Get new jobs by email
$28.9 - $35.45 per hour
...Virtual Utilization Review Specialists Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as...SuggestedFull timeReliefWork at officeRemote workEnsemble Health Partners
Akron, OH5 hours agonew- ...divh2ABA Utilization Review (UR) Specialist/h2pSpectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our clients revenue cycle is managed...SuggestedWork at officeRemote work
Spectrum Billing Solutions
Philadelphia, PA8 hours ago - ...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 eating disorders to address underlying...SuggestedTemporary workLocal areaRemote work
- ...Overview The Utilization Management Review Supervisor manages a remote team of up to 12 clinical reviewers who process prior authorization requests for Medicaid members in the Louisiana market. In this role, you will provide clinical, technical, and operational guidance...SuggestedWork at officeRemote workMonday to FridayFlexible hoursWeekend workAfternoon shift
RPMGlobal
Louisiana, MO1 day ago - ...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
- ...divh2Inpatient Authorization Review Specialist/h2pThis work from home position requires that you live and will perform the duties of the... ...policies and procedures, including phone and internet usage, break utilization, etc./liliParticipate in ongoing education and training as...SuggestedFull timeTemporary workPart timeImmediate startWork from homeFlexible hours
Nashville Staffing
Nashville, TN1 day ago $90k - $100k
...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...SuggestedContract workFor contractorsWork at officeLocal areaRemote workFlexible hoursPrinciple Services, LLC
Dallas, TX17 hours ago- ...Transmission Services (T). A successful candidate in the Senior Public Utilities Specialist (Contracts) position is responsible for long-term transmission contract development, quality assurance review, finalization and administration, analysis, assisting with customer...SuggestedLong term contractContract workWork at officeRemote workFlexible hours
Bonneville Power
Vancouver, WA2 days ago - The support specialist is a support role crucial to the centralized Utilization Review team for time‑sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials, and additional information requests received from third...SuggestedRemote jobPart timeShift work
- A leading healthcare provider is looking for a Medical Reviewer LPN to perform pre-authorization reviews and manage utilization reviews. The ideal candidate will have a valid LPN license and at least 3 years of clinical experience in a healthcare setting. Strong communication...SuggestedRemote job
- ...Services is seeking a Donor Eligibility Associate / Medical Record Reviewer to join our team! This position will perform a medical record... ...screening questions, on an on-call basis, as needed. Utilizes quality management system in electronic system including, but not...SuggestedTemporary workLocal areaRemote work
DCI Donor Services
Nashville, TN3 days ago - Program Specialist 3, Energy & Utilities Program Construction & Facilities Management Office, Camp Murray, WA Under supervision of Program Specialist... ...infrastructural changes to the database system. Enter reviewed invoice details accurately and timely. Gather, analyze,...SuggestedContract workWork experience placementWork at officeLocal areaRemote workMonday to FridayMonday to ThursdayNight shiftRotating shiftAfternoon shift
$83.12k - $149.59k
...Hours: 40 Cost Center: 99940 - 5421 Utilization Management This position may have a... ...every day. The Utilization Management Specialist (UMS) screens patients to determine the... .... I. Major Responsibilities: 1. Reviews admissions to ensure status is appropriate...SuggestedFull timeImmediate startRemote workRelocation packageMonday to FridayShift workDay shiftAfternoon shift$58.8k - $105k
...seeking a Behavioral / Mental Health Care Advocate in Phoenix, Arizona. This role involves managing the case management and utilization review of behavioral health and substance abuse cases. Candidates should have a Master's degree in a relevant field, an active Arizona...SuggestedRemote job$51.46k - $82.33k
...fulfillment by aligning your career with your values. Utilization Management Specialists are responsible for: Obtaining initial and subsequent... ...services from insurance and government payors Reviewing clinical records and determining the appropriateness of...SuggestedTemporary workFlexible hours- ...Behavioral Health Utilization Management Specialist Location: Utah (Hybrid & Remote Options Available) Job Type: Full-time Department:... .... What You’ll Do Champion patient care by reviewing medical records and clinical documentation to determine...Full timeWork at officeRemote work
$1,000 per month
...Nerve Health Protocol Review Specialist - Part-Time (Remote) Join Tribe Wellness as a Part-Time Nerve Health Protocol Review Specialist Hi, my name is Christopher Wilbourn, Founder and CEO of Tribe Wellness Sales in Austin, TX. I am seeking experienced Nerve...Extra incomeFull timePart timeRemote workFlexible hoursTribe Builders, Inc
Tahlequah, OK1 day ago- A healthcare management company in Louisiana is seeking a Utilization Management Review Supervisor to lead a remote team of clinical reviewers. This role involves providing clinical, technical, and operational guidance while ensuring goals are met through performance monitoring...Remote jobFlexible hours
$22 - $28 per hour
...are responsible for producing, purchasing, and delivering vital utility services across the University of Missouri campus. Our... ...Complete all requirements of the Utility Production Maintenance Specialist Training Program in a timely manner. Attend and participate in...Hourly payTemporary workWork experience placementShift workUniversity of Missouri-Columbia
Columbia, MO8 hours ago- ...Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Utility Specialist I (Union) Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location...Remote workVisa sponsorshipMonday to FridayFlexible hoursShift work
Cox Communications
Carleton, MI1 day ago $114k - $161k
...Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Join to apply for the Principal Consultant - Utility Return on Equity & Cost of Capital Specialist role at Concentric Energy Advisors Principal Consultant - Utility Return on Equity & Cost...Full timePart timeWork at officeRemote workWork from homeFlexible hours2 days per weekConcentric Energy Advisors
Washington DC20 days ago- ...Position Title: Appeal & Grievance Clinical Reviewer Location: Remote in AZ or surrounding state with compact license Assignment... ..., onbase and HRP (any or all). Similar skill set may be utilization management Description: Maintains a...Full timeWork at officeImmediate startRemote work
Spectraforce Technologies
Phoenix, AZ3 days ago $28.37 - $39.19 per hour
...sector. Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer (SCA) to join our growing team. Job Summary: The purpose of this position is to utilize clinical expertise during beneficiary interaction and determine appropriateness for...Contract workWork at officeLocal areaRemote workFlexible hoursAcentra Health
McLean, VA8 hours ago- ...Hmong Document Reviewer Washington, DC / Remote / Arlington, VA eDiscovery Document Review Full Time Remote As a CGS Hmong... ...; Produces a variety of written documents and materials utilizing a wide range of office software applications; Establishes and...Full timeWork at officeRemote workFlexible hours
Contact Government Services LLC
Saint Louis, MO4 days ago $18 - $21 per hour
...Tax Documentation Reviewer Cherry Bekaert is gearing up for tax busy season! We are seeking multiple temporary, remote Tax Documentation... ...close to tax deadlines. In this role you will: Utilizing your keen attention to detail to provide quality control by reviewing...Hourly payTemporary workWork experience placementSeasonal workLocal areaRemote workMonday to FridayDenver Staffing
Denver, CO5 hours agonew$28 per hour
...are valued and respected. We have an ongoing need for Document Reviewers. Document Reviewers will review documents for complex... ...Android OS version 16 or later is required. Proficiency in utilizing modern technology, especially computers and related remote work...Hourly payTemporary workRemote workWork from homeHome officeMonday to ThursdayFlexible hoursKLDiscovery
Eden Prairie, MN8 hours ago$40 per hour
...workflow and process improvements remotely. This role requires strong clinical knowledge in acute care settings and experience with utilization review. Candidates should possess excellent communication skills and the ability to work independently. The position offers a pay...Remote jobHourly payTemporary work- A leading healthcare organization is seeking a manager for their utilization review department. The role involves overseeing a team of registered nurses and social workers, developing policies, and ensuring compliance with healthcare regulations. Ideal candidates will...Remote jobFull time
- A law firm located in Plano, Texas, is seeking a Title Examiner to manage title issues, review title searches, and prepare legal documents. The ideal candidate will possess 2-3 years of real property title experience, be detail-oriented, and thrive in a fast-paced environment...Remote jobHourly payFull time
$70k - $85k
...procedures, as well as project, state, and utility program details. You will play a... ...relationships with utilities and industry specialists to maintain active community solar subscriptions... ...parts of the hiring process, such as reviewing applications, analyzing resumes, or...Temporary workWork experience placementLocal areaHome officePivot Energy
Chicago, IL3 days ago
