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  • Remote Clinical Review Supervisor - Utilization & Quality

     ...Comagine Health in Oregon is seeking a Supervisor, Clinical CM to provide operational supervision of clinical staff performing utilization reviews and specialty reviews using InterQual criteria. You will mentor reviewers, ensure medical necessity decisions are accurate,... 
    Suggested
    Remote work
    Flexible hours

    Comagine Health

    United States
    23 hours ago

  • Utilization Review Manager

    $92.4k - $138.6k

     ...Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and...  ...of redefining the possible in healthcare. The Manager for Utilization Review is responsible for the leadership and management of the... 
    Suggested
    Temporary work
    Work at office
    Local area
    Remote work

    Ensemble Health Partners

    Oregon State
    2 days ago

  • Commercial Operations Manager / Contract Manager (Utility-Scale BESS Projects)

     ...Commercial Operations Manager / Contract Manager Remote- US Trina Energy Storage Solutions...  ..., cell-to-AC storage. We work with utilities, developers, and IPPs to reduce project...  ...their needs are met. Create, prepare, review and edit all contracts. Provide... 
    Suggested
    Full time
    Contract work
    Local area
    Remote work
    Monday to Friday
    Flexible hours
    Shift work
    Afternoon shift
    Early shift

    Trinasolar

    United States
    4 days ago

  • Operations Specialist III - Medicaid / Medi-Cal (Epic + Utilization Review

    $30 - $45 per hour

     ...talented Operations Specialist III – Medicaid / Medi-Cal (Epic + Utilization Review. This is a 06+months contract opportunity with long-term...  ...and abstract data within Epic (HealthConnect preferred) ~ Manage assigned review queues and documentation workflows ~ Track... 
    Suggested
    Contract work
    Local area
    Immediate start
    Remote work

    Pyramid Consulting

    Long Beach, CA
    3 days ago

  • Utilization Review Manager

     ...This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Utilization Review Manager based in United States. This is a strategic clinical leadership role overseeing a centralized Virtual Utilization... 
    Suggested
    Full time
    Temporary work
    Remote work

    Jobgether

    Remote
    5 days ago

  • Utilization Review Manager

    $55k - $70k

     ...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... 
    Suggested
    Full time
    Remote work

    KVC Health Systems

    Missouri
    16 days ago

  • Utilization Review Coordinator

    $18 - $20 per hour

     ...Utilization Review Coordinator PRIMARY PURPOSE: To assign utilization review requests; to verify and enter data in appropriate system(s...  ...Enters demographics and UR information into claims or clinical management system; maintains data integrity. Obtains all necessary... 
    Suggested
    Work at office
    Local area
    Remote work
    Flexible hours

    Sedgwick

    United States
    4 days ago

  • Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote

     ...Job TitleIn this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded as...  ...Minimum 3-5 years of clinical experience preferred.Previous utilization management or case management experience preferred.Certifications/Licensures... 
    Suggested
    Full time
    Remote work
    Monday to Friday

    Populance

    Troy, MI
    23 hours ago

  • Medical Director, Utilization Review

     ...pivotal role will be responsible for overseeing and performing utilization reviews, prior authorizations, and making crucial medical necessity...  ...Care Coordinators, and Operations, to optimize utilization management processes and improve member outcomes. Contribute to the... 
    Suggested
    Full time
    Remote work
    Flexible hours

    CURAtive

    United States
    3 days ago

  • UTILIZATION REVIEW COORDINATOR

     ...Responsibilities Full Time Utilization Review Coordinator Needed! Springwoods Behavioral Health , an 80-bed behavioral health facility located...  ...and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal... 
    Suggested
    Full time
    Local area

    Universal Health Services

    Fayetteville, AR
    2 days ago

  • Utilization Review Coordinator

    $25.66 - $28.9 per hour

     ...Fiscal Employee Type Non Exempt Required Degree High school Manage Others No Description This position is responsible for carrying...  ...electronic billing, bookkeeping, financial spreadsheets, utilization review or other similar electronic processes. Skills: Must pass excel... 
    Suggested
    Work at office
    Local area
    Remote work
    Flexible hours

    Theuniversityunion

    Cuyahoga Falls, OH
    3 days ago

  • Utilization Review Coordinator

     ...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 is committed to accuracy,... 
    Suggested
    Hourly pay
    Work at office
    Remote work

    Nrg-Mgmt-LLC

    Boca Raton, FL
    1 day ago

  • Utilization Review Coordinator

    $20 - $25 per hour

     ...Reports To: Revenue Cycle Management Leadership Location: Remote FLSA Status: Temporary to Direct Hire Schedule: Monday-Friday...  ...SUMMARY: As a key member of the Northpoint team, he Utilization Review Coordinator supports Northpoint's Utilization Review (UR) function... 
    Suggested
    Temporary work
    Remote work
    Monday to Friday

    Northpoint-Recovery-Holdings,-LL

    Meridian, ID
    1 day ago

  • Utilization Review Coordinator

     ...Responsibilities The Hughes Center is seeking a talented and dynamic Utilization Review (UR) Coordinator to join our team of dedicated healthcare...  ...independence. Our team also works diligently to address or manage medical conditions and challenging behaviors that are often... 
    Suggested
    Local area
    Work from home
    Monday to Friday
    Flexible hours
    Day shift

    Talentify.io

    Callands, VA
    5 days ago

  • PROGRAM AND PROJECT SUPERVISOR, PUBLIC UTILITIES COMMISSION

    $12.56k - $15.72k

     ...Wholesale Electric Market Design Public Utilities Commission JC-534196 - Supervisor -...  ...appropriate and feasible by the hiring manager – standard in-person interviews will still...  ..., resources, and complex projects. Review and oversee high-quality work products,... 
    Suggested
    Permanent employment
    Full time
    Work at office
    Remote work
    2 days per week

    Jobleads-US

    San Francisco, CA
    4 days ago

  • Remote Utilization Review Specialist - Behavioral Health

     ...Northpoint Recovery Holdings, LLC is seeking a licensed Utilization Review Specialist to ensure clinically appropriate care, discharge planning, and cost-effective utilization across the treatment continuum. You will lead reviews of admissions, stays, discharges, and... 
    Remote work

    Northpoint-Recovery-Holdings,-LL

    Meridian, ID
    2 days ago

  • Utilization Review Specialist

     ...To support the treatment of addiction and mental health issues, the full-time Remote Utilization Review Specialist will manage pre-authorizations and concurrent reviews, collaborating with case managers and the multidisciplinary treatment team to ensure compliance with... 
    Full time
    Remote work

    Virtual Vocations Inc

    United States
    2 days ago

  • Utilization Review Specialist

    $30 - $35 per hour

     ...POSITION SUMMARY: As a key member of the Northpoint team, the Utilization Review Specialist is a licensed professional who is responsible for...  ...payer Alert and discuss with clinical care team and management staff when patient no longer meets medical necessity criteria... 
    Full time
    Temporary work
    For contractors
    Work at office
    Remote work
    Monday to Friday

    Northpoint-Recovery-Holdings,-LL

    Meridian, ID
    2 days ago

  • ABA Utilization Review (UR) Specialist

     ...Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep...  ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist... 
    Work at office
    Remote work
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    23 hours ago

  • Utilization Review Specialist

     ...Utilization Review (UR) Specialist Location: Open to candidates near Wyomissing PA & Chadds Ford PA (Hybrid / Remote Eligible) Job Type...  ...Position Summary The Utilization Review Specialist manages the full lifecycle of authorizations and eligibility verification... 
    Full time
    Remote work
    Monday to Friday
    Flexible hours

    Diversified Treatment Alternative Centers (DTAC)

    Chadds Ford, PA
    2 days ago

  • Utilization Review Specialist

    $60k - $70k

     ...communities for every stage of the journey. We are seeking a Utilization Review Specialist to add to our dynamic team! The Utilization...  ...closely with healthcare providers, insurance companies, and case managers to facilitate timely approvals and optimize patient outcomes... 
    Full time
    Part time
    Work at office
    Remote work

    Addiction And Mental Health Services

    Birmingham, AL
    10 hours agonew

  • Utilization Review Specialist

    $40k - $50k

     ...Job Type Full-time Description Utilization Review Specialist Full-Time- must be able to work a few weekends per month...  ...and maintaining insurance authorizations, communicating with managed care organizations, and collaborating with clinical teams throughout... 
    Full time
    Part time
    Work at office
    Remote work
    Weekend work

    The Joint Commission

    Fort Lauderdale, FL
    4 days ago

  • Remote Utilization Review Specialist - Behavioral Health

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

    Recovery Unplugged

    United States
    4 days ago

  • PROGRAM AND PROJECT SUPERVISOR, PUBLIC UTILITIES COMMISSION

     ...Electrical Safety Policy Division Program Manager, the incumbent will lead, supervise, and...  ...oversee the development of WMP Guidelines, the review of existing safety requirements and other...  ...experience and knowledge of electric utility grid and operations, wildfire risk and... 
    Full time
    Work at office
    Remote work
    Flexible hours

    Office of Energy Infrastructure Safety

    United States
    5 days ago

  • Behavioral Health Utilization Review Specialist

     ...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
    1 day ago

  • Project Manager- Utility Scale Solar + BESS

     ...Description Doral is seeking a Senior Project Manager to join our growing Project Management...  ..., this role will manage the execution of utility-scale solar and battery energy storage...  ...stakeholders to facilitate the design review process. Support monthly invoice review... 
    Full time
    Contract work
    For contractors
    Work at office
    Remote work

    Doral Renewables LLC

    United States
    2 days ago

  • Water/Wastewater Utilities Group Manager

     ...OVERVIEW: McKim & Creed is looking for a Water/Wastewater Utilities Group Manager. This is a senior hybrid role combining technical leadership...  ...calculations, reports, technical markups, and QA/QC reviews. Serve as Engineer of Record where appropriate. Manage... 
    Full time
    For contractors
    Work at office
    Local area
    Day shift

    McKim & Creed, Inc.

    Pensacola, FL
    2 days ago

  • Project Manager - Utility Scale Solar

     ...Project Manager, Utility Scale Solar Location – Remote US Job Summary The Project Manager is a newly created opportunity within a...  ...Support cost reduction efforts and actively participate in cost reviews Develop and manage project schedules to track process of... 
    Full time
    Contract work
    For contractors
    Local area
    Remote work

    Veritas Partners

    United States
    3 days ago

  • Utilization Review Index Intake Coordinator - REMOTE - Mon-Fri 8:30am-5:30pm PST

    $33.28k - $35.36k

     ...is comprised of scanning, indexing, categorizing, and uploading medical records and files to the corresponding Utilization Review or Medical Case Management case. Concurrently, this position also requires the ability to transition between indexing and intake. The intake... 
    Full time
    Remote work
    Home office
    Monday to Friday

    EK Health Services Inc.

    Remote
    5 days ago

  • Project Manager - Utility relocation

     ...the Apply button. Title: Project Manager Duration: Oakbrook Terrace, IL 60181...  ...Project Management experience (3+ years) Utility experience (Electric, Gas, or Water) or...  .../relocation projects Experience reviewing contract proposals/bids Experience with... 
    Contract work
    Part time
    Work at office
    Remote work
    Relocation
    Monday to Friday

    nTech Workforce

    Villa Park, IL
    2 days ago