Get new jobs by email
- ...The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials, and additional information requests received from...Remote workPart timeShift work
Henry Ford Health System
Troy, MI3 days ago $275k - $300k
...Remote or hybrid Medical Director for MediCare service line 100% administrative, non-clinical role Work from home, but candidate... ...CME, PTO Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA license...Remote workPermanent employmentFull timeWork from homeMonday to FridayIntegrity Healthcare
Sacramento, CA2 days ago- ...and nights! 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 workWork at officeWork from homeMonday to FridayFlexible hours
Hines & Associates Inc
Freeport, IL2 days ago $55k
...support this initiative, Liberty is now hiring for a full-time Utilization Reviewer position. As a Utilization Reviewer, your daily work will... ...for approved work-related mileage This is a remote first position which will allow you to primarily work from your...Remote workFull timeImmediate startWork from homeHome officeMonday to FridayLiberty Healthcare
Annapolis, MD4 days ago- Registered Nurse (RN) | Utilization Review Location: Apple Valley, CA Agency: TechLink Systems, Inc. Pay: Competitive weekly pay (inquire for... ...Title: Registered Nurse - Utilization Review Location (On-site, Remote, or Hybrid?): Apple Valley, CA, (onsite) Contract Duration: 1...Remote workWeekly payContract workImmediate startShift workWeekend work
TechLink Systems, Inc.
Apple Valley, CA3 days ago - ...behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing role, you'... ...the right level of care at the right time. This is a fully remote position with a Monday-Friday schedule during standard business...Remote workMonday to Friday
Optum
Phoenix, AZ5 days ago - ...coordinating, integrating, and monitoring the utilization of physical health (PH) medical and... ...cases to the Medical Director for review. Refer to and work closely with Case Management... .... Please note: The opportunity for remote work may be possible for all jobs posted...Remote workContract workLive inWork at office
Univera Healthcare
Latham, NY3 days ago - ...Drug Utilization Review Pharmacist – Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a... ...pharmacy. Flexibility: Many DUR roles offer hybrid or fully remote schedules. Rewards: Competitive salary, benefits, and...Remote work
Pharmacy Careers
Charlotte, NC2 days ago $56.44 - $87.63 per hour
...RN Utilization Review Part- time Day at Providence Health and Services summary: The RN Utilization Review role involves conducting prospective... ...organization. Description RN Utilization Review - Remote. This position will work full- time in a 8-hr Day shift....Remote workMinimum wageFull timePart timeLocal areaShift workDay shiftProvidence Health and Services
Pacoima, CA5 days ago- ...Utilization Review RN The Utilization Review RN is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. This position functions as a part of a multidisciplinary team, including physicians, social workers...Remote workFlexible hours
VCU Health
United States4 days ago - ...Title: Utilization Review Nurse Location: Fully Remote must reside in - TX/IL Duration: 6 months Contract (Possible Extension) Schedule: Monday – Friday, 8:00 AM – 5:00 PM Pay Rate : $40/hr - $41/hr on W2 Job Description: RN working in the insurance or managed care industry...Remote workContract workMonday to Friday
Careers Integrated Resources Inc
Atlanta, GA2 days ago - ...RN Utilization Review By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for... ...making an impact on the health and well-being of others in a remote work environment. Enjoy flexibility and autonomy in your daily...Remote workWork experience placement
Tennessee Staffing
Knoxville, TN4 days 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, AZ5 days ago - ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities... ...Certified (CMGT-BC) Expectations Comfortable with remote work arrangements and virtual collaboration tools Physical...Remote workFull timeWork at officeShift workWeekend workWeekday work
Netsmart
Virginia Beach, VA4 days ago $40 per hour
...months Must reside in TX Full time remote Candidates must be based in TX. RN... ...for performing initial, concurrent review activities; discharge care coordination... ...guidelines. Provides information regarding utilization management requirements and operational...Remote workFull timeContract workWork at officeHireOps Staffing LLC
Dallas, TX4 hours ago- ...Job Description Specialty accepted: Remote Medical Director - Internal Medicine, Geriatrician, Hospitalist... ...schedule Practice setting: Telehealth / Utilization Management Types of procedures: Comprehensive review of medical records; synthesis of complex...Remote workWeekly payFull timeLocumLocal areaImmediate startFlexible hoursShift work
All Medical Personnel , LLC
Atlanta, GA2 days ago $33 - $40 per hour
"Urgent Hiring for "Utilization Review RN" Job Description: Perform concurrent reviews to assess member's overall health. Review the... ...Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated...Remote workContract workTemporary workActalent
Houston, TX3 days ago$28 per hour
...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...litigation! Position Details ~ Remote work-from-home opportunity ~ Pay rate... ...later is required. ~ Proficiency in utilizing modern technology, especially computers...Remote workHourly payTemporary workWork from homeHome officeMonday to ThursdayFlexible hoursKLDiscovery
Austin, TX4 days ago$56.44 - $87.63 per hour
...Description RN Utilization Review at Irvine, CA. This position is Full- time and will work Remote 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical...Remote workMinimum wageFull timeShift workDay shiftProvidence Service
Irvine, CA3 days ago$38.49 - $47.05 per hour
...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex... ...Mobile, and Resident personas. This position can be fully remote with an in-office requirement to work 1-3x/month at our...Remote workHourly payFull timeWork at officeFlexible hoursBlue Cross Blue Shield of Massachusetts
Hingham, MA2 days ago- ...Great Place to Work" since 2015. Position Summary The Supervisor is responsible for day-to-day operations of the utilization review clinical team, in the areas of authorization requests, organizational determinations/ disputes, and auditing/training of...Remote workWork at office
Martins Point Health Care
Portland, ME2 days ago - ...Caritas Long Term Services And Supports Reviewer Your career starts now. We are looking... ...was received, nature of the request, utilization determination (and events leading up to... ...Package Flexible work solutions include remote options, hybrid work schedules, competitive...Remote workFlexible hours
AmeriHealth Caritas
Augusta, GA4 days ago $40 - $50 per hour
Utilization Review Nurse About the Role We're looking for a Utilization Review (UR) Nurse to join our team and support high‑quality, cost‑effective patient care from a fully remote environment. This role is ideal for nurses who enjoy clinical evaluation, structured decision...Remote workContract workTemporary workActalent
Rancho Cordova, CA2 days ago- ...for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees with...Remote workWork at office
Martins Point Health Care
Portland, ME2 days ago $18 - $21 per hour
...Tax Documentation Reviewer Cherry Bekaert is gearing up for tax busy season! We are seeking multiple temporary, remote Tax Documentation Reviewers to support our Validation Center... ...deadlines. In this role you will: Utilizing your keen attention to detail to...Remote workHourly payTemporary workWork experience placementSeasonal workMonday to FridayNashville Staffing
Nashville, TN13 hours 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 workFull timeWork at officeFlexible hours
- ...Hmong Document Reviewer Washington, DC / Remote / Arlington, VA eDiscovery Document Review Full Time Remote As a CGS Hmong Chinese Document... ...Produces a variety of written documents and materials utilizing a wide range of office software applications;...Remote workFull timeWork at officeFlexible hours
Contact Government Services LLC
Fresno, CA5 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
- ...opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. The Manager of Utilization Review (UR) provides leadership and oversight of utilization review activities across the health system, including the academic...Full timeContract workWork from homeShift work
The University of Chicago Medicine
Chicago, IL2 days ago - ...A facility in Englewood, CO is seeking its next amazing Social Worker to work in Case Management (Utilization Review). Nurses and allied healthcare professionals are in high demand nationwide, and our team of industry-leading, traveler-favorite recruiters can get you...
Medical Solutions
Omaha, NE5 days ago
