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  • Utilization Reviewer 2

    $59.24k - $76k

     ...edge technology, or providing clinical services you'll work alongside dedicated professionals who share your...  ...license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization review on workers... 
    Work from home
    Full time
    Part time
    Local area
    Remote work
    Flexible hours

    Enlyte

    Arlington, TX
    4 days ago

  • Physician / Internal Medicine / California / Permanent / Remote Utilization Review Medical Director

    $275k - $300k

     ...MediCare service line 100% administrative, non-clinical role Work from home, but candidate must be within reasonable driving distance...  ...CME, PTO Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA... 
    Work from home
    Permanent employment
    Full time
    Remote work
    Monday to Friday

    Integrity Healthcare

    Sacramento, CA
    4 days ago

  • Utilization Review Specialist (in-office only)

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

    Quadrant Health Group

    Boca Raton, FL
    29 days ago

  • Medical Director, Utilization Management - Concurrent Review

     ...Role The Medical Director, Utilization Management - will report to...  ...deliver and collaborate on clinical review activities, which includes...  .... Responsibilities Your Work In this role, you will:...  ...physical offices and work from home office/deskwork - Activity level... 
    Work from home
    Full time
    Part time
    Work at office
    Local area
    Remote work
    Home office
    1 day per week

    Blue Shield Of California

    El Dorado Hills, CA
    1 day ago

  • Regional Utilization Review Documentation Specialist (RN)

    $78.54k - $121.72k

     ...Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal...  ...Regional Utilization Review Documentation Specialist nurse works with the multidisciplinary team including physicians, staff... 
    Suggested
    Full time
    Work at office
    Local area
    Shift work
    Day shift

    Trinity Health

    Maywood, IL
    2 days ago

  • staff - Registered Nurse (RN) - Case Manager, Utilization Review - $45-62 perhour

     ...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job...  ...career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry... 
    Work from home
    Full time
    Immediate start
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    1 day 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
    1 day ago

  • Physician Reviewer - Psychiatry (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
    3 days ago

  • After Hours Behavioral Health Utilization Management Reviewer

     ...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non-traditional hours to provide access to medical necessity determinations for urgent and contractually required coverage requests 24/7, 365 days a year.... 
    Suggested
    Remote work
    Flexible hours
    Saturday

    AmeriHealth Caritas

    Newtown Square, PA
    4 days ago

  • Utilization Review Nurse

     ...RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside...  ...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 assessment... 
    Work from home
    Full time
    Local area
    Remote work

    VillageCare

    New York, NY
    3 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... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work

    Dane Street

    Drew, MS
    1 day ago

  • Pediatric Utilization Management Reviewer

     ...services including skilled nursing and home health aide services, medical daycare...  ...approved services are provided. Our Utilization Management Reviewers cultivate and maintain relationships...  ...member reaches their 21st birthday. ; Work Arrangement:; Remote role.... 
    Suggested
    Contract work
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    AmeriHealth Caritas

    Newtown Square, PA
    1 day ago

  • Document Reviewer (Las Vegas)

    $25 per hour

     ...jurisdiction and desire an engaging work environment where they are...  ...an ongoing need for Document Reviewers. Document Reviewers will...  ...Details ~ Remote work-from-home opportunity ~ Pay rate: $2...  ...required. ~ Proficiency in utilizing modern technology, especially... 
    Work from home
    Hourly pay
    Temporary work
    Part time
    Remote work
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Las Vegas, NV
    1 day ago

  • Long Term Services & Support Reviewer Utilization Management

     ...(LTSS) Supervisor, the LTSS Reviewer is responsible for completing...  ...inpatient and outpatient services, working closely with Service...  ...Personal Assistance Services (PAS), home care (skilled) services,...  ...received, nature of the request, utilization determination (and events... 
    Suggested
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Newtown Square, PA
    4 days ago

  • Utilization Review Coordinator

     ...Job Description Description: Conifer Park is looking for an Utilization Review Coordinator to join the Medical Records team at our site in...  ...wages, benefits, and a pension plan in a supportive working environment. Background checks, pre-employment & drug screenings... 
    Suggested

    Conifer Park Inc.

    Schenectady, NY
    7 days ago

  • Utilization Clinical Reviewer

    $86k - $110k

     ...We offer remote work opportunities (AR, AZ, CO, FL, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR,...  ...Affiliated are encouraged to apply! Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness... 
    Contract work
    Temporary work
    Interim role
    Work at office
    Local area
    Remote work
    Shift work

    Triwest Healthcare

    Phoenix, AZ
    3 days ago

  • Senior Utilization Review Coordinator II (PT)

     ...Job Summary: Conducts reviews of medical records and treatment plans to evaluate and...  ...across the continuum of care. Identifies utilization trends, leads efforts for improvement initiatives...  ...monitors progress and results. Develops work plans to meet business priorities and... 
    Local area

    Kaiser Permanente

    Pleasanton, CA
    2 hours agonew

  • RN Utilization Management Reviewer

    $38.49 - $47.05 per hour

     ...healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may...  ...optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical... 
    Hourly pay
    Work at office
    Remote work
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    15 hours ago

  • Occupational Medicine Physician - Utilization Reviewer (MUST be licensed in New

     ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert...  ...New York medical license (Required) Work Location: Fully Remote / Telehealth Compensation... 
    Extra income
    Contract work
    Remote work
    Flexible hours

    Dane Street, LLC

    New York, NY
    29 days ago

  • Utilization Review Coordinator

     ...passion for behavioral health? Join Sanford Behavioral Health as a Utilization Review Coordinator and play a vital role in ensuring clients receive...  ...to ensure high-quality, cost-effective care. This role works closely with the treatment team, insurance companies, revenue... 
    Work at office
    Flexible hours

    Sanford Careers

    Marne, MI
    21 days ago

  • Utilization Review Coordinator

     ...preferred Experience: Must have one (1) year experience in the Utilization Review process and/or two (2) years’ clinical experience in a...  ...skills, communication skills and ability to perform detailed work. Ability to use the English language and medical terminology... 
    Work at office
    Local area
    Immediate start
    Flexible hours

    Perimeter Healthcare

    Jackson, TN
    11 days ago

  • Registered Nurse (RN) - Case Manager, Utilization Review - $45-62 per hour

    $45 - $62 per hour

     ...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job...  ...career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry... 
    Work from home
    Hourly pay
    Immediate start
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    4 days ago

  • Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week

    $2,690 per week

     ...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse...  ...serving as a Case Manager specializing in Utilization Review, working 40 hours per week on 8-hour shifts for a 13-week travel... 
    Weekly pay
    Full time
    Immediate start
    Remote work
    Shift work

    Travel Nurses, Inc.

    Bozeman, MT
    1 day ago

  • Utilization Review Coordinator - Behavioral Health - PRN (Savannah)

     ...Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem To coordinate and direct  Utilization...  .... Benefit Highlights: ~ Challenging and rewarding work environment ~ Competitive compensation, Paid Time Off ~ Excellent... 
    Daily paid
    Temporary work
    Part time
    Relief
    Local area

    Universal Health Services, Inc.

    Savannah, GA
    23 hours ago

  • Utilization Review Coordinator - PRN (West Columbia)

     ...of 300+ high quality employees describe working here as " family atmosphere," "supportive...  ...incoming patients. Coordinates the utilization management functions of a patient caseload...  ...treatment team and performance of reviews, with external review organizations/managed... 
    Daily paid
    Part time
    Relief
    Local area
    Day shift

    Universal Health Services, Inc.

    West Columbia, SC
    23 hours ago

  • UTILIZATION REVIEW COORDINATOR (Orlando)

     ...reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting. This...  ...and payer expectations for patient acuity and appropriate utilization. Works collectively with hospital operations (social services,... 
    Part time
    Work at office
    Local area
    Shift work
    Day shift

    Universal Health Services, Inc.

    Orlando, FL
    23 hours ago

  • Senior Utility Coordinator

    $100k - $126.59k

     ...Arcadis is seeking a Senior Utility Coordinator to join our Atlanta...  ...and perform technical work related to utility existing locations...  ...offers the ability to work from home 1-2 days per week. Role...  ...submittals and responses Review Design plans and Prepare utility... 
    Work from home
    Full time
    Part time
    Work at office
    Local area
    Relocation
    2 days per week
    1 day per week

    ARCADIS

    Atlanta, GA
    3 days ago

  • Travel Care Manager & Utilization Review RN - $2,900 per week

     ...years of experience in the specialty BLS EPIC ~ Works a case manager/utilization review RN. Day shift with some weekends possible. Must have...  ..., Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many... 
    Weekly pay
    Long term contract
    Permanent employment
    Temporary work
    Work at office
    Shift work
    Weekend work
    Day shift

    LanceSoft

    Kealakekua, HI
    4 days ago

  • Travel Care Manager & Utilization Review RN - $2,612 per week

     ...Shift: 8 hours, days ~ Employment Type: Travel Works a case manager/utilization review RN. Day shift with some weekends possible. Must have medical...  ..., Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many... 
    Weekly pay
    Long term contract
    Permanent employment
    Temporary work
    Work at office
    Shift work
    Weekend work
    Day shift

    LanceSoft

    Kealakekua, HI
    4 days ago

  • Case Management Coordinator - Utilization Review Specialist

     ...Masters degree Assure residents meet criteria for admission, and review initial clinical information through discharge. Monitor and...  ...all details necessary to get the task done well Team Player: Works well as a member of a group Motivations Required ~... 
    Work at office

    Acadia Healthcare

    New Castle, DE
    15 hours ago