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  • Utilization Review Clinician - Behavioral Health

    $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,... 
    Work from home
    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    14 hours ago

  • *RN Coordinator-Utilization Review/Full Time/Remote

     ...GENERAL SUMMARY: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care...  ...specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye... 
    Suggested
    Full time
    Remote work
    Shift work

    Henry Ford Health System

    Warren, MI
    14 hours ago

  • Utilization Review RN

    $56.44 - $87.63 per hour

     ...a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare...  ...Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: Hybrid... 
    Work from home
    Full time
    Work at office
    Local area
    Remote work
    Shift work

    Providence Health & Service

    Anaheim, CA
    4 days 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... 
    Work from home
    Full time
    Remote work

    Iapetus Holdings LLC

    Pontiac, MI
    3 days ago

  • Document Review and Data Entry Specialist

    $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... 
    Suggested
    Hourly pay
    Full time
    Work experience placement
    Work at office

    RemoteOnline

    San Francisco, CA
    2 days ago

  • RN Utilization Review

     ...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,... 
    Suggested
    Remote work

    Pacer Group

    Torrance, CA
    14 hours ago

  • Principal Consultant - Utility Return on Equity & Cost of Capital Specialist (Washington)

    $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 home
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours
    2 days per week

    Concentric Energy Advisors

    Washington DC
    2 days ago

  • Online Survey and Product Review Consultant (Hiring Immediately)

    $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 home
    Extra income
    Temporary work
    Part time
    Immediate start
    Remote work

    Maxion Research

    Stow, OH
    14 hours ago

  • Registered Nurse - Utilization Review

     ...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... 
    Suggested
    Local area
    Remote work
    Weekend work

    Zenex Partners

    Beverly Hills, CA
    1 day ago

  • Utilization Management Behavioral Health Nurse 2-Remote Position

    **Description** The Utilization Management Behavioral Health Nurse 2...  ...Management Behavioral Health Nurse 2 work assignments are varied and...  ...with computers** **Work-At-Home Requirements** + WAH...  ...or pre-recorded voice will be reviewed and you will subsequently be... 
    Work from home
    For contractors
    Work at office
    Remote work
    Home office
    Monday to Friday

    Humana

    Minneapolis, MN
    14 hours ago

  • Work From Home Remote Data Entry Operator

     ...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 home
    Remote work

    Easy Recruiter

    United States
    3 days ago

  • Emergency Medicine Non-Clinical Utilization Review - North Philadelphia Suburbs

     ...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... 
    Suggested
    Part time
    Remote work
    Monday to Friday

    Enterprisemed

    Abington, PA
    4 days ago

  • Utilization Review Nurse

     ...Job Description Job Title: Utilization Management RN Location: Remote – must reside within the PA/NJ/DE tri-state area for potential...  ...members’ clinical conditions through detailed medical record review to determine medical necessity for services. Using advanced... 
    Suggested
    Full time
    Remote work

    IntePros

    Philadelphia, PA
    12 days ago

  • Inpatient Concurrent Review RN

     ...Where You’ll Work Dignity Health Medical Foundation, established...  ...***This position is work from home within driving distance of...  ...inpatient admissions and concurrent review for appropriate level of care...  ..., care coordination with Utilization management as related to referrals... 
    Work from home

    Unavailable

    Rancho Cordova, CA
    3 days ago

  • Local Contract Nurse RN - Utilization Review - $70-74 per hour

    $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... 
    Suggested
    Hourly pay
    Contract work
    Local area
    Remote work
    Monday to Friday
    Shift work
    Day shift

    Talent4Health

    Cambridge, MA
    2 days ago

  • Care review Clinician | Utilization review nurse

     ...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 work
    Work at office
    Remote work
    Shift work

    Integrated Resources

    Long Beach, CA
    3 days ago

  • Registered Nurse-Utilization Review

    $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 pay
    Contract work
    Remote work
    Shift work

    Zenex Partners

    Los Angeles, CA
    14 hours ago

  • Utilization Management Nurse

    $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 home
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Home office
    Monday to Friday

    Humana

    Sacramento, CA
    1 day ago

  • AVS Bio Laboratory Document Review and Data Analytics Specialist

    $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 work
    Flexible hours
    Shift work

    The Staffing Resource Group Inc

    Storrs, CT
    14 hours ago

  • Utilization Management Nurse

    $71.1k - $97.8k

     ...other health care givers in reviewing actual and proposed medical care...  ...care experience, **OR** utilization management experience + Demonstrates...  ...Maturity + Ability to work independently and within a team...  ...Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Alert**... 
    Work from home
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Home office
    Flexible hours

    CenterWell

    Sacramento, CA
    14 hours ago

  • Utilization Review Nurse - Full-time Day

    $56.44 - $87.63 per hour

     ...Description Join our exceptional team as a Utilization Review Nurse at Providence Holy Cross Medical Center. This full-time position offers an engaging work environment with 8-hour day shifts. Providence Holy Cross Medical Center is a proud recipient of the Magnet... 
    Full time
    Remote work
    Shift work
    Day shift

    Providence Health and Services

    Mission Hills, CA
    3 days ago

  • Utilization Review Nurse (Phoenix)

     ...Position Title: Utilization Review Nurse Location: Fully Remote Position Summary The Utilization...  ...-effective, and compliant delivery of home health care. This role monitors...  ...Self-directed, flexible, and able to work independently with minimal supervision.... 
    Part time
    Remote work
    Flexible hours
    Weekend work

    IntePros

    Phoenix, AZ
    1 day ago

  • Travel Case Manager/Utilization Review RN

     ...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... 
    Weekly pay
    Full time
    Contract work
    Relief
    Local area
    Relocation package
    Shift work

    GLC On-The-Go

    Tuba City, AZ
    21 days ago

  • Travel RN Case Manager - Utilization Review

     ...liaison between the patient’s family and healthcare organization. Work is administered in a variety of settings, including HMOs,...  ...Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are intended for... 
    Hourly pay
    Weekly pay
    Contract work
    Temporary work
    Immediate start
    Shift work

    MedPro Healthcare Staffing

    Greenbrae, CA
    5 days ago

  • Travel RN Case Manager - Utilization Review

     ...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... 
    Permanent employment
    Temporary work
    Zero hours contract
    Immediate start
    Shift work

    Prime Staffing

    Greenbrae, CA
    4 days ago

  • Prin Internal Credit Reviewer

    $103.1k - $139.5k

     ...Empowered to live. Inspired to work. Compeer Financial is a member-owned cooperative...  ...: Hybrid model - up to 50% work from home Flexible schedules including ample flexibility...  ...incumbent completes highly complex loan reviews to evaluate credit quality and... 
    Work from home
    Temporary work
    Work experience placement
    Summer work
    Casual work
    Internship
    Seasonal work
    Remote work
    Work visa
    Flexible hours

    Compeer Financial

    Sun Prairie, WI
    1 day ago

  • Travel Case Manager/Utilization Review RN - $3,050 per week

    $3,050 per week

     ...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... 
    Weekly pay
    Long term contract
    Permanent employment
    Contract work
    Temporary work
    Work at office
    Shift work

    LanceSoft

    Tuba City, AZ
    2 days ago

  • Travel RN Case Manager - Utilization Review - $2,400 per week

    $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 employment
    Temporary work
    Work at office
    Shift work

    Protouch Staffing

    Kinston, NC
    1 day ago

  • Local Contract Nurse RN - Utilization Review - $72-76 per hour

    $72 - $76 per hour

     ...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in...  ...without this experience). Must work every other major holiday 13 weeks //...  ...Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics... 
    Hourly pay
    Weekly pay
    Long term contract
    Permanent employment
    Contract work
    Temporary work
    Work at office
    Local area
    Remote work
    Monday to Friday
    Shift work

    LanceSoft

    Cambridge, MA
    4 days ago

  • Travel Case Manager/Utilization Review RN - $2,800 per week (Tuba City)

    $2,800 per week

     ...BLS AHA Must-Have: Strong assessment, discharge planning, and utilization review skills 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 to... 
    Permanent employment
    Temporary work
    Part time
    Zero hours contract
    Shift work

    Prime Staffing

    Tuba City, AZ
    8 hours agonew