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  • Cardiologist Needed for Remote Utilization Review Work

     ...Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What Youll Do...  ...Independent contractor role (1099) Remote, work-from-home positionanywhere in the U.S. within regulatory constraints... 
    Work from home
    For contractors
    Remote work
    Flexible hours

    Medical Review Institute

    United States
    5 days ago

  • Utilization Review RN

     ...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 home
    Temporary work
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Hines & Associates Inc

    Freeport, IL
    2 days ago

  • 1099 Utilization Review work for Radiation Oncologists

     ...Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...Additional Details Remote, work-from-home position work anywhere in the U.S. Independent contractor... 
    Work from home
    Full time
    For contractors
    Remote work
    Flexible hours

    Medical Review Institute

    Dallas, TX
    5 days ago

  • PRN - Remote ENT Utilization Review Work

     ...Join to apply for the PRN - Remote ENT Utilization Review Work role at Medical Review Institute of America Flexible Independent Contractor...  ...as youd like Additional Details Remote, work-from-home positionwork anywhere in the U.S. Covered by MRIoA's Errors... 
    Work from home
    Full time
    For contractors
    Relief
    Remote work
    Flexible hours

    Medical Review Institute

    United States
    5 days ago

  • PRN - Remote Utilization Review Work for a Neurosurgery

     ...Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be...  ...requirements Additional Details Remote, work-from-home positionwork anywhere in the U.S. Covered by MRIoAs Errors... 
    Work from home
    Full time
    For contractors
    Relief
    Remote work
    Flexible hours

    Medical Review Institute

    United States
    5 days ago

  • Utilization Review Clinician - Behavioral Health

    $26.5 - $47.59 per hour

     ...perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING CALIFORNIA AND OKLAHOMA MEDICAID, COMMERCIAL/...  ..., INPATIENT, INTENSIVE OUTPATIENT, PARTIAL HOSPITALIZATION UTILIZATION REVIEW INCLUDING DENIAL NOTIFICATIONS. ACTIVE, UNENCUMBERED... 
    Work from home
    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    5 days ago

  • Utilization Review Nurse

    $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... 
    Work from home
    Hourly pay
    Full time
    Remote work
    Home office

    Oscar Health

    Dallas, TX
    6 days ago

  • Physician Reviewer - Orthopedic Spine Surgery (Utilization Review) MS

     ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its...  ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical,...  ...– predictable, supplemental income ~ Work remotely from anywhere you choose ~ Set... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work

    Dane Street, LLC

    Parchman, MS
    21 days ago

  • Utilization Review Analyst

     ...efficient use of resources via concurrent reviews of acute care authorizations. The scope...  ...and regulations. Understanding of utilization management Preference for knowledge of...  ...interpersonal skills. Demonstrated ability to work effectively in a team environment... 
    Suggested
    Work at office
    Remote work

    Oakland Community Health Network

    Troy, MI
    18 days ago

  • Utilization Review Nurse (Philadelphia)

    $49.23 per hour

     ...Contemporary Staffing Solutions is seeking a Utilization Review Nurse to join our client to support the...  ...Compensation: $49.23 per hour Work Schedule: Monday through Friday,...  ...Onsite Tuesday through Thursday; work from home Monday and Friday. Key... 
    Work from home
    Hourly pay
    Contract work
    Part time
    Monday to Friday

    CSS Scientific

    Philadelphia, PA
    2 days ago

  • Document Reviewer

    $30 per hour

     ...Join to apply for the Document Reviewer role at KLDiscovery India ....  ...and desire an engaging work environment where they are valued...  ...Details Remote work-from-home opportunity Pay rate: $30...  ...16 or later Proficiency in utilizing modern technology, especially... 
    Work from home
    Hourly pay
    Temporary work
    Remote work
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery India

    Virginia, MN
    5 days ago

  • Utilization Review Specialist (in-office only) (Boca Raton)

    $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... 
    Suggested
    Full time
    Part time
    Work at office
    Remote work

    Quadrant Health Group

    Boca Raton, FL
    2 days ago

  • Physician Reviewer - Nuerological Surgery (Utilization Review) LA

     ...Overview Join to apply for the Physician Reviewer - Neurological Surgery (Utilization Review) LA role at Dane Street . This is a telework opportunity...  ...; choose services and case types, dictate volume, and work based on availability No doctor-patient relationship... 
    Suggested
    For contractors
    Remote work

    Dane Street

    Washington DC
    5 days ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review)

     ...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... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    United States
    4 days ago

  • Physician Reviewer - Psychiatry (Utilization Review) NY

     ...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... 
    Suggested
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    United States
    2 days ago

  • Utilization Management Reviewer

     ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient...  ...;Utilization Management Reviewer must maintain a strong working knowledge of federal, state, and organizational regulations... 
    Remote work
    Monday to Friday
    Flexible hours
    Afternoon shift

    AmeriHealth Caritas

    Newtown Square, PA
    6 days ago

  • Utilization Review Coordinator Supervisory Role - Behavioral Health.

    $136.22k - $163.05k

     ...Utilization Review Coordinator Supervisory Role - Behavioral Health. Napa County Salary:...  ...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... 
    Full time
    Part time

    Napa County

    Napa, CA
    17 days ago

  • Michigan Utilization Review Nurse - LPN (100% Remote)

     ...entities we serve. Position: Michigan Utilization Review Nurse (Precertification) - LPN...  ...sound clinical decisions # Ability to work independently # Ability to provide instruction...  ...minute Job Type: Full Time; home based Required Education: Graduate... 
    Work from home
    Remote job
    Full time
    Work at office
    Local area

    MEDLOGIX, LLC

    Lansdale, PA
    8 days ago

  • RN Utilization Management Reviewer

    $38.49 - $47.05 per hour

    ## **The Role** The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex healthcare needs, authorizing...  ...promote optimal health.This position is self-directed and works independently and collaboratively to facilitate care using... 
    Work at office
    Remote work
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    4 days ago

  • Travel Nurse RN - Case Manager, Utilization Review

     ...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description...  ...license and BLS certification. \n \n Responsibilities\n Work within a hospital case management unit Serve an acute care... 
    Daily paid
    Remote work
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Fort Myers, FL
    8 days ago

  • Utilization Review Coordinator

     ...Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join...  ...Website: Benefit Highlights ~ Challenging and rewarding work environment ~ Competitive Compensation & Generous Paid Time... 
    Full time
    Local area

    Universal Health Services

    Brookline, MA
    5 days ago

  • Utilization Review Coordinator

     ...Medical Behavioral Hospital Of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum...  ...Special tuition offers through Capella University Work/life balance with great professional growth opportunities... 
    Work at office

    NeuroPsychiatric Hospitals

    Greenwood, IN
    5 days ago

  • Utilization Management Physician Reviewer Pediatric Medicaid ACO

     ...Overview The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens ensures that pediatric Medicaid members receive medically necessary, evidence-based, and cost-effective care. Working within an Accountable Care Organization (ACO) model, this role... 
    Remote work
    Monday to Friday
    Weekend work

    Academy of Managed Care Pharmacy

    Cincinnati, OH
    5 days ago

  • Utilization Review Coordinator

     ...your career with us, experience our caring culture, and enjoy work-life balance. Here, theres no limit to what you can achieve....  ...Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator This is a hybrid position, that requires 2 days... 
    Work at office
    Local area

    Sedgwick

    Cincinnati, OH
    5 days ago

  • Utilization Review Coordinator

     ...Utilization Review Coordinator The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization. With 12 ministries and access points across Indiana and Illinois... 
    Work at office
    Local area

    Franciscan Alliance

    Michigan City, IN
    5 days ago

  • Utilization Manager Reviewer, RN (Multiple Openings!)

     ...coordinating, integrating, and monitoring the utilization of physical health (PH) medical and...  ...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... 
    Contract work
    Live in
    Work at office
    Remote work

    Univera Healthcare

    Elmira, NY
    3 hours ago

  • Utility Call Center Representative

     ...excellent customer service. Candidates preferred experience is 2–5 years of utility customer support experience, strong communication and data entry skills, and be tech-savvy. This is a remote, work from home role. Responsibilities: Handles inquiries and complaints... 
    Work from home
    Full time
    Remote work

    Atlas Field Services

    Redford, MI
    11 days ago

  • HealthVine - Utilization Management Physician Reviewer Pediatric Medicaid ACO

     ...HealthVine - Utilization Management Physician Reviewer Pediatric Medicaid ACO The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens...  ...necessary, evidence-based, and cost-effective care. Working within an Accountable Care Organization (ACO) model, this... 
    Full time
    Remote work
    Relocation package
    Monday to Friday
    Shift work
    Weekend work

    Cincinnati Children's

    Cincinnati, OH
    5 days ago

  • Utilization Review Specialist

    $64.71k - $75.25k

     ...Overview Purpose Statement: The Utilization Review Specialist proactively monitor utilization of services for patients to optimize reimbursement...  ...: Associate's, Bachelor's, or Masters degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field... 
    Full time
    Work at office
    Local area
    Monday to Friday

    Bayside Marin Treatment Center

    San Rafael, CA
    5 days ago

  • Assistant Project Manager - Utility Design Reviewer

    $110k - $203.51k

    **Company Description** **Work with Us. Change the World.** At AECOM, we're delivering a better world. Whether improving...  ...Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to work **remotely** . However, the client is located in... 
    For contractors
    For subcontractor
    Local area
    Remote work
    Worldwide
    Relocation
    Visa sponsorship
    Flexible hours

    AECOM

    Sacramento, CA
    5 days ago