Average salary: $115,092 /yearly
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$101.6k - $142k
...every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Director of Virtual Utilization Review will serve as a strategic leader focused on driving client partnerships, performance outcomes, and transformational change...SuggestedTemporary workWork at officeLocal areaRemote work$47.03 - $63.48 per hour
...every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The RN, Senior Utilization Review Quality will play an essential role in reviewing and ensuring the quality of the VUR teams’ work efforts in partnership with...SuggestedTemporary workWork at officeLocal areaRemote work$63.1k - $94.65k
...position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Utilization Review RN based in the United States. Join a healthcare team dedicated to improving patient outcomes, ensuring appropriate...SuggestedTemporary workPart timeWork at officeRemote workWork from homeFlexible hoursShift workAfternoon shift$27 - $30 per hour
...Addiction Treatment Center and seven straight Star Tribune Top Workplace awards. *Hybrid work model* Job Summary The Utilization Review Coordinator is responsible for obtaining and maintaining insurance authorizations for treatment services. This position...SuggestedRemote work$50 - $55 per hour
...Job Description RN – Utilization Management \n \n New York, NY – Midtown \n $50–$55/hour \n Monday–Friday, 9:00 AM–5:00 PM... ...Strong payer-side UM experience, including medical necessity reviews, prior authorizations, appeals, and benefit determinations \n...SuggestedPermanent employmentTemporary workMonday to FridayGreen Key Resources
New York, NY17 days ago- ...members. We believe that our collective efforts will shape a healthier future for the communities we serve. How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to...SuggestedTemporary workFlexible hours
$92.4k - $138.6k
...that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Manager for Utilization Review is responsible for the leadership and management of the centralized Virtual Utilization Management Program and maintaining...SuggestedFull timeTemporary workWork at officeLocal areaRemote work- ...Job Description HIRING: Utilization Review Nurse | Remote | UM Training Provided \n \n 5 Clinical Nurses Wanted for an Exciting UM Pilot Program! \n Have you been working in bedside nursing and looking to transition into Utilization Management This is a unique...SuggestedFull timeContract workRemote workHome officeShift work
Medix™
West Virginia8 days ago $77.08k - $119.47k
...America) Salary Range: $77,075.00 - $119,466.00 Responsible for Utilization Management, Quality Screening and Delay Management for... ...knowledge of computer systems with skills applicable to utilization review process. Excellent written and verbal communication skills....SuggestedRemote workShift work- What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving...SuggestedWork at officeLocal area
$22 - $43 per hour
...to (Title): Care Management Director (Positions) N/A I have reviewed these job requirements and verify that I can perform all essential... ...processes. Performs admission and continued stay reviews utilizing appropriate criteria and guidelines. Participates actively in...SuggestedHourly payFull timeLocal area- OverviewTitle: Clinical Review Nurse - Prior Authorization ReviewLocation: Fully Remote (PST Time Zone - WA/OR Resident)Duration: 1... ...Clinical Review Nurse for Prior Authorization Review to join our Utilization Management team. In this role, you will conduct concurrent and...SuggestedRemote work
- ...Utilization Review RN Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission...SuggestedFull timeShift work
$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...SuggestedContract workWork at office$15k
Sign on bonus may apply up to $15,000 Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts, determining whether care provided is...SuggestedWork at officeRelocation packageShift workWeekend work- ...Dental, vision, life, accident insurance, and telehealth options for those working 20 hours or more per week. About the Role The Utilization Review Specialist plays a critical role in ensuring that healthcare services provided to patients are medically necessary, efficient...Full timePart time
- A Director for Cyber Security position is now available through Adecco Healthcare and Life Science. In this position, you will be responsible for reporting reports to the Chief Information Security Officer (CISO) and oversees cybersecurity operations and strategy. This ...Temporary workWork experience placementFor subcontractorWork at officeLocal areaRelocation package
- ...Health Network has been asked to assist a top health plan partner of ours with a need for an experienced RN Case Manager with Utilization Review/UM experience. This position is remote based and requires an activeMA RN license. (Compact RN license may be possible for...Contract workRemote workMonday to FridayFlexible hours
- Currently seeking a Utilization Management RN . Please see details and qualifications below: Position is remote - candidate must reside... ...evaluate members’ clinical conditions through medical record review to determine medical necessity for services. Using advanced clinical...Immediate startRemote workDay shift
- Job Summary We are seeking a highly motivated and experienced Utilization Review Nurse to join our team. The Utilization Review Nurse will play a crucial role in supporting our clients in the healthcare industry by providing expert clinical guidance, facilitating effective...Work experience placement
- ...retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy,... ...in acute clinical care Experience with medical record review/utilization review/utilization management Additional Information Are you...Contract workPrivate practiceMonday to Friday
- Utilization Review Manager - KVC Missouri Admissions Location: Remote (Statewide - Missouri) KVC Missouri is seeking a dedicated and detail-oriented Utilization Review Manager (URM) to serve as a vital link between our treatment teams, funding sources, and external partners...Remote work
$35 - $40 per hour
We are seeking an experienced Registered Nurse (RN) with health plan or payer-side Utilization Management (UM) experience to support clinical quality review and AI model development for prior authorization use cases. The ideal candidate will have expertise in applying evidence...Hourly payLocal areaRemote workShift work- ...admission through discharge. Serves as liaison to on-site external reviewers. Uses Midas for recording reviews and tracking denials. Adds... ...in applicable field of study required Six months psychiatric utilization review either for hospital or external review organization...Local areaFlexible hours
- Mountain View Hospital is looking for a Utilization Review Coordinator to join our team!JOB SUMMARY: As a member of the Utilization Management Team, the URCoordinator helps establish and maintain efficient methods of ensuring the medical necessity and appropriateness of...Full timePart timeRelief
$52.75k - $76k
...from Monday - Friday from 9 AM - 5 PM EST PA Registered Nurse or Chiropractor License Required We are seeking a qualified Utilization Reviewer located in the Wayne, PA area. The ideal candidate performs utilization review on workers’ compensation related prospective,...Full timePart timeWork at officeLocal areaMonday to FridayFlexible hours$77.08k - $119.47k
...Salary Range: $77,075.00 - $119,466.00 Responsibilities Completes Utilization Management and Quality Screening for assigned patients.... ...based on Departmental standards. While performing utilization review identifies areas for clinical documentation improvement and contacts...Shift work- ...contribute meaningfully. Note: New Jersey RN Active License is required. Role Description This is a Field work contract role for a Utilization Review Nurse. The Utilization Review Nurse will be responsible for performing utilization management, reviewing medical records,...Contract workRemote work
- Medical Center Health System in Odessa, TX seeks a detail‑oriented support clerk to assist the Utilization Management department with utilization reviews, data collection, and care coordination activities. The position requires a high school diploma, at least one year...
- ...treatment and behavioral health providers. Through services including benefits verification, billing and claims submission, and utilization review, we help treatment centers optimize revenue cycle management while focusing on delivering exceptional patient care. Our team...Hourly payWork at officeRemote work
