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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 officeQuadrant Health Group
Boca Raton, FL10 days ago$26.5 - $47.59 per hour
...fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA... ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE, UNENCUMBERED...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hoursCentene Corporation
Sacramento, CA4 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 workFull timeWork at officeFlexible hours
- ...California Job Summary and Responsibilities Are you a Utilization Review Nurse who loves making a real impact from the comfort of your... ...critical thinker and problem-solver to join our collaborative remote team. We're looking for someone who's completely at home with...Remote work
Unavailable
Glendale, CA2 days ago - ...Hour (08:30 - 17:00) Description: ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills,... ...years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity...Remote workLocal areaShift workWeekend work
Emonics LLC
Beverly Hills, CA5 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 have a multi state compact license unencumbered Job Purpose: Review Workers Compensation...Remote workWork from home
- ...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
United States4 days ago - ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to... ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced...Remote workFull time
IntePros
Philadelphia, PA7 days ago - Job Description JOB TITLE Utilization Review Specialist I REPORTS TO Utilization Review Manager STATUS FT, Non-Exempt WAGE... ...and follow policies, procedures, and workflows in a remote environment. ~ Ability to meet productivity standards, organize...Remote workFull timeContract workApprenticeshipLocal areaImmediate startMonday to FridayFlexible hoursShift work
- Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 1-2 hours per week. Contribute...Remote jobFor contractorsWork from homeFlexible hours
$1,099 per month
Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review Institute of America . Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology...Remote jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours- Associate Utilization Review Specialist Location Oregon : Description Providence Health Plan caregivers are not simply valued - they're invaluable... ..., research briefs, provider resolutions) We welcome 100% remote work for residents who reside in the following State: ~...Remote workFull timeWork at officeLocal areaShift work
- The Utilization Review Manager performs the six essential activities of Case Management: Assessment, Planning, Implementation, Coordinating, Monitoring, Reassessing. Responsibilities Perform utilization review to evaluate for the appropriate level of care and fax all...Remote job
$1,099 per month
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$8 per hour
...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los... ...% Holiday Pay: 1.5% Additional Information: ***Hybrid/Remote within a commutable distance to Beverly Hills/Los Angeles***...Remote workHourly payContract workShift workZenex Partners
Los Angeles, CA5 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 - Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute... ...) to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 12 hours per week, possibly more...Remote workFull timeFor contractorsWork from homeFlexible hours
$65k - $78k
...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent... ...applications on an ongoing basis. #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$56.44 - $87.63 per hour
...Description Join our exceptional team as a Utilization Review Nurse at Providence Holy Cross Medical Center. This full-time position offers... ...upon hire. Minimum of 2 years experience working in a remote Utilization Review environment or as an acute hospital case manager...Remote workFull timeShift workDay shiftProvidence Health and Services
Mission Hills, CA3 days ago- ...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 compliant delivery of...Remote workPart timeFlexible hoursWeekend work
IntePros
Phoenix, AZ1 day ago - ...Job Description Job Description We are seeking an experienced RN Case Manager to join our Utilization Review team. This is a 100% remote role requiring strong skills in inpatient case management and utilization management. Schedule: Monday–Friday, 8-hour shifts...Remote jobMonday to FridayShift workWeekend work
$35 - $45.94 per hour
...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the... ...Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Texas, Georgia, Arizona...Remote workHourly payFull timeWork from homeHome office- ...Title: Utilization Review Manager (URM) FLSA Status: Exempt Location: Fully Remote or Remote/In-Office Hybrid Approved by: Executive Leadership Skyway Behavioral Health is an innovative behavioral health center that goes beyond the treatment of psychiatric...Remote workTemporary workWork at officeLocal area
$34 - $52.7 per hour
...FROEDTERT HOSPITAL facility. This job is Remote. FTE: 0.875000 Standard Hours:... ..., PA moonlighter, for a second level review as needed. Facilitates communication... ...care nursing experience is required; Prior utilization management or case management experience...Remote workHourly payTemporary workShift workWeekend workFroedtert Health
Milwaukee, WI4 days ago$56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full- time and will work... ...Registered Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager....Remote workFull timeShift workDay shiftProvidence Health and Services
Mission Hills, CA3 days ago- ...HealthVine - Utilization Management Physician Reviewer Pediatric Medicaid ACO The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens... ...strategic input into population health initiatives. Remote Information ~ This position is remote with a...Remote workFull timeRelocation packageMonday to FridayShift workWeekend work
Cincinnati Children's
Cincinnati, OH5 days ago $56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Part- time and will work... ...Nurse License upon hire. ~2 years - Experience working in a remote UR environment or working as an acute hospital case manager....Remote workPart timeLocal areaShift workDay shiftProvidence Health & Service
Mission Hills, CA3 days ago- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for...Remote job
- ...excellent customer service. Candidates preferred experience is 2-5 years of utility customer support experience, strong communication and data entry skills, and be tech-savvy. This is a remote, work from home role. Responsibilities: Handles inquiries and...Remote workFull timeWork from home
Iapetus Holdings LLC
Pontiac, MI3 days ago $25.93 - $41.43 per hour
...Job Description KYC REVIEW ANALYST- OPS WHAT IS THE OPPORTUNITY? Conduct Enhanced... ...loan borrowers and prospect reviews utilizing a variety of internal bank systems and external... .... Unless otherwise indicated as fully remote, reporting into a designated City...Remote workHourly payWork at officeCity National Bank
Newark, DE2 days ago
