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$29.62 - $45.31 per hour
Associate Utilization Review Specialist - Remote Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department Investigate, review, and...SuggestedRemote jobWork experience placementLocal area- A recognized Independent Review Organization is seeking Board-Certified Orthopedic Spine Surgeons for a fully remote position. This role involves conducting Utilization Reviews based on objective, evidence-based opinions, with no patient contact. Ideal candidates will possess...SuggestedRemote jobExtra incomeFlexible hours
$18 - $20 per hour
...programs located in Utah. We have 25+ years of experience using evidence-based practices to help families heal. As our Utilization Review Specialist, you will be responsible for maintaining organizational compliance and following all HIPAA regulations while providing compassionate...SuggestedFull timeRemote workHome office$18 - $22 per hour
Our Ethos Medical Management Team is seeking a full-time Utilization Review Specialist (REMOTE) to play a key role in ensuring the efficient, accurate, and timely processing of Utilization Management and Independent Review requests for our clients. This role involves reviewing...SuggestedHourly payFull timeWork at officeRemote work- A leading medical management firm is seeking a full-time Utilization Review Specialist to ensure efficient processing of Utilization Management requests. Responsibilities include reviewing cases, maintaining compliance, and providing exceptional client service. Candidates...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
- A healthcare management company is seeking a full-time Utilization Review Specialist for a remote position. The role focuses on efficiently processing Utilization Management and Independent Review requests, reviewing case requests, maintaining compliance, and delivering...SuggestedRemote jobFull timeWork at office
- A leading healthcare organization in California is seeking an RN Utilization Review professional for a full-time remote role. The position entails conducting utilization reviews and managing a varied workload in a fast-paced environment. Required qualifications include...SuggestedRemote jobFull time
- A leading professional services firm is seeking a Utilization Review Specialist to perform utilization review services in compliance with regulations. The role involves conducting precertification and concurrent reviews while advocating for patients. Ideal candidates will...SuggestedRemote job
$86k - $95k
...KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort...SuggestedTemporary workInterim roleWork at officeLocal areaRemote workShift work$27.5 - $44 per hour
...Job Summary The Clinical Documentation Specialist (CDS) communicates with providers, case... ...diagnoses for inpatients/residents. The CDS utilizes the hospital's designated clinical... ...professional organizations. May perform record reviews on clients in all age groups....SuggestedFull timePart timeWork experience placementRemote workWork from homeShift workDay shift- ...organization is seeking a clinical professional to change the lives of its 28 million members. In this role, you will perform clinical reviews and assess mental health and substance abuse care, ensuring the appropriateness of services. Ideal candidates will have a nursing...SuggestedRemote job
- ...coordinated, continuous coverage for current clients in treatment. UR specialists are tasked with advocating on the client’s behalf based upon... .... Works with the UR Director and facility contacts on case reviews for pre-service, concurrent, and retrospective authorizations...SuggestedFull timePart timeRemote work
$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...SuggestedFull timeWork at officeRemote workFlexible hours- ...evaluate the medical appropriateness of services. You will conduct reviews, make clinical determinations, and document decisions clearly... ...candidate has over 6 years of clinical experience, including utilization review in managed care. This role offers a strong focus on...SuggestedRemote job
- A leading health service provider is seeking an Associate Utilization Review Specialist to handle core functions in the Prior Authorization Department. This remote role requires strong critical thinking and experience in healthcare to assess and prepare prior authorization...Remote job
- ...online at: Via Linda Behavioral Health. Position Description The Utilization Management Coordinator reports to the Utilization Management... ...services. Interface with managed care organizations, external reviewers, and other payors for initial reviews, continued stay reviews...Daily paidReliefWork at officeLocal areaShift workWeekend work
- ...online at: Are you passionate about maintaining the highest standards of patient care quality? We\'re seeking a dedicated Utilization Review Specialist (URS) to join our team and ensure that the services provided to our facility\'s residents are in full compliance with...
- Responsibilities Utilization Review (UR) Coordinator - Full‑Time Daytime position. Calvary Healing Center has served the Phoenix area and nationwide for over 60 years, specializing in addiction treatment for adults. The flagship Phoenix location offers detoxification...Full timeLocal area
- 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...Remote work
$18 - $20 per hour
...Transaction Review Specialist At ecoATM the proof of our success is in our staggering growth, extraordinary impact on protecting the planet... ...more than just a job, you will be empowered to develop and utilize your unique talents and skills to build a rewarding career while...Hourly payFull timeTemporary workLocal areaFlexible hoursNight shiftAfternoon shift- ...efforts. Responsibilities include overseeing provider post-payment reviews, reviewing medical records, analyzing data, recovering... ...may be used to meet the above requirements, if applicable. If utilizing this education, you must show that the education credentials have...Extra incomeFull timePart timeWork experience placementWork at officeRemote workFlexible hours
- ...vibrant community for all. The Utility Intake Spe cialist provides initial contact... ...seeking utility assistance. The Intake Specialist greets and assists walk-in clients and... ...to ensure the applications may be reviewed and processed. The Intake Specialist utilizes...Flexible hoursAfternoon shift
Affordable Housing Alliance Inc
Eatontown, NJ27 days ago - ...Services Agency is seeking highly qualified candidates for the Utility Transport Specialist position. The Utility Transport Specialist will perform a... ...the latter is a working lead and assigns, directs and reviews the work of a small group of employees performing similar...TraineeshipWork at officeImmediate startFlexible hoursNight shiftAfternoon shift
- ...2026 WHO ARE WE? San Francisco Public Utilities Commission (SFPUC) Headquartered in San... ...Enterprise's Asset Manager, this Utility Specialist will be focused on providing detailed... ...service by meeting with customers, coordinate/review engineering details, discussing...Full timeContract workFor contractorsWork experience placementSecond jobLocal area
$47.58 - $60.73 per hour
Cover letter Description Utilities Technology Specialist $47.58 - $60.73 Hourly $8,248 - $10,526 Monthly $98,976 - $126,312 Annually Choose Morgan... ...of equipment and related information systems. Review operator’s manuals and other established guidelines; ensure...Hourly pay16 hoursTemporary workFor contractorsWork experience placementWork at officeRemote workFlexible hours$51.46k - $60k
Utilization Management Specialist Post Date: Feb 19, 2026 Location: 400 Mercy Ln, Aurora, IL 60506, 60560 Position Type: Full Time Requisition... ...clinical services from insurance and government payors Reviewing clinical records and determining the appropriateness of...Full timeTemporary workWork at officeRemote workMonday to FridayFlexible hours$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$34.13 - $42.64 per hour
...work opportunities based on role requirements Job Title Organ Utilization Specialist Location Remote Exemption Status Hourly, Non-exempt... ...iTransplant system accurately and promptly. Analyze donor charts and review all necessary clinical/social information, ensuring accuracy...Hourly payContract workWork at officeLocal areaRemote workShift workNight shift- ...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
