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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
West Palm Beach, FL1 day ago- ...Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift... ...staff is needed) Day Shift 0800-1630, (UR positions will be remote) Need to have UR experience, specifically with InterQual...Remote workShift workWeekend workDay shift
Zenex Partners
Apple Valley, CA4 days ago - ...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
New York, NY20 hours ago - ...Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our... ...perform independent medical reviews on a flexible, remote (telework) basis. This is a non-clinical,...Remote workExtra incomeContract workFor contractorsFlexible hours
Dane Street
New York, NY4 hours agonew - ...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, PA8 days ago $70 - $74 per hour
...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description... ...: Local Contract Hybrid position: in-person and remote. Must have Interqual criteria experience. Must have...Remote workHourly payContract workLocal areaMonday to FridayShift workDay shifttalent4health
Cambridge, MA4 hours agonew- ...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, AZ3 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 and Services
Mission Hills, CA4 days ago$3,000 per month
...clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an impact, this opportunity... ...efficiently. - Willingness to learn and develop skills for remote work success. What You'll Enjoy: - Participate in online...Remote workExtra incomeTemporary workPart timeWork from homeMaxion Research
Stow, OH3 days ago- ...Overview Job Title: Customer Account Representative - Water Utility Exp Required Location: Fremont, CA 94538 Duration:... ...Assignments are given in specific terms and are subject to frequent review while in progress and upon completion, except where tasks are well...SuggestedContract workTemporary workWork at officeMonday to FridayShift work
22nd Century Technologies
Fremont, CA1 day ago - ...person band for producing weekly YouTube videos and accompanying review articles. You will be creating video similar to this channel:... ...super high-quality written articles. You will have the support of a remote video editor and a web-developer. Key Responsibilities...Remote workWork at office
eNNOVATION Brands
El Segundo, CA4 days ago - ...0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions, we’re people who care, helping people who care. No matter how you look at it...SuggestedWeekly payDaily paidLocal areaWork from homeShift work
Medical Solutions
Baltimore, MD24 days ago $56.44 - $87.63 per hour
...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at...SuggestedFull timeWork at officeLocal areaWork from homeShift workProvidence Health and Services
Anaheim, CA20 hours ago$1,824 per week
...0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions, we’re people who care, helping people who care. No matter how you look at...SuggestedWeekly payDaily paidLocal areaWork from homeShift workMedical Solutions
Baltimore, MD4 days ago- ...Immediate need for a talented RN Care management Coordinator/Utilization Management RN. This is a 04+months contract... ...with long-term potential and is located in Philadelphia, PA(Remote) . Please review the job description below and contact me ASAP if you are interested...Remote workContract workLocal areaImmediate start
Pyramid Consulting, Inc
Philadelphia, PA12 days ago - ...Utilization Management Nurse 2 Become a part of our caring community and help us put health... ...in utilization management/utilization review for a health plan or acute care setting... ...Weekly Hours: 40 Travel: While this is a remote position, occasional travel to Humana's...Remote workTemporary workApprenticeshipWork at officeWork from homeHome office
Wyoming Staffing
Indianapolis, IN2 days ago - ...MAJOR DUTIES AND RESPONSIBILITIES: - Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work, short and long-term disability, Family and Medical Leave Act Medical, Physician...Remote workTemporary work
Concentra
United States1 day ago - ...Bilingual proficiency required: fluent in English and Spanish Utilize systems and technology to complete account management tasks... ...and effective call handling Attend meetings and training and review all new training material to stay up-to-date on changes to program...Remote workFull timeTemporary workCasual workWork at officeWork from homeShift work
MCI
United States2 days ago $26 per hour
...seeking a Customer Service Representative to join our Medical Review team in Studio City. This onsite role handles Participant and... .... Document issues and actions effectively and efficiently utilizing internal systems Make outbound calls to our participants and...Hourly payFlexible hoursMotion Picture Industry Pension & Health Plans
Los Angeles, CA4 days ago- ...expedient account resolution. While also utilizing multiple resources to resolve patient inquiries while on the phone, preparing/reviewing billing correspondence, or in person.... ...up to date certifications. This could be remote and/or onsite as necessary, per the BVHS...Remote workWork experience placementReliefWork at officeImmediate start
Blanchard Valley Health System
Findlay, OH4 hours agonew - ...The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent... ...service standards. *This position is on-site and NOT a remote position.* Education: Clinical degree such as nursing,...Full time
Dallas Behavioral Healthcare Hospital
Desoto, TX4 days ago - ...requests for national account customers. Review and follow up on additional repair quotes... ...system and any third party system utilized by the national account customer. Work... ...required to work indoors in an office or remote setting, work alone and with others. Employee...Remote workWork at officeRotating shiftWeekend work
Summit Fire Consulting
Richmond, VA1 day ago $57.12k - $95k
...Washington, DC office or may work 100% virtual/remote in a firm-approved U.S. state as part of... ...Verifying rates with the rate analysts, reviewing, and implementing the outside counsel... ...performing complex accounting analysis utilizing advanced Excel and reporting skills....Remote workFor contractorsWork at officeLocal areaArnold & Porter
Chicago, IL1 day ago- Overview Join to apply for the Support Specialist- Utilization Review/Full Time/Remote role at Henry Ford Health . The support specialist is a key member of the centralized Utilization Review team, responsible for time‑sensitive authorization tracking and resolution. Responsibilities...Remote jobFull timeShift work
$25 - $30 per hour
...Are you looking for an opportunity to utilize superior client service skills and work one... ...updating client account summaries for their review meetings, preparing the main advisor for... ...matching and profit sharing ~ Hybrid-remote work from home ~ Summer Fridays ~ Participation...Remote workFull timeSummer workWork at officeWork from homeMonday to FridayFlexible hoursAdvisor Employee Services
Austin, TX1 day ago- ...relevant data into accounting software Utilize electronic, standard, and certified mail... ...update all payments in accounting software Review client accounts and work with individuals... ...Typical work environment is remote; uses a computer, telephone, and other office...Remote workFull timeWork at officeMonday to Friday
Balance Point Wellness LLC
Bel Air, MD1 day ago $40.67 per hour
...Job Description \n \n \n Job Details\n \n \n Description\n \n \n Position Summary : The Utilization Review Case Manager validates the patient�s placement to be at the most appropriate level of care based on nationally accepted admission criteria. The UR Case...Temporary workWeekend workDeborah Heart and Lung Center
Browns Mills, NJ22 days ago- ...a skilled and compassionate Concurrent Review Nurse to join our team, providing telephonic... ...in acute care, case management, or utilization review. Experience with Medicare Advantage... ...preferred. Prior telephonic or remote nursing experience is a plus. Strong...Remote workFull timeMonday to Friday
Unividamedicalcenters
Miami, FL1 day 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
- ...Job Title: RN Case Manager/Utilization Review Location: Tuba City, AZ Job Type: Contract (13 weeks) Position Details: Schedule: Monday to Friday, 8 AM - 5 PM; Weekend on-call rotation (1 weekend/month) EMR System: Allscripts...Contract workMonday to FridayWeekend work
InstantServe LLC
Tuba City, AZ1 day ago
