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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 workFull timeWork at officeQuadrant Health Group
Dania Beach, FL3 days ago$56.44 - $87.63 per hour
...Description This position is a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care...Remote workFull timeWork at officeLocal areaWork from homeShift workProvidence Health and Services
Anaheim, CA1 day ago$28.9 - $35.45 per hour
...$28.90- $35.45/hr based on experience We are seeking Virtual Utilization Review Specialists to join our team. Full-time and PRN jobs are available... ...Other Knowledge, Skills, and Abilities Required: This is a remote role which requires access to high speed internet Excellent...Remote jobFull timeReliefWork at officeWork from home$26.5 - $47.59 per hour
...fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA... ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE, UNENCUMBERED...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursCentene Corporation
Sacramento, CA1 day ago- Join to apply for the Utilization Review Appeals Specialist role at Michigan Medicine . Talent Acquisition Consultant at Michigan Medicine Why... ...of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work...Remote workFull timeWork at officeWork from homeMonday to Friday
- ...this dept is 100% remote, with a variety of service lines and levels of care (inpatient, Extended Hospital Outpatient and OBS).... ...3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) • InterQual...Remote work
Pacer Group
Torrance, CA15 hours ago - Overview Join to apply for the Support Specialist- Utilization Review/Full Time/Remote role at Henry Ford Health . The support specialist is a key member of the centralized Utilization Review team, responsible for time‑sensitive authorization tracking and resolution. Responsibilities...Remote jobFull timeShift work
- ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of... ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed to offer supplemental income with complete...Remote jobPrice workExtra incomeFor contractors
- ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred...Remote workLocal areaWeekend work
Zenex Partners
Beverly Hills, CA2 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 working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities Review...Remote workWork at officeFlexible hours
- ...Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift... ...staff is needed) Day Shift 0800-1630, (UR positions will be remote) Need to have UR experience, specifically with InterQual...Remote workShift workWeekend workDay shift
Zenex Partners
Apple Valley, CA4 days ago $32.15 - $48.05 per hour
...Rate: $32.15 - $48.05 Shift: Day Shift - Remote Hours Per Week: 40-hours Date Posted: 6/... ...company reimbursement policies. Reviews application for patient admission and approves... ...approves admission or refers case to facility utilization review committee for review and course...Remote jobHourly payFull timeShift workDay shift- Overview Join to apply for the Utilization Review Specialist role at Odyssey House Louisiana . This is a full-time remote position (must reside in New Orleans or surrounding area) with hours Monday-Friday, 8:00 a.m. - 5:00 p.m. Job Summary Odyssey House Louisiana, Inc...Remote workFull timeTemporary workMonday to Friday
- ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must have a multi state compact license unencumbered Job Purpose: Review Workers Compensation...Remote workWork from home
- ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with...Remote workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
United States9 hours ago - ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to... ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced...Remote workFull time
IntePros
Philadelphia, PA8 days ago - Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 1-2 hours per week. Contribute...Remote jobFor contractorsWork from homeFlexible hours
- Position Purpose The Utilization Review Specialist I provides support to Umpqua Health Alliance (UHA) for the intake, processing of and finalization... ...and follow policies, procedures, and workflows in a remote environment Ability to meet productivity standards, organize...Remote workContract workApprenticeshipLocal areaImmediate startMonday to FridayFlexible hoursShift work
$1,099 per month
Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review Institute of America . Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology...Remote jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours- ...and nights! 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 workTemporary workWork at officeWork from homeMonday to FridayFlexible hours
$1,099 per month
Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review Institute of America . 1 day ago Be among the first 25 applicants. The Opportunity MRIoA is a national Independent Review Organization that facilitates the review of medical...Remote jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours- The Utilization Review Manager performs the six essential activities of Case Management: Assessment, Planning, Implementation, Coordinating, Monitoring, Reassessing. Responsibilities Perform utilization review to evaluate for the appropriate level of care and fax all...Remote job
- Associate Utilization Review Specialist Location Oregon : Description Providence Health Plan caregivers are not simply valued - they're invaluable... ..., research briefs, provider resolutions) We welcome 100% remote work for residents who reside in the following State: ~...Remote workFull timeWork at officeLocal areaShift work
- Overview Join to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of America . Flexible Independent Contractor (1099) Opportunity Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO Medical License Required About MRIoA Founded in...Remote jobFor contractorsReliefWork from homeFlexible hours
$65k - $78k
...career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and...Remote jobFull timeContract workWork at officeWork from homeFlexible hours$8 per hour
...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los... ...% Holiday Pay: 1.5% Additional Information: ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles***...Remote workHourly payContract workShift workZenex Partners
Los Angeles, CA1 day ago- ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension) Shift timings: Standard hours - 8:00 AM to 5:00 PM (Mon-Fri) Pay Rate - $47.14/hr on W2 Job Summary:...Remote workContract workWork at officeShift work
Integrated Resources
Long Beach, CA4 days ago $28 - $32 per hour
...insurance carriers; third party administrators (TPAs); and government entities we serve. Location: 100% Remote Overview: The role of Michigan Utilization Review Nurse is to perform Utilization Review determining the medical necessity of services provided for Michigan...Remote jobHourly payFull timeWork at officeLocal areaWork from home- Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute... ...) to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 12 hours per week, possibly more...Remote workFull timeFor contractorsWork from homeFlexible hours
- Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be among the first 25 applicants Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute...Remote jobFull timeFor contractorsReliefWork from homeFlexible hours
