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- Spectrum Billing Solutions is seeking an ABA Utilization Review Specialist to review clinical information and obtain authorizations for ABA and related services. This role supports remote or office/home hybrid work and emphasizes attention to medical necessity and HIPAA...Remote jobWork at officeWork from home
- ...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 workFull timeWork from home
ExamWorks
United States4 days ago - ...To support the Ethos Medical Management Team, the full-time Utilization Review Specialist will ensure the efficient and timely processing of Utilization Management and Independent Review requests remotely, while maintaining compliance and delivering exceptional client...Remote workFull timeWork at office
Virtual Vocations Inc
United States1 day ago - Diversified Treatment Alternative Centers (DTAC) is seeking a detail-oriented Utilization Review (UR) Specialist to support our behavioral health programs in a hybrid/remote setup in Chadds Ford, PA. You will manage authorizations and eligibility verification across clinical...Remote job
$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...Remote workNurseRemotely
United States2 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 fully remote or office/home hybrid position. Your Responsibilities:...Remote workWork at officeFlexible hours
Spectrum Billing Solutions
Skokie, IL4 days ago - ...Utilization Review Specialist Ethos Risk Services is a leading insurance claims investigation and medical management company committed to... ...Management Team is seeking a full-time Utilization Review Specialist (REMOTE) to play a key role in ensuring the efficient, accurate, and...Remote workFull timeWork at office
Ethos Risk Services
United States5 days ago - ...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 (UR...Remote workFull timeMonday to FridayFlexible hours
Diversified Treatment Alternative Centers
Chadds Ford, PA3 days ago - Comagine Health is seeking a Clinical Reviewer with LCSW/LPC/LCPC licensure for a remote, Oregon-based role requiring travel to Salem and surrounding areas... ...for diverse populations. The position emphasizes utilization review, documentation, and collaboration with stakeholders...Remote jobWork from home
- ...Corporation is seeking a licensed clinician to review ABA services and health status across... ...reviews, data analysis to improve utilization, and collaboration with BH providers. Time... ...MST, or CST is required, with flexible remote/hybrid options. #J-18808-Ljbffr Centene...Remote workFlexible hours
$30 - $45 per hour
...and Medi-Cal operations, along with experience in Epic EHR and Utilization Review. The selected candidate will perform chart reviews, ensure... ...accuracy, and support Medicaid program metrics. This position is remote and offers a pay range of $30-$45 per hour with various...Remote jobHourly payContract work$62k - $70k
...of this position is to ensure that the utilization process is thorough, organized and streamlined... ...timely manner Completes peer to peer reviews with insurance MDs to advocate for... ...Charlie Health-sponsored benefits. #LI-REMOTE Please note that this role is not available...Remote workFull timeLocal areaCharlie Health Outreach
United States5 days ago$24.65 - $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, CA1 day ago$2,150 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Remote Case Manager, Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 09/21/2026 ~...Remote workPermanent employmentFull timeTemporary workFor contractorsWork at officeImmediate startShift work- ...Description Location: Exeter, NH/ South Burlington, VT/ Hybrid/ Remote Employment Status: Full-time FLSA Status: Non-Exempt Reports To: Utilization Review Process Manager Job Summary: Under the supervision of the Utilization Review Process Manager, the Utilization Review...Remote workFull timeWork at office
Socket
Austin, TX1 day ago - ...hospitals to help improve the health of individuals and the quality of life in our community. New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up on patient accounts when authorization for stay is required, initiate...Remote workLocal area
New Horizons
United States3 days ago $65k - $85k
...Concierge Home Care | Remote Opportunity | Growth Opportunities | Increased Earning Potential At Concierge Home Care, we are growing and looking for an experienced Utilization Review Specialist (RN) to join our remote home health team. This role is ideal for an RN with...Remote workMonday to FridayWeekend workWeekday workConcierge Home Care
Jacksonville, FL1 day ago$35 - $40 per hour
...Location: Remote Schedule: Monday-Friday 8am-5pm MST Compensation: $35-40/hour Northpoint Recovery Holdings, LLC began 2009 as Ashwood... ...SUMMARY: As a key member of the Northpoint team, the Utilization Review Specialist is a licensed professional who is responsible for...Remote workFull timeTemporary workWork at officeMonday to FridayNorthpoint-Recovery-Holdings,-LL
Meridian, ID1 day ago$59.7k
Job Description Job Title: Utilization Review/Reimbursement Specialist Primary Location: Remote Department: Admissions/Access Employment Type: Regular Compensation Range: $28.70 and goes up based on experience Hours : Monday - Friday 8:30am -5...Remote workFull timeWork at officeMonday to FridayWeekend work- ...Registered Nurse (RN) | Utilization Review Location: Pennsylvania Agency: Pyramid Consulting, Inc. Pay: Competitive weekly pay... ...ASAP About the Position Key Responsibilities ~100% REMOTE role but candidate has to be in (PA, NJ or DE) ~ Equipment will...Remote workWeekly payFull timeImmediate start
Pyramid Consulting, Inc.
Pennsylvania10 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 workContract workWork from home
Mass Digital Health
Quincy, MA2 days ago - ...leading healthcare solutions company is seeking an experienced Utilization Review Nurse to improve patient care through home-based services.... ...accredited nursing degree and experience in utilization review. Competitive pay and remote flexibility offered. #J-18808-Ljbffr...Remote work
Medix
United States4 days ago - ...posting to physicians and working with members, providers, and facilities to ensure high-quality care in a remote environment, with rotating weekend utilization review coverage. The candidate should have 1-2 years in utilization management, 3-5 years clinical experience,...Remote job
- ...Technician to support retail pharmacy operations remotely. This role involves processing prescriptions, performing prior authorization reviews, and coordinating care for patients.... ...pharmacy, ideally with experience in utilization review. A strong knowledge of insurance processes...Remote work
The Judge Group, LLC
New York, NY3 days ago - ...Centene Management Company LLC is seeking a clinical reviewer for behavioral health with an active North Carolina license. The role... ...appropriateness across the care continuum. The ideal candidate has BH utilization review experience, strong communication skills, and the...Remote work
Centene Management Company LLC
United States2 days ago - ...Providing first-level admission and continued stay case reviews, the full-time Registered Nurse Utilization Review will work remotely to assess cases using client-specific guidelines and evidence-based criteria while ensuring appropriate clinical documentation and orders...Remote workFull time
Virtual Vocations Inc
United States5 days ago - ...Patient Chart Reviewer In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be... ...Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred....Remote workFull timeMonday to Friday
Henry Ford Health System
Troy, MI4 days ago $38 - $45 per hour
...Registered Nurse (RN) | Utilization Review Location: Fort Myers, FL Agency: Lancesoft Inc Pay: $38 to $45 per hour Shift Information... ...Position Travel Registered Nurse – Utilization Review (Remote) Location: Fort Myers, Florida Facility: Lee Health –...Remote workHourly payFull timeContract workWork experience placementMonday to FridayShift workWeekend workLancesoft Inc
Fort Myers, FL3 days ago$71.1k - $97.8k
...Hong Kong Study Skills Research Institute is seeking a Pre-Authorization Registered Nurse to join their team. This role involves reviewing prior authorization requests to ensure appropriate care while working from home. Ideal candidates will be licensed RNs with a minimum...Remote workWork from homeHong Kong Study Skills Research Institute
Juneau, AK1 day ago- ...Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic, friendly, and collaborative. We foster a positive culture, where innovation...Remote work
Bestica Healthcare
United States1 day ago
