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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 timePart timeWork at officeQuadrant Health Group
Boca Raton, FL3 days ago- ...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
Blue Shield Of California
El Dorado Hills, CA2 days ago $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 hoursVirtua, Inc.
Pennsauken, NJ3 days ago$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 workTravel Nurses, Inc.
Bozeman, MT1 day ago$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 workProvidence Health and Services
Los Angeles, CA5 days ago- ...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
Medical Solutions Direct Hire
White Plains, NY2 days 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, CA3 days ago - ...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, LLC
New York, NY20 days 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 workFull timeContract workImmediate startShift workManpower
Austin, TX1 day ago- ...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
Dane Street, LLC
New York, NYa month ago - ...(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
Pacer Group
Kansas City, MO2 days ago $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. *...SuggestedFull timeWork at officeLocal areaShift workDay shiftTrinity Health
Maywood, IL2 days ago- ...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
Pacer Group
Orlando, FL2 days ago $26.5 - $47.59 per hour
...flexibility. Position Purpose: Performs reviews of member's care and health status of... ...data to improve quality and appropriate utilization of services Interacts with BH... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workHourly payFull timePart timeWork at officeFlexible hoursCentene Corporation
Madison, WI3 days ago- ...Grow with us! 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 that blends medically sophisticated care with a personalized treatment...Remote workFull timeTemporary workFlexible hours
Walden Behavioral Care
Miami, FL2 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 workWork at officeImmediate start
Baylor Scott & White Health
University Park, TX8 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 workDaily paidLive inLocal areaShift workDay shiftSwedish Health Services
Seattle, WA1 day ago- ...Description Job Description: Manager of Clinical Utilization Management - Denial Compliance... ...Burbank, CA Position Type: Hybrid (85% remote, 15% onsite in Northridge, CA); Full-... ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions....Remote workPermanent employmentFull timeTemporary workFlexible hours
Vivo HealthStaff
Burbank, CA17 days ago $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 hoursCentene Corporation
New York, NY3 days ago$35 - $38 per hour
...Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing... ...on-site on Tuesdays and will be logged into Teams for remote shadowing. Job Type & Location This is a Contract to Hire...Remote workContract workTemporary workWork at officeActalent
Sunrise, FL1 day ago$25 per hour
...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...litigation! Position Details ~ Remote work-from-home opportunity ~ Pay rate... ...later is required. ~ Proficiency in utilizing modern technology, especially computers...Remote workHourly payTemporary workPart timeWork from homeHome officeMonday to ThursdayFlexible hoursKLDiscovery
Jackson, MS1 day 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 workMinimum wageFull timePart timeWork experience placementLocal areaHome officeMonday to Friday
UnitedHealth Group
Maryland Heights, MO7 hours ago - ...A facility in Yakima, WA is seeking its next amazing Social Worker to work in Case Management (Utilization Review). Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you...
Medical Solutions
Omaha, NE2 days ago - ...patient experience. Learn more at: Job Summary: The Utilization Review (UR) Nurse (initial clinical reviewer) is a registered nurse... ...timely verbal and written reports as directed. **Remote position but MUST be able to work pacific standard time (PST)...Remote workPart timeLocal area
Universal Health Services, Inc.
Reno, NV1 day ago - ...Remote position, however, candidates must reside in the State of TX or State of IL This position is a contract for about 9 months.... ...Position Is Responsible For Performing Accurate And Timely Medical Review Of Claims Suspended For Medical Necessity, Contract...Remote workContract work
HireOps Staffing LLC
Dallas, TX1 day 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 workWork at officeFlexible hours
- ...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 workFull timeWork at officeFlexible hours
- ...Responsibilities Utilization Review Specialist Rivendell Behavioral Health Services is an 80-bed full-service behavioral healthcare acute care facility located in Benton, AR, that has been providing quality health care to the residents of Arkansas since 198...Full timePart timeLocal areaImmediate start
Universal Health Services, Inc.
Benton, AR1 day ago - ...Responsibilities Utilization Review Specialist Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services to adolescents and adults at our 86-bed facility in Panama City, FL and outpatient services to adolescents and adults at our...Part timeLocal area
Universal Health Services, Inc.
Panama City, FL1 day ago - ...Ardurra Company) is seeking an experienced Utilities Project Engineer/Project Manager in our... ..., Booster Pump & Storage Tank Design and Remote SCADA System Design. Primary Function... ...employment laws.For further information, please review the Know Your Rights notice from the...Remote workFull timeWork at officeLocal areaWork from home
Ardurra Group, LLC
Knoxville, TN3 days ago
