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- ...Description Position Overview: We are seeking a detail-oriented Utilization Review Specialist with a background in behavioral health to audit... ..., IOP, PHP, or outpatient services Work Environment: Remote or hybrid flexibility Part-time or full-time options...Remote workFull timePart time
- ...of this position is to ensure that the utilization process is thorough, organized and streamlined... ...management, appeals, and peer-to-peer review processes Requirements ~ High... ...Washington State, Oregon, or Minnesota. #LI-REMOTE Our Values Connection: Care deeply...Remote workFull timeLocal area
$55k - $70k
...Job Description Job Description Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing...Remote workWork at officeFlexible hours- ...At Bradford Health Services, we don’t just invest in our patients—we invest in our people. About the Role: REMOTE POSITION The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care...Remote workFull timePart timeWeekend work
$65k - $78k
...company that values work-life balance, continuous learning, and career development. Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization, prospective, concurrent, and retrospective reviews for medical necessity and...Remote workFull timeContract workWork at officeWork from homeFlexible hours$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 office$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 work- ...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
$91.98k - $120.63k
...Job Description Hi, we're Oscar. We're hiring a Supervisor, Utilization Review Nurse (Vendor Management) to join our team. Oscar is the first... ...Manager, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida;...Remote workFull timeWork from homeHome office- ...Analyst, Utility Billing Operations Job Category: Finance Requisition Number: ANALY... ...Posted: March 25, 2026 Full-Time Remote HQ Denver, Denver, CO, USA Job Details... ...employment laws. For further information, please review the Know Your Rights notice from the...Remote workFull timeWork at office
- ...Account Review Specialist Location: Knoxville, TN 37920 (This role begins with in-office training and transitions to a remote upon completion.) Duration: 12 months contract with potential for extension The Account Review Specialist plays a critical role in ensuring...Remote workContract workWork at office
- ...Blue Cypress is seeking a Utility Management Services (UMS) Director to oversee our company... ...quality control and quality assurance reviews of deliverables in accordance with Blue Cypress... ...This is a hybrid position (in office/remote). We offer a telecommute option to work once...Remote workWork at officeLocal areaWork from homeWork visa1 day per week
Blue Cypress Consulting, LLC
Decatur, GA1 day ago $17.31 per hour
...Customer Care Agent--Water/Wastewater Utility Starting at $17.31/hour. This position may be eligible for annual incentive pay and... ...opportunities and work experiences to grow professionally! This is a remote/work from home role for candidates located within a 2-hour...Remote workWork experience placementWork at officeWork from homeShift workNight shiftWeekend work- ...Blue Cypress is seeking a Utility Management Services (UMS) Regional Director to support... ...Perform quality control and quality assurance reviews of deliverables in accordance with Blue... ...This is a hybrid position (in office/remote). We offer a telecommute option to work once...Remote workFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
Blue Cypress Consulting, LLC
Washington DC1 day ago $114k - $161k
...Principal Consultant Utility Return on Equity & Cost of Capital Specialist Job Location: Washington, DC Position Type: Hybrid 3 days in office, 2 remote days per week 2025 Salary Range: $114,000 - $161,000 plus annual incentive compensation bonus Company Description...Remote workWork at officeWork from homeFlexible hours2 days per week- ...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
$152.58k - $175.96k
...elevate outcomes, and love your Mondays as the Nurse Director Utilization Review and Case Management at an award winning hospital in the Bay... ...imaging, AI-assisted decision support, virtual nursing, and remote monitoring; clear investment in clinician well-being through...Remote workFull timeWeekend work- ...Document Review Specialist We are a leading provider of financial technology solutions, specializing in remote deposit capture, image capture SDKs, fraud prevention, and compliance tools. Our mission is to help banks and financial institutions deliver secure, innovative...Remote workWork at office
- ...Job Posting Supports the Utilization Management clinical teams by assisting with non-clinical administrative... ...related to pre-service, utilization review, care coordination and quality of care. (this position is remote) Essential Functions: # Performs member or...Remote work
$128k - $191k
...Principal Consultant - Utility Revenue Requirements Specialist Location: Marlborough, MA or Washington, DC; also open to remote employees Concentric Energy Advisors, Inc. ( ("Concentric") is an employee-owned leading management consulting and financial advisory firm...Remote workWork at officeFlexible hours- ...Job Title Summary: This position supports the Utilization Management (UM) workflows by providing administrative support and customer... ...Blue Card Claims escalations. Assist management with the review and creation of desk level procedures, acting as a subject matter...Contract workWork at officeWork from homeHome office
$40 per hour
...Job Description Job Description Description: Job Title: Utilization Review Nurse (Remote) Pay Rate: $40/hr. Job Type: Full-Time, Remote Hours: Monday-Friday 8am-5pm Benefits: ~10 Paid Holidays ~80 Hours of Paid Time Off (PTO) ~ Medical, Dental...Remote jobFull timeMonday to Friday- ...Utility Services Representative The City of Chandler Management Services Department is currently seeking qualified individuals interested... ...Tumbleweed Recreation Center membership ~ Flexible schedule/remote work options (when available) Who we are The Utility...Remote workFull timePart timeCasual workImmediate startMonday to FridayFlexible hours
- ...healthcare campuses, and cities, managing utility infrastructures across 10 U.S. cities and... ...procedures; identifies resource needs; reviews with appropriate management staff; and implements... ...industry with a national presence ~ Remote, Hybrid, and In Office schedules...Remote workContract workFor contractorsWork at officeLocal areaRelocation
CenTrio
Ypsilanti, MI3 days ago - ...centers are powered by both on-site and remote agents, leveraging advanced technologies... ...in a courteous and professional manner Utilize systems and technology to complete account... ...handling Attend meetings and training and review all new training material to stay up to...Remote workWork experience placementWork at officeWork from homeShift work
MCI Careers
Eastborough, KS19 days ago - ...operations. Promotes use or availability of remote tools to access view only applications... ...expertise in applications and systems. Utilizes application training, application web... ...users and shows consistency and attentive review. Is a team player and able to proactively...Remote workFull timeImmediate startMonday to Friday
Christus Health
Shreveport, LA19 hours ago - ...Description Job Description: Manager of Clinical Utilization Management - Denial Compliance... ...Burbank, CA Position Type: Hybrid (85% remote, 15% onsite in Northridge, CA); Full-... ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions....Remote workPermanent employmentFull timeTemporary workFlexible hours
- ...Blue Cypress Consulting is seeking a Senior Utility Management Services (UMS) Consultant to... ...quality control and quality assurance reviews of deliverables in accordance with Blue Cypress... ...This is a hybrid position (in office/remote). We offer a telecommute option to work once...Remote workFor contractorsWork at officeLocal areaWork from homeWork visa1 day per week
Blue Cypress Consulting, LLC
Washington DC1 day ago - ...Utilization Review Assistant The Utilization Review Assistant ensures the timely and accurate collection of data and documents necessary for the utilization review process as well as independent medical review. This is a hybrid opportunity, requiring initial onsite...Work at officeImmediate startWork from home2 days per week3 days per week
- ...thinking organization, apply now. We are currently seeking a Utilization Review Nurse Manager (USRN) to join our team in Manila, National... ...tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change...Remote workWork experience placementWork at officeFlexible hoursNight shift
