the time with walking. TRAVEL: No travel is required except for possible training and/or... 
Travel

AmeriServ Financial Bank

Johnstown, PA
2 days ago
 ...by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary...  ...+ Identify opportunities for process improvement and clinical review. + Assist, plan, prepare and implement patient support groups,... 
Travel
Full time
Temporary work
Relief
Local area
Day shift

Ascension Health

Nashville, TN
1 day ago
Title: RN Utilization Review II Description: The RN Utilization Review II is responsible for determining the clinical appropriateness...  ...May be asked to work overtime or take call May be asked to travel to other facilities to assist as needed. Other duties as assigned... 
Travel
Full time
Immediate start

Impresiv Health

Irving, TX
17 hours ago