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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
- ...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
- ...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
- ...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
- 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, NY2 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...SuggestedRemote jobWork at officeLocal area
- 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
- ...Come Work At A Place Where Innovation And Teamwork Come Together To Support The Most Exciting Missions In The World! Job Title: Utilization Review Specialist Cost Center: 101651289 Revenue Cycle Administration Scheduled Weekly Hours: 40 Employee...SuggestedRemote jobImmediate startShift work
- ...Position Summary The Associate Utilization Review Assistant is responsible for providing non-clinical support to the Utilization Management... ...providers and members, and processing requests per standard work in order to ensure that Utilization Management activities are...SuggestedRemote jobWork at office
- ...Hospital Kalamazoo Behavioral Health Hospital is looking for a Utilization Review Coordinator to coordinate patients' services across the... ...off policy, special tuition offers through Capella University, work/life balance with great professional growth opportunities,...SuggestedWork at office
- ...relationships that help answer the "how" in moving forward. We work closely with every client to create personalized, high-... ...to help people thrive in recovery. Position Summary The Utilization Review Analyst will conduct initial and concurrent reviews with respective...SuggestedContract workLocal area
- ...effectiveness through the integrating and function of case management, utilization review and discharge planning. Essential Functions:... ...Qualifications Education: Prefer a Bachelor's Degree in social work, psychology or counseling with documented field work experience...SuggestedWork experience placementLocal area
- ...Utilization Management And Review Coordinator Behavioral Hospital is a beautiful and new state-of-the-art facility. As a joint venture with the... ...Requirements: Experience: A minimum of three years' experience working with psychiatric utilization review criteria strongly...SuggestedFull timeLocal areaMonday to Friday
- ...Utilization Review Coordinator Palmetto Lowcountry Behavioral is currently recruiting for the Utilization Review Coordinator position. The... ...Degree or RN required. Clinical degree such as nursing, social work, psychology, health information management or other related...SuggestedFull timeWork at officeLocal area
- ...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
- ...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
$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...Hourly payPart timeWork at officeRemote workMountainside
Stamford, CT9 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...Work at officeRemote workFlexible hours
- ...Utilization Review Analyst - Per Diem Michael's House is currently seeking a dynamic Utilization Review Analyst - Per Diem. This role is... ...department at our Treatment Center. Do you have a passion for working with patients with co-occurring disorders and chemical...Daily paidLocal area
- ...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...Remote workRelocation
- ...admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for concurrent review on specific patients. Develops, coordinates... ..., Behavioral Health: Master's in Social Work or related field Skills and Knowledge:...Daily paidCasual workWork at officeLocal areaShift workWeekend work
- ...Utilization Review Specialist The Utilization Review Specialist (URS) exercises independent judgment and professional discretion in the practice of case management to a select group of patients. The URS collaborates with physicians to ensure that patients are at the...Shift work
- ...Market Appeals Specialist In Utilization Review The Georgia Business Center is a centralized office for multiple Universal Health Services... ...in behavioral health to written correspondence. Capability to work independently in a multifaceted, fast-paced environment with...Work at officeLocal area
- ...Utilization Review Specialist Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with seventeen locations... ...correspondence relating to new clients that require Authorization Working closely with the Avenues Recovery billing team to properly...Temporary workCurrently hiringFlexible hours
- ...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...Remote workFlexible hours
- ...: 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
- ...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
- ...direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity... ...Care Reviewer must maintain a strong working knowledge of federal, state, and... ...Rehabilitation, or Long-Term Acute Care (LTAC), home health care, or medical office setting...Work at officeRemote workFlexible hoursMonday to Friday
