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  •  ...At A Place Where Innovation And Teamwork Come Together To Support The Most Exciting Missions In The World! Job Title: Utilization Review Specialist Cost Center: 101651289 Revenue Cycle Administration Scheduled Weekly Hours: 40 Employee Type: Regular... 
    Remote job
    Immediate start
    Shift work

    Marshfieldclinichealthsystems

    Marshfield, WI
    19 hours 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 work
    Work at office
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    13 days ago
  •  ...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... 
    Remote work
    For contractors
    Extra income
    Flexible hours

    Dane Street, LLC

    New York, NY
    2 days ago
  •  ...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, NM
    4 days ago
  •  ...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 work
    Hourly pay
    Weekly pay
    Contract work
    Local area
    Immediate start
    Shift work

    Yoh, A Day & Zimmermann Company

    Fairfield, CA
    1 day 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 work
    Full time
    Work at office
    Flexible hours

    Recruiting Choices

    Houston, TX
    3 days ago
  •  ...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 work
    Full time
    Work at office
    Local area

    Charlie Health

    Nashville, TN
    10 days ago
  • 🌟 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 work
    Permanent employment
    Contract work
    Work from home
    Monday to Friday

    24HRPO

    Nashville, TN
    7 days ago
  • 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 CorVel
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Local area
    Work from home
    Flexible hours

    CorVel

    Rancho Cucamonga, CA
    3 days ago
  •  ...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 work
    Full time

    Side Hamburg

    Pennsylvania
    17 days ago
  • 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 job
    Full time
    Contract work
    For contractors
    Work at office
    Work from home
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    1 day ago
  •  ...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 work
    Full time
    Local area
    Work from home

    Village Care

    New York, NY
    7 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 work
    Weekly pay
    Full time
    Temporary work
    Flexible hours
    Shift work
    Weekend work

    Mass General Brigham - Internal Travel

    Boston, MA
    5 days ago
  •  ...Plan (Behavioral Health) Location: 100% Remote Start Date: ASAP (All 8 hires will train...  ...Care Managers to support behavioral health utilization and care management functions for a...  ...mental health and substance use needs Review clinical documentation to determine medical... 
    Remote job
    Contract work
    Work at office
    Immediate start
    Monday to Friday

    A-Line Staffing Solutions LLC

    Atlanta, GA
    5 days ago
  •  ...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   The pay range for this position is $65,000.00 - $78,000... 
    Remote work
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours

    Gainwell Technologies LLC

    North Carolina
    18 hours ago
  •  ...Position Summary The Associate Utilization Review Assistant is responsible for providing non-clinical support to the Utilization Management (UM) Team. This role supports the operation of the UM team through internal and external customer service. Eligibility verification... 
    Remote job
    Work at office

    Martin's Point Health Care

    Portland, ME
    20 hours 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

    Vivo HealthStaff

    Newark, NJ
    16 days ago
  • Position Title: Clinical Review Nurse-Prior Authorization Work Location: Remote, Ohio EST Assignment Duration: 6 months (Possibility to extend or convert)...  ...Authorization Nurse, Medical Review Nurse, Appeals Nurse, Utilization Management or Quality Assurance Nurse experience;... 
    Remote work
    Monday to Friday

    Spectraforce Technologies Inc

    Alexandria, OH
    5 days ago
  •  ...that's greater than you've ever imagined. The Outpatient Utilization Review Behavioral Care Advocate will complete telephonic clinical reviews...  .... ***This position is inbound-queue based, and is fully remote, with a Monday-Friday, 10:30am - 7:00pm CST schedule***... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Local area
    Home office
    Monday to Friday

    UnitedHealth Group Inc

    Phoenix, AZ
    20 hours ago
  • 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 work
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Visa sponsorship

    Zurich NA

    Juneau, AK
    a month ago
  • 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 work
    Hourly pay
    Full time
    Relocation package

    Kaiser Permanente

    Redwood City, CA
    3 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 work
    Hourly pay
    Full time
    Relocation package

    Health eCareers

    Redwood City, CA
    3 days ago
  •  ...administrative and clinical role focused on organizing and tracking utilization review (UR) data for Alabama's Region II mental health centers....  ...to community mental health residential programs. Hybrid (remote/in-office schedule). In-office or on-location presence is... 
    Remote job
    Work at office
    Local area

    AltaPointe Health

    Sycamore, AL
    19 hours ago
  • 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 work
    Contract work
    Shift work

    3B Healthcare Inc.

    Torrance, CA
    3 days ago
  • 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

    Medical Review Institute of America

    Dallas, TX
    3 days ago
  •  ...Job Description Job Description Utilization Management Nurse Reviewer About the Position HealthSmart Management Services Organization, Inc....  ...· Regularly speak and listen in person, telephone, and remote meetings · Constant mental alertness must possess planning... 
    Remote work
    Full time
    Temporary work
    Work at office
    Flexible hours

    HealthSmart MSO

    Cypress, CA
    27 days ago
  •  ...direction of the Manager of Surgical Optimization the RN-CDS conducts concurrent reviews of inpatient medical records, adhering to state, federal, and accrediting agency requirements. Utilizing strong clinical expertise, official coding guidelines, and in-depth knowledge... 
    Full time
    Work experience placement
    Work at office

    OSS HEALTH

    York, PA
    19 hours ago
  •  ...Utilization Review and Physician Review Sales Ethos Risk Services is a leading insurance claims investigation and medical management company...  ...Utilization Review and Physician Review Sales Executive (REMOTE) to be pivotal in driving business growth and expanding our footprint... 
    Remote work
    Full time
    Work experience placement
    Night shift

    Ethos Risk Services

    Los Angeles, CA
    21 hours ago
  •  ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of...  ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income with flexible... 
    Remote work
    Price work
    For contractors
    Extra income
    Flexible hours

    Dane Street, LLC

    New York, NY
    26 days ago
  •  ...Clinical Care Reviewer Utilization Management Your career starts now. We are looking for the next generation of healthcare leaders. At...  ...Comprehensive Benefits Package Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time... 
    Remote work
    Work at office
    Flexible hours
    Monday to Friday

    AmeriHealth Caritas

    Broomall, PA
    20 hours ago