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$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 workFor contractorsWork at officeImmediate startRemote workShift work$89.76k - $127.98k
...Utilization Review and Appeals Case Manager 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...SuggestedFull timeWork at officeFlexible hoursShift workWeekend workDay shiftWeekday workStony Brook University
Stony Brook, NY3 days 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
- ...To support Utilization Management operations, the full-time Utilization Review Medical Director will conduct clinical reviews of Durable Medical Equipment (DME) requests remotely, ensuring compliance with Medicare and Medicaid guidelines while maintaining productivity...SuggestedFull timeRemote work
Virtual Vocations Inc
United States2 days ago $136k - $192k
...expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-... ...leader to serve as the Manager, Clinical Review Operations and Quality Assurance. This pivotal... ...in QA best practices, clinical utilization review, P&T committee support, and regulatory...SuggestedFull timeTemporary workWork at officeFlexible hours$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- Centene Corporation is seeking a clinical professional to lead Medical Management/Health Services for 28 million members. The role drives utilization management, quality improvement, and medical review across a national organization with flexible work options. The...SuggestedRemote jobFlexible hours
- ...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, MI5 days ago $100.1k - $150.2k
...currently seeking an experienced Quality Manager - Utilties/Civil with the ability to... ...quality management oversight for underground utility construction, including stormwater, duct... ...standards, and documentation processes. Review and interpret project specifications,...SuggestedContract workFor contractorsH1bWork at officeRemote workFlexible hours- ...clinical staff in a collaborative environment, the full-time Utilization Review Coordinator will assign utilization review requests, verify... ...and utilization review information into claims or clinical management systems, maintaining data integrity Obtains necessary information...SuggestedFull timeWork at officeRemote work
Virtual Vocations Inc
United States2 days ago - ...Remote Full Time Days And Every Other Weekend RN Case Manager -Utilization ReviewJoin our team as a remote full time days and every other weekend RN Case Manager -Utilization Review at INTEGRIS Health, Oklahoma City, OK.Get to Know Your Team:INTEGRIS Health, Oklahoma's...SuggestedFull timeWork at officeRemote workShift workWeekend work
INTEGRIS Health
Oklahoma City, OK14 hours ago $30.64 - $45.8 per hour
...Job Description Job Description The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate...SuggestedHourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hoursCorVel Healthcare Corporation
Rancho Cucamonga, CA3 days ago$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...SuggestedWork at officeLocal areaRemote workFlexible hoursSedgwick
United States4 days ago- ...or conduct patient discharges by providing health education management to patients and their support systems, regarding post hospital... ...including call backs, population health data, swing-bed and Utilization Review.7. Assists with goals to reduce readmissions, over...SuggestedWork at officeImmediate startRemote workShift workWeekend work
Lexington Regional Health Center
Lexington, NE4 days ago - ...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...SuggestedLocal areaWork from homeMonday to FridayFlexible hoursDay shift
Universal Health Services
Danville, VA5 days 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
Nrg-Mgmt-LLC
Boca Raton, FL1 day ago $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, MI26 days ago$118.29k - $163.94k
...Pay Plan Title: Director, Utilization Management Working Title: Director, Utilization Management – Review FLSA Status: Exempt Posting Salary Range: $118,292 - $163,939 Office Location: Remote within North Carolina. POSTING DETAILS: Make an Impact...Full timeWork at officeLocal areaImmediate startRemote workWork from homeFlexible hours$195.2k - $341.6k
...clinical consultation, and clinical case review for members. Essential Functions:... ...in quality improvement initiatives, case management activities and member safety activities... ...management activities Assist in the review of utilization data to identify variances in patterns,...Hourly payFull timeWork at officeWeekend workAfternoon shift$195.2k - $341.6k
...Operational leadership, Medical Economics Analytics Identify utilization management trends and take appropriate action Support of regulatory... ...training, clinical consultation, and clinical case review for members Participate in peer-to-peer discussions Provide...Hourly payFull timeWork at officeWeekend workAfternoon shift$90.9k - $129.9k
...patient interactions for this role, rather you will provide utilization review and quality assurance.Your role in our missionReview and evaluate... ....Enter prior authorization outcomes into the Medicaid Management Information System (MMIS) for processing.Participate in monthly...Full timeRemote workHome officeFlexible hours- ...Utilization Review Specialist Ethos Risk Services is a leading insurance claims investigation and medical management company committed to providing better data that translates into better decision-making for our clients. We are at the forefront of innovation in our...Full timeWork at officeRemote work
Ethos Risk Services
United States1 day ago - ...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 officeRemote workFlexible hours
Spectrum Billing Solutions
Skokie, IL5 days ago - 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
$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$50k
...Employer Industry: Behavioral Healthcare Management Why consider this job opportunity Starting pay up to $50,000 per... ...Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary...Remote workSanta Barbara Cottage Hospital
United States2 days ago- 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
$55k - $70k
...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000... ...plays a critical role in ensuring both clinical quality management and financial viability for our partner facilities. This position...Full timeWork at officeLocal areaRemote workQuadrant Health Group
Wellington, FL1 day ago$35 - $40 per hour
...POSITION SUMMARY: As a key member of the Northpoint team, the Utilization Review Specialist is a licensed professional who is responsible for... ...-party payer Alert and discuss with clinical care team and management staff when patient no longer meets medical necessity...Full timeTemporary workWork at officeRemote workMonday to FridayNorthpoint-Recovery-Holdings,-LL
Meridian, ID2 days ago- OVERVIEW: McKim & Creed is looking for a Water/Wastewater Utilities Group Manager. This is a senior hybrid role combining technical leadership... ...oversee calculations, reports, technical markups, and QA/QC reviews.Serve as Engineer of Record where appropriate.Manage...Full timeFor contractorsWork at officeLocal areaDay shift
