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  •  ...to apply for the Remote - Nephrology - Utilization Review - Contract (1099) role at Medical Review...  ...and state regulations. Flexibility work as little as 1-2 hours per week (with no...  ...designed to be a remote position (work-from-home). Seniority level ~ Seniority level... 
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    Medical Review Institute of America

    Dallas, TX
    3 hours agonew
  • 🌟 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
    10 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
  • 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
  •  ...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
    4 days ago
  •  ...Utilization Review Team Administrative Support Provides administrative support to the Utilization Review Team and assists with eligibility...  ...telephones, emails, and faxes. Monitors and completes multiple work queues. Maintains accurate and complete documentation of... 
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    Nationwide Childrens Hospital

    Columbus, OH
    3 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
    15 hours ago
  •  ...Optimization the RN-CDS conducts concurrent reviews of inpatient medical records, adhering to...  ..., and accrediting agency requirements. Utilizing strong clinical expertise, official...  ...Preferred Bachelor of Science in Nursing Work Experience Minimum Three (3) years nursing... 
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    OSS HEALTH

    York, PA
    3 days ago
  •  ...Nursing Consultant - Prior Authorization and Utilization Review ~534293 PHOENIX REMOTE OPTIONS...  ...employees are passionate about their work, committed to high performance, and...  ...This position will primarily work from home with some in-office meetings and on-site... 
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    Arizona Health Care Cost Containment System

    Phoenix, AZ
    1 day ago
  •  ...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: $25 per...  ...later is required. Proficiency in utilizing modern technology, especially... 
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    KLDiscovery Limited

    Chicago, IL
    3 days ago
  •  ...Join Our National Team as a Reviewer! Are you looking to leverage...  ...offers varied and challenging work? Our company, a leading...  ...reconstruction. These reviews include utilization of knowledge of industry...  ...be working remotely in their home office and will be exposed to... 
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    Paul Davis Restoration, Inc.

    Jacksonville, FL
    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
    11 days ago
  •  ...role focused on organizing and tracking utilization review (UR) data for Alabama's Region II...  ...on admission criteria. Maintains a working knowledge of all CMHC residential and housing...  ...special needs that cannot be met in their home area. Help facilitate movement to... 
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    AltaPointe Health

    Sycamore, AL
    3 days ago
  •  ...Job Description Job Description Position: Utilization Review Coordinator Job Type : Full Time  Location: Remote Schedule: Monday...  ...in behavioral health science preferred (Clinical Social Work, Clinical Psychology, Marriage and Family Therapy, or related... 
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    Sandstone Care

    Denver, CO
    3 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
    15 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

    Remote
    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... 
    Full time
    Immediate start
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    Marshfield Clinic Health System

    Marshfield, WI
    20 days 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
  •  ...: 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
    5 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
    4 days ago