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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
    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
    9 days ago

  • Physician Reviewer - Orthopedic Surgery (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

  • 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 and Services

    Anaheim, CA
    4 days ago

  • Utilization Review Specialist

    $32 - $36.5 per hour

     ...experienced individual to proactively monitor utilization of services for patients to optimize...  ...professional clinical staff. Conduct reviews, in accordance with certification...  ...Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or... 
    Suggested
    Hourly pay
    Part time
    Work at office

    Acadia Healthcare

    Cathedral City, CA
    4 days ago

  • HealthVine - Utilization Management Physician Reviewer Pediatric Medicaid ACO

     ...HealthVine - Utilization Management Physician Reviewer Pediatric Medicaid ACO The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens...  ...necessary, evidence-based, and cost-effective care. Working within an Accountable Care Organization (ACO) model, this... 
    Suggested
    Full time
    Remote work
    Relocation package
    Monday to Friday
    Shift work
    Weekend work

    Cincinnati Children's

    Cincinnati, OH
    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
    2 days ago

  • Utilization Review Coordinator (RN) FT Salaried

     ...POSITION The purpose of this job is to carry out concurrent utilization review activities under the direction of the Utilization Review...  ...compliance with established criteria. Duty 3 : The UR nurse works daily with the Registration and Pre-Cert departments to... 
    Suggested
    Weekend work

    Blanchard Valley Health System

    Findlay, OH
    2 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
    1 day ago

  • Travel Cath Lab Technologist - Utilization Review

     ...during JHM management and safe transfer to home. Proactively communicates with payors to...  .... Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions...  ...Solutions, you’ll find a great place to work and a career home. We’ve received Best... 
    Work from home
    Weekly pay
    Daily paid
    Local area
    Shift work

    Medical Solutions

    Baltimore, MD
    22 days ago

  • Travel Cath Lab Technologist - Utilization Review - $1,824 per week

    $1,824 per week

     ...during JHM management and safe transfer to home. Proactively communicates with payors to...  .... Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical...  ...Solutions, you’ll find a great place to work and a career home. We’ve received Best Places... 
    Work from home
    Weekly pay
    Daily paid
    Local area
    Shift work

    Medical Solutions

    Baltimore, MD
    2 days ago

  • Registered Nurse - Utilization Review

     ...Description Registered Nurse - Utilization Review Location: Apple Valley, CA Duration: 13 weeks Pay Rate: $40 -$50 / Hr. Shift...  ...Day 5x8-Hour (08:00 - 16:30) Job Description: Willing to work weekends (expectation is they work a minimum of at least 4... 
    Suggested
    Remote work
    Shift work
    Weekend work
    Day shift

    Zenex Partners

    Apple Valley, CA
    2 days ago

  • Remote Product Reviewer and Consumer Insights Specialist

    $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 home
    Full time
    Temporary work
    Part time
    Local area
    Remote work
    Flexible hours

    Maxion Research

    Walnut Park, CA
    1 day ago

  • Online Survey and Product Review Consultant

    $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
    Remote work

    Maxion Research

    Stow, OH
    1 day ago

  • Utilization Review RN

     ...Where You’ll Work Founded in 1926, Glendale Memorial Hospital and Health Center is a 334-...  ...Job Summary and Responsibilities Are you a Utilization Review Nurse who loves making a real impact from the comfort of your home? We're on the hunt for a master-level... 
    Suggested
    Remote work

    Unavailable

    Glendale, CA
    1 day ago

  • Registered Nurse/Utilization Review

     ...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... 
    Local area
    Remote work
    Shift work
    Weekend work

    Emonics LLC

    Beverly Hills, CA
    4 days ago

  • Clinical - Clinical Review Nurse - Concurrent Review

     ...Purpose: Performs concurrent reviews, including determining member...  ...preferred. Knowledge of utilization management processes...  ...discharge planning of member Works with Medical Affairs and/or Medical...  ...independence of working from home. Our team culture is... 
    Work from home
    Remote work
    Flexible hours

    Mindlance

    Texas City, TX
    2 days ago

  • Utility Profit Account Executive (Austin-Based)

    $60k - $65k

     ...Background Utility Profit is on a mission to improve the experience of renting homes. We make it easy for renters to see the utility options for their address and set...  ...not attend the demo when necessary. You'll work with customers who have demoed the product and... 
    Work from home
    Work at office
    Remote work
    Monday to Friday

    Sunroom LLC

    Austin, TX
    16 hours ago

  • LPN Utilization Review Analyst

     ...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, MI
    4 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... 
    Part time
    Remote work
    Monday to Friday

    Enterprisemed

    Abington, PA
    3 days 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
    2 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... 
    Full time
    Remote work

    IntePros

    Philadelphia, PA
    6 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
    2 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
    4 days 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

    Mansfield, Tolland County, CT
    1 day ago

  • Inpatient Concurrent Review RN

    $49.78 - $74.05 per hour

     ...call position.** *****This position is work from home, within driving distance of Sacramento,...  ...Foundation inpatient admissions and concurrent review for appropriate level of care and...  ...caregiver care coordination with Utilization management as related to referrals. - Considers... 
    Work from home

    Dignity Health

    Woodland, CA
    3 days ago

  • Utilization Review Nurse

     ...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
    20 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
    2 days ago

  • Medical Director, Utilization Management - FEP

     ...business unit. This is a front-line utilization management position that has...  ...areas of inpatient concurrent review, pre and post service...  .... 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
    Weekend work
    Afternoon shift
    1 day per week

    Blue Shield Of California

    Rancho Cordova, CA
    3 days ago

  • Customer Account Representative - Water Utility Exp Required

     ...Customer Account Representative - Water Utility Exp Required Location: Fremont, CA 94...  ...specific terms and are subject to frequent review while in progress and upon completion,...  ...and related meter records; and to create work orders for field personnel. Schedules... 
    Contract work
    Temporary work
    Work at office
    Monday to Friday
    Shift work

    22nd Century Technologies

    Fremont, CA
    4 days ago