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  • $60k - $75k

     ...Quadrant Health Group, i s seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital...  ...office position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be... 
    Remote work
    Full time
    Part time
    Work at office

    Quadrant Health Group

    Boca Raton, FL
    5 days ago
  •  ...Paid Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills...  ...individual will defer decision to a second level reviewer. This individual interfaces with case... 
    Remote work
    Temporary work
    Part time
    Work at office
    Work from home
    Monday to Friday
    Flexible hours

    Hines & Associates Inc

    Freeport, IL
    18 hours ago
  •  ...Job Description Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and... 
    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    4 days ago
  • $51.43 - $79.84 per hour

     ...Description This is a remote role. You MUST live in the state of Washington (WA) to be considered Care Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge... 
    Remote work
    Daily paid
    Full time
    Live in
    Local area
    Shift work
    Day shift

    Providence Health and Services

    Seattle, WA
    17 hours ago
  • $41.04 per hour

     ...Now Hiring: Remote RN Prior Authorization & Utilization Review (Texas Medicaid) &##128313; &##128188; Contract | Up to $41.04/hr &##128205; Remote (Must reside near in TX) &##128338; Full-time | Primary shift: 10 AM 7 PM Are you a detail-oriented RN looking... 
    Remote work
    Full time
    Contract work
    Part time
    Immediate start
    Shift work

    Manpower

    Austin, TX
    2 hours agonew
  •  ...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration:... 
    Suggested
    Full time
    Immediate start
    Work from home
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    4 days ago
  •  ...and/or level Job Summary You will review patient cases for medical necessity and...  ...Schedule You will work primarily remote.  Will be required to work onsite at a...  ...management referral standards, reviewing utilization, and categorizing levels of care. Excellent... 
    Remote work
    Work at office
    Immediate start

    Baylor Scott & White Health

    Highland Park, TX
    10 days ago
  •  ...Advocate will complete telephonic clinical reviews directly with Providers to ensure...  ...position is inbound-queue based, and is fully remote, with a Monday-Friday, 10:30am - 7:00pm...  ...~ Telephone queue experience ~ Utilization review/management experience Explore... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Local area
    Home office
    Monday to Friday

    UnitedHealth Group

    Maryland Heights, MO
    3 days ago
  •  ...person band for producing weekly YouTube videos and accompanying review articles. You will be creating video similar to this channel:...  ...super high-quality written articles. You will have the support of a remote video editor and a web-developer. Key Responsibilities... 
    Remote work
    Work at office

    eNNOVATION Brands

    El Segundo, CA
    7 days ago
  •  ...Caring. Connecting. Growing together. The Utilization Management (UM) Manager is responsible...  ..., concurrent and retrospective reviews and discharge planning functions. The UM...  ...position is based in Idaho but can be worked remotely.  If you reside in Idaho, you will have... 
    Remote work
    Minimum wage
    Full time
    Contract work
    Work experience placement
    Work at office
    Local area
    Weekend work

    UnitedHealthcare

    Meridian, ID
    17 hours ago
  •  ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist...  ...in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities:... 
    Remote work
    Work at office
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    6 days ago
  •  ...capabilities and improved personalized treatment recommendations. Role Description: This is a full-time role for a Utilization Review Manager- Revenue Cycle Management at Variantyx. The role is responsible for managing the claim denials and appeals for the... 
    Suggested
    Full time

    Variantyx

    Framingham, MA
    8 days ago
  •  ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist...  ...in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities:... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    a month ago
  •  ...time away from work programs to include, remote work, dependent care and flexible Fridays...  ...Direct responsibility for Subsurface Utility Engineering (SUE) and utility coordination...  ...quality assurance/quality control (QA/QC) reviews of field data and deliverables. Conduct... 
    Remote work
    Local area
    Relocation
    Flexible hours

    BGE, Inc.

    Houston, TX
    23 days ago
  • $3,000 per month

     ...clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity...  ...efficiently. - Willingness to learn and develop skills for remote work success. What You'll Enjoy: - Participate in online... 
    Remote work
    Extra income
    Temporary work
    Part time
    Immediate start
    Work from home

    Maxion Research

    Texas
    2 hours agonew
  •  ...Saturday, and Sunday. job purpose : The Utility Technician/SME (Subject Matter Expert)...  ...with Building Management Systems and Remote Monitoring Exhibits a strong...  ...approved vendor list. At this time, we are not reviewing or expanding that list. Unsolicited resumes... 
    Remote work
    Local area
    All shifts
    Shift work
    Night shift
    Sunday
    Saturday

    fairlife

    Webster, NY
    21 days ago
  •  ...you only need to apply to one as they are remote. Please note: This position can work...  ...environments, preferably in the utility industry, and be able to rely on their experience...  ...Project Engineer Assists in the process to review function/project procedures,... 
    Remote work
    Part time
    Work at office
    Home office
    Night shift
    Afternoon shift

    Sigma Technologies, Ltd.

    Portland, OR
    5 days ago
  • Description: Functional Manager Location : Remote Are you an experienced manager,...  ...take on performance management including reviews, disciplinary actions and implementation...  ..., and /or project management in power utility design. A minimum of 3 years of direct people... 
    Remote work
    Part time
    Casual work
    Night shift
    Afternoon shift

    Sigma Technologies, Ltd.

    Perrysburg, OH
    5 days ago
  •  ...: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary: We are seeking a detail...  ...Work Environment: Standard office setting or remote work, depending on location. Regular use of... 
    Remote work
    Full time
    Work at office
    Flexible hours

    Recruiting Choices

    Houston, TX
    24 days ago
  • $600 per month

     ...commercial operation of the facility. This role will be remote, but the ideal candidate must be able to travel...  ...with the owner’s engineer, interconnection utility, and other stakeholders to facilitate the EPC design review process. Support the monthly invoice review/... 
    Remote work
    Contract work
    For contractors
    Visa sponsorship

    Doral Renewables LLC

    Philadelphia, PA
    5 days ago
  • $140k - $180k

     ...healthplan organization to find their next Utilization Management Director in Pasadena. Our...  ...Alignment Health. As the Utilization Review Director, you'll oversee 4 direct...  ...insurance. This is an onsite position- no remote options are available at this time. Requirements... 
    Remote work

    Ami Network

    Pasadena, CA
    3 days ago
  •  ...Job Description Job Description Company : Skyway Behavioral Health Title : Utilization Review Specialist (URS) FLSA Status : Exempt Location : Remote Skyway Behavioral Health is an innovative center that goes beyond the treatment of mood, anxiety, and... 
    Remote work
    Temporary work
    Local area

    Skyway Behavioral Health

    Downers Grove, IL
    12 days ago
  •  ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must live in the state of Florida or Texas Job Purpose: Review Workers Compensation requests submitted... 
    Remote work
    Live in
    Work from home

    Elite

    Tampa, FL
    11 days ago
  •  ...The Medical Director, Utilization Management is responsible for assuring physician commitment...  ...UPMC Health Plan members. This fully remote role will be responsible for assuring...  ...utilization management and quality improvement review processes, including concurrent,... 
    Remote job

    UPMC Southwestern PA

    Pittsburgh, PA
    4 days ago
  •  ...Utility Management Services Business Class Leader At HDR, our employee-owners are fully...  ...management, technical consulting, design reviews, subcontract management and construction...  ...management experience with multiple national remote teams is preferred ~ Proven experience... 
    Remote work
    Full time
    Contract work
    Work at office
    Local area

    HDR

    Winston Salem, NC
    17 hours ago
  •  ...40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel Genie Healthcare is looking for a RN to work in Utilization Review or Concurrent Review for a 13 weeks travel assignment located in Los Angeles, CA for the Shift (5x8 Days - Please verify shift... 
    For contractors
    Zero hours contract
    Shift work
    Day shift

    Genie Healthcare

    Los Angeles, CA
    17 hours ago
  •  ...license. About MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a...  ...(IRO) specializing in technology-driven utilization management and clinical medical review solutions...  ...Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per... 
    Remote job
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    3 days ago
  •  ...Job Description Job Description RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare... 
    Remote work
    Full time
    Local area
    Work from home

    Village Care

    New York, NY
    5 days ago
  •  ...Engineer with extensive hands-on expertise in Utilities processes to join our Global...  ...programs for Utilities, including both remote and on-site technical advisory support and...  ...n\n \n\t Conduct regular performance reviews of existing Utilities through key performance... 
    Remote work

    Aramco

    Chicago, IL
    17 days ago
  • $54.6k - $64.7k

     ...culture. We have an opening for a Level of Impairment Reviewer (LCSW or LCPC) Remote - 30 hours per week The Full-time, 30 hours per week,...  ...Mountain Pacific is an equal opportunity employer and utilizes Simpliverified. We welcome applications from all qualified... 
    Remote work
    Full time
    Local area

    Mountain Pacific

    Helena, MT
    21 days ago