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- Join to apply for the Utilization Review Appeals Specialist role at Michigan Medicine . Talent Acquisition... ...The Audit and Appeals Specialist works in Revenue Cycle. They work closely with... ...timeframe. Work Locations Work From Home position or Alternate: Onsite in Ann Arbor...Work from homeFull timeWork at officeRemote workMonday to Friday
$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...Work from homeFull timeRemote workHome officeWeekend work- Hematology/Oncology Physician - Utilization Review Remote - Flexible Independent Contractor (1099) Opportunity... ...complete No minimum case requirements - work as much or as little as you’d like Additional Details Remote, work‑from‑home position - work anywhere in the U.S....Work from homeFor contractorsRemote workFlexible hours
- ...Utilization Management Nurse Reviewer The Utilization Management Nurse Reviewer plays a crucial role in healthcare... ...PRN nurses will be required to work at least one weekend per month, one major... ...and computer work. Work From Home Technical Requirements: Supply and...Work from homeReliefWork at officeFlexible hoursShift workWeekend work
Dane Street
Scranton, PA9 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...Work from homeRemote jobFull timeContract workFor contractorsWork at officeFlexible hours$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...Work from homePermanent employmentContract workTemporary workWork at officeRemote work$26.5 - $47.59 per hour
Join to apply for the Utilization Review Clinician - Behavioral Health role at Centene Corporation. You could be the one who changes everything... ...on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: California and Oregon for Medicare...Work from homeHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hours$1,966 per week
...looking for a change? Want to work no nights, no weekends, and no... ...holidays? Be able to work from home 50% of the time once trained?... ...DESCRIPTION: This individual will utilize clinical knowledge and... ...defer decision to a second level reviewer. This individual interfaces with...Work from homeFull timeTemporary workPart timeWork at officeRemote workMonday to FridayFlexible hours$38.49 - $47.05 per hour
...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex... ...promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care using...SuggestedHourly payFull timeWork at officeRemote workFlexible hoursBlue Cross Blue Shield of Massachusetts
Hingham, MA2 days ago$28.9 - $35.45 per hour
...based on experience We are seeking Virtual Utilization Review Specialists to join our team. Full-time... ...Responsible for ConnectCare and ADT work queues assigned to VUR for revenue cycle... ...#workfromhome #onlinejobs #remotejobs #workfromanywhere #J-18808-Ljbffr Work Based At HomeWork from homeRemote jobFull timeReliefWork at office- .... We are currently seeking a dedicated Utilization Reviewer to join our dynamic team. Why Choose... ...resources, strong EAP services, and a healthy work-life balance in a supportive... ...CPUR) preferred. Additional experience in home health, ambulatory care, and/or occupational...SuggestedRelocation package
University of Maryland Medical System
Largo, MD8 days ago $25 per hour
...jurisdiction and desire an engaging work environment where they are... ...an ongoing need for Document Reviewers. MS, United States (Remote)... ...Position Details Remote work-from-home opportunity Pay rate: $25 per... ...is required Proficiency in utilizing modern technology, especially...Work from homeHourly payTemporary workRemote workHome officeMonday to ThursdayFlexible hours- ...coordinating, integrating, and monitoring the utilization of behavioral health (BH) services... ...cases to the Medical Director for review. Refer to and work closely with Case Management to... ...care. Collaborates with hospital, home care, care management, and other providers...SuggestedContract workWork at office
Excellus Health Plan
Rochester, NY9 hours ago - ...Commercial Documentation Review Specialist I Join Mercantile Bank as a Full-Time Commercial... ...90 days, there is an opportunity to work from home 1-2 days per week) offers an opportunity... ...a new challenge, allowing you to utilize your analytical skills in a fast-paced,...Work from homeFull timeFlexible hours2 days per week1 day per week
- ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its... ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully... ...case - predictable, supplemental income Work remotely from anywhere you choose Set your...SuggestedRemote jobPrice workExtra incomeFor contractors
- ...rewarding journey with GLC - a recruiter will connect quickly to review pay , start date , and assignment details so you can... ...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate......Weekly payFull timeContract workReliefLocal areaImmediate startRelocation packageShift work
GLC On-The-Go
Greenbrae, CA7 days ago - ...manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The... ...motivated, detail-oriented and interested in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities...Full timeWork at officeRemote workFlexible hours
$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...Hourly payFull timeWork experience placementWork at officeRemoteOnline
San Francisco, CA5 days ago$35 - $50 per hour
...Description JobTitle : Retro Claims Reviewer Location : West Hills/Canoga Park 91... ...Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong... ...and communication skills ~ Ability to work independently and prioritize tasks ~ Proficiency...Hourly payContract workTemporary workTEKsystems
Los Angeles, CA4 days ago- ...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
HonorVet Technologies
Syracuse, NY26 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
- ...Type: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary We are seeking a detail-oriented... ...to detail (minimum 50 WPM preferred). Experience working with EHR systems (e.g., CareLogic, Credible, Epic,...Full timeWork at officeRemote workFlexible hours
- ...(LTSS) Supervisor, the LTSS Reviewer is responsible for completing... ...inpatient and outpatient services, working closely with Service... ...toPersonal Assistance Services (PAS), home care (skilled) services,... ...received, nature of the request, utilization determination (and events...Remote workFlexible hours
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review) at Dane Street, [...]
Overview Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review) job at Dane Street, LLC. New York, NY. Dane Street, a nationally recognized... ...- consistent, supplemental income Fully remote - work from anywhere You control volume and availability...Price workExtra incomeFor contractorsRemote workFlexible hours- Overview Physician Reviewer - Psychiatry (Utilization Review) NY job at Dane Street, LLC. New York, NY. About Dane Street: Dane Street is a leading Independent... ...supplemental income through non-traditional clinical work. Position Overview We are currently seeking Board-...Extra incomeFor contractorsRemote workFlexible hours
$20.38 - $31.81 per hour
...Job Description Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician... ...and Care Coordination Additionally, the position works closely with the Care Coordination department to support...Full timeWork at officeGuthrie
Cortland, NY26 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, CA3 days ago - Overview Join to apply for the Physician Reviewer - Orthopedic Surgery (Utilization Review) LA role at Dane Street . Dane Street, a nationally recognized... ...for orthopedic surgeons seeking supplemental income, work-life balance, and a way to apply their clinical expertise...Extra incomeContract workRemote workFlexible hours
- ...SIGN ON BONUS** **Role Overview** Our Utilization Management Reviewers evaluate medical necessity for... ...Management Reviewer must maintain a strong working knowledge of federal, state, and organizational... ..., or Long-Term Acute Care (LTAC), home health care, or medical office...Remote workRelocation packageMonday to FridayFlexible hoursAfternoon shift
$2,118.2 - $2,213.2 per month
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Middleburg Heights, Ohio. Job... ...about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare...Hourly payWeekly payContract workShift workGQR Healthcare
Middleburg Heights, OH12 days ago
