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$2,150 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boca Raton, Florida. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~36 hours per week...SuggestedTemporary workImmediate startWork from homeShift workAMN Healthcare Revenue Cycle
Highland Beach, FL1 day ago- ...of behavioral health problems. As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description The Utilization Manager is responsible for directing and overseeing the Utilization Program for Inpatient...SuggestedLocal area
$2,150 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Remote Case Manager, Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 09/21/2026 ~...SuggestedPermanent employmentFull timeTemporary workWork at officeImmediate startRemote workShift workAMN Healthcare Revenue Cycle
Lauderdale, MN1 day ago- ...Building Operations, Physical Plant, and Utilities oversees daily operations, maintenance,... ...and repair work, assisting with budget management, ensuring compliance with safety regulations... ...plans.Coordinates, supervises, and reviews work of consultants engaged to serve the...SuggestedPermanent employmentFull timeWork at officeRemote workFlexible hours
$89.76k - $127.98k
...Position Summary This position is responsible for performing utilization management and concurrent review activities to ensure appropriate level of care determinations for patients receiving inpatient, observation, emergency, and outpatient services. The role includes...SuggestedFull timeWork at officeFlexible hoursWeekend workDay shiftWeekday workStony Brook Medicine
Stony Brook, NY1 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...SuggestedFull timeLocal area
Universal Health Services
Champaign, IL4 days ago - ...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...SuggestedWork at officeRemote work
Sedgwick
United States3 days ago $30 - $45 per hour
...talented Operations Specialist III - Medicaid / Medi-Cal (Epic + Utilization Review. This is a 06+months contract opportunity with long-term... ...Navigate and abstract data within Epic (HealthConnect preferred) Manage assigned review queues and documentation workflows Track...SuggestedContract workLocal areaImmediate startRemote work$87.14k - $114.66k
...opportunitySWCA Environmental Consultants seeks a qualified Lead Project Manager - Utility Permitting with strong interpersonal skills and experience... ...hybrid eligible. Application deadline: Our team will begin reviewing applications immediately, and interviews will be scheduled...SuggestedFull timeWork at officeLocal areaImmediate start- ...Patient Chart Reviewer In this position you will be reviewing patient charts to determine if pre-elective surgical cases should... ...3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred. Certifications...SuggestedFull timeRemote workMonday to Friday
Henry Ford Health System
Troy, MI4 days ago - ...CorroHealth is seeking a Medical Director, Concurrent Review, to evaluate hospitalizations nationwide. The role emphasizes using clinical... ...a predictable schedule and a path to expand knowledge in Utilization Review. Ideal candidates hold an MD/DO with an unrestricted...SuggestedRemote work
CorroHealth Inc
New York, NY1 day ago - ...Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center... ...Coordinator Duties: The UR Coordinator is responsible for managing the treatment activities offered to the patient, including...SuggestedFull timeLocal areaShift work
Universal Health Services
Phoenix, AZ2 days ago $64k
...also providing cross-functional support to the Revenue Cycle Management department. This role serves as a key link between the... ...patient's episode of care. Reporting to the Director of Utilization Review with a dotted-line relationship to the Director of Revenue Cycle...SuggestedFull timeContract workPart timeWork at officeRemote workShift workAlsos Behavioral Health
Aurora, CO3 days ago- ...nurturing, family-friendly environment. We utilize a multidisciplinary team approach to... ...team also works diligently to address or manage medical conditions and challenging behaviors... ...the residents' stay. * Develop systems to review and respond to concerns expressed by...SuggestedLocal areaWork from homeFlexible hours
Universal Health Services
Danville, VA2 days ago - ...Director in directing and coordinating medical management, quality improvement, and credentialing.... ...role provides medical leadership for utilization management, cost containment, and... ...support performance improvement initiatives, review complex medical cases, and collaborate...SuggestedRemote job
$20 - $30 per hour
...industry by delivering exceptional care, utilizing state-of-the-art facilities, and... ...Reports to: SeniorDirector of Revenue Cycle Management Department/Location: Remote FLSA Status:... ...Requirement: None Responsibilities Utilization Review on Behalf of the Clinics: Prescreen...Remote workGuidelight Health
New York, NY4 days ago- Centene Corporation is seeking a Medical Director to lead utilization management, quality improvement, and medical review activities. You will partner with Chief Medical Director to shape goals, policies, and cost-effective care for a diverse member population. The role...Remote job
- ...professional responsible for leading medical management, quality improvement, and credentialing... ...focuses on providing medical leadership for utilization management, cost containment, and quality initiatives, performing reviews, and supporting performance improvement programs...Remote job
- ...Medical Director, Utilization Management The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication... .... In this role you will deliver and collaborate on clinical review activities, which includes management of the physician processes...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra’s Utilization Management (UM) operations. Role functions within a structured, high-volume authorization review...Hourly payFull timeContract workTemporary workPart timeLocal areaRemote workIntegra Partners
Troy, MI5 days ago- Integra Partners seeks an experienced Utilization Review Medical Director to lead clinical reviews of DMEPOS requests within a remote UM environment. You will ensure decisions meet Medicare/Medicaid guidelines and internal policies while maintaining timely throughput and...Remote job
- Integra Partners is seeking a Utilization Review Medical Director to lead clinical reviews of DMEPOS requests within a high-volume UM environment... .../Family Medicine or PM&R, and experience in utilization management. Remote work during standard business hours is supported,...Remote job
$120k - $160k
GFT is seeking a Project Manager to join our team. If you are in Chicago, IL, Phoenix, AZ... ..., distribution, and renewable energy, utilizing advanced technologies and creative problem... ...risks through proper scoping, contract review, and communication.Develop, maintain, and...Full timeContract workFor subcontractorRemote work- ...no remote work***The Director of Project Management provides strategic leadership and... ...performance of large-scale and complex utility services projects and programs at Osmose... ...corrective action.Lead portfolio and program reviews focused on financial performance, delivery...Contract workRemote work
- Freese and Nichols is looking for Sr. Project Manager - W/WW Transmission and Utilities in Charlotte, NC. In this role, you’ll lead complex W/WW conveyance... ...engineers and technical staff through coaching, review, and feedback.Support business development by contributing...Full timeContract workLocal areaRemote workFlexible hours
$88k - $151k
...day before the posting end dateJob Summary Manage, or assist in the management of, base,... ...environment focused on Zero Harm.Develop, review and coordinate the project plan, schedule... ...control would be beneficial. Experience in utilities, commercial nuclear power, and/or IT...Full timeContract workFor contractorsApprenticeshipWork from homeHome office- ...patients-we invest in our people. About the Role: The Utilization Review Specialist plays a critical role in ensuring that healthcare... ...with healthcare providers, insurance companies, and case managers to facilitate timely approvals and optimize patient outcomes...Part timeRemote work
ADDICTION AND MENTAL
United States1 day ago - ...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,...Hourly payWork at officeRemote work
- Remedial Pro seeks a utilization review professional to monitor adherence to the facility’s utilization plan and ensure appropriate admissions and stays. You will handle initial and concurrent reviews, collaborating with insurers and healthcare partners to communicate...Remote job
- Freese and Nichols is seeking Sr. Project Manager - W/WW Transmission and Utilities in Jacksonville, Florida. You’ll step into a seller-doer role built... ....Oversee quality by guiding technical approaches, reviewing key deliverables, and ensuring work meets firm standards...Full timeWork at officeLocal areaRemote workFlexible hours
