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$60k - $75k
...Quadrant Health Group, i s seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital... ...office position and must have prior UR & clinical experience. Remote hires and applicants without prior experience will not be...Remote workFull timeWork at officeQuadrant Health Group
Boca Raton, FL2 days ago- ...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
JobTarget
Freeport, IL7 hours 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, CA7 hours ago$59.24k - $76k
...real difference. Job Description This is a full-time remote position that can be located anywhere in the U.S. PA RN license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization...Remote workFull timePart timeLocal areaWork from homeFlexible hoursEnlyte
Arlington, TX2 days ago$2,690 per week
...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse... ...manager, utilization review, healthcare staffing, patient care, clinical review, nursing, healthcare travel, remote nursing jobs...Remote workWeekly payFull timeImmediate startShift workTravel Nurses, Inc.
Bozeman, MT3 days ago$51.43 - $79.84 per hour
...Description This is a remote role. You MUST live in the state of Washington (WA) to be considered Care Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge...Remote workDaily paidFull timeLive inLocal areaShift workDay shiftProvidence Health and Services
Seattle, WA1 day ago- ...and/or level Job Summary You will review patient cases for medical necessity and... ...Schedule You will work primarily remote. Will be required to work onsite at a... ...management referral standards, reviewing utilization, and categorizing levels of care. Excellent...Remote workWork at officeImmediate start
Baylor Scott & White Health
Highland Park, TX10 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, AZ4 days ago $51.43 - $79.84 per hour
...Job Description Description This is a remote role. You MUST live in the state of Washington (WA) to be considered Care Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed...Remote workDaily paidLive inLocal areaShift workDay shiftProvidence Health and Services
Seattle, WA6 days ago- ...Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration:...SuggestedFull timeImmediate startWork from homeShift work
Medical Solutions Direct Hire
White Plains, NY4 days ago $41.04 per hour
...Now Hiring: Remote RN – Prior Authorization & Utilization Review (Texas Medicaid) &##128313; &##128188; Contract | Up to $41.04/hr &##128205; Remote (Must reside near in TX) &##128338; Full-time | Primary shift: 10 AM – 7 PM Are you a detail-oriented RN looking...Remote workFull timeContract workImmediate startShift workManpower
Austin, TX3 days ago$26.5 - $47.59 per hour
...flexibility. Position Purpose: Performs reviews of member's care and health status of... ...data to improve quality and appropriate utilization of services Interacts with BH... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules....Remote workHourly payFull timePart timeWork at officeFlexible hoursCentene Corporation
Atlanta, GA1 day ago- ...Grow with us! Utilization Review Clinician Monte Nido Remote Monte Nido has been delivering treatment for eating disorders for over two decades. Our programs offer a model of treatment that blends medically sophisticated care with a personalized treatment...Remote workFull timeTemporary workFlexible hours
Walden Behavioral Care
Miami, FL4 days ago $78.54k - $121.72k
...Employment Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal Hospitals. *...SuggestedFull timeWork at officeLocal areaShift workDay shiftTrinity Health
Maywood, IL4 days ago$86k - $110k
...We offer remote work opportunities (AR, AZ, CO, FL, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC... ...Affiliated are encouraged to apply! Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness...Remote workContract workTemporary workInterim roleWork at officeLocal areaShift workTriwest Healthcare
Phoenix, AZ1 day ago- ...A facility in Yakima, WA 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, NE4 days 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 workWork at officeFlexible hours
- ...person band for producing weekly YouTube videos and accompanying review articles. You will be creating video similar to this channel:... ...super high-quality written articles. You will have the support of a remote video editor and a web-developer. Key Responsibilities...Remote workWork at office
eNNOVATION Brands
El Segundo, CA7 days 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
- ...: 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 workFull timeWork at officeFlexible hours
- ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must live in the state of Florida or Texas Job Purpose: Review Workers Compensation requests submitted...Remote workLive inWork from home
- ...Caring. Connecting. Growing together. The Utilization Management (UM) Manager is responsible... ..., concurrent and retrospective reviews and discharge planning functions. The UM... ...position is based in Idaho but can be worked remotely. If you reside in Idaho, you will have...Remote workMinimum wageFull timeContract workWork experience placementWork at officeLocal areaWeekend work
UnitedHealthcare
Meridian, ID1 hour ago - ...Job Description Job Description 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...Remote workTemporary workLocal area
- ...of the range. Salary range will vary for remote positions outside of California and future... ...Under the direction of the Manager, Utilization Management (UM), the RN, Utilization Management Grievance & Appeal, will review requests for medical services against National...Remote workWork at officeWork from homeVisa sponsorshipWork visaFlexible hours
Gold Coast Health Plan
Camarillo, CA4 days ago - ...capabilities and improved personalized treatment recommendations. Role Description: This is a full-time role for a Utilization Review Manager- Revenue Cycle Management at Variantyx. The role is responsible for managing the claim denials and appeals for the...Full time
Variantyx
Framingham, MA8 days ago $600 per month
...commercial operation of the facility. This role will be remote, but the ideal candidate must be able to travel... ...with the owner’s engineer, interconnection utility, and other stakeholders to facilitate the EPC design review process. Support the monthly invoice review/...Remote workContract workFor contractorsVisa sponsorshipDoral Renewables LLC
Philadelphia, PA5 days ago$73.1k - $142.55k
...This position will offer remote work flexibility, however, the selected candidate must... ...the following functions: care management, utilization management, behavioral health, care... ...more of the following activities: care review, care management, utilization management...Remote workContract workWork experience placementWork at officeLocal areaMolina Healthcare
Decatur, GA3 days ago- ...license. About MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a... ...(IRO) specializing in technology-driven utilization management and clinical medical review solutions... ...Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per...Remote jobContract workFor contractorsWork at officeWork from homeFlexible hours
- ...Job Description Job Description RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside within the New York Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGE CARE! VillageCare...Remote workFull timeLocal areaWork from home
$16 per hour
...Job Description Job Description Call Center Representative - Utility Location: Spring, TX 77373 Pay Rate: $16/hr Schedule: M... ...may include: Verifying credit and deposit information Reviewing customer correspondence Providing information about community...Hourly payFull timeDay shiftPrideStaff
Spring, Montgomery County, TX28 days ago
