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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
Deerfield Beach, FL2 days ago$56.44 - $87.63 per hour
...Description This position is a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care...Remote workFull timeWork at officeLocal areaWork from homeShift workProvidence Health & Service
Anaheim, CA1 day ago- Overview Join to apply for the Support Specialist- Utilization Review/Full Time/Remote role at Henry Ford Health . The support specialist is a key member of the centralized Utilization Review team, responsible for time‑sensitive authorization tracking and resolution. Responsibilities...Remote jobFull timeShift work
- ...efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist... ...in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities Review...Remote workWork at officeFlexible hours
- ***Hybrid/Remote*** Orientation Location: 8501 Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred...Remote workLocal areaWeekend work
Zenex Partners
Beverly Hills, CA3 days ago - ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must have a multi state compact license unencumbered Job Purpose: Review Workers Compensation...Remote workWork from home
- ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to... ...’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced...Remote workFull time
IntePros
Philadelphia, PA9 days ago - Job Description JOB TITLE Utilization Review Specialist I REPORTS TO Utilization Review Manager STATUS FT, Non-Exempt WAGE... ...and follow policies, procedures, and workflows in a remote environment. ~ Ability to meet productivity standards, organize...Remote workFull timeContract workApprenticeshipLocal areaImmediate startMonday to FridayFlexible hoursShift work
- Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 1-2 hours per week. Contribute...Remote jobFor contractorsWork from homeFlexible hours
$1,099 per month
Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review Institute of America . Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology...Remote jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours- Associate Utilization Review Specialist Location Oregon : Description Providence Health Plan caregivers are not simply valued - they're invaluable... ..., research briefs, provider resolutions) We welcome 100% remote work for residents who reside in the following State: ~...Remote workFull timeWork at officeLocal areaShift work
- The Utilization Review Manager performs the six essential activities of Case Management: Assessment, Planning, Implementation, Coordinating, Monitoring, Reassessing. Responsibilities Perform utilization review to evaluate for the appropriate level of care and fax all...Remote job
$1,099 per month
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 jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours$65k - $78k
...career in a 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 jobFull timeContract workWork at officeWork from homeFlexible hours- Overview Join to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of America . Flexible Independent Contractor (1099) Opportunity Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO Medical License Required About MRIoA Founded in...Remote jobFor contractorsReliefWork from homeFlexible hours
- Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute... ...) to provide expert Utilization Reviews. This is a flexible, remote opportunity requiring just 12 hours per week, possibly more...Remote workFull timeFor contractorsWork from homeFlexible hours
$70 - $74 per hour
...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description... ...: Local Contract Hybrid position: in-person and remote. Must have Interqual criteria experience. Must have...Remote workHourly payContract workLocal areaMonday to FridayShift workDay shifttalent4health
Cambridge, MA9 hours ago- Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be among the first 25 applicants Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute...Remote jobFull timeFor contractorsReliefWork from homeFlexible hours
$56.44 - $87.63 per hour
...Description Join our exceptional team as a Utilization Review Nurse at Providence Holy Cross Medical Center. This full-time position offers... ...upon hire. Minimum of 2 years experience working in a remote Utilization Review environment or as an acute hospital case manager...Remote workFull timeShift workDay shiftProvidence Health and Services
Mission Hills, CA5 days ago- ...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 compliant delivery of...Remote workPart timeFlexible hoursWeekend work
IntePros
Phoenix, AZ3 days ago $35 - $41 per hour
Job Title: Utilization Review - FULLY REMOTE Job Description This role involves performing precertification and medical necessity reviews for designated referrals and targeted outpatient procedures, services, and inpatient admissions. The position requires telephonic reviews...Remote workPermanent employmentContract workTemporary workWork at officeWork from home$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- ...Job Description Job Description We are seeking an experienced RN Case Manager to join our Utilization Review team. This is a 100% remote role requiring strong skills in inpatient case management and utilization management. Schedule: Monday–Friday, 8-hour shifts...Remote jobMonday to FridayShift workWeekend work
$34 - $52.7 per hour
...FROEDTERT HOSPITAL facility. This job is Remote. FTE: 0.875000 Standard Hours:... ..., PA moonlighter, for a second level review as needed. Facilitates communication... ...care nursing experience is required; Prior utilization management or case management experience...Remote workHourly payTemporary workShift workWeekend workFroedtert Health
Milwaukee, WI1 day ago- ...Title: Utilization Review Manager (URM) FLSA Status: Exempt Location: Fully Remote or Remote/In-Office Hybrid Approved by: Executive Leadership Skyway Behavioral Health is an innovative behavioral health center that goes beyond the treatment of psychiatric...Remote workTemporary workWork at officeLocal area
$26.5 - $47.59 per hour
...fresh perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA... ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE, UNENCUMBERED...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hours$211.2k - $277.2k
Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Review team. Oscar is the first health insurance company built around a... ...report into the Medical Director. Work Location: This is a remote position, open to candidates who reside in: Arizona,...Remote workFull timeWork from homeHome officeWeekend work$56.44 - $87.63 per hour
...Description RN Utilization Review at Providence Holy Cross Medical Center in Mission Hills, CA. This position is Full- time and will work... ...Registered Nurse License. ~2 years Experience working in a remote UR environment or working as an acute hospital case manager....Remote workFull timeShift workDay shiftProvidence Health and Services
Mission Hills, CA5 days ago- ...work from home team. This is a great opportunity for a local remote position. Schedule PRN (As needed) Shifts will fall between Monday... ...performing care for hospitalized patients. 2 years of utilization review (UR) experience reviewing hospital admissions for medical necessity...Remote workReliefLocal areaWork from homeMonday to FridayFlexible hoursShift work
$89.07k - $162.8k
Join to apply for the RN Utilization Review Case Manager role at MedStar Health 3 days ago Be among the first 25 applicants About The Job The... ...‑Friday, 8:30 AM‑5:00 PM; two days onsite and three days remote), this position focuses primarily on inpatient utilization review...Remote workFull timeContract workWork at officeMonday to Friday
