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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$56.44 - $87.63 per hour
...Description This position is a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to...Remote workFull timeWork at officeLocal areaWork from homeShift workProvidence Health & Service
United States1 day ago$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
- 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
- ...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
- ...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
$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- Overview Join to apply for the Utilization Review Specialist role at Odyssey House Louisiana . This is a full-time remote position (must reside in New Orleans or surrounding area) with hours Monday-Friday, 8:00 a.m. - 5:00 p.m. Job Summary Odyssey House Louisiana, Inc...Remote workFull timeTemporary workMonday to Friday
- ...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
- ...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 - 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- 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
- ...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 workTemporary workWork at officeWork from homeMonday to FridayFlexible 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
$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$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- Overview Join to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of America . Flexible Independent Contractor (1099) Opportunity Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO Medical License Required About MRIoA Founded in...Remote jobFor contractorsReliefWork from homeFlexible hours
$28 - $32 per hour
...insurance carriers; third party administrators (TPAs); and government entities we serve. Location: 100% Remote Overview: The role of Michigan Utilization Review Nurse is to perform Utilization Review determining the medical necessity of services provided for Michigan...Remote jobHourly payFull timeWork at officeLocal areaWork from home- 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
- Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be among the first 25 applicants Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute...Remote jobFull timeFor contractorsReliefWork from homeFlexible hours
- ...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, AZ2 days ago $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- ...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
- ...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
$211.2k - $277.2k
Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Review team. Oscar is the first health insurance company built around a... ...report into the Medical Director. Work Location: This is a remote position, open to candidates who reside in: Arizona,...Remote workFull timeWork from homeHome officeWeekend work$26.5 - $47.59 per hour
Join to apply for the Utilization Review Clinician - Behavioral Health role at Centene Corporation. You could be the one who changes everything... ...perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: California and...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hours$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 Service
Los Angeles, CA1 day ago
