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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 office$275k - $300k
Remote or hybrid Medical Director for MediCare service line 100% administrative, non-clinical role Work from home, but candidate... ...CME, PTO Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA license...Remote workPermanent employmentFull timeWork from homeMonday to Friday$23.15 - $30.03 per hour
...members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review... ...will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The...Remote workFull timeWork at officeLocal areaShift work- ...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 is looking for a self-motivated...Remote workFull timeLocal areaWork from home
$59.24k - $76k
...real difference. Job Description This is a full-time remote position that can be located anywhere in the U.S. PA RN license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization...Remote workFull timePart timeLocal areaWork from homeFlexible hours- ...our future each day. Are you living your life's work? We are excited to share this rewarding and REMOTE RN role! This role will focus primarily on utilization review which is why we are seeking individuals who have between 3 to 5 years experience in UR . We hope you...Remote work
$56.44 - $87.63 per hour
...Description Provide prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review... ...Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager....Remote workPart timeLocal areaShift work- ...Community Health Choices Long Term Services and Supports (LTSS) Review Utilization Management program and staff under the supervision of the... ...Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time...Remote workLive inWork at officeFlexible hours
- ...Your Role The Medical Director, Utilization Management - will report to the Sr. Medical... ...will deliver and collaborate on clinical review activities, which includes management of... ...and approved out-of-state roles remain remote. o Employees living more than 50 miles...Remote workFull timePart timeWork at officeLocal areaWork from homeHome office1 day per week
$77.41k - $123.57k
...Remote work environment after successful completion of in-office training Summary:... ...process. Position Responsibilities: Utilization Management • Utilizes Payer specific... ...and complete documentation of clinical review and denial management in the case management...Remote workFull timeTemporary workPart timeWork at officeLocal areaFlexible hours- ...About Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking...Remote workExtra incomeFor contractorsFlexible hours
- ...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, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician... ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed to offer supplemental income with...Remote workPrice workExtra incomeFor contractors
$2,690 per week
...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse... ...manager, utilization review, healthcare staffing, patient care, clinical review, nursing, healthcare travel, remote nursing jobs...Remote workWeekly payFull timeImmediate startShift work- ...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:...SuggestedFull timeImmediate startWork from homeShift work
$40 per hour
...months Must reside in TX Full time remote Candidates must be based in TX. RN... ...for performing initial, concurrent review activities; discharge care coordination... ...guidelines. Provides information regarding utilization management requirements and operational...Remote workFull timeContract workWork at office- ...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
$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 workFull timeContract workImmediate startShift work- ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert... ...independent medical reviews on a flexible, remote basis. This non-clinical, contract-based role...Remote workExtra incomeContract workFlexible hours
- ...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non-traditional hours to provide... ...clarification when necessary.; Work Arrangement: Remote role. Saturday through Wednesday from 4:00p EST to 12...Remote workFlexible hoursSaturday
- ...find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of a team responsible for ensuring the receipt of high quality, cost efficient medical outcomes for...Remote workWork at office
$26.5 - $47.59 per hour
...Position Purpose: Performs a clinical review and assesses care related to mental health... ...data to improve quality and appropriate utilization of services Provides education to... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workHourly payFull timePart timeWork at officeFlexible hours- ...(Time Zone: EST, CST, PST) Location: Remote Note: Flexible hours are being... ...Responsibilities: Provide medical leadership in utilization management, cost containment, and... ...initiatives. Conduct medical review activities for utilization review, quality...Remote workLocal areaFlexible hoursShift workWeekend workSundaySaturday
- ...agencies to ensure the approved services are provided. Our Utilization Management Reviewers cultivate and maintain relationships with our members'... ...reaches their 21st birthday. ; Work Arrangement:; Remote role. Monday through Friday from 8:30a EST to 5:00p EST...Remote workContract workMonday to FridayFlexible hoursShift work
- ...reside within (EST, CST, PST) Location - Remote Note : Flexible hours are... ...Provides medical leadership of all for utilization management, cost containment, and medical... ...improvement activities. Performs medical review activities pertaining to utilization...Remote workContract workFlexible hoursShift workWeekend workSundaySaturday
- ...We save lives while providing the opportunity for people to realize their healthy selves. Utilization Review Clinician Monte Nido Remote Monte Nido has been delivering treatment for eating disorders for over two decades. Our programs offer a model of treatment...Remote workFull timeTemporary workFlexible hours
$78.54k - $121.72k
...Employment Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. *...Full timeWork at officeLocal areaShift workDay shift$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 workDaily paidLive inLocal areaShift workDay shift- ...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 workWork at officeImmediate start
$26.5 - $47.59 per hour
...License or Identification card. Position Purpose: The Utilization Review Nurse I provides first level clinical review for all outpatient... ...time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be...Remote workHourly payFull timePart timeWork at officeFlexible hours