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  • 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... 
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    Full time

    Sierra Health + Wellness Centers

    Haltom City, TX
    4 days ago
  • $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... 
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    Actalent

    Austin, TX
    1 day ago
  • A behavioral health service provider located in Haltom City, TX is seeking a Utilization Review Coordinator. This full-time position focuses on managing the Utilization Review process to guarantee the optimal use of resources while ensuring compliance with regulations... 
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    Sierra Health and Wellness Centers

    Haltom City, TX
    2 days ago
  • $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... 
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    Prime Therapeutics

    Saint Paul, MN
    3 days ago
  • A healthcare solutions company is seeking a Clinical Reviewer - LPN/LVN or RN for a remote role in the U.S. Responsibilities include...  ...must possess an active license, with 2+ years of experience in Utilization Review. The role requires strong clinical assessment skills and... 
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    Acentra Health

    McLean, VA
    2 days ago
  • Overview In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded as inpatient...  ...Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred.... 
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    Monday to Friday
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    Henry Ford Health - Careers

    Lansing, MI
    2 days ago
  •  ...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... 
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    Sierra Health + Wellness Centers

    Haltom City, TX
    4 days ago
  • 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... 
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    Universal Hospital Services Inc.

    Scottsdale, AZ
    4 days ago
  •  ...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... 
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    Concentra

    United States
    3 days 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 were more than a healthcare organizationwere a community-driven Coordinated Care... 
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    Umpqua Health

    Roseburg, OR
    8 days ago
  • $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... 
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    ICBD

    Lauderdale Lakes, FL
    a month ago
  • $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... 
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    Network 180

    Grand Rapids, MI
    6 days ago
  • $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... 
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    ICBD

    Lauderdale Lakes, FL
    3 days ago
  •  ...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... 
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    Stepworks Recovery Centers, LLC (Elizabethtown, KY)

    Grayson, KY
    21 hours ago
  • $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... 
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    CorVel Corporation

    Rancho Cucamonga, CA
    4 days ago
  • $18 - $20 per hour

     ...Transaction Review Specialist San Diego, California, United States At ecoATM the proof of our success is in our staggering growth, extraordinary...  ...more than just a job, you will be empowered to develop and utilize your unique talents and skills to build a rewarding career... 
    Hourly pay
    Full time
    Temporary work
    Local area
    Flexible hours
    Night shift
    Afternoon shift

    ecoATM

    San Diego, CA
    1 day 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 time
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    Local area
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    BAYADA Home Health Care

    Pennsauken, NJ
    3 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... 
    Immediate start

    City of Oregon City

    Oregon City, OR
    5 days ago
  •  ...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,... 
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    iMPact Business Group

    Lansing, MI
    2 days ago
  • $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 pay
    Full time
    Local area
    Worldwide
    Flexible hours
    Night shift
    Afternoon shift

    ecoATM, Inc.

    San Diego, CA
    3 days ago
  • Tampa General Hospital is hiring for a Case Management position in Tampa, Florida. The role involves assisting Case Managers and Social Workers with discharge planning and ensuring effective communication with payers. Ideal candidates will hold a High School Diploma, have...
    Remote job
    Full time

    Tampa General Hospital

    Tampa, FL
    1 day ago
  •  ...meetings. Position Summary The Technical Specialist I will support the Gas Engineering Asset...  ...a strong understanding of building or utility design, construction practices, and general...  ...environment. Key Responsibilities Review preplanned work to determine required permits... 
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    TPI Global Solutions

    Lansing, MI
    1 day ago
  • $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... 
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    Local area
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    Principle Services, LLC

    Dallas, TX
    2 days ago
  •  ...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 in
    Work at office
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    Relocation
    Work visa

    London Computer Systems

    Cincinnati, OH
    1 day 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 employment
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    Covius Services LLC

    Florida, NY
    3 days ago
  • About This Role Senior Sourcing Specialist - Fully Remote with up to 15% domestic travel. EnergyLink...  ...equipment bids for T&D EPC projects. Review RFPs and engineering designs to define...  ...for power generation, electric utility, or EPC projects. Expertise in vendor management... 
    Weekly pay
    Contract work
    Local area
    Remote work

    Quanta Infrastructure Solutions Group

    Phoenix, AZ
    4 days ago
  • Electric Utility Specialist - Full Time Hybrid Position (Dahlgren, VA) Are you ready to embark on a fulfilling and impactful career journey with...  ...activities for virtual meetings and site assessments. Review electrical drawings, specifications, and system documentation... 
    Full time
    Contract work
    Temporary work
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    Local area
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    RMC Global

    Dahlgren, VA
    1 day ago
  • 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 employment
    Full time
    Remote work
    Home office

    Pivotal Placement Services, Inc

    California, MO
    4 days ago
  • 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 job
    Permanent employment
    Full time
    Home office

    Pivotal Placement Services, Inc

    California, MO
    4 days ago
  •  ...Utility Maintenance Specialist All applications received during the recruitment period will be forwarded to the hiring department for review and consideration. Open Until Filled. Utility Maintenance Specialist: Repairs and maintains wastewater pump stations, water towers... 
    Full time
    Remote work

    Government Jobs

    Colonial Heights, VA
    4 days ago