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$28.9 - $35.45 per hour
...$28.90- $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 jobFull timeReliefWork at officeWork from home- Join to apply for the Utilization Review Appeals Specialist role at Michigan Medicine . Talent Acquisition Consultant at Michigan Medicine Why... ...of Work Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work...Remote workFull timeWork at officeWork from homeMonday to Friday
- ...this dept is 100% remote, with a variety of service lines and levels of care (inpatient, Extended Hospital Outpatient and OBS).... ...3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) • InterQual...Remote work
Pacer Group
Torrance, CA2 days ago - ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of... ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed to offer supplemental income with complete...Remote jobPrice workExtra incomeFor contractors
- Join to apply for the Utilization Review Specialist role at Sonora Behavioral Health Hospital Responsibilities Provide consultation and guidance... ...department operation. This is an on-site position. Non- Remote Qualifications Associate's degree required. Bachelor's or...Remote work
- ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred...Remote workLocal areaWeekend work
Zenex Partners
Beverly Hills, CA3 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 working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities Review...Remote workWork at officeFlexible hours
$35.45 per hour
...reimbursement Flexible weekend work schedules with remote work options Recognized as a top... ...What to Expect (Job Responsibilities) Utilize proactive triggers to identify potential... ...healthcare services Conduct medical necessity reviews for admissions and collaborate with the...Remote workImmediate startFlexible hoursWeekend work$32.15 - $48.05 per hour
...Rate: $32.15 - $48.05 Shift: Day Shift - Remote Hours Per Week: 40-hours Date Posted: 6/... ...company reimbursement policies. Reviews application for patient admission and approves... ...approves admission or refers case to facility utilization review committee for review and course...Remote jobHourly payFull timeShift workDay shift- ...Type: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary We are seeking a detail-oriented... .... Work Environment Standard office setting or remote work, depending on location. Regular use of...Remote workFull timeWork at officeFlexible hours
$35 - $50 per hour
...experienced RN or LVN with an active license to join our team as a Utilization Review Nurse . In this role, you will conduct retrospective reviews... ...Review Nurse Work Environment: Hybrid (onsite & remote) Schedule: Full-time, Monday–Friday, flexible start between...Remote workPermanent employmentFull timeContract workTemporary workMonday to FridayFlexible hoursShift work- Hematology/Oncology Physician - Utilization Review Remote - Flexible Independent Contractor (1099) Opportunity Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology‑driven utilization management...Remote workFor contractorsWork from homeFlexible hours
- 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
- 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
$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$65k - $78k
...career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and...Remote jobFull timeContract workWork 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, CA2 days ago$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- ...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, CA16 hours ago - ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to full-time License... ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using...Remote workFull timePart time
IntePros
Philadelphia, PA3 days 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, AZ19 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 1-2 hours per week, possibly more...Remote workFull timeFor contractorsWork from homeFlexible hours
- ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities... ...Certified (CMGT-BC) Expectations Comfortable with remote work arrangements and virtual collaboration tools Physical...Remote workFull timeWork at officeShift workWeekend workWeekday work
Netsmart
Winston Salem, NC32 minutes agonew $85 - $90 per hour
...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Poughkeepsie, New York. Job Description... ...TIMES: 08:00:00 AM - 04:30:00 PM - Every other weekend - REMOTE *REMOTE* Utilization Review Nurse Case Manager position...Remote workHourly payWeekly payLong term contractPermanent employmentFull timeContract workTemporary workWork at officeLocal areaShift workWeekend workLanceSoft
Poughkeepsie, NY7 hours agonew$2,210 per week
...and nights! 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 workFull timeTemporary workPart timeCasual workWork at officeWork from homeMonday to FridayAll shiftsFlexible hours$35 - $41 per hour
Job Title: Utilization Review - FULLY REMOTE Job Description This role involves performing precertification and medical necessity reviews for designated referrals and targeted outpatient procedures, services, and inpatient admissions. The position requires telephonic reviews...Remote workPermanent employmentContract workTemporary workWork at officeWork from home- ...invite all applicants to join us and experience what it means to be part of Mass General Brigham.Schedule: Remote - Part-Time 24hrs**Job Summary**The Utilization Review Manager performs the six essential activities of Case Management: Assessment Planning Implementation...Remote jobHourly payPart timeShift work
$34 - $52.7 per hour
...Utilization Management Nurse Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility. This job is remote. Standard Hours: 35.00 Shift: Shift 1 Shift Details: 7/70 schedule (7... ..., PA moonlighter, for a second level review as needed. Facilitates communication...Remote workHourly payTemporary workShift workWeekend workFroedtert Memorial Lutheran Hospital
Albuquerque, NM2 days ago- Job Description Description Job Summary The Utilization Review Case Manager validates the patient’s placement to be at the most appropriate level... ..., 606 W Kennedy Blvd, Tampa 33606 Job Details Eligible for Remote Work: On Site Job: [Not specified] Organization: [Not...Remote workFull timeWork at officeMonday to Friday
- ...find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees...Remote workWork at office
Portland Staffing
Portland, ME31 minutes agonew
