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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, NM4 days ago - ...Remote - Contract (1099) - Child Neurologist for Utilization Review Join to apply for the Remote - Contract (1099) - Child Neurologist for Utilization Review role at Medical Review Institute of America Remote - Contract (1099) - Child Neurologist for Utilization...Remote workFull timeContract workFor contractorsWork at officeWork from homeFlexible hours
Medical Review Institute of America
Dallas, TX2 days ago - ...About Medical Review Institute of America Founded in 1983, Medical Review Institute of America, LLC (MRIoA) is the top medical review... ...nationwide. MRIoA provides independent clinical and utilization reviews, virtual second opinions and appropriate utilization analytics...Remote workContract workPart time
Medical Review Institute of America
Dallas, TX3 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
- ...pivotal role will be responsible for overseeing and performing utilization reviews, prior authorizations, and making crucial medical necessity... ...through effective peer-to-peer discussions. This is a remote position requiring a "roll up your sleeves" attitude and a genuine...Remote workFull timeTrial period
Valid8 Financial, Inc.
Austin, TX2 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 workFor contractorsExtra incomeFlexible hours
Dane Street, LLC
New York, NY7 days ago - ...Overview Under the direction of a supervisor, the Clinical Care Reviewer – Utilization Management evaluates medical necessity for inpatient and... ...Benefits Package Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off...Remote workWork at officeFlexible hoursAfternoon shiftMonday to Friday
Amerihealth Caritas
Washington DC3 days ago - ...Join to apply for the Utilization Review Medical Director role at Commonwealth Care Alliance 1 week ago Be among the first 25 applicants... ...Medical Director/Senior Medical Director, Medical Affairs (Remote) Chief Medical Officer, Global Oncology Business Unit Cambridge...Remote workFull timeWork at officeLocal area
Commonwealth Care Alliance
Boston, MA8 hours agonew - ...practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us in... ...: The Director, Utilization Management Review will lead and oversee the development,... ...employees and applicants for employment. Remote employees are expected to maintain a...Remote 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
- 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
- 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
- ...Position Summary Integra Partners is seeking a full-time Utilization Review Medical Director to support our UtilizationManagement team. This... ...Working Conditions and Additional Expectations: This is a remote full-time position, but requires consistent availability...Remote workDaily paidFull timeTemporary workPart timeLocal area
Integra Partners
Troy, MI3 days ago - ...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 This position is for pipeline purposes, and we welcome...Remote workFull timeContract workWork at officeWork from homeFlexible hours
$60k - $72k
...Remote work available for Wisconsin residents only. The Utilization Review Specialist, Revenue Cycle provides quality assurance of medical care. Perform quality control related to patient treatment by medical staff to ensure clinical roles provided adequately for patients...Remote workFull timeImmediate startMarshfield Clinic Health System
Marshfield, WI23 days ago- ...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
- ...Job Description Job Description UTILIZATION MANAGEMENT RN Wilmington-NC-28401-United... ...Utilization Management Reports to be reviewed by Executive Leadership. Ability to contribute... .... Clearly communicates instructions to remote users. Visit for more information....Remote workFull timeWork at office
Liberty Health
Wilmington, NC16 days ago - ...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
- ...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
- 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
