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- ...looking for a change? Want to work no nights, no weekends, and no... ...holidays? Be able to work from home 50% of the time once trained?... ...DESCRIPTION: This individual will utilize clinical knowledge and... ...decision to a second level reviewer. This individual interfaces with...Work from homeTemporary workWork at officeRemote workMonday to FridayFlexible hours
Hines & Associates Inc
Freeport, IL1 day ago $78.54k - $121.72k
...Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal... ...Regional Utilization Review Documentation Specialist nurse works with the multidisciplinary team including physicians, staff...SuggestedFull timeWork at officeLocal areaShift workDay shiftTrinity Health
Maywood, IL2 days ago$60k - $75k
...Quadrant Health Group, i s seeking a passionate and dedicated Utilization Review Specialist to join our growing team. You will play a vital... ...professional development and growth. A supportive and collaborative work environment. A chance to make a meaningful impact on the...SuggestedFull timePart timeWork at officeRemote workQuadrant Health Group
Boca Raton, FL7 days ago$30 per hour
...jurisdiction and desire an engaging work environment where they are... ...an ongoing need for Document Reviewers. Document Reviewers will... ...Details ~ Remote work-from-home opportunity ~ Pay rate: $3... ...required. ~ Proficiency in utilizing modern technology, especially...Work from homeHourly payTemporary workPart timeRemote workHome officeMonday to ThursdayFlexible hoursKLDiscovery
Chicago, IL5 days ago- ...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non-traditional hours to provide access to medical necessity determinations for urgent and contractually required coverage requests 24/7, 365 days a year....SuggestedRemote workFlexible hoursSaturday
AmeriHealth Caritas
Newtown Square, PA4 days ago - ...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job... ...career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry...Work from homeFull timeImmediate startShift work
Medical Solutions Direct Hire
White Plains, NY1 day ago - ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient... ...;Utilization Management Reviewer must maintain a strong working knowledge of federal, state, and organizational regulations...SuggestedRemote workMonday to FridayFlexible hoursAfternoon shift
AmeriHealth Caritas
Newtown Square, PA5 days ago - ...RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside... ...Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY... ...position from the comfort of your own home as you will be responsible for the assessment...Work from homeFull timeLocal areaRemote work
VillageCare
New York, NY3 days ago $65k - $78k
...challenges. Join us and put your expertise to work in ways you never imagined possible. We... ...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,... ...What you should expect in this role Home-based position. High-speed internet...Work from homeFull timeContract workWork at officeRemote workFlexible hoursGainwell Technologies
Wilmington, NC4 days ago$57 per hour
...Work From Home - Clinical Pharmacist Reviewer - $57/hour (MA Only) ~ Fully remote position with a leading pharmacy team ~$57/hour pay rate + professional... ...role won't last! There are no costs for candidates utilizing our services as our clients pay for all related...Work from homeHourly paySecond jobRemote work- Job Summary: Conducts reviews of medical records and treatment plans to evaluate and... ...across the continuum of care. Identifies utilization trends, leads efforts for improvement initiatives... ...monitors progress and results. Develops work plans to meet business priorities and...SuggestedLocal area
Kaiser Permanente
Pleasanton, CA2 days ago - ...Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem To coordinate and direct Utilization... .... Benefit Highlights: ~ Challenging and rewarding work environment ~ Competitive compensation, Paid Time Off ~ Excellent...SuggestedDaily paidTemporary workPart timeReliefLocal area
Universal Health Services, Inc.
Savannah, GA5 days ago - ...Job Description Description: Conifer Park is looking for an Utilization Review Coordinator to join the Medical Records team at our site in... ...wages, benefits, and a pension plan in a supportive working environment. Background checks, pre-employment & drug screenings...Suggested
Conifer Park Inc.
Schenectady, NY12 days ago - ...Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join... ...: Benefit Highlights ~ Challenging and rewarding work environment ~ Competitive Compensation & Generous Paid Time...SuggestedFull timePart timeLocal area
Universal Health Services, Inc.
Brookline, MA4 days ago - ...of 300+ high quality employees describe working here as " family atmosphere," "supportive... ...incoming patients. Coordinates the utilization management functions of a patient caseload... ...treatment team and performance of reviews, with external review organizations/managed...SuggestedDaily paidPart timeReliefLocal areaDay shift
Universal Health Services, Inc.
West Columbia, SC5 days ago - ...reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting. This... ...and payer expectations for patient acuity and appropriate utilization. Works collectively with hospital operations (social services,...Part timeWork at officeLocal areaShift workDay shift
Universal Health Services, Inc.
Orlando, FL5 days ago - ...Job Summary The UR Reviewer 1 is responsible for performing inpatient admission... ...accredited School of Nursing or Social Work. ~ Experience ~2 years experience... ...related field (i.e. 3rd party payer) ~ Utilization review experience preferred....
Children's of Alabama
Birmingham, AL3 days ago $40.61 - $60.96 per hour
...Under general supervision, provides utilization review and denials management for an assigned patient... ...the general nature and level of work being performed by staff assigned to this... ...CPUR) preferred. Additional experience in home health, ambulatory care, and/or occupational...Relocation packageUniversity of Maryland Medical System
Upper Marlboro, MD3 days ago$41.12 - $50.26 per hour
...true colors to blue. The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical... ...policies. This position is part of a larger team and works independently and collaboratively to facilitate care using...Hourly payWork at officeFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA1 day ago- ...Desk Review Specialist Kemper is one of the nations leading specialized... ...challenge, and a healthy work-life balance can be highly... ...most cost-effective parts were utilized within industry standards.... ...onsite with occasional work from home opportunities out of our local...Work from homeWork experience placementCasual workWork at officeLocal area
Kemper
Dallas, TX4 days ago - ...Responsibilities Utilization Review Specialist Rivendell Behavioral Health Services is an 80-bed full-service behavioral healthcare... ...available options for patients. Maintains a good working relationship with referral sources as well as knowledge of community...Full timePart timeLocal areaImmediate start
Universal Health Services, Inc.
Benton, AR5 days ago - ...Responsibilities Utilization Review Specialist Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services... ...-ups on all appeals for resolution. Maintains denial log. Works within the organization's utilization management plan in...Part timeLocal area
Universal Health Services, Inc.
Panama City, FL5 days ago - A Medical Bill Reviewer I will perform activities related to the accurate... .... Additionally, youll: Utilize knowledge of medical coding requirements... .... ~1-3+ years of related work experience in a medical office... .... Monday and Friday work from home if you choose to, Tuesday...Work from homeWork experience placementWork at officeImmediate startHome officeMonday to Friday
- ...About the job Document Review and Data Entry Specialist Job details Salary... ...pride ourselves on providing our employees a work experience built on family values. Our... ...the following: Use TRAX program areas utilized for Maintenance personnel and perform setup...Hourly payFull timeWork experience placementWork at office
RemoteOnline
San Francisco, CA1 day ago $3,000 per month
...earn extra income from the comfort of your home? We are looking for motivated individuals... ...online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and... ...Choose Us? You have the flexibility to work either from home or in-person, with the option...Work from homeExtra incomeTemporary workPart timeImmediate startRemote workMaxion Research
Burney, CA7 hours ago- ...and continuous improvement. We are currently seeking a RN Utilization Management Reviewer - Medicare who shares our passion for patient-centered... ...chance to be part of a team recognized as a Best Place to Work in the NY Capital District and one of the Best Companies...
MVP Health Care
Tarrytown, NY5 days ago - ...Shift 1st Shift (Days) Description Registered Nurse Utilization Reviewer At Bristol Health, we begin each day caring today for... ...The appropriate Nurse Utilization Reviewer will have a strong working knowledge of nationally recognized criteria sets including...Full timeShift workDay shift
BRISTOL HOSPITAL GROUP
Bristol, CT4 days ago $343 per month
...Travel Utilization Review RN - $1,975 per week at Assured Nursing summary: A travel nurse Registered Nurse (RN) specializing in case management... ..., California. The role involves remote utilization review, working 40 hours per week during daytime shifts. Candidates must...Weekly payFull timeContract workZero hours contractRemote workShift workDay shiftAssured Nursing
Eureka, CA1 day ago$56.44 - $87.63 per hour
...prospective, retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical... ...Nurse License. ~2 years Experience working in a remote UR environment or working... ...outreach programs, and hospice and home care, and even our own Providence High...Part timeLocal areaRemote workShift workProvidence Health and Services
Mission Hills, CA3 days ago$59.24k - $76k
...edge technology, or providing clinical services you'll work alongside dedicated professionals who share your... ...license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization review on workers...Work from homeFull timePart timeLocal areaRemote workFlexible hours
