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Physician / Surgery - Plastic / Vermont / Permanent / Plastic Surgeon - Utilization Review Physician
Dane Street , a nationally recognized Independent Review Organization (IRO) and leading provider of Utilization Review (UR) services, is expanding its panel of physician reviewers. We are currently seeking Board-Certified Plastic Surgeons with an active Louisiana medical...SuggestedPermanent employmentRemote workFlexible hoursDane Street
Madison, WI4 days ago- ...us at Houston Methodist Hospital. At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN)... ...obligations. The URN PRN position serves as a resource to the physicians and provides education and information on resource...SuggestedPermanent employmentWork experience placementReliefLocal area
- Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
- ...among the first 25 applicants Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician panel. We are seeking Board-Certified Orthopedic Surgeons with an active...SuggestedExtra incomeContract workFor contractorsRemote workFlexible hours
$41 - $45.5 per hour
...services for members in alignment with physician treatment plans. The role ensures cost-effective... ...assessments, health education, and utilization management. Key Responsibilities:... ...prospective, concurrent, and retrospective reviews for inpatient, rehab, referrals, and select...SuggestedRemote job- Overview Job Description We’re searching for a Utilization Management Clinical Registered Nurse,... ...performing telephonic and/or concurrent review of inpatient hospitalizations and... ...network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas...SuggestedLocal area
- A leading healthcare provider in the United States is seeking an experienced Utilization Review Nurse (URN) PRN to conduct thorough medical record reviews to determine the necessity of inpatient services. The ideal candidate must be a Registered Nurse with a minimum of...SuggestedRelief
- A leading pediatric healthcare organization in Wisconsin is looking for a Utilization Management Clinical Registered Nurse responsible for providing precertification and telephonic reviews of inpatient hospitalizations. Candidates must hold an RN license and have at least...Suggested
$29.05 - $67.97 per hour
...for medical claim and internal appeals review activities - ensuring alignment with applicable... ...Resolves escalated complaints regarding utilization management and long-term services and... ...for utilization management, CMOs, physicians and member/provider inquiries/appeals....SuggestedHourly payWork experience placementWork at officeMolina Healthcare
Green Bay, WI3 days ago$29.05 - $67.97 per hour
...for medical claim and internal appeals review activities - ensuring alignment with applicable... ...Resolves escalated complaints regarding utilization management and long-term services and... ...for utilization management, CMOs, physicians and member/provider inquiries/appeals....SuggestedHourly payWork experience placementWork at officeRemote workMolina Healthcare
La Crosse, WI1 day agoPhysician / Surgery - Neurological / Vermont / Permanent / Physician Reviewer - Neurological Surgery
Description Dane Street, a leading national provider of Utilization Review (UR) and Independent Review Organization (IRO) services, is expanding our panel of physician reviewers. We are seeking Board-Certified Neurological Surgeons with an active Louisiana medical license...SuggestedExtra incomePermanent employmentContract workRemote workFlexible hoursDane Street
Madison, WI7 hours agonew$76k - $85k
A leading public sector solutions firm is seeking a Utilization Review Nurse to work remotely. This role involves conducting prior authorizations, performing reviews, and using medical management software. The ideal candidate will have a nursing degree, at least 2 years...SuggestedRemote job- ...(What The Role Does) Serve as the primary physician resource for UM decision‑making, escalations, and complex case reviews Provide clinical oversight and guidance for... ...recommendations based on denial trends and utilization data Participate in leadership discussions...SuggestedFull timePart time
$81.29k - $122.03k
...within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function within the Mayo...SuggestedFull timeRemote workFlexible hoursMayo Clinic
Eau Claire, WI-25- Title - Clinical Review Nurse - Concurrent Review Duration - 6 months Location - Remote TX Responsibilities Job Profile Summary Responsibilities... ...medical records in health management systems according to utilization management policies and guidelines Works with healthcare...SuggestedRemote workWork from home
$76k - $85k
...challenges, pursue opportunities, and serve constituents across the public sector. To learn more, visit PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing a medical management software system on a day-to-day...For contractorsH1bWork at officeLocal areaRemote work$68 - $73 per hour
...'ll Be Doing: The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Oncology is responsible... ...Oncology administrative and clinical utilization management and quality improvement... ...RESPONSIBILITIES : Conducts initial clinical review of incoming cases, rendering...Work at officeImmediate startEvolent
Madison, WI7 hours agonew- Dane Street wants you to join our dynamic team of expert reviewers! In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. This telework opportunity allows you to customize your schedule as a 1099 independent...For contractorsRemote work
$200k
...Repayment Services program office after review of the EDRP application. Former EDRP participants... ...for qualified applicants. If the physician has appropriate qualifications, they can... ...are not REAL ID compliant cannot be utilized as an acceptable form of identification...Full timeContract workPart timeSeasonal workWork at officeLocal areaRelocation packageLong distanceVeterans Affairs, Veterans Health Administration
Madison, WI23 hours ago$350k
...focused private equity firm is looking for a mid-senior level Medical Doctor to support utilization management and clinical oversight. Responsibilities include conducting physician reviews with payers and providing guidance on documentation best practices. Candidates...Part time- ...has an opening for a Medical Director / Physician at Kenosha County Detention Center in... ...and provide on-call services. Annually review and approve clinical protocols, policies... ...formulary for therapeutic regimens before utilizing non-formulary procedure. Review all...Temporary workLocal area
VitalCore Health Strategies
Kenosha, WI1 day ago $103k - $138k
...our website, please only use or . Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other... ...status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official...Full timePart timeRelocation packageFlexible hoursLifeStance Health
Racine, WI23 hours ago$200k
...comprehensive total rewards package. VHA Physician Total Rewards. An opportunity exists for... ...Repayment Services program office after review of the EDRP application. Former EDRP... ...that are not REAL ID compliant cannot be utilized as an acceptable form of identification...Full timeContract workFreelanceSeasonal workWork at officeLocal areaRelocation packageMonday to FridayVeterans Affairs, Veterans Health Administration
Green Bay, WI3 days ago- Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings). We are expanding our physician panel, resulting in opportunities for non-traditional physician work and supplemental income. This is a telework...Extra incomeContract workRemote work
- Dane Street is an Independent Review Organization and a national provider of Utilization Review services (among other offerings). We are expanding our physician panel, resulting in opportunities for non-traditional physician work and supplemental income. This is a telework...Extra incomeContract workRemote work
- ...the Job: PURPOSE STATEMENT: The Physician provides comprehensive care by providing... ...corporate, facility policy or procedures. • Reviews medical information on patients to... ...Treats or direct treatment of patients, utilizing a variety of psychotherapeutic methods and...Part time
Summit BHC
Middleton, WI1 day ago - A leading healthcare company is seeking a Medical Director to manage utilization review remotely. The role requires an M.D. or D.O. with at least five years of direct patient care experience and an active Oklahoma medical license. Responsibilities include ensuring timely...Remote job
- ...will develop relationships with referring physicians and potential referring physicians to... ...correction when necessary. Participates in chart reviews to ensure staff compliance in chart... ...federal and other employment laws. Utilizes other corporate resources in situations...Hourly payWork at officeRelocation package
Alliance Physical Therapy Partners
Franklin, WI3 days ago $58k
...our website, please only use or . Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other... ...status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official...Full timeLocal areaRelocation packageFlexible hoursLifeStance Health
Union Grove, WI2 days ago- ...Founded in November of 2020, Pain Physicians of Wisconsin is a group of Physicians, Nurse... ...Performs pre- and post-operative teaching. Reviews consent form and orders for accuracy.... ...encounters as needed, properly updates, and utilizes medication module. Tasks and...Part timeTraineeshipWork at officeImmediate start
PAIN PHYSICIANS of WISCONSIN SC
Franklin, WI23 hours ago
