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- 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
- 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
$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, TX1 day ago- 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, MN3 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...SuggestedFull timeRemote work
- ...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...SuggestedDaily paidReliefWork at officeLocal areaShift workWeekend work
- ...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
$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- ...the Role The purpose of this position is to ensure that the utilization process is thorough, organized and streamlined to provide the... ...Participate in denial management, appeals, and peer-to-peer review processes Requirements ~ High School Diploma ~2+ years...SuggestedFull timeLocal areaRemote work
$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$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- ...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
Concentra
United States3 days 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
...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 payFull timeTemporary workLocal areaFlexible hoursNight shiftAfternoon shiftecoATM
San Diego, CA1 day 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 hour agonew $53.93k - $81.99k
...The City of Oregon City has an immediate opening for a Utility Maintenance Specialist I or II (based on experience) in our Sewer/Storm Division.... ...This position is open until filled, and the first review of applications will be Monday, April 13, 2026. Wages...Full timeContract workPart timeInternshipImmediate startFlexible hoursCity of Oregon City, OR
Oregon City, OR4 days 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, MN3 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...Live inWork at officeRemote workRelocationWork visa
London Computer Systems
Cincinnati, OH17 hours ago $35 per hour
...health solutions company is seeking a licensed LPN or RN Clinical Reviewer to work remotely. This role involves reviewing medical records... ...clinical experience, specifically in Prior Authorization and Utilization Review. The position also requires maintaining solid...Remote jobHourly payWeekend work$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, LA3 days ago$44.72k - $77.11k
...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, and other water/wastewater...Full timeRemote workCity of Colonial Heights, VA
Colonial Heights, VA2 days 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, FL1 day 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,...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
