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- ...Title: UMCM Coordinator Location: Alb NM - Remote and occasional onsite meetings Pay... ...is responsible for performing concurrent review in accordance with accepted department... ...years of clinical experience - Experience utilizing various software packages. - Verbal and...Remote work
Innovative Systems Group
Albuquerque, NM3 days ago - ...Day & Zimmermann Company is seeking a local contract nurse RN Utilization Review Level I for a local contract nursing job in Fairfield,... ...Contract Utilization Management Nurse (RN) needed for a remote contract opportunity with Yoh’s client located in Fairfield...Remote workHourly payWeekly payContract workLocal areaImmediate startShift work
- ...APPLICATION DEADLINE: 07/26/2025 Job Summary: The Registered Nurse - Utilization Review oversees and coordinates utilization review functions. This role ensures efficient, high-quality, cost-effective care while meeting regulatory requirements, supporting and facilitating...SuggestedPart timeDay shift
OakLeaf Surgical Hospital
Altoona, WI2 days ago - ...At A Place Where Innovation And Teamwork Come Together To Support The Most Exciting Missions In The World! Job Title: Utilization Review Specialist Cost Center: 101651289 Revenue Cycle Administration Scheduled Weekly Hours: 40 Employee Type: Regular...Remote jobImmediate startShift work
- ...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent... ...(up to 10%) based on business needs. #LI-AC1 #LI-REMOTE The pay range for this position is $65,000.00 - $78,000...Remote workFull timeContract workWork at officeWork from homeFlexible hours
- ...General Brigham - Internal Travel is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job... ...Organization Mass General Brigham Schedule Full-time, Remote Employee Status Temporary Mass General Brigham is looking...Remote workWeekly payFull timeTemporary workFlexible hoursShift workWeekend work
- ...Position Summary The Associate Utilization Review Assistant is responsible for providing non-clinical support to the Utilization Management (UM) Team. This role supports the operation of the UM team through internal and external customer service. Eligibility verification...Remote jobWork at office
- ...practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us... ...The Director, Utilization Management Review will lead and oversee the development,... ...employees and applicants for employment. Remote employees are expected to maintain a...Remote workFull time
Side Hamburg
Pennsylvania17 days ago - ...Plan (Behavioral Health) Location: 100% Remote Start Date: ASAP (All 8 hires will train... ...Care Managers to support behavioral health utilization and care management functions for a... ...mental health and substance use needs Review clinical documentation to determine medical...Remote jobContract workWork at officeImmediate startMonday to Friday
- ...Job Description Job Description Utilization Management Nurse! Job Description The Utilization... ...Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure... ...a team member on-site on Tuesdays and remote shadowing via Teams. Pay and Benefits...Remote workTemporary workWork at office
Actalent
Fort Lauderdale, FL15 days ago - Salary: $2280 / Week The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote cost-effective quality care and cost containment in accordance with various federal and/or state...Remote workWeekly payContract workWork at officeLocal area
- ...company for healthcare organizations. We are looking to add a Utilization Review Specialist to our growing team. The Utilization Review... ...working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Responsibilities include:...Remote workWork at officeFlexible hours
- The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions... ...Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote #J-18808-Ljbffr CorVelRemote workHourly payMinimum wageFull timeLocal areaWork from homeFlexible hours
- 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
- Join to apply for the Physician Utilization Reviewer (Medical Director) role at Medical Review Institute of America Continue with Google Continue... ...with Google Utilization Review Work for Physicians - Remote, Full Time Salt Lake City, UT $265,000 - $270,000 3 days ago...Remote workFull timeLocumFlexible hours10 hours per week
- ...Utilization Review Specialist We are seeking a Utilization Review Specialist to join our corporate team in Pompano Beach, FL. The position is responsible for contacting external case managers and managed care organizations for pre-authorization and concurrent reviews...Full timeTemporary workWeekend workWeekday work
- ...Utilization Review Team Administrative Support Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of information. Essential Functions: Coordinates with external healthcare providers...Work at officeFlexible hours
- Remote position, however, candidates must reside in the State of TX or State of IL. This position is a contract for about 9 months. Pay... ...position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract...Remote jobContract work
- ...Ur Specialist The UR Specialist reviews and monitors patients' utilization of health care services with the goal of maintaining high quality, cost-effective care. The duties include providing the medical and utilization expertise necessary to evaluate the appropriateness...Contract work
- ...Utilization Review Specialist Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with seventeen locations across five states. We offer highly individualized treatment in a clean, modern, comfortable setting, spanning every level of care...Temporary workCurrently hiringFlexible hours
