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- ...Senior Utilization Review Specialist Within Health is revolutionizing eating disorder treatment through our innovative telehealth platform. We provide remote clinical services at the Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) levels...Remote workWork at officeWork from homeShift work
Within Health
United States1 day ago - A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote jobFull timeWork from home
- Dove Recovery is seeking a Utilization Review Specialist responsible for managing authorization and review activities for clients. The position... ...MCO processes. This full-time position offers potential remote flexibility and requires attention to detail. #J-18808-Ljbffr...Remote jobFull time
$23.15 - $30.03 per hour
...members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review... ...will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The...Remote workFull timeWork at officeLocal areaShift workPrime Healthcare Management Inc
Ontario, CA4 days ago- United Cerebral Palsy of Georgia is hiring a Utilization Management Specialist in Miami, Florida. The role requires collaboration with Medical Directors to review healthcare services and authorize necessary services. Strong analytical skills are essential. This position...Remote jobLocal area
- Diversified Treatment Alternative Centers (DTAC) is hiring a Utilization Review (UR) Specialist in Chadds Ford, PA. This full-time position involves... ...1-3 years of related experience. Benefits include hybrid or remote work options, health insurance, and a 401(k). Join us to make...Remote jobFull time
- Industrial Asset Management Council, Inc is looking for a Remote RN to join their team. The role requires 2 years of RN experience and Utilization Review expertise, supporting various units in a clinical review capacity. This work-from-home position offers flexible scheduling...Remote jobWork from homeFlexible hours
- Diversified Treatment Alternative Centers is looking for a Utilization Review (UR) Specialist in Chadds Ford, Pennsylvania, to oversee the lifecycle of authorizations and ensure compliance with payer and regulatory requirements. This hybrid role supports quality care delivery...Remote jobFlexible hours
$60k - $75k
...support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $60,000 -... ...position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be considered...Remote workFull timeWork at officeQuadrant Health Group
Deerfield Beach, FL1 day ago- Providence Health & Services is seeking an RN Utilization Review for a part-time remote position. This role focuses on conducting clinical reviews and utilization reviews across Southern California ministries, requiring effective problem-solving and decision-making skills...Remote jobPart time
$50k
...lives of patients and their families What to Expect (Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment team to gather necessary information for concurrent reviews...Remote job$75k
...for a Registered Nurse (RN) to perform concurrent inpatient utilization reviews. The role requires a BSN and current nursing license, with preference... ...with health, dental, and vision benefits. The position is remote with a standard Monday-Friday schedule and a supportive work...Remote jobMonday to Friday- Kelsey-Seybold Clinic is seeking a Utilization Review Specialist (LVN) to conduct medical reviews and assess medical necessity for services requiring... ...extensive experience in utilization review. Flexibility for remote work is provided for Texas residents. Competitive hourly pay...Remote jobHourly pay
$57.24k - $62.18k
...Paid Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained) ROLE DESCRIPTION: This individual will utilize clinical knowledge and communication skills... ...will defer decision to a second level reviewer. This individual interfaces with case managers...Remote workTemporary workWork at officeWork from homeMonday to FridayFlexible hoursHines and Associates
Rockford, IL3 days ago- Utilization Review (UR) Specialist Position Title: Utilization Review Specialist Department: Clinical / Billing Operations Reports To: Executive... ...Work Environment Fast-paced behavioral health environment. Remote flexibility depending on needs of department. Requires...Remote workFull time
- Utilization Review (UR) Specialist Location: Chadds Ford, Pennsylvania (Hybrid / Remote Eligible) Job Type: Full-Time Schedule: Monday - Friday Overview Diversified Treatment Alternative Centers (DTAC) is seeking a detail-oriented and experienced Utilization Review (...Remote workFull timeMonday to FridayFlexible hours
- ...State and Territorial Epidemiologists is seeking a Clinical Review Supervisor to provide operational supervision of clinical staff conducting utilization reviews and specialty review activities. This fully remote position requires a strong background in health care and...Remote job
- Ensemble Health Partners is seeking Senior Virtual Utilization Review Specialists to join their remote team in the United States. This role involves conducting medical necessity reviews, managing denial processes, and collaborating with healthcare professionals. Candidates...Remote job
- We are seeking Senior Virtual Utilization Review Specialists to work in Pacific Time and Mountain Time zones. The role is remote with a weekday schedule of three 12‑hour shifts per week, rotating weekends and holidays. Role Overview The Senior VUR Specialist performs resource...Remote workWork at officeRotating shiftWeekday work
- The Council of State and Territorial Epidemiologists is looking for a Clinical Review Supervisor to oversee clinical staff conducting utilization reviews. This fully remote position requires strong leadership in a healthcare context and a proactive approach to quality management...Remote job
$55k - $70k
Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder, mental...Remote workWork at officeFlexible hours- ...Manager to oversee high-quality, patient-centered care through Utilization Review. The role requires an active RN license in Illinois and... ...collaborating with providers. This position offers the flexibility of remote work while supporting professional growth and a comprehensive...Remote job
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour... ...Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license. Member assessments...Remote workHourly payFull timeContract workImmediate startShift work3 days per weekMindlance Health
Corpus Christi, TX16 days ago$211.2k - $277.2k
...Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance... ...Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health
New York, NY13 days 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
- Wisconsin Psychiatric Association Inc is looking for a Cardiovascular Utilization Management Reviewer to contribute to patient care in a non-clinical setting. This remote role allows for collaboration with a dynamic team and offers both part-time and full-time options,...Remote jobFull timePart time
- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New Jersey for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for...Remote job
Vivo HealthStaff
Newark, NJ16 days ago - Mass Digital Health is seeking a Clinical Reviewer LPN for a work-from-home position. The role involves performing retrospective medical... ...in a relevant medical setting, and the ability to work in a remote environment. Comprehensive benefits are provided, including medical...Remote jobContract workWork from home
$35 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Corpus Christi, TX Agency: Mindlance Health Pay: $35 to $45 per hour... ...Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver’s license. Member assessments...Remote workHourly payFull timeContract workImmediate startShift work3 days per weekTravelNurseSource
Corpus Christi, TX16 days ago$93k - $117k
...Come grow with us. What You'll Be Doing: As a Manager, Utilization Review, you will hire, evaluate, and supervise Utilization Review... ...weekends Location & Schedule: This position is posted as remote; however, per company policy, candidates residing within a 35...Remote workWork at officeMonday to FridayNight shiftERC Pathlight
Denver, CO16 days ago
