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  • $26.5 - $47.59 per hour

     ...perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA AND OREGON...  ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE,... 
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    Part time
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    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    2 days ago
  • $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... 
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    Modern MedEd

    Phoenix, AZ
    1 day ago
  •  ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must have a multi state compact license unencumbered Job Purpose: Review Workers Compensation... 
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    Elite

    Houston, TX
    10 days ago
  • 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... 
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    Medical Review Institute of America

    Dallas, TX
    3 days ago
  • $1,099 per month

    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... 
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    Medical Review Institute of America

    Dallas, TX
    16 hours ago
  • Overview Join to apply for the Support Specialist- Utilization Review/Full Time/Remote role at Henry Ford Health . The support specialist is...  ...and resolution. Qualifications High School Diploma/G.E.D. Working knowledge of computers and software systems; strong verbal and... 
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    Henry Ford Health

    Warren, MI
    1 day 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... 
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    Medical Review Institute of America

    Dallas, TX
    4 days ago
  • Join to apply for the PRN - Remote ENT Utilization Review Work role at Medical Review Institute of America Flexible Independent Contractor (109...  ...little as you’d like Additional Details Remote, work-from-home position—work anywhere in the U.S. Covered by MRIoA's Errors... 
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    Medical Review Institute of America

    Dallas, TX
    1 day ago
  • Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...minimum case requirements Additional Details Remote, work-from-home position work anywhere in the U.S. Independent contractor... 
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    Medical Review Institute

    Dallas, TX
    4 days ago
  • Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be among the...  ...case requirements Additional Details Remote, work-from-home position—work anywhere in the U.S. Covered by MRIoA’s Errors... 
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    Medical Review Institute of America

    Dallas, TX
    1 day ago
  • $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... 
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    Actalent

    Atlanta, GA
    2 days ago
  • $35 - $45.94 per hour

     ...Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review...  ...the Supervisor, Utilization Review. Work Location: This is a remote position, open...  ...daily work will be completed from your home office, occasional travel may be... 
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    Oscar Health

    Dallas, TX
    18 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... 
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    Dane Street

    New York, NY
    1 day ago
  • $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... 
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    Hines

    Rockford, IL
    1 day ago
  •  ...Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our...  ...interested in supplemental income and non-traditional work, while continuing their active clinical practice.... 
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    Dane Street

    New York, NY
    1 day 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 Home
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    Work Based At Home

    Jackson, MS
    1 day ago
  • Additional Information About the Role Join a stable work from home team. This is a great opportunity for a local remote position. Schedule...  ...performing care for hospitalized patients. 2 years of utilization review (UR) experience reviewing hospital admissions for medical... 
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    BJC HealthCare

    Saint Louis, MO
    1 day 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... 
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    KLDiscovery India

    Jackson, MS
    4 days ago
  • Join Our National Team as a Reviewer! Are you looking to leverage your...  ...varied and challenging work? Our company, a leading parent...  ...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
  •  ...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,... 
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    2 days per week
    1 day per week

    Mercantile Bank

    Grand Rapids, MI
    16 hours ago
  •  ...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... 
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    Dane Street, LLC

    Jackson, MS
    1 day 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 time
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    Spectrum Billing Solutions

    Skokie, IL
    18 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... 
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    LanceSoft

    Tuba City, AZ
    17 days 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... 
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    Monday to Friday
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    LeaderStat

    Tuba City, AZ
    18 days ago
  •  ...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills \n 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... 
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    Zero hours contract
    Immediate start
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    Prime Staffing

    Greenbrae, CA
    1 day ago
  •  ...~ 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 employment
    Temporary work
    Local area
    Shift work
    Weekend work

    Protouch Staffing

    Kinston, NC
    10 days ago
  •  ...1st week and then will be deployed to work from home. Will provide the equipment. Nice To Have...  ...of our members. Responsibilities: Reviews and evaluates medical or behavioral eligibility...  ...management program interventions. Utilizes clinical proficiency, claims knowledge/... 
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    Monday to Friday

    US Tech Solutions

    Columbia, SC
    1 day ago
  • $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... 
    Full time
    Work at office
    Remote work

    Quadrant Health Group

    Boca Raton, FL
    1 day ago
  •  ...Job Description Job Description RN- Utilization Review Nurse Inpatient *Full Time - 100%...  ...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... 
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    Full time
    Local area
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    Village Care

    New York, NY
    11 days ago
  • Overview Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources, and the quality of patient care rendered. Combines clinical, business, regulatory knowledge, and skill to reduce significant financial risk and... 
    Remote job
    Full time
    Shift work

    Henry Ford Health

    Warren, MI
    1 day ago