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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-...Work from homePermanent employmentContract workRemote workMonday to Friday
- ...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,...Work from homeHourly payContract workTemporary workLocal areaDay shift
- 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...Work from homeRemote jobFull timeContract workFor contractorsWork at officeFlexible hours
- ...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...SuggestedFor contractorsExtra incomeRemote workFlexible hours
Dane Street, LLC
New York, NY3 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...SuggestedWork at officeFlexible hours
- 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...Work from homeHourly payMinimum wageFull timeLocal areaRemote workFlexible hours
- ...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...SuggestedFull timeWork experience placementWork at office
- ...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...Work from homeFull timePart timeInternshipWork at officeRemote workFlexible hours
- ...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...Work from homeHourly payTemporary workRemote workHome officeFlexible hoursMonday to Thursday
- ...industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing... ...a lasting impact! Title: Utilization Review Coordinator Reports to: Senior... ...Qualifications: Bachelor's degree in Social Work, Nursing, or any related field....SuggestedRemote work
- ...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...Work from homeWork at officeLocal areaRemote workHome officeFlexible hours
- ...Job Description Job Description Utilization Review Coordinator (Part-Time) Remote Position (Must reside in CT, MA, NY, or NJ) About... ...role responsibilities, geographic location, performance, and working conditions. About Mountainside: Mountainside Treatment...SuggestedHourly payPart timeWork at officeRemote work
- ...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...SuggestedRemote jobWork at officeLocal area
- ...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...SuggestedWork at officeRemote workFlexible hours
- ...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...SuggestedRemote workRelocation
$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 timeImmediate startRemote workMarshfield Clinic Health System
Marshfield, WI19 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,...Full timeWork at officeRemote workFlexible hours
- ...Under the direction of the Supervisor, the Behavioral Health Utilization Management Reviewer is responsible for completing medical necessity reviews.... ...provider requests for inpatient and outpatient services, working closely with members and providers to collect all...Work at officeRemote workFlexible hours
- ...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...Price workFor contractorsExtra incomeRemote workFlexible hours
- ...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...Price workContract workFor contractorsExtra incomeRemote workFlexible hours
