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  •  ...EK Health Services Inc. is seeking an Utilization Review Index Intake Coordinator for a fully remote role in AZ, Mon-Fri 8:30am-5:30pm PST. The position requires processing of medical case files and referrals, indexing, data entry, and collaboration with healthcare professionals... 
    Suggested
    Remote work

    EK Health Services

    United States
    1 day ago
  • $16 - $17 per hour

     ...direction of the UR Administrative Supervisor, an Index-Intake Coordinator is responsible for pre-opening and preparing electronic...  ...and uploading medical records and files to the corresponding Utilization Review or Medical Case Management case. Concurrently, this... 
    Suggested
    Full time
    Remote work
    Home office
    Monday to Friday

    GrabJobs

    Columbus, OH
    5 days ago
  •  ...To support the Utilization Review function, the part-time Utilization Review Coordinator will manage the authorization process by coordinating documentation, tracking authorizations, and assisting Utilization Review Specialists, all while working remotely. Key responsibilities... 
    Suggested
    Part time
    Remote work

    Virtual Vocations Inc

    United States
    13 hours ago
  •  ...Responsibilities PRN Utilization Review Coordinator Needed! Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides acute inpatient treatment for adolescent, adult, and specialty program for women. The hospital... 
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    Relief
    Local area

    Universal Health Services

    Fayetteville, AR
    4 days ago
  •  ...Patient Chart ReviewerIn this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded...  ....Minimum 3-5 years of clinical experience preferred.Previous utilization management or case management experience preferred.... 
    Suggested
    Full time
    Remote work
    Monday to Friday

    Henry Ford Health System

    Troy, MI
    2 hours agonew
  •  ...Responsibilities Brentwood Hospital is looking for a dynamic Utilization Review Coordinator to join our team of professionals who are dedicated to providing help and hope to individuals and families for the achievement of improving their mental health. Help, by providing... 
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    Work at office
    Local area

    Universal Health Services

    Shreveport, LA
    2 days ago
  •  ...Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide. Calvary... 
    Suggested
    Full time
    Local area
    Shift work

    Clive Behavioral

    Phoenix, AZ
    2 days ago
  • $40k - $62k

     ...behaviors to improve the visibility, execution, and outcomes of utilization review, case management, and revenue cycle functions. Our mission...  ...functions include, but are not limited to the following: Coordination: Manage and track the submission of clinical reviews to... 
    Suggested
    Work at office
    Remote work

    Long Tail Health Solutions Inc.

    New York, NY
    1 day ago
  •  ...Responsibilities Full-time Utilization Review Coordinator Opening The Pavilion Behavioral Health System has been the leading provider of behavioral health and addictions treatment for families in Illinois since 1989. Located in Champaign, Illinois, we provide a secure... 
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    Full time
    Local area

    Laurel Ridge Treatment Center

    Champaign, IL
    4 days ago
  •  ...Integrated Management Strategies (IMS) is seeking an experienced Sr Review Coordinator to join our healthcare consulting practice. This role is fully remote within the US and focuses on utilization review of plans of service for home and community-based programs, impacting... 
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    Contract work
    Remote work
    Work from home

    Integrated Management Strategies

    New York, NY
    1 day ago
  •  ...Responsibilities The Hughes Center is seeking a talented and dynamic Utilization Review (UR) Coordinator to join our team of dedicated healthcare professionals! Monday - Friday, Dayshift The Hughes Center is a highly-structured psychiatric residential treatment... 
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    Local area
    Work from home
    Monday to Friday
    Flexible hours
    Day shift

    The Hughes Center

    Callands, VA
    3 days ago
  • $20 - $30 per hour

     ...industry by delivering exceptional care, utilizing state-of-the-art facilities, and...  ...Requirement: None Responsibilities Utilization Review on Behalf of the Clinics: Prescreen referrals...  ...with the primary treating clinicians. Coordinate Peer-to-Peer (P2P) Review preparation... 
    Suggested
    Remote work

    Guidelight Health

    New York, NY
    3 days ago
  •  ...Northpoint Recovery Holdings, LLC is seeking an experienced Utilization Review Coordinator to support the UR function by coordinating authorization workflows and payer communications across markets. You will partner with UR Specialists, Clinical Operations, Admissions... 
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    Remote work

    Northpoint-Recovery-Holdings,-LL

    Meridian, ID
    4 hours agonew
  • $20 - $25 per hour

     ...and treating every individual with empathy and respect. POSITION SUMMARY: As a key member of the Northpoint team, he Utilization Review Coordinator supports Northpoint’s Utilization Review (UR) function by coordinating the administrative and operational components of... 
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    Full time
    Temporary work
    For contractors
    Remote work
    Monday to Friday

    Northpoint-Recovery-Holdings,-LL

    Meridian, ID
    4 hours agonew
  •  ...Case Manager - Utilization Review Specialist - Remote Full-Time Position You must reside in one of these states to be eligible for position...  ...mandated quality assurance reviews. May supervise and coordinate activities of utilization review staff. Research clinical... 
    Suggested
    Full time
    Remote work

    Quorum Health

    Little Rock, AR
    1 day ago
  •  ...Cascade Medical , in beautiful downtown Leavenworth in the foothills of the Cascade Mountains, is looking for a full time Utilization Review Coordinator . Job Summary: The Utilization Review Coordinator leads day-to-day utilization review activities for inpatient,... 
    Full time
    Monday to Friday
    Shift work

    Cascade Medical Center

    Leavenworth, WA
    21 days ago
  • $27 - $30 per hour

     ...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 partners... 
    Full time
    Remote work

    MnTC

    Minneapolis, MN
    21 days ago
  •  ...WNS, part of Capgemini, seeks a remote Utilization Review Nurse to perform medical necessity reviews and collaborate with providers to ensure compliant patient care. The role emphasizes adherence to HIPAA, state and federal regulations, and a strong team-oriented environment... 
    Work at office
    Remote work

    HealthHelp

    United States
    13 hours ago
  • $65k - $85k

     ...Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with strong experience in OASIS, coding, QA... 
    Remote work
    Monday to Friday
    Weekend work
    Weekday work

    Concierge Home Care

    United States
    13 hours ago
  • $69.39k - $88.61k

     ...Cincinnati Children’s is seeking an experienced Utilization Review professional for a remote role in the United States. The position supports case management, authorization, compliance, and education within the Utilization Review department. The role requires a Bachelor... 
    Full time
    Remote work

    Cincinnati Children's

    United States
    1 day ago
  •  ...Saint Joseph Health System is seeking an RN Utilization Review specialist for a part-time, remote PRN role that requires on-site training in Mishawaka, Indiana. The position emphasizes reviewing medical necessity, insurance requirements, and discharge planning in collaboration... 
    Part time
    Relief
    Remote work

    Trinity Health

    Mishawaka, IN
    3 days ago
  •  ...Cincinnati Children e s Hospital Medical Center is seeking a Remote Utilization Review professional to perform admission and continued stay reviews using InterQual, ensuring medical necessity and appropriate level of care. The role collaborates with Admitting, Financial... 
    Remote work

    Cincinnati Children's Hospital

    United States
    1 day ago
  •  ...Evolent is seeking a Coordinator, Intake Utilization Management to serve as the point of contact for processing prior authorization requests in line...  ...and collaboration with medical and behavioral health reviewers. You will work with a clinical team including LVNs, LPNs... 
    Remote work

    Evolent

    United States
    2 days ago
  •  ...Position Title: Utility & Energy Due Diligence Program Manager Location: Remote (Travel...  ...selection and development decisions. Review utility easements, rights-of-way, access...  ..., restrictions, or encumbrances. Coordinate with title companies, surveyors, legal teams... 
    Remote work
    Worldwide

    GCS Recruitment

    Sacramento, CA
    2 days ago
  •  ...Athens Administrators has an immediate need for a full-time Utilization Review Specialist to support our Athens Managed Care department and can be located remotely if technical requirements are met and the employee resides in a state Athens operates in. The schedule for... 
    Full time
    Immediate start
    Remote work
    Monday to Friday

    Athens Administrators

    United States
    4 days ago
  • $20 - $21 per hour

     ...Dealership: L0105 Lithia Home Office Lithia & Driveway | AP Utilities Coordinator At Lithia & Driveway (NYSE: LAD) our success is fueled by our...  ...accounts. Process utility invoices accurately and on time. Review bills for duplicate or overlapping charges, fees, and payment... 
    Temporary work
    Work at office
    Remote work
    Home office

    Lithia & Driveway

    New York, NY
    4 days ago
  •  ...accredited college or university in Nursing, Social Work, Behavioral Health or related field required preferred. 2-3 years of utilization review experience in behavioral health, addiction treatment, or managed care. Strong understanding of ASAM criteria, LOCUS, DSM-5,... 
    Daily paid
    Full time
    Remote work

    The Florida House

    United States
    3 days ago
  •  ...Managing insurance authorizations for mental health and substance use treatment, the full-time Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support medical necessity criteria while working remotely. Key responsibilities... 
    Full time
    Remote work

    Virtual Vocations Inc

    United States
    4 days ago
  •  ...Cincinnati Children's is seeking a Utilization Review professional to perform admission and continued stay reviews to determine medical necessity and certification for inpatient stays. The role requires RN licensure with relevant experience and works remotely in the United... 
    Remote work

    CO00 Children's Hospital Medical Center

    United States
    2 days ago
  •  ...Recovery Unplugged is seeking an experienced Utilization Review Specialist to join our team. This remote, part-time role focuses on obtaining and maintaining insurance authorizations, communicating with managed care organizations, and collaborating with clinical teams... 
    Part time
    Remote work
    Weekend work

    Recovery Unplugged

    United States
    2 days ago