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- ...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, PA7 hours agonew $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, MA1 day ago- .... 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, MD7 days ago - ...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... ...of care. Collaborates with hospital, home care, care management, and other providers...SuggestedContract workWork at office
Univera Healthcare
Buffalo, NY7 hours agonew $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...SuggestedHourly payContract workTemporary workTEKsystems
Los Angeles, CA3 days ago$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...SuggestedHourly payFull timeWork experience placementWork at officeRemoteOnline
San Francisco, CA4 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,...SuggestedRemote work
Pacer Group
Torrance, CA2 days ago $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...SuggestedFull timeWork at officeGuthrie
Cortland, NY25 days ago$114k - $161k
...Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Join to apply... ..., we immerse our employees in a hard-working, collegial and cooperative culture with the... ...hybrid model, with flexibility to work from home two days a week. Duties &...Work from homeFull timePart timeWork at officeRemote workFlexible hours2 days per weekConcentric Energy Advisors
Washington DC1 hour ago- ...Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred: * Managed care experience * Knowledge...SuggestedLocal areaRemote workWeekend work
Zenex Partners
Beverly Hills, CA3 days ago $3,000 per month
...earn extra income from the comfort of your home? We are looking for motivated individuals... ...online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and... ...Choose Us? You have the flexibility to work either from home or in-person, with the option...Work from homeExtra incomeTemporary workPart timeImmediate startRemote workMaxion Research
Stow, OH2 days ago- ...About the job Work From Home Remote Data Entry Operator Description The Data... ...Appropriate data in prescribed format, utilizing basic knowledge of computer software or... ...for the Help Desk technicians to review. The data entry clerk will review each...Work from homeRemote work
Easy Recruiter
United States23 hours ago $790 per week
...looking for temporary, remote, part-time work. The hours are flexible and no previous experience... ...commute needed if you choose to work from home. No minimum hours. You can do this part... ...feedback of their products. You get to review and use new products or services before...Work from homeFull timeTemporary workPart timeLocal areaImmediate startRemote workFlexible hoursMaxion Research
Graham County, KS1 day ago- ...rewarding journey with GLC - a recruiter will connect quickly to review pay , start date , and assignment details so you can... ...to be determined. Posted job title: AZ - RN Case Management/Utilization Review About GLC On-The-Go GLC is more than just a staffing...SuggestedWeekly payFull timeContract workReliefLocal areaRelocation packageShift work
GLC On-The-Go
Tuba City, AZ23 days ago - ...Title: EMS Billing - Special Utilities Group - Digitech - Remote Req... ...(Insurance Biller) to work claims after theyve been submitted... ...This role is a remote, work from home position. The Claims... ...rejected by the clearinghouse. Review claims that have been put on hold...Work from homeRemote workMonday to Friday
Sarnova
United States1 day ago - ...awarded health system located north of Philadelphia, Pennsylvania, is seeking an Emergency Medicine physician to work in a non-clinical utilization review setting. Opportunity Highlights ~ Daytime Monday through Friday position. Potential to work remotely part of...Part timeRemote workMonday to Friday
Enterprisemed
Abington, PA1 day ago $20 per hour
...Job Description Laboratory Document Review and Data Analytics Specialist Title :... ...inconsistencies, and errors in documentation and work collaboratively with laboratory personnel... ...hire and executive search services. SRG utilizes an innovative approach to identify and...Contract workFlexible hoursShift workThe Staffing Resource Group Inc
Storrs, CT2 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, NY25 days ago $70 - $74 per hour
...Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts. Job Description... ...tool criteria experienceMust have acute care experienceMust work every other major holidayEMR Exp Required(or Preferred): EPIC...Hourly payContract workLocal areaRemote workMonday to FridayShift workDay shiftTalent4Health
Cambridge, MA4 days ago- ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension... ...inpatient authorizations, Pediatrics, CCS and UM Works with the Utilization Management team primarily responsible...Contract workWork at officeRemote workShift work
Integrated Resources
Long Beach, CA23 hours ago - ...Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential conversion to... ...members’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced clinical...Full timePart timeRemote work
IntePros
Philadelphia, PA4 days ago $8 per hour
...Description Job Opportunity: Registered Nurse - Utilization Review Facility: CSMN - 8714024 - MNS Quality Management Location: Los... ...process improvement * BLS Preferred: * BSN * Prior work in an ambulatory healthcare setting * ACLS Primary...Hourly payContract workRemote workShift workZenex Partners
Los Angeles, CA2 days ago$3,200 per week
...exp) ~ Knowledge of case management & utilization review #13GY About LanceSoft Established... ...Analysts as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing... ...Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics...Weekly payLong term contractPermanent employmentTemporary workWork at officeShift workLanceSoft
Tuba City, AZ2 days ago$2,366 per week
...• Start Date: • 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 required. NO FIRST...Permanent employmentTemporary workLocal areaShift workWeekend workProtouch Staffing
Kinston, NC23 hours ago- ...Job Description Position Title: Utilization Review Nurse Location: Fully Remote Position... ...cost-effective, and compliant delivery of home health care. This role monitors... ...Self-directed, flexible, and able to work independently with minimal supervision....Remote workFlexible hoursWeekend work
IntePros
Phoenix, AZ19 days ago $71.1k - $97.8k
...help us put health first The Utilization Management Nurse 2 utilizes... ...Management Nurse 2 work assignments are varied and frequently... ...management or related activities reviewing criteria to ensure... ...Various Time Zones) Work-At-Home Requirements: To ensure Home...Work from homeBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeMonday to FridayHumana
Sacramento, CA3 days ago$2,952 per week
...factors can influence your total pay.* AZ - RN Case Management/Utilization Review in Tuba City, AZ LeaderStat is currently seeking a AZ -... ..., would be 1 weekend a month 1 year of experience working as a full-time Registered Nurse Clinical experience...Weekly payFull timeContract workInterim roleMonday to FridayShift workWeekend workLeaderStat
Tuba City, AZ1 day ago$2,400 per week
...care. This includes patient assessment, discharge planning, utilization review, and collaboration with interdisciplinary teams to ensure timely... .... The RN Case Manager promotes patient advocacy and works to optimize clinical and financial outcomes through effective...Permanent employmentTemporary workWork at officeShift workProtouch Staffing
Kinston, NC3 days ago- ...Utilization Review Nurse Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using...Full timeWork at officeRemote workShift workWeekend workWeekday work
Netsmart
Winston Salem, NC7 hours agonew $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, OH11 days ago
