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- ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must have a multi state compact license unencumbered Job Purpose: Review Workers Compensation...Work from homeRemote work
Elite
Houston, TX16 days ago - ...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, PA17 hours ago $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, MA2 days ago- ...Job Description Job Description RN- Utilization Review Nurse Inpatient *Full Time - 100%... ...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...Work from homeFull timeLocal areaRemote work
Village Care
New York, NY17 days 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, MD8 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-... ...consistent, supplemental income Fully remote – work from anywhere You control volume and...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
Dane Street, LLC
New York, NY2 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-... ...consistent, supplemental income Fully remote – work from anywhere You control volume and...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
Dane Street, LLC
New York, NY8 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... ...care. Collaborates with hospital, home care, care management, and other providers...SuggestedContract workWork at office
Excellus Health Plan
Rochester, NY17 hours 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...Work from homeFull timeRemote work
Iapetus Holdings LLC
Pontiac, MI1 day ago - ...rewarding journey with GLC - a recruiter will connect quickly to review pay , start date , and assignment details so you can... ...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate......SuggestedWeekly payFull timeContract workReliefLocal areaImmediate startRelocation packageShift work
GLC On-The-Go
Greenbrae, CA7 days ago $23 per hour
...Carolina. Must be willing to work on site the first 1-2 weeks... ...Title: Medical Claims Reviewer Location: SC (preferably within... ...established criteria and managing utilization of professional, inpatient,... ...weeks followed by work from home. Key Responsibilities...Work from homeRemote jobFor contractorsCEI
Columbia, SC2 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, CA9 hours 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,...SuggestedShift work
HonorVet Technologies
Syracuse, NY26 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, NY26 days ago$200k - $300k
...Responsibilities: Specific Conduct clinical review of prior authorization, concurrent review... ...of services. Collaborate with utilization management nurses and clinical staff to... ...simultaneously Time Zone: Must be able to work PST hours Other Information:...SuggestedMinimum wageTemporary workWork at officeMonday to FridayClearlink Partners
Oakland, CA25 days ago- ...highly qualified and experienced Physician with expertise in Utilization Management (UM) Review to join our team. In this role, you will combine your... ...of experience in Utilization Management. · Experience working with various insurance providers, clinical decision...
Toney Healthcare
Tampa, FLa month 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 DC11 hours ago$2,312.8 - $2,407.8 per month
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Medford, Wisconsin. Job Description... ...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
Medford, WI5 days ago$3,579 per month
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description... ...aligning with your goals, values, and the way you want to work. \n \nAs an award-winning talent partner, we support...Hourly payWeekly payContract workShift workGQR Healthcare
Los Angeles, CA29 days ago$2,319.4 - $2,414.4 per month
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Clearlake, California. Job Description... ...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
Clearlake, CA3 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,...Remote work
Pacer Group
Torrance, CA3 days ago - ...Description Hmong Chinese Language Document Reviewer Employment Type: Full Time, Mid-Level... ..., but that require a good working knowledge of legal and administrative procedures... ...variety of written documents and materials utilizing a wide range of office software...Full timeWork at officeFlexible hours
Contact Government Services, LLC
Albany, NY7 days 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...Local areaRemote workWeekend work
Zenex Partners
Beverly Hills, CA4 days ago - ...Job Description Job Description Utilization Review Analyst II Licensed Practical Nurse Classification: Utilization Review Analyst... ...management setting Excellent clinical assessment skills. Work with minimal supervision. Communicate effectively with others...Hourly pay
Northwood, Inc.
Madison Heights, MI13 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 States2 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 States1 day 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
Jamestown, NY3 days 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
California2 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, NC1 day ago$40 per hour
...Job Description Job Description Remote MCO Utilization Review Nurse (RN) IL ONLY $40.00 per hour Monday – Friday 8:00 am – 4:30 pm Remote (IL) WHAT WE OFFER : Medical PTO Accrual Holiday Pay Seeking RN who is familiar with MCG and ASAM...Remote jobHourly payImmediate startMonday to FridayAnchor Staffing Inc.
Chicago, IL25 days ago
