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$60k - $72k
...Remote work available for Wisconsin residents only. The Utilization Review Specialist, Revenue Cycle provides quality assurance of medical care. Perform quality control related to patient treatment by medical staff to ensure clinical roles provided adequately for patients...Remote workFull timeImmediate startMarshfield Clinic Health System
Marshfield, WI17 days ago- ...company for healthcare organizations. We are looking to add a Utilization Review Specialist to our growing team. The Utilization Review... ...working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Responsibilities include:...Remote workWork at officeFlexible hours
- ...Title: UMCM Coordinator Location: Alb NM - Remote and occasional onsite meetings Pay... ...is responsible for performing concurrent review in accordance with accepted department... ...years of clinical experience - Experience utilizing various software packages. - Verbal and...Remote work
Innovative Systems Group
Albuquerque, NM3 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
- ...Day & Zimmermann Company is seeking a local contract nurse RN Utilization Review Level I for a local contract nursing job in Fairfield,... ...Contract Utilization Management Nurse (RN) needed for a remote contract opportunity with Yoh’s client located in Fairfield...Remote workHourly payWeekly payContract workLocal areaImmediate startShift work
- ...of this position is to ensure that the utilization process is thorough, organized and streamlined... ...virtual IOP caseload Completes peer reviews on cases with insurance Collaborates... ...Health-sponsored benefits. #LI-REMOTE Note to Colorado applicants: Applications...Remote workFull timeWork at officeLocal area
- 🌟 We're Hiring: Physician Reviewer (Utilization Review)! 🌟 We are seeking a dedicated and experienced ABMS Board Certified MDs/DOs to join... ...Care Org/Heath Insurance Location: Nashville, TN - Fully remote – Work from Home Contract: 1-year, contract to hire...Remote workPermanent employmentContract workWork from homeMonday to Friday
- The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions... ...Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote #J-18808-Ljbffr CorVelRemote workHourly payMinimum wageFull timeLocal areaWork from homeFlexible hours
- ...Job Description Job Description RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare is looking for a self-motivated and passionate RN as Utilization...Remote workFull timeLocal areaWork from home
- 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
- ...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 jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours
- ...practices, leading with clinical approaches, and utilizing state-of-the-art technology. Join us... ...The Director, Utilization Management Review will lead and oversee the development,... ...employees and applicants for employment. Remote employees are expected to maintain a...Remote workFull time
Side Hamburg
Pennsylvania16 days ago - ...General Brigham - Internal Travel is seeking a travel nurse RN Utilization Review for a travel nursing job in Boston, Massachusetts. Job... ...Organization Mass General Brigham Schedule Full-time, Remote Employee Status Temporary Mass General Brigham is looking...Remote workWeekly payFull timeTemporary workFlexible hoursShift workWeekend work
- ...career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent... ...(up to 10%) based on business needs. #LI-AC1 #LI-REMOTE This position is for pipeline purposes, and we welcome...Remote workFull timeContract workWork at officeWork from homeFlexible hours
- ...Position Purpose: Performs a clinical review and assesses care related to mental health... ...data to improve quality and appropriate utilization of services Provides education to... ...all policies and standards This is a remote position. Candidates must be licensed and...Remote workFull timeWork at officeFlexible hours
Centene Corporation
Miami Beach, FL4 days ago - ...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
- ...greater than you've ever imagined. \n \n The Outpatient Utilization Review Behavioral Care Advocate will complete telephonic clinical... ...\n ***This position is inbound-queue based, and is fully remote, with a Monday-Friday, 10:30am - 7:00pm CST schedule*** \n...Remote workMinimum wageFull timeWork experience placementLocal areaHome officeMonday to Friday
Optum
Phoenix, AZ17 days ago - ...this job and more exclusive features. Job Summary Conducts utilization review for in-house patients and/or those members at contracted facilities... ...$10K) Quality Coordinator RN- Utilization Review Home Health Remote Registered Nurse - Clinical Nurse Educator San Leandro, CA $9...Remote workHourly payFull timeRelocation package
- Join to apply for the Continuing Care Utilization Review Coordinator RN role at Kaiser Permanente 6 months ago Be among the first 25 applicants... ...$10K) Quality Coordinator RN- Utilization Review Home Health Remote Registered Nurse - Clinical Nurse Educator San Leandro, CA $9...Remote workHourly payFull timeRelocation package
- AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the flexibility of a home-based office. As the AVP of Utilization Review & Pharmacy, you will lead and direct a team of...Remote workFull timeTemporary workWork at officeLocal areaWork from homeVisa sponsorship
- Join to apply for the Registered Nurse-Utilization Review role at 3B Healthcare Inc. 3 weeks ago Be among the first 25 applicants Job Title: Registered Nurse - Utilization Review (Remote) Contract Length: 13 Weeks (Extension Possible) Facility: Providence Medical Center...Remote workContract workShift work
- About Medical Review Institute of America Founded in 1983, Medical Review Institute of America, LLC (MRIoA) is the top medical review... ...delivery nationwide. MRIoA provides independent clinical and utilization reviews, virtual second opinions and appropriate utilization...Remote job
- ...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 workFor contractorsExtra incomeFlexible hours
- About Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking supplemental...Remote workFor contractorsExtra incomeFlexible hours
- ...: Under the direction of a supervisor, the Clinical Care Reviewer – Utilization Management evaluates medical necessity for inpatient and outpatient... ...Benefits Package Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off...Remote workWork at officeFlexible hoursMonday to Friday
Amerihealth Caritas
Newark, DE10 hours ago - ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician... ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed to offer supplemental income with...Remote workPrice workFor contractorsExtra income
- ...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 workContract workFor contractorsExtra incomeFlexible hours
- ...We're Hiring: Utilization Review Nurse - RN! We are seeking a dedicated and experienced Utilization Review Nurse (RN) to join our team. The... ...managing resource utilization effectively. Location: 100% remote - but ust be residing and licensed in IL or TX Role:...Remote workContract work
TapTalent.ai
Richardson, TX21 days ago - ...Job Description Job Description Utilization Management Nurse! Job Description The Utilization... ...Nurse (UMN) plays a crucial role in reviewing service authorization requests to ensure... ...a team member on-site on Tuesdays and remote shadowing via Teams. Pay and Benefits...Remote workTemporary workWork at office
Actalent
Fort Lauderdale, FL15 days ago - Public Health Nursing Consultant - Prior Authorization and Utilization Review Job No: 534293 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX Categories: Healthcare/Medical Professional Level, Healthcare/Medical Support Level, Healthcare/Nursing/Investigations/Compliance...Remote workFull timePart timeInternshipWork at officeWork from homeFlexible hours
