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 ...cancer centers and ambulatory surgery centers. Summary: Utilization management is the analysis of the necessity, appropriateness,...  ...services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to... 
Remote job

Community Health System

Franklin, TN
1 day ago
 ...Position Summary: The Utilization Reviewer (UR) is a strong advocate for clients to access medically necessary care by pursuing insurance...  ...need for the recommended length of treatment. Schedule: REMOTE Full-time, 40 hours/week Monday-Friday, 8am-4:30pm... 
Remote job
Full time
Monday to Friday

The Emily Program

Saint Paul, MN
3 days ago
 ...Network ** **Job Description :**** **GENERAL OVERVIEW:** This position is responsible for covering vast roles within the Utilization Review management team that include managing bill processing, downgrades, entry into the system including reg, insurance verification... 
Remote job
Local area

Highmarkhealth

Pennsylvania
3 days ago
 ...Description LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Hartford, Connecticut....  ...am to 4:30pm.\nAfter orientation/training the positions are remote\nNo on-call About LanceSoft Established in 2000, LanceSoft... 
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LanceSoft

Hartford, CT
6 days ago
About the job Utilization Review Specialist About Us Congress Billing is a sophisticated Billing Management Company that strongly...  ...compliance activities. Other duties as assigned Pay: 60,000-70,000 Schedule: Full time Location: Remote Apply today!
Remote job
Full time

Staffosaurus

Delray Beach, FL
4 days ago
Job Description: Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and expected need until November. Must Have: -Recent experience in Utilization Review 2 years or more. -Proficient in MCG, InterQual, and experienced with Epic.... 
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Holiday work
Shift work
Day shift
Monday to Friday

HexaQuEST Health, Inc.

Chico, CA
2 days ago
 ...never be found wanting for entertainment and experiences to call your own in Columbus. Learn more at About the job: The Utilization Review Nurse ensures that authorization requests and provider or member inquiries are handled appropriately within established... 
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Full time
Relocation package
Flexible hours
Shift work

Trinity Health Corporation

Columbus, OH
1 day ago
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Job Description: JOB SUMMARY/PURPOSE Reviews, assesses, and evaluates clinical information used to support Utilization Management (UM) decisions based on established clinical criteria and applies intermediate knowledge of coding and medical record research. Facilitates... 
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Holiday work
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HexaQuEST Global - Healthcare

Corvallis, OR
2 days ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Diego, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 12 weeks ~40 hours per week ~... 
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Night shift

Medical Solutions

San Diego, CA
3 days ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in White Plains, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~38 hours per week ~... 
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Medical Solutions

White Plains, NY
1 day ago
 ...Location - Remote Hours are 8 hour shifts, with hours of operation from 7:30am until 6:30pm, No holidays...  ...5th weekend. Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient... 
Remote job
Holiday work
Full time
Shift work
Monday to Friday

Henry Ford Hospital

Troy, MI
1 day ago
 ...Availability / Schedule : This is a full time position with remote work flexibility, but must reside somewhere in the...  ...of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines... 
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Daily paid
Holiday work
Full time
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Temporary work
Flexible hours

Renewal Health Group

Los Angeles, CA
25 days ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oklahoma City, Oklahoma. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week... 
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Holiday work
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Medical Solutions

Oklahoma City, OK
2 days ago
 ...Utilization Review Analyst Job Details Job Location Bronx, NY Position Type Full Time Education Level 4 Year Degree Salary Range $45,000.00 - $50,000.00 Salary/year Travel Percentage Up to 25% Job Shift Day Job Category Nonprofit... 
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Comunilife

Bronx, NY
2 days ago
 ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for... 
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Vivo HealthStaff

New York, NY
19 days ago
 ...therapeutic community is seeking compassionate and enthusiastic individuals with a desire to teach, learn and join our community as a Utilization Review Specialist at our campus in Tucson, AZ. With this groundbreaking opportunity not only will you be working with our home... 
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Amity Foundation

Tucson, AZ
28 days ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Round Rock, Texas. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~36 hours per week ~ Shift... 
Weekly pay
Holiday work
Shift work

Medical Solutions

Round Rock, TX
3 days ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Greenbrae, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~... 
Weekly pay
Holiday work
Shift work

Medical Solutions

Greenbrae, CA
3 days ago
 ...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Falls Church, Virginia. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~... 
Weekly pay
Holiday work
Shift work

Medical Solutions

Falls Church, VA
1 day ago
 ...Job Description Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Round Rock, Texas. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~36 hours... 
Weekly pay
Holiday work
Shift work

Medical Solutions

Round Rock, TX
8 days ago