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  • 🌟 We're Hiring: Physician Reviewer (Utilization Review)! 🌟 We are seeking a dedicated and experienced ABMS Board Certified MDs/DOs to...  ...Insurance Location: Nashville, TN - Fully remote – Work from Home  Contract: 1-year, contract to hire Schedule: Monday-... 
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    TapTalent.ai

    Nashville, TN
    5 days ago
  •  ...cases involving largest reserves. Utilizes clinical skills to assess,...  ...concurrent, and retrospective reviews for inpatient acute care, rehabilitation...  ...to more junior professionals. Works autonomously, only requiring "...  .... If you will be working at home occasionally or permanently,... 
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    The Cigna Group

    Sacramento, CA
    more than 2 months ago
  •  ...Founded in 1983,  Medical Review Institute of America (MRIoA)is...  ...specializing in technology-driven utilization management and clinical medical...  ...ADDITIONAL INFORMATION : Work remotely from anywhere in the...  ...a remote position (work-from-home). Jobicy job ID: 121976... 
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    Medical Review Institute of America

    Remote
    27 days ago
  • Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review Institute...  ...and healthcare plan guidelines. Work remotely with flexible hours, as little...  ...office equipment. Role is remote (work-from-home). Legal and Privacy California... 
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    Medical Review Institute of America

    Dallas, TX
    4 days ago
  • $36k - $43.2k

     ...Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of information...  ..., emails, and faxes. Monitors and completes multiple work queues. Maintains accurate and complete documentation of admission... 
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    Full time
    Work at office

    Nationwide Children's Hospital

    Columbus, OH
    15 days ago
  • The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient...  ...Case Management department, and of CorVel. Opportunity to work from home. Candidates must reside in Pacific Time Zone. ESSENTIAL FUNCTIONS... 
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    CorVel

    Rancho Cucamonga, CA
    1 day ago
  •  ...jurisdiction who desire an engaging work environment where they are...  ...an ongoing need for Document Reviewers. Document Reviewers will...  ...Position Details Remote work-from-home opportunity Pay rate: $28 per...  .... A phone or table that utilizes Apple OS version 16 or later or... 
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    Monday to Thursday

    Davita Inc.

    Mc Lean, VA
    1 day ago
  • Public Health Nursing Consultant - Prior Authorization and Utilization Review Job No: 534293 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX...  ...covered services. This position will primarily work from home with some in-office meetings and on-site duties being required... 
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    Arizona Department of Administration

    Phoenix, AZ
    1 day ago
  • $22 per hour

     ...Utilization Review Coordinator (Part-Time) Remote Position (Must reside in CT, MA, NY, or NJ) About The Position Mountainside is looking...  ...responsibilities, geographic location, performance, and working conditions. About Mountainside Mountainside Treatment... 
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    Mountainside

    Stamford, CT
    7 days ago
  •  ...healthcare organizations. We are looking to add a Utilization Review Specialist to our growing team. The...  ..., detail-oriented, and interested in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Responsibilities include... 
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    Spectrum Billing Solutions

    Skokie, IL
    11 days ago
  •  ...committed to fostering a welcoming and collaborative work environment that encourages big-picture thinking,...  ...- Reports of Investigation ("ROI") and the Utilities Senior Project Manager, the Utility Design Reviewer contributes alongside a team of Utility Design Reviewers... 
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    Fluor

    California
    more than 2 months ago
  • $60k - $72k

     ...Remote work available for Wisconsin residents only. The Utilization Review Specialist, Revenue Cycle provides quality assurance of medical care. Perform quality control related to patient treatment by medical staff to ensure clinical roles provided adequately for patients... 
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    Full time
    Immediate start
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    Marshfield Clinic Health System

    Marshfield, WI
    16 days ago
  •  ...: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary: We are seeking a detail...  ...detail (minimum 50 WPM preferred). ~ Experience working with EHR systems (e.g., CareLogic, Credible, Epic,... 
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    Recruiting Choices

    Houston, TX
    1 day ago
  •  ...direction of the Supervisor, the BH UM Reviewer is responsible for completing medical necessity...  ...for inpatient and outpatient services, working closely with providers to collect all...  ...treatment delivered is appropriately utilized and meets the member's needs in the least... 
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    AmeriHealth Caritas

    United States
    more than 2 months ago
  •  ...Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our...  ...supplemental income through non-traditional clinical work. Position Overview: We are currently seeking... 
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    Dane Street, LLC

    New York, NY
    a month ago
  •  ...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $115 - (875...  ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates!... 
    Immediate start
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    Anders Group

    Greenbrae, CA
    2 days ago
  •  ...week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $115 - (8751-62500) - TO About Summit Medical Staffing Nursing Summit... 
    Weekly pay
    Immediate start
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    Summit Medical Staffing Nursing

    Greenbrae, CA
    2 days ago
  •  ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-...  ...consistent, supplemental income Fully remote – work from anywhere You control volume and... 
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    Dane Street, LLC

    New York, NY
    a month ago
  •  ...Supports (LTSS) Supervisor, the LTSS Reviewer is responsible for completing...  ...and outpatient services, working closely with Service...  ...Personal Assistance Services (PAS), home care (skilled) services, Adult...  ...Environmental Modifications + Utilize technology and resources (systems... 
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    AmeriHealth Caritas

    United States
    6 days ago
  •  ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical,...  ...– predictable, supplemental income ~ Work remotely from anywhere you choose ~ Set... 
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    Dane Street, LLC

    Parchman, MS
    a month ago