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  •  ...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... 
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    Hines & Associates Inc

    Freeport, IL
    2 days ago
  •  ...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... 
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    Medical Review Institute

    Dallas, TX
    4 days ago
  •  ...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... 
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    Medical Review Institute

    United States
    4 days ago
  •  ...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... 
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    Medical Review Institute

    United States
    4 days ago
  • $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... 
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    Full time
    Remote work
    Home office

    Oscar Health

    Dallas, TX
    5 days ago
  •  ...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... 
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    Dane Street, LLC

    Parchman, MS
    20 days ago
  •  ...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... 
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    Oakland Community Health Network

    Troy, MI
    17 days ago
  • $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... 
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    CSS Scientific

    Philadelphia, PA
    2 days ago
  • $28 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... 
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    Monday to Thursday
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    KLDiscovery

    Eden Prairie, MN
    2 hours agonew
  • $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... 
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    Quadrant Health Group

    Boca Raton, FL
    2 days ago
  •  ...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... 
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    Dane Street

    Washington DC
    4 days ago
  •  ...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... 
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    Dane Street

    United States
    3 days ago
  •  ...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... 
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    Dane Street

    United States
    1 day ago
  •  ...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... 
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    Remote work
    Monday to Friday
    Flexible hours
    Afternoon shift

    AmeriHealth Caritas

    Newtown Square, PA
    5 days ago
  • $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... 
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    Napa County

    Napa, CA
    17 days ago
  •  ...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... 
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    MEDLOGIX, LLC

    Lansdale, PA
    7 days ago
  • $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... 
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    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    3 days ago
  •  ...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
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    Monday to Friday
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    American Traveler

    Fort Myers, FL
    7 days ago
  •  ...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
    4 days ago
  •  ...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... 
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    NeuroPsychiatric Hospitals

    Greenwood, IN
    4 days ago
  •  ...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... 
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    Franciscan Alliance

    Michigan City, IN
    4 days ago
  •  ...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... 
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    Sedgwick

    Cincinnati, OH
    4 days ago
  •  ...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... 
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    Monday to Friday
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    Academy of Managed Care Pharmacy

    Cincinnati, OH
    4 days ago
  •  ...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... 
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    Atlas Field Services

    Redford, MI
    10 days ago
  • $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... 
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    AECOM

    Sacramento, CA
    4 days ago
  •  ...Job Description Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Cambridge, Massachusetts. Job...  ...tool criteria experience\nMust have acute care experience\nMust work every other major holiday\n\nEMR Exp Required(or Preferred):... 
    Remote work
    Monday to Friday
    Shift work

    Talent4Health

    Cambridge, MA
    8 days ago
  •  ...Job Description Utilization Review Specialist Your experience matters: At Tampa General Behavioral Health Hospital, we are committed...  ...and to collect information for communication with agencies. Works with DON to ensure documentation requirements are met.... 
    Full time
    Temporary work
    Flexible hours

    Lifepoint Health

    Tampa, FL
    6 days ago
  • $30.49 - $48 per hour

     ...The Utilization Management Review Analyst analyzes patient records daily to determine the appropriateness of admission, level of care, continued...  ...implementation and overall evaluation of individual patient needs. Works directly with physicians, insurance companies, HIM... 
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    Full time
    Work experience placement
    Local area
    Monday to Friday
    Weekend work

    Woman's Hospital

    Baton Rouge, LA
    4 days ago
  •  ...Description Talent4Health is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Cambridge, Massachusetts....  ...criteria experience\nMust have acute care experience\nMust work every other major holiday\n\nEMR Exp Required(or Preferred):... 
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    Local area
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    Monday to Friday
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    Talent4Health

    Cambridge, MA
    8 days ago
  •  ...RN for a contract position in Apple Valley California . This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Remote Utilization Review,3223.861060.27035 . The ideal candidate will possess a current state license as a RN and have at least 2 years of recent... 
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    Zero hours contract
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    Assured Nursing

    Apple Valley, CA
    11 days ago