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- ...ABA Utilization Review (UR) Specialist Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare... ...in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities:...Remote workWork at officeFlexible hours
Spectrum Billing Solutions
Philadelphia, PA4 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
Elgin, IL5 hours 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...Remote job
Vivo HealthStaff
New York, NY23 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: Arizona;...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health
Tampa, FL17 days ago- ...powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service... ...compliant, patient‑centered care through precise and timely Utilization Review. In this role, you will apply clinical expertise and regulatory...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
Guidehealth
Rockford, IL16 days ago $35 - $45.94 per hour
...Description Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. Oscar is the... ...Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Texas, Georgia, Arizona...Remote workHourly payFull timeWork from homeHome officeOscar Health
Dallas, TX12 days ago- ...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 workExtra incomeFor contractorsFlexible hours
Dane Street
United States3 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
Tucson, AZ1 day ago - ...Details Location: Remote Facility: Remote Department: Utilization Management Schedule: Day shift, Full-time Salary range: 93,857.00 - 12... ...Responsibilities Manage effective utilization review processes, including management of patient statusing...Remote workFull timeWork experience placementLocal areaDay shift
Ascension
Austin, TX21 hours ago - ...Job Title: Utilization Review Nurse Location: Remote in IL, TX, NM, MT or OK Duration: 6+ months contract Pay: $41.50/hr on W2 #of Openings: 8 RN working in the insurance or managed care industry using medically accepted criteria to validate the medical...Remote workContract work
Innovative Systems Group
Chicago, IL3 days ago - ...as a "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 utilization...Remote workWork at office
Martins Point Health Care
United States2 days ago $1,860 per week
...LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements... ...years of experience required EPIC EMR experience required REMOTE position Active RN license for CA BLS by AHA 🎯 Why...Remote workWeekly payLong term contractPermanent employmentTemporary workWork at officeShift workLanceSoft
Torrance, CA9 hours ago- ...Utilization Review Advisor Inova Fairfax Medical Campus is looking for a dedicated physician advisor to join the Utilization Review Advisor... ...time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities. MD Physician Advisor Job...Remote workFull timeFlexible hours
Inova Health System
Ashburn, VA5 days ago - ...Overview If you are a Registered Nurse who has strong hospital Utilization Review (UR) experience and are ready to take the next step into a... ...offers a hybrid schedule , with most work performed remotely, offering both flexibility and impact. In this role, you will...Remote workFlexible hoursNight shift
VHC Health
Arlington, VAa month ago - ...supervision of the HIM manager, the UR specialist monitors the utilization of resources, risk management and quality of care for patients... .... Excellence in Practice: Performs preadmission review on admissions when required by insurance companies/agencies to...Suggested
West River Health Services
Hettinger, ND7 days ago $28 per hour
...respected. We have an ongoing need for Document Reviewers. Document Reviewers will review... ...! Position Details ~ Remote work-from-home opportunity ~ Pay... ...is required. ~ Proficiency in utilizing modern technology, especially computers...Remote workHourly payTemporary workWork from homeHome officeMonday to ThursdayFlexible hoursKLDiscovery
Doral, FL2 days ago- ...Utility Account Relations Specialist I The Utility Account Relations Specialist I position... ...for past due and delinquent accounts. Reviewing customer billing accounts to ensure... ...and experience with setup and operation of remote environment devices. Government JobsRemote workWork at officeMonday to Friday
$18.15 - $27.23 per hour
...Utility Account Relations Specialist I The Utility Account Relations Specialist I position... ...for past due and delinquent accounts. Reviews customer billing accounts to ensure accuracy... ...Experience with setup and operation of remote environment devices Position Details:...Remote workHourly payFull timeWork experience placementWork at officeMonday to FridayFlexible hours$269.5k - $425.5k
...quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects... ...situations. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some...Remote workMinimum wageFull timeWork experience placementLocal areaWeekend workUnitedHealth Group
United States2 days ago- ...Job Description Job Description Description: Job Summary The Assistant Director, Utilization Review is responsible for assisting the Director, Utilization Review with the leadership, supervision and training of the Utilization Review and Quality Departments, as...Work at officeLocal area
Nexus
Schertz, TX6 days ago $18 - $21 per hour
...tax busy season! We are seeking multiple temporary , remote Tax Documentation Reviewers to support our Validation Center efforts from Mid January... ...to tax deadlines. #ZR In this role you will be : Utilizing your keen attention to detail to provide quality control...Remote workHourly payTemporary workWork experience placementSeasonal workLocal areaMonday to FridayCherry Bekaert
Los Angeles, CA5 days ago$27.86 - $43.46 per hour
...empower them. Providence Health Plan is calling an Associate Utilization Review Specialist who will: Be responsible for all core functions... ..., research briefs, provider resolutions) We welcome 100% remote work for residents who reside in the following State: ~...Remote workFull timeWork at officeLocal areaShift work$35 per hour
...Westborough Behavioral Healthcare Hospital is looking for a UR Specialist to provide Per Diem coverage. Job Description: The Utilization Review Specialist is responsible for monitoring adherence to the hospital's utilization review plan to ensure the effective and...Daily paidShift workWestborough Behavioral Healthcare Hospital
Westborough, MA10 days ago- ...Hmong Document Reviewer New York, NY / Remote / Hybrid / Albany, NY Employment Type: Full Time, Mid-Level Department: Legal As a CGS... ...Produces a variety of written documents and materials utilizing a wide range of office software applications; Establishes...Remote workFull timeWork at officeFlexible hours
Contact Government Services LLC
Albany, NY4 days ago $28 - $32 per hour
...Utilization Review Specialist We are looking for a Utilization Review Specialist to join our team! The Utilization Review Specialist bridges between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. The full UR function can...Hourly payTemporary workChicago Staffing
Chicago, IL5 days ago- ...Physical Therapist - Documentation Review Specialist Location: Remote Job Description: We are seeking an experienced and detail-oriented Physical... ...assurance role Knowledge of best practices for EMR utilization and documentation in healthcare Ability to work...Remote work
Remote VA
Albany, NY4 days ago $155 per hour
...Join our dynamic team as a Psychiatrist Utilization Reviewer! This is a fantastic opportunity for a skilled psychiatrist looking to make an... ...contract position offers flexibility and the chance to work remotely within the United States. Role Overview: As a Psychiatrist...Remote workHourly payContract workCommunity Health Plan of Washington
Bellevue, WA2 days ago- ...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, IL4 days ago - ...our continued success. Overview The Utility Analyst II works with utility data on a... ...accuracy, and storage tools. Develop and review energy consumption baselines and... ...ID 2025-8886 Category Energy Position Type Full-Time Remote No...Remote workFull timeFor contractors
ENFRA
Charlotte, NC2 days ago - ...Job Description Job Description Job Purpose: The Utilization Review Specialist ensures that all services provided to patients meet payer requirements for medical necessity and authorization. This role is responsible for obtaining and maintaining authorizations,...
Freeman
Dickson, TN24 days ago
