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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, FL6 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 workTemporary workPart timeWork at officeWork from homeMonday to FridayFlexible hours
Hines & Associates Inc
Freeport, IL1 day 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 workFlexible hoursWeekend work
IntePros
Phoenix, AZ5 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 workPart timeImmediate startShift workManpower
Austin, TX9 hours 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, NY5 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 paidFull timeLive inLocal areaShift workDay shiftProvidence Health and Services
Seattle, WA1 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 timeWork experience placementLocal areaHome officeMonday to Friday
UnitedHealth Group
Maryland Heights, MO4 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
Highland Park, TX11 days 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
Las Vegas, NV4 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, NV4 days 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...SuggestedPart timeLocal area
Universal Health Services, Inc.
Panama City, FL4 days ago - ...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...SuggestedFull timePart timeLocal areaImmediate start
Universal Health Services, Inc.
Benton, AR4 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 workWork at office
eNNOVATION Brands
El Segundo, CA8 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 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
- ...: 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 workFull timeWork at officeFlexible hours
- ...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 workMinimum wageFull timeContract workWork experience placementWork at officeLocal areaWeekend work
UnitedHealthcare
Meridian, ID2 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 workTemporary workLocal area
- ...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...Full time
Variantyx
Framingham, MA9 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 workLive inWork from home
- ...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 workLocal areaRelocationFlexible hours
BGE, Inc.
Houston, TX24 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 workPart timeWork at officeHome officeNight shiftAfternoon shift
Sigma Technologies, Ltd.
Portland, OR6 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 workExtra incomeTemporary workPart timeImmediate startWork from homeMaxion Research
Texas9 hours ago- ..., you only need to apply to one as they are remote. ABOUT THIS OPPORTUNITY: Sigma Technologies... ...staff in the day-to-day performance of utility design projects. Oversee personnel management including performance reviews, disciplinary actions, and improvement plans...Remote workPart timeWork at officeHome officeRelocation packageNight shift
Sigma Technologies, Ltd.
Portland, OR6 days 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 jobContract workFor contractorsWork at officeWork from homeFlexible hours
$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 workAmi Network
Pasadena, CA4 days ago- ...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 workLocal areaAll shiftsShift workNight shiftSundaySaturday
fairlife
Webster, NY22 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 workFull timeLocal areaWork from home
$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 workContract workFor contractorsVisa sponsorshipDoral Renewables LLC
Philadelphia, PA6 days 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 contractorsZero hours contractShift workDay shift
Genie Healthcare
Los Angeles, CA1 day ago
