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$16.5 - $26.31 per hour
A national provider of risk management solutions is seeking a Utilization Review Intake Specialist to support their remote team. This role involves handling precertification requests, verifying information, and ensuring timely communication with stakeholders. Candidates...Remote jobHourly payWork at office- A health service organization is seeking a Utilization Review Specialist who will advocate for patients to secure insurance coverage for necessary... ..., and proficiency in Microsoft products. This position is remote and offers comprehensive benefits including health, dental,...Remote job
- ...powered advice on this job and more exclusive features. The support specialist is a support role crucial to the centralized Utilization Review team for time‑sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials...Remote jobPart timeShift work
- A healthcare management company is seeking a full-time Utilization Review Specialist for a remote position. The role focuses on efficiently processing Utilization Management and Independent Review requests, reviewing case requests, maintaining compliance, and delivering...Remote jobFull timeWork at office
- A leading healthcare organization in California is seeking an RN Utilization Review professional for a full-time remote role. The position entails conducting utilization reviews and managing a varied workload in a fast-paced environment. Required qualifications include...Remote jobFull time
$48.52 - $72.78 per hour
A healthcare provider is seeking a qualified Registered Nurse Utilization Management Reviewer to support high-quality patient care. This remote position involves conducting concurrent and retrospective reviews and collaborating with various clinical teams. Ideal candidates...Remote jobHourly payWeekend workWeekday work- ...health care organization located in Pearland, TX, is seeking a Utilization Review Specialist (LVN) to conduct medical reviews and... ...determinations, alongside a comprehensive benefits package. Remote work flexibility is available for applicants located in Texas...Remote jobFull time
$20 - $35.72 per hour
A leading health care organization in Texas is seeking a Utilization Review Specialist (LVN) to conduct medical reviews and ensure medical necessity... ...5+ years of utilization review experience. Flexibility for remote work is available, and the job offers competitive hours with...Remote jobHourly pay$18 - $22 per hour
Our Ethos Medical Management Team is seeking a full-time Utilization Review Specialist (REMOTE) to play a key role in ensuring the efficient, accurate, and timely processing of Utilization Management and Independent Review requests for our clients. This role involves reviewing...Remote workHourly payFull timeWork at office$62.18k
...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 hoursHines & Associates Inc
Freeport, IL2 hours agonew$28.9 - $35.45 per hour
A leading healthcare solutions provider based in Columbus, Ohio, is seeking Virtual Utilization Review Specialists to join their team. Full-time and flexible positions are available, focusing on optimizing patient care and resource utilization. Candidates must possess...Remote jobHourly payFull timeFlexible hours- 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 eating disorders to address underlying traumatic...Remote workTemporary workLocal area
$72k
...compliant, patient‑centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory... ...to you include: Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from homeGuidehealth
Davenport, IA15 hours ago- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental...Remote workWork at officeFlexible hours
$28.9 - $35.45 per hour
...0 - $ 35.45 / hr based on experience We are seeking Virtual Utilization Review Specialists to join our team. Full-time and PRN jobs are available... ...Other Knowledge, Skills, and Abilities Required: This is a remote role which requires access to high speed internet Excellent...Remote workFull timeReliefWork at officeLocal area- ...leading medical institution in Chicago is seeking an RN Manager for the Rev Cycle Department. In this hybrid role, you will lead utilization review activities, ensuring compliance with medical necessity criteria and overseeing operations across multiple sites. Candidates...Remote job
- ...leading healthcare organization is seeking a manager for their utilization review department. The role involves overseeing a team of registered... ...review management. This full-time position offers remote work with a competitive salary range that reflects the industry...Remote jobFull time
- ...leading academic healthcare system is seeking an RN Manager for the Rev Cycle Department. This hybrid position requires overseeing utilization review operations across multiple sites, ensuring compliance and effective communication. Responsibilities include developing...Remote job
- 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 is looking for a self-motivated and passionate RN...Remote workFull timeLocal areaWork from home
- A healthcare provider is seeking a Regional Utilization Review Coordinator in Texas. This role is responsible for overseeing all utilization... ...and knowledge of regulatory reimbursement practices. This is a remote role requiring HIPAA-compliant workspace. #J-18808-Ljbffr...Remote work
$20 - $35.72 per hour
...meaning behind Caring. Connecting. Growing together. Role The Utilization Review Specialist (LVN) is responsible for conducting medical... ...are located in Texas, you will have the flexibility to work remotely* as you take on some tough challenges. The Utilization Review...Remote jobHourly payMinimum wageFull timeWork experience placementLocal areaFlexible hours- A leading educational institution in Miami is seeking a Case Manager RN for Utilization Review. The role involves conducting medical necessity chart reviews and coordinating with the healthcare team to ensure optimal patient outcomes. The ideal candidate will have a Bachelor...Remote jobFull time
- ...Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet. The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity and identify the need for...Remote workFull timeTemporary workWork at officeWorldwide
The University of Miami
United States22 hours ago - ...augmentation firm is seeking an experienced Clinical Reviewer RN to manage a clinically complex inpatient caseload remotely. The ideal candidate will have a current,... ...RN license and a strong background in utilization management with at least 3 years of experience...Remote jobContract work
$60.2k - $107.4k
A healthcare organization in California seeks a Utilization Review Nurse to oversee inpatient utilization management. This position requires... ...particularly in acute care settings. There are opportunities for remote work aligned with Pacific or Mountain Time Zone hours. You...Remote job- A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Remote jobContract work
- A leading managed care organization is seeking a self-motivated RN for a fully remote Utilization Review Nurse position. Responsibilities include assessing member needs, ensuring medical necessity of services, and collaborating with healthcare professionals. Candidates...Remote job
$58.66k - $142.45k
...Mass General Brigham.The Opportunity Manages a department of utilization review professionals usually consisting of Registered Nurses, Social... ...Additional Job Details (if applicable)****Schedule and Work Model*** Remote* Full-time (40 hours) Monday through Friday, standard...Remote workFull timeMonday to FridayShift workWeekend work- ...Physician Reviewer Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding... ...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
Victorville, CA15 hours ago - As the Manager, Utilization Management you will direct the day to day activities of the Clinical Care Reviewers for the Pennsylvania business units. You will oversee staff performance... ...to contain cost. Work Arrangement Remote Monday through Friday, 8:00 am EST to 5:...Remote workMonday to FridayFlexible hoursWeekend work
