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  •  ...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... 
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    Skyway Behavioral Health

    Remote
    a month 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... 
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    Centene Corporation

    Louisiana, MO
    2 days 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... 
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    Principle Services, LLC

    Dallas, TX
    4 days ago
  •  ...Utilization Review & Billing Specialist Full-Time | Hybrid (In-Office & Remote) Impact Life | Delaware Impact Life is seeking a detail-oriented and mission-driven Utilization Review & Billing Specialist to support our behavioral health and recovery-oriented... 
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    Full time
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    Impact Life

    Wilmington, DE
    1 day ago
  • Get AI‑powered advice on this job and more exclusive features. 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... 
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    Henry Ford Health

    Troy, MI
    20 hours ago
  • 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... 
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    RPMGlobal

    Louisiana, MO
    2 days ago
  • 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... 
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    Health Care Service Corporation

    Chicago, IL
    3 days ago
  •  ...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... 
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    DCI Donor Services

    Nashville, TN
    1 day 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,... 
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    State of Washington

    Lakewood, WA
    3 days ago
  • $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... 
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    UnitedHealth Group

    Phoenix, AZ
    20 hours ago
  • $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... 
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    Gateway Foundation Inc

    Springfield, IL
    24 days ago
  •  ...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... 
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    Row Partners

    Sandy, UT
    8 days 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... 
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    RPMGlobal

    Louisiana, MO
    2 days ago
  • $32.52 - $36.13 per hour

     ...providing a safe, high quality, and efficient transportation system for the State of Wyoming. We now seek a full-time Senior Utilities Specialist located in Cheyenne, Wyoming, to assist in communication and coordination with utility companies impacted by WYDOT... 
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    State of Wyoming

    Cheyenne, WY
    5 hours agonew
  •  ...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... 
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    Cox Communications

    Carleton, MI
    4 days 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... 
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    2 days per week

    Concentric Energy Advisors

    Washington DC
    23 days ago
  • $114k - $161k

     ...Principal Consultant Utility Return on Equity & Cost of Capital Specialist Job Title: Principal Consultant Utility Return on Equity & Cost of Capital Specialist Job Location: Marlborough, MA headquarters Position Type: Hybrid 3 days in office, 2 remote days per... 
    Full time
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    2 days per week

    Concentric Energy Advisors, Inc.

    Marlborough, MA
    1 day ago
  • A healthcare organization is seeking an experienced RN Utilization Management Specialist to join their team in a remote role. The Specialist will coordinate care by performing utilization management reviews, maximizing financial outcomes, and providing education to staff... 
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    UnityPoint Health

    Des Moines, NM
    20 hours 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... 
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    Acentra Health

    United States
    20 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... 
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    Contact Government Services LLC

    Saint Louis, MO
    2 days 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... 
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    Sound Physicians, Inc.

    Tacoma, WA
    4 days ago
  • 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 job
    Full time

    Mass General Brigham Incorporated.

    Somerville, MA
    3 days ago
  • $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... 
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    Monday to Thursday
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    KLDiscovery

    Eden Prairie, MN
    3 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... 
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    Monday to Friday

    Denver Staffing

    Denver, CO
    3 days ago
  •  ...environmental consultancy is seeking a Technical Officer to support carbon accounting initiatives remotely. The role involves project reviews, stakeholder engagement, and ensuring compliance with standards. Ideal candidates will have a relevant degree, strong technical... 
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    Jobgether

    Chicago, IL
    3 days ago
  • 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... 
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    Hourly pay
    Full time

    McCarthy & Holthus LLP

    Plano, TX
    1 day ago
  • $18 - $21 per hour

     ...need for a talented Associate Sourcing Specialist. This is a 12+months contract opportunity...  ...is in Gastonia, NC(Onsite). Please review the job description below and contact me...  ...operations and policies: Utilizes automated accounting and billing systems... 
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    Pyramid Consulting

    Gastonia, NC
    17 hours agonew
  • $53.1k - $188.2k

     ...May 23, 2025 Most recent review date: Sunday, Nov 30, 2025 at 11:59pm (...  ...Li Lab - Junior/Assistant/Associate/Full Specialist The Li Lab is seeking a Junior, Assistant...  ...candidate will be expected to develop, utilize, and extend innovative imaging and... 
    Local area

    University of California , San Francisco

    San Francisco, CA
    3 days ago
  • $36.19 - $54.28 per hour

     ...conservation and fit/training for hearing protection devices. Utilize critical thinking and decisive judgment to work independently...  ...standards, reflecting increased experience and skills. Market Reviews: Regular assessments to adjust base pay in line with market... 
    Full time
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    UC Health

    Lone Tree, Douglas County, CO
    2 days ago
  •  ...manuals. Sets up progress reporting framework for scope area, and reviews on an ongoing basis with team, taking proactive course...  ...industry and regulatory standards, and design criteria pertinent to utility scale electrical systems such as ANSI/IEEE C50, IEEE C57, IEEE... 
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    Wyoming Staffing

    Cheyenne, WY
    20 hours ago