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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 timePart timeWork at officeQuadrant Health Group
Boca Raton, FL5 days ago- ...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 hours
Hines & Associates Inc
Freeport, IL18 hours 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, AZ4 days ago $51.43 - $79.84 per hour
...Description This is a remote role. You MUST live in the state of Washington (WA) to be considered Care Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge...Remote workDaily paidFull timeLive inLocal areaShift workDay shiftProvidence Health and Services
Seattle, WA17 hours ago$41.04 per hour
...Now Hiring: Remote RN Prior Authorization & Utilization Review (Texas Medicaid) &##128313; &##128188; Contract | Up to $41.04/hr &##128205; Remote (Must reside near in TX) &##128338; Full-time | Primary shift: 10 AM 7 PM Are you a detail-oriented RN looking...Remote workFull timeContract workPart timeImmediate startShift workManpower
Austin, TX2 hours agonew- ...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration:...SuggestedFull timeImmediate startWork from homeShift work
Medical Solutions Direct Hire
White Plains, NY4 days ago - ...and/or level Job Summary You will review patient cases for medical necessity and... ...Schedule You will work primarily remote. Will be required to work onsite at a... ...management referral standards, reviewing utilization, and categorizing levels of care. Excellent...Remote workWork at officeImmediate start
Baylor Scott & White Health
Highland Park, TX10 days ago - ...Advocate will complete telephonic clinical reviews directly with Providers to ensure... ...position is inbound-queue based, and is fully remote, with a Monday-Friday, 10:30am - 7:00pm... ...~ Telephone queue experience ~ Utilization review/management experience Explore...Remote workMinimum wageFull timeWork experience placementLocal areaHome officeMonday to Friday
UnitedHealth Group
Maryland Heights, MO3 days 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, CA7 days ago - ...Caring. Connecting. Growing together. The Utilization Management (UM) Manager is responsible... ..., concurrent and retrospective reviews and discharge planning functions. The UM... ...position is based in Idaho but can be worked remotely. If you reside in Idaho, you will have...Remote workMinimum wageFull timeContract workWork experience placementWork at officeLocal areaWeekend work
UnitedHealthcare
Meridian, ID17 hours ago - ...capabilities and improved personalized treatment recommendations. Role Description: This is a full-time role for a Utilization Review Manager- Revenue Cycle Management at Variantyx. The role is responsible for managing the claim denials and appeals for the...SuggestedFull time
Variantyx
Framingham, MA8 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 workWork at officeFlexible hours
- ...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
- ...time away from work programs to include, remote work, dependent care and flexible Fridays... ...Direct responsibility for Subsurface Utility Engineering (SUE) and utility coordination... ...quality assurance/quality control (QA/QC) reviews of field data and deliverables. Conduct...Remote workLocal areaRelocationFlexible hours
BGE, Inc.
Houston, TX23 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 timeImmediate startWork from homeMaxion Research
Texas2 hours agonew- Description: Functional Manager Location : Remote Are you an experienced manager,... ...take on performance management including reviews, disciplinary actions and implementation... ..., and /or project management in power utility design. A minimum of 3 years of direct people...Remote workPart timeCasual workNight shiftAfternoon shift
Sigma Technologies, Ltd.
Perrysburg, OH5 days ago - ...Saturday, and Sunday. job purpose : The Utility Technician/SME (Subject Matter Expert)... ...with Building Management Systems and Remote Monitoring Exhibits a strong... ...approved vendor list. At this time, we are not reviewing or expanding that list. Unsolicited resumes...Remote workLocal areaAll shiftsShift workNight shiftSundaySaturday
fairlife
Webster, NY21 days ago - ...you only need to apply to one as they are remote. Please note: This position can work... ...environments, preferably in the utility industry, and be able to rely on their experience... ...Project Engineer Assists in the process to review function/project procedures,...Remote workPart timeWork at officeHome officeNight shiftAfternoon shift
Sigma Technologies, Ltd.
Portland, OR5 days ago - ...: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary: We are seeking a detail... ...Work Environment: Standard office setting or remote work, depending on location. Regular use of...Remote workFull timeWork at officeFlexible hours
$140k - $180k
...healthplan organization to find their next Utilization Management Director in Pasadena. Our... ...Alignment Health. As the Utilization Review Director, you'll oversee 4 direct... ...insurance. This is an onsite position- no remote options are available at this time. Requirements...Remote workAmi Network
Pasadena, CA3 days ago$600 per month
...commercial operation of the facility. This role will be remote, but the ideal candidate must be able to travel... ...with the owner’s engineer, interconnection utility, and other stakeholders to facilitate the EPC design review process. Support the monthly invoice review/...Remote workContract workFor contractorsVisa sponsorshipDoral Renewables LLC
Philadelphia, PA5 days ago- ...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...Remote workTemporary workLocal area
- ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must live in the state of Florida or Texas Job Purpose: Review Workers Compensation requests submitted...Remote workLive inWork from home
- ...40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel Genie Healthcare is looking for a RN to work in Utilization Review or Concurrent Review for a 13 weeks travel assignment located in Los Angeles, CA for the Shift (5x8 Days - Please verify shift...For contractorsZero hours contractShift workDay shift
Genie Healthcare
Los Angeles, CA17 hours ago - ...Utility Management Services Business Class Leader At HDR, our employee-owners are fully... ...management, technical consulting, design reviews, subcontract management and construction... ...management experience with multiple national remote teams is preferred ~ Proven experience...Remote workFull timeContract workWork at officeLocal area
HDR
Winston Salem, NC17 hours ago - ...The Medical Director, Utilization Management is responsible for assuring physician commitment... ...UPMC Health Plan members. This fully remote role will be responsible for assuring... ...utilization management and quality improvement review processes, including concurrent,...Remote job
- ...license. About MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a... ...(IRO) specializing in technology-driven utilization management and clinical medical review solutions... ...Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per...Remote jobContract workFor contractorsWork at officeWork from homeFlexible hours
- ...Engineer with extensive hands-on expertise in Utilities processes to join our Global... ...programs for Utilities, including both remote and on-site technical advisory support and... ...n\n \n\t Conduct regular performance reviews of existing Utilities through key performance...Remote work
Aramco
Chicago, IL17 days ago - ...Job Description Job Description 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...Remote workFull timeLocal areaWork from home
$54.6k - $64.7k
...culture. We have an opening for a Level of Impairment Reviewer (LCSW or LCPC) Remote - 30 hours per week The Full-time, 30 hours per week,... ...Mountain Pacific is an equal opportunity employer and utilizes Simpliverified. We welcome applications from all qualified...Remote workFull timeLocal areaMountain Pacific
Helena, MT21 days ago
