Get new jobs by email
- A leading claims management company is seeking a Utilization Review Coordinator. The role requires experience in administrative support and knowledge of medical terminology. Responsibilities include assigning utilization review requests, data entry, and providing support...SuggestedRemote jobFull time
- Overview Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health...SuggestedWork at officeRemote workFlexible hours
$55k - $70k
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 in the substance use disorder, mental...SuggestedWork at officeRemote workFlexible hours- A leading behavioral health network in Texas is seeking a full-time UR Coordinator to implement the utilization review process. Responsibilities include monitoring client documentation for compliance, gathering information for insurance, and conducting peer reviews. The...SuggestedRemote jobFull time
$40 - $45 per hour
...TX. This fully remote contract position requires 4+ years of RN experience in utilization management and a Compact RN license. Responsibilities include performing concurrent health reviews, evaluating care delivery for necessity, and assisting in discharge planning. Competitive...SuggestedContract workRemote workActalent
Austin, TX3 days ago- A leading independent review organization is seeking a Board-Certified Chiropractor for a flexible, fully remote opportunity involving independent Utilization Reviews. The role requires a Chiropractic Degree, a Missouri state license, and 5 years of clinical experience...SuggestedRemote jobFlexible hours
- A healthcare organization in Washington D.C. is seeking a Clinical Utilization Review Nurse (RN) for a remote position. This full-time PRN role involves assessing medical necessity and quality of healthcare services through utilization reviews. The ideal candidate will...SuggestedRemote jobFull timeReliefWeekend workAfternoon shift
$90.87 - $154.33 per hour
...A healthcare organization seeks a Physician Clinical Reviewer in Gastroenterology to provide medical review for service requests remotely... ...chance to impact patient care and work collaboratively in a utilization management team while enjoying a competitive salary ranging...SuggestedRemote workPrime Therapeutics
Saint Paul, MN4 hours ago$41.6k - $47k
...Utilization Review Specialist HYBRID, must be able to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470 EMPLOYMENT TYPE- Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated...SuggestedFull timeWork at officeLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift work$63.1k - $83.65k
...Position : Utilization Review Specialist Req.# : 26-61 FTE : Full-time, Exempt Unit : UAW Department/Location : Utilization Management Compensation: $63,102.73-$83,647.81 The Final job offer is based on several factors (internal equity, skills...SuggestedFull timeTemporary workRemote workMonday to Friday$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...SuggestedWork at officeRemote workFlexible hours- ...inspire in a valued sector of the healthcare industry. Read more of our story at stepworks.com/careers. POSITION: Utilization Review Specialist LOCATION: Elizabethtown, KY- Remote (*Must be a KY resident) QUALIFICATIONS: high school diploma experience...SuggestedFull timeRemote workMonday to FridayShift work
- Responsibilities Utilization Review Coordinator PRN/Per Diem Weekend Shifts Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area. We opened in February 2022 and now offer a full continuum of inpatient and outpatient...SuggestedDaily paidReliefWork at officeLocal areaShift workWeekend work
- ...employment)* Employer-paid Accident & Life Insurance (eligible after 60 days of employment)**Job Description:** The role of the Utilization Review Coordinator is to implement the organization’s Utilization Review (UR) process to ensure appropriate usage of available...SuggestedFull timeRemote work
- ...A leading healthcare provider is seeking a Board Certified Orthopedic or Neurosurgeon to review health claims. This telecommuting position offers flexibility within business hours, requiring a California license. Candidates are expected to provide medical interpretation...SuggestedRemote work
Concentra
United States4 hours ago - A healthcare organization is seeking Clinical Utilization Review Nurses (RN) for a remote position to assess healthcare services in line with Alabama Medicaid requirements. Candidates must possess a BA/BS in Nursing, an active RN license in Alabama, and at least 3 years...Remote job
$16.9 - $26.92 per hour
A health management company is seeking a Utilization Review Intake Specialist for a remote role. Responsibilities include managing precertification requests, verifying patient and provider information, and entering details into the CareMC system. Candidates should possess...Remote jobHourly pay$18 - $20 per hour
...enjoy more than just a job, you will be empowered to develop and utilize your unique talents and skills to build a rewarding career... ...Behaviors Position Overview: The Transaction Review Specialist (TRS) will be a member of the Transaction Services team. The...Hourly payFull timeTemporary workLocal areaFlexible hoursNight shiftAfternoon shiftecoATM
San Diego, CA3 days ago$64k
...requirement. BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager... ...Monday-Friday from 8:30am-5:00pm. Medicare, Coder, OASIS Review, Utilization Review, Quality Assurance, Remote, Home Health Coding As an accredited...Full timeWork at officeLocal areaRemote workMonday to FridayBAYADA Home Health Care
Baton Rouge, LA5 days ago- ...Utility Maintenance Specialist The City of Oregon City has an immediate opening for a Utility Maintenance Specialist I or II (based on experience... .... This position is open until filled, and the first review of applications will be Monday, April 13, 2026. Wages: UMS...InternshipImmediate start
City of Oregon City
Oregon City, OR1 day ago - ...on behalf of a partner company. We are currently looking for a Utilization Management Coordinator - REMOTE. In this role, you will assist... ...Monitor incoming faxes Enter UM authorizations review requests using ICD-10 and HCPCS codes Verify eligibility and claim...Temporary workRemote work
Jobgether
Saint Paul, MN4 hours ago - ...Role : Utilization Specialist Term : Part Time (20 hours per week each) Location : Central Florida; must be willing to travel to Orlando... ...available for onsite meetings) Key Responsibilities : Review any new Medicare patients from last 3 months Whether new...Part timeRemote work
Enterprise Engineering
Orlando, FL3 days ago $17 - $21 per hour
TE Pre-Review Specialist page is loaded## TE Pre-Review Specialistlocations: US FL Remotetime type: Full timeposted on: Posted Yesterdayjob... ...organizational agility, career growth, and optimal resource utilization. Flexibility and adaptability are essential, and reasonable...Permanent employmentTemporary workCasual workWork at officeLocal areaImmediate startRemote workHome officeFlexible hoursShift work$90k - $100k
...from Principle Services, LLC Field Safety Specialist We are seeking a highly skilled and... ...operations, specifically within the Electric Utility Industry on Substation and Transmission... ...Support the development and review of safety plans, wire-pulling plans, site...Contract workFor contractorsWork at officeLocal areaRemote workFlexible hours- ...managing projects and building relationships with customers. LCS is seeking a Metered Utilities Specialist whose primary function is to manage customer utilities and rate reviews. Essential Functions Core functional knowledge of utility operations and rate schedules...Live inWork at officeRemote workRelocationWork visa
- Primary Residence must be in the state of California (Remote within CA ONLY) Supervisor of Utilization Review Registered Nurse (Remote) This is a full-time, permanent role with a growing case management company. The nurse will have more autonomy with their caseload while...Permanent employmentFull timeRemote workHome office
- A growing case management company is seeking a Supervisor of Utilization Review Registered Nurse to work remotely within California. This full-time, permanent position offers increased autonomy with caseload management and eligibility for bonuses. Candidates must have...Remote jobPermanent employmentFull timeHome office
- ...residing in Michigan. Our Client, a Public Utility that provides natural gas and... ...needs serving in the role of Utility Permit Specialist for a 12 Month + Contract opportunity. Our... ...Permit Coordination team is responsible for reviewing all preplanned work for needed permits,...Contract workWork at officeRemote workFlexible hours
$18 - $20 per hour
...career with a positive environmental impact. The Transaction Review Specialist (TRS) will be a member of the Transaction Services team. The... ...forms Review online documentation for potential fraud, utilizing provided tools to determine verification of information Run...Hourly payFull timeLocal areaWorldwideFlexible hoursNight shiftAfternoon shift- The Charge Review Specialist Senior works as part of a centralized Revenue Cycle team to process accurate code assignments for paper and/or... ...relationships and providing excellent customer service. Ability to utilize computers for data entry, research, and information retrieval...Remote jobWork at office
