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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
- ...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
- 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
- ...Founded in 1983, Medical Review Institute of America (MRIoA)is... ...specializing in technology-driven utilization management and clinical medical... ...ADDITIONAL INFORMATION : Work remotely from anywhere in the... ...a remote position (work-from-home). Jobicy job ID: 121976...Work from homeRemote jobFull timeContract workFor contractorsWork at officeFlexible hours
$36k - $43.2k
...Provides administrative support to the Utilization Review Team and assists with eligibility verification, data entry, and coordination of information... ..., emails, and faxes. Monitors and completes multiple work queues. Maintains accurate and complete documentation of admission...SuggestedFull timeWork at officeNationwide Children's Hospital
Columbus, OH16 days ago- 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
- ...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
- Public Health Nursing Consultant - Prior Authorization and Utilization Review Job No: 534293 Work Type: Full-time Location: REMOTE OPTIONS, PHOENIX... ...covered services. This position will primarily work from home with some in-office meetings and on-site duties being required...Work from homeFull timePart timeInternshipWork at officeRemote workFlexible 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...SuggestedHourly payPart timeWork at officeRemote workMountainside
Stamford, CT8 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...SuggestedWork at officeRemote workFlexible hours
- ...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...SuggestedRemote workRelocation
- ...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...SuggestedRemote workFlexible hours
$60k - $72k
...Remote work available for Wisconsin residents only. The Utilization Review Specialist, Revenue Cycle provides quality assurance of medical care. Perform quality control related to patient treatment by medical staff to ensure clinical roles provided adequately for patients...SuggestedFull timeImmediate startRemote workMarshfield Clinic Health System
Marshfield, WI17 days ago- ...: 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,...SuggestedFull timeWork at officeRemote workFlexible hours
- ...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $115 - (875... ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates!...SuggestedImmediate startShift work
- ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its... ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-... ...consistent, supplemental income Fully remote – work from anywhere You control volume and...Price workFor contractorsExtra incomeRemote workFlexible hours
- ...week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $115 - (8751-62500) - TO About Summit Medical Staffing Nursing Summit...Weekly payImmediate startShift work
- ...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
- ...driving better outcomes from the comfort of home. As a rapidly growing organization,... ...of this position is to ensure that the utilization process is thorough, organized and... ...virtual IOP caseload Completes peer reviews on cases with insurance Collaborates...Full timeWork at officeLocal areaRemote work
- ...Supports (LTSS) Supervisor, the LTSS Reviewer is responsible for completing... ...and outpatient services, working closely with Service... ...Personal Assistance Services (PAS), home care (skilled) services, Adult... ...Environmental Modifications + Utilize technology and resources (systems...Remote 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 workContract workFor contractorsExtra incomeRemote workFlexible 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...Contract workFor contractorsExtra incomeRemote workFlexible hours
- ...Job Description Job Description RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY... ...dynamic position from the comfort of your own home as you will be responsible for the...Work from homeFull timeLocal areaRemote work
- ...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...Price workFor contractorsExtra incomeRemote work
- ...Hours per pay period: 0.8 Department: Utilization Management Shift: 7:00-3:30 Job ID... ...Coordinator Location: Remote/work from home with strong preference for candidates residing... ...Prepares/faxes requested documentation for review to third party payers. Ensures receipt...Work from homeDaily paidTemporary workWork experience placementWork at officeRemote workFlexible hoursShift work
UnityPoint Health
West Des Moines, IA6 days ago - ...Description: This position is responsible for performing concurrent review in accordance with accepted department criteria; performing... ...reciprocity. - 3 years of clinical experience - Experience utilizing various software packages. - Verbal and written communication...Remote work
Innovative Systems Group
Albuquerque, NM3 days ago - ...Registered Nurse (RN) Requirements: Active CA State Registered Nurse License Valid BLS :Must have strong Utilization Review and InterQual experience Must have Acute Hospital experience Must have EPIC experience Graduate of an Accredited School...Daily paidTemporary workLong term contractLocal areaImmediate startFlexible hoursShift workDay shift
- ...Day & Zimmermann Company is seeking a local contract nurse RN Utilization Review Level I for a local contract nursing job in Fairfield,... ...thinking skills and attention to detail required Ability to work within an interdisciplinary structure and function independently...Hourly payWeekly payContract workLocal areaImmediate startRemote workShift work
- ...Responsibilities UTILIZATION REVIEW COORDINATOR About the Role: Arbour Counseling Services... ...or Master's Level Clinicians working towards licensure in our Partial Hospitalization... ...on travel, electronics, entertainment, home appliances, food, auto, and more ~...Full timeTemporary workLocal areaFlexible hours
- ...Responsibilities Utilization Review Coordinator Opportunity Please Note this is an onsite position, not remote The Utilization... ...through initial and continued stay reviews, prior authorization work for discharge services, effective liaison work and...Work at officeLocal area
