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- ...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,...SuggestedRemote workFlexible hours
Comagine Health
United States21 hours ago $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...SuggestedTemporary workWork at officeLocal areaRemote work- ...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...SuggestedFull timeContract workLocal areaRemote workMonday to FridayFlexible hoursShift workAfternoon shiftEarly shift
Trinasolar
United States4 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... ...and abstract data within Epic (HealthConnect preferred) ~ Manage assigned review queues and documentation workflows ~ Track...SuggestedContract workLocal areaImmediate startRemote workPyramid Consulting
Long Beach, CA3 days ago- ...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...SuggestedFull timeTemporary workRemote work
Jobgether
Remote5 days ago $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...SuggestedFull timeRemote work$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- ...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...SuggestedFull timeRemote workFlexible hours
CURAtive
United States3 days ago - ...Patient Chart ReviewerIn this position you will be reviewing patient charts to determine if pre-elective surgical cases should... ...Minimum 3-5 years of clinical experience preferred.Previous utilization management or case management experience preferred.Certifications/Licensures...SuggestedFull timeRemote workMonday to Friday
Henry Ford Health System
Troy, MI2 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,...SuggestedHourly payWork at officeRemote work
Nrg-Mgmt-LLC
Boca Raton, FL1 day ago $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...SuggestedTemporary workRemote workMonday to FridayNorthpoint-Recovery-Holdings,-LL
Meridian, ID1 day 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
Talentify.io
Callands, VA5 days ago $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...SuggestedWork at officeLocal areaRemote workFlexible hoursTheuniversityunion
Cuyahoga Falls, OH3 days ago- ...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...SuggestedFull timeLocal area
Universal Health Services
Fayetteville, AR2 days ago $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,...SuggestedPermanent employmentFull timeWork at officeRemote work2 days per week- ...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, ID2 days ago - ...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 timeRemote workWeekend work
Recovery Unplugged
United States4 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 timeRemote work
Virtual Vocations Inc
United States1 day ago $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 timePart timeWork at officeRemote workWeekend workThe Joint Commission
Fort Lauderdale, FL4 days ago- ...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 timeRemote workMonday to FridayFlexible hours
Diversified Treatment Alternative Centers
Wyomissing, PA2 days 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, IL21 hours ago $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 timeTemporary workFor contractorsWork at officeRemote workMonday to FridayNorthpoint-Recovery-Holdings,-LL
Meridian, ID2 days ago- ...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 timeRemote work
Virtual Vocations Inc
United States2 days ago $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 timePart timeWork at officeRemote workAddiction And Mental Health Services
Birmingham, AL8 hours agonew- ...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 timeWork at officeRemote workFlexible hours
Office of Energy Infrastructure Safety
United States5 days ago - ...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 timeFor contractorsWork at officeLocal areaDay shift
McKim & Creed, Inc.
Pensacola, FL2 days ago - ...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 timeContract workFor contractorsWork at officeRemote work
Doral Renewables LLC
United States2 days ago $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 timeRemote workHome officeMonday to Friday- ...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 timeContract workFor contractorsLocal areaRemote work
Veritas Partners
United States3 days ago - ...Optum is seeking a remote Behavioral Health Utilization Review Specialist to support case management and care coordination. This full-time, Monday–Friday role offers standard business hours with occasional on-call needs based on business requirement. The position requires...Full timeRemote workMonday to Friday
Optum
Sedona, Yavapai County, AZ10 hours agonew
