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$275k - $300k
...service line ~100% administrative, non-clinical role ~ Work from home, but candidate must be within reasonable driving distance of... ...PTO ~ Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA...Work from homePermanent employmentFull timeRemote workMonday to FridayIntegrity Healthcare...
Sacramento, CA7 hours agonew- 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...Work from homeRemote jobFor contractorsFlexible hours
- 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...Work from homeRemote jobFull timeContract workFor contractorsWork at officeFlexible hours
- 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
- Overview 1099 Utilization Review work for Radiation Oncologists - Flexible Independent Contractor (1099) opportunity with Medical Review Institute... ...case requirements Additional Details Remote, work-from-home position - work anywhere in the U.S. Independent contractor...Work from homeFull timeFor contractorsRemote workFlexible hours
- ...Job Description Utilization Review Coordinator Supervisory Role - Behavioral Health. Napa... ...The Napa Valley Napa County is home to 140,000 residents who share a strong... ...Clinicians , review data and trends, and work closely with program and fiscal staff to...SuggestedFull timePart time
Napa County
Napa, CA7 days ago - Overview The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical... .... PRN nurses will be required to work at least one weekend per month, one... ...and computer work. Work From Home Technical Requirements Supply and support...Work from homeTemporary workReliefWork at officeRemote workFlexible hoursShift workWeekend work
$25 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: $2... ...required. ~ Proficiency in utilizing modern technology, especially...Work from homeHourly payTemporary workPart timeRemote workHome officeMonday to ThursdayFlexible hoursKLDiscovery
Memphis, TN4 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, PA2 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...SuggestedExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States3 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-... ...supplemental income Fully remote – work from anywhere You control volume and...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States1 day 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, NY1 day ago - ...(LTSS) Supervisor, the LTSS Reviewer is responsible for completing... ...inpatient and outpatient services, working closely with Service... ...Personal Assistance Services (PAS), home care (skilled) services,... ...received, nature of the request, utilization determination (and events...SuggestedRemote workFlexible hours
AmeriHealth Caritas
Newtown Square, PA2 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, NC2 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, NY20 days 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...For contractorsRemote work
- ...Job Summary: Conducts reviews of medical records and treatment plans to evaluate... ...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...Local area
$38.49 - $47.05 per hour
...healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may... ...optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical...Hourly payWork at officeRemote workFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA3 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 homeImmediate startShift work
Medical Solutions Direct Hire
White Plains, NY4 days ago - ...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
Prime Staffing
Greenbrae, CA1 day ago - Dane Street, a leading national provider of Utilization Review (UR) and Independent Review Organization (IRO) services, is expanding our panel... ...clinical or surgical practice. Position Highlights Remote Work: 100% telecommute using a secure, intuitive portal Flexible...Extra incomeContract workRemote workFlexible hours
- ...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, FL4 days ago - ...Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join... ...~ Tuition Reimbursement ~ Challenging and rewarding work environment ~ Competitive Compensation & Generous Paid Time...Full timePart timeLocal area
Universal Health Services, Inc.
Brookline, MA4 days ago - ...standards of patient care quality? We're seeking a dedicated Utilization Review Specialist (URS) to join our team and ensure that the services... ...in a related field (e.g., healthcare administration, social work, psychology). Strong knowledge of medical records review processes...Part time
Universal Health Services, Inc.
Fayetteville, AR4 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...Daily paidPart timeReliefLocal areaDay shift
Universal Health Services, Inc.
West Columbia, SC4 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...Daily paidTemporary workPart timeReliefLocal area
Universal Health Services, Inc.
Savannah, GA4 days ago - ...team includes seasoned medical staff. Website: The Utilization Review Coordinator opportunity is a key member of the Lighthouse... ...Highlights ~ Referral Bonus Program ~ Challenging and rewarding work environment ~ Competitive Compensation & Generous Paid Time...Part time
Universal Health Services, Inc.
Augusta, GA4 days ago - ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding its panel of physician... ...) Why Join Dane Street? True Flexibility: Work from anywhere, anytime-you control your schedule...Extra incomeContract workFor contractorsRemote workFlexible hours
$45 - $62 per hour
...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 homeHourly payImmediate startShift workMedical Solutions Direct Hire
White Plains, NY2 days ago- ...Description American Traveler has an immediate opening for a Travel RN Case Management/Utilization Review Case Management job in Greenbrae, California. RN travelers who work with us receive a highly competitive pay and benefits package. You'll enjoy the personalized...Daily paidTemporary workFor contractorsImmediate startShift work
American Traveler
Greenbrae, CA1 day ago
