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$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 timeWork at officeRemote workQuadrant Health Group
Lake Worth, FL1 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...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
Dane Street
New York, NY20 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...Work from homeFull timeWork at officeLocal areaRemote workShift workProvidence Health & Service
Anaheim, CA20 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...Work from homeWeekly payDaily paidLocal areaShift work
Medical Solutions
Baltimore, MD24 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,...SuggestedRemote work
Pacer Group
Torrance, CA1 day ago $1,824 per week
...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, you’ll find a great place to work and a career home. We’ve received Best Places...Work from homeWeekly payDaily paidLocal areaShift workMedical Solutions
Baltimore, MD4 days 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 timeRemote workMaxion Research
Stow, OH3 days ago- ...Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift... ...Day 5x8-Hour (08:00 - 16:30) Job Description: Willing to work weekends (expectation is they work a minimum of at least 4...SuggestedRemote workShift workWeekend workDay shift
Zenex Partners
Apple Valley, CA4 days ago - ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential... ...members’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced...SuggestedFull timeRemote work
IntePros
Philadelphia, PA8 days ago - ...ComplexCare Solutions delivers home assessment services for health plans nationwide utilizing Nurse Practitioners and Physician... ...requirements. The MD collaborator works with these individuals to... ...applicable state and federal law; Review a representative sample of CCS Practitioner...Work from homeRemote work
ComplexCare Solutions
Charleston, SC4 hours agonew - ...Customer Account Representative - Water Utility Exp Required Location: Fremont, CA 94... ...specific terms and are subject to frequent review while in progress and upon completion,... ...and related meter records; and to create work orders for field personnel. Schedules...SuggestedContract workTemporary workWork at officeMonday to FridayShift work
22nd Century Technologies
Fremont, CA1 day ago $70 - $74 per hour
...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description... ...tool criteria experienceMust have acute care experienceMust work every other major holidayEMR Exp Required(or Preferred): EPIC...SuggestedHourly payContract workLocal areaRemote workMonday to FridayShift workDay shiftTalent4Health
Cambridge, MA3 days ago- ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension... ...inpatient authorizations, Pediatrics, CCS and UM Works with the Utilization Management team primarily responsible...SuggestedContract workWork at officeRemote workShift work
Integrated Resources
Long Beach, CA4 days ago - ...business unit. This is a front-line utilization management position that has... ...areas of inpatient concurrent review, pre and post service... .... Responsibilities Your Work In this role, you will:... ...physical offices and work from home office/deskwork - Activity level...Work from homeFull timePart timeWork at officeLocal areaRemote workHome officeWeekend workAfternoon shift1 day per week
Blue Shield Of California
Rancho Cordova, CA20 hours ago $70 - $74 per hour
...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description... ...criteria experience. Must have acute care experience. Must work every other major holiday. 1+ year(s) of experience in...SuggestedHourly payContract workLocal areaRemote workMonday to FridayShift workDay shifttalent4health
Cambridge, MA4 hours agonew$8 per hour
...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los... ...process improvement * BLS Preferred: * BSN * Prior work in an ambulatory healthcare setting * ACLS Primary...Hourly payContract workRemote workShift workZenex Partners
Los Angeles, CA1 day 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...Weekly payFull timeContract workInterim roleMonday to FridayShift workWeekend workLeaderStat
Tuba City, AZ17 days 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...Weekly payLong term contractPermanent employmentContract workTemporary workWork at officeShift work
LanceSoft
Tuba City, AZ16 days ago $2,366 per week
...~ Duration: 13 weeks ~40 hours per week ~ Shift: 8 hours, days ~ Employment Type: Travel Case Management and Utilization Review Discharge planning Shift: 4x10's (Fri, Sat, Sun, Mon) 8am - 6pm WEEKENDS REQUIRED No Call Minimum 4 yrs exp...Permanent employmentTemporary workLocal areaShift workWeekend work- ...Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization... ...-effective, and compliant delivery of home health care. This role monitors... ...Self-directed, flexible, and able to work independently with minimal supervision....Part timeRemote workFlexible hoursWeekend work
IntePros
Phoenix, AZ3 days ago $3,200 per week
...exp) ~ Knowledge of case management & utilization review #13GY About LanceSoft Established... ...Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing... ...Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics...Weekly payLong term contractPermanent employmentTemporary workWork at officeShift work$2,400 per week
...care. This includes patient assessment, discharge planning, utilization review, and collaboration with interdisciplinary teams to ensure timely... .... The RN Case Manager promotes patient advocacy and works to optimize clinical and financial outcomes through effective...Permanent employmentTemporary workWork at officeShift workProtouch Staffing
Kinston, NC2 days ago$2,732 per week
...liaison between the patient’s family and healthcare organization. Work is administered in a variety of settings, including HMOs,... ...Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are intended for...Hourly payWeekly payContract workTemporary workImmediate startShift work$2,800 per week
...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies...Permanent employmentTemporary workZero hours contractShift work$3,164 per week
...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies...Permanent employmentTemporary workZero hours contractImmediate startShift work$2,440 per week
...Description American Traveler has an immediate opening for a Travel RN Case Management/Utilization Review Case Management job in Kinston, North Carolina. RN travelers who work with us receive a highly competitive pay and benefits package. You'll enjoy the...Daily paidTemporary workImmediate startShift workAmerican Traveler
Kinston, NC2 days ago$2,506 per week
...rewarding journey with GLC - a recruiter will connect quickly to review pay , start date , and assignment details so you can make the... ...to be determined. Posted job title: AZ - RN Case Management/Utilization Review About GLC On-The-Go GLC is more than just a staffing agency...Weekly payFull timeContract workReliefLocal areaRelocation packageShift workGLC On-The-Go
Tuba City, AZ4 days ago$2,400 per week
...care. This includes patient assessment, discharge planning, utilization review, and collaboration with interdisciplinary teams to ensure timely... .... The RN Case Manager promotes patient advocacy and works to optimize clinical and financial outcomes through effective...Permanent employmentFull timeTemporary workWork at officeShift workProtouch Staffing
Kinston, NC1 day ago$72 - $76 per hour
...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in... ...without this experience). Must work every other major holiday 13 weeks //... ...Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics...Hourly payWeekly payLong term contractPermanent employmentContract workTemporary workWork at officeLocal areaRemote workMonday to FridayShift workLanceSoft
Cambridge, MA20 hours ago$720 per week
...Employment Type: Travel Description: RN-Case Manager/Utilization Review/CDI (clinical documentation improvement) Must have... ...including hospitals, clinics, rehabilitation centers, old-age homes, schools, correctional facilities, and more. At HonorVet,...Shift work
