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  • $26.5 - $47.59 per hour

     ...perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA AND OREGON...  ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE,... 
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    Part time
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    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    1 day ago
  • $211.2k - $277.2k

     ...we're Oscar. We're hiring a Physician Reviewer to join our Utilization Review team. Oscar is the first...  ...has a weekend requirement. You will work 5 days per week to include Saturdays...  ...daily work will be completed from your home office, occasional travel may be required... 
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    Modern MedEd

    Phoenix, AZ
    16 hours ago
  •  ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must have a multi state compact license unencumbered Job Purpose: Review Workers Compensation... 
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    Elite

    Houston, TX
    9 days ago
  • Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert...  ...Independent contractor role (1099) Remote, work-from-home position—anywhere in the U.S. within regulatory constraints... 
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    Medical Review Institute of America

    Dallas, TX
    2 days ago
  • $1,099 per month

    Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review...  ...commitment. ADDITIONAL INFORMATION: Work remotely from anywhere in the US (Per HIPAA...  ...to be a remote position (work-from-home). Seniority level Mid-Senior level Employment... 
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    Medical Review Institute of America

    Dallas, TX
    4 days ago
  • Overview Join to apply for the Support Specialist- Utilization Review/Full Time/Remote role at Henry Ford Health . The support specialist is...  ...and resolution. Qualifications High School Diploma/G.E.D. Working knowledge of computers and software systems; strong verbal and... 
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    Henry Ford Health

    Warren, MI
    16 hours ago
  • $1,099 per month

    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
    3 days ago
  •  ...Join to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of...  ...if you prefer. Why Consider Peer Review Work? Stay up-to-date on clinical practices...  ...Additional Details Remote, work-from-home position—work anywhere in the U.S. Covered... 
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    Medical Review Institute of America

    Dallas, TX
    16 hours ago
  • Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...minimum case requirements Additional Details Remote, work-from-home position work anywhere in the U.S. Independent contractor... 
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    Medical Review Institute

    Dallas, TX
    3 days ago
  • Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be among the...  ...case requirements Additional Details Remote, work-from-home position—work anywhere in the U.S. Covered by MRIoA’s Errors... 
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    Full time
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    Medical Review Institute of America

    Dallas, TX
    16 hours ago
  •  ...during JHM management and safe transfer to home. Proactively communicates with payors to...  .... Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions...  ...Solutions, you’ll find a great place to work and a career home. We’ve received Best... 
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    Medical Solutions

    Baltimore, MD
    24 days ago
  • $35 - $41 per hour

    Job Title: Utilization Review - FULLY REMOTE Job Description This role involves performing precertification...  ...review experience is a plus. Work Environment The position requires an initial...  ...person. The role is primarily work-from-home, ideally located within 2 hours of the... 
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    Actalent

    Atlanta, GA
    1 day ago
  • $35 - $45.94 per hour

     ...Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review...  ...the Supervisor, Utilization Review. Work Location: This is a remote position, open...  ...daily work will be completed from your home office, occasional travel may be... 
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    Oscar Health

    Dallas, TX
    17 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... 
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    Quadrant Health Group

    Boca Raton, FL
    1 day 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-...  ...supplemental income Fully remote – work from anywhere You control volume and... 
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    Dane Street

    United States
    16 hours ago
  • $56.44 - $87.63 per hour

     ...a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare...  ...Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: Hybrid... 
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    Providence Health and Services

    Anaheim, CA
    1 day ago
  • Additional Information About the Role Join a stable work from home team. This is a great opportunity for a local remote position. Schedule...  ...performing care for hospitalized patients. 2 years of utilization review (UR) experience reviewing hospital admissions for medical... 
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    BJC HealthCare

    Saint Louis, MO
    16 hours ago
  • $28 per hour

     ...jurisdiction and 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...  ...later is required. Proficiency in utilizing modern technology, especially... 
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    Temporary work
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    Monday to Thursday
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    KLDiscovery

    Mc Lean, VA
    16 hours ago
  •  ...excellent customer service. Candidates preferred experience is 2-5 years of utility customer support experience, strong communication and data entry skills, and be tech-savvy. This is a remote, work from home role. Responsibilities: Handles inquiries and... 
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    Remote work

    Iapetus Holdings LLC

    Ann Arbor, MI
    1 day ago
  •  ...Med-Surg, PACU, ICU, Telemetry, etc.) or home health direct care ~1 year travel...  ...# Skills: Knowledge of case management, utilization review, and electronic health records EMR Used...  ...Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing... 
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    Permanent employment
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    LanceSoft

    Tuba City, AZ
    16 days ago
  • $2,951.6 per week

     ...influence your total pay.* \n \nAZ - RN Case Management/Utilization Review in Tuba City, AZ LeaderStat is currently seeking a AZ - RN...  ..., would be 1 weekend a month 1 year of experience working as a full-time Registered Nurse Clinical experience within... 
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    Full time
    Contract work
    Interim role
    Monday to Friday
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    LeaderStat

    Tuba City, AZ
    17 days ago
  •  ...streamlined manner. We are seeking to add an ABA Utilization Review (UR) 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. Your Responsibilities Review... 
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    Remote work
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    16 hours ago
  • Overview Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources, and the quality of patient care rendered. Combines clinical, business, regulatory knowledge, and skill to reduce significant financial risk and... 
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    Full time
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    Henry Ford Health

    Warren, MI
    16 hours ago
  • $19.5 - $26 per hour

     ...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... 
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    Full time
    Work experience placement
    Work at office

    RemoteOnline

    San Francisco, CA
    3 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, prospective...  .... What You Should Expect In This Role Home-based position. High-speed internet and... 
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    Full time
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    Gainwell Technologies

    Raleigh, NC
    16 hours ago
  • Remote work from Illinois, Wisconsin, Indiana, Missouri, Iowa, or Ohio. Description PRN/As Needed position. Weekday, day-time...  ...in one of the following states: IL, IN, MO, IA, FL, MI. The Utilization Reviewer reflects the mission, vision, and values of NM and adheres to... 
    Relief
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    1 day per week
    Weekday work

    Northwestern Memorial Hospital

    Chicago, IL
    4 days ago
  •  ...levels of care (inpatient, Extended Hospital Outpatient and OBS). 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) • InterQual required, this is a Hardstop • Experience with HMOs,... 
    Remote work

    Pacer Group

    Torrance, CA
    21 hours ago
  • Overview Join to apply for the Physician Reviewer - Neurological Surgery (Utilization Review) LA role at Dane Street . This is a telework opportunity for physicians...  ...; choose services and case types, dictate volume, and work based on availability No doctor-patient relationship... 
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    Dane Street

    Washington DC
    1 day ago
  • Job Description JOB TITLE Utilization Review Specialist I REPORTS TO Utilization Review Manager STATUS FT, Non-Exempt WAGE...  ...Grade 13 (2024) DEPARTMENT Utilization Review WORK LOCATION Roseburg, Or   POSITION PURPOSE The Utilization... 
    Full time
    Contract work
    Apprenticeship
    Local area
    Immediate start
    Remote work
    Monday to Friday
    Flexible hours
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    Umpqua Health

    Roseburg, OR
    16 days ago
  •  ...First Connect Health is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Tuba City, Arizona. Job...  ...care, respect, and responsiveness at every step. When you work with First Connect Health, you're not just another number — you... 
    Weekly pay
    Long term contract
    Temporary work
    Local area
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    First Connect Health

    Tuba City, AZ
    17 days ago