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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... ...decision to a second level reviewer. This individual interfaces with...Work from homeTemporary workWork at officeRemote workMonday to FridayFlexible hours
Hines & Associates Inc
Rockford, IL13 days ago - Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert... ...Independent contractor role (1099) Remote, work-from-home position—anywhere in the U.S. within regulatory constraints...Work from homeRemote jobFor contractorsFlexible hours
- Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review... ...commitment. ADDITIONAL INFORMATION: Work remotely from anywhere in the US (Per HIPAA... ...to be a remote position (work-from-home). Seniority level Mid-Senior level Employment...Work from homeRemote jobFull timeContract workFor contractorsWork at officeFlexible hours
- 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
- Overview 1099 Utilization Review work for Radiation Oncologists - Flexible Independent Contractor (1099) opportunity with Medical Review Institute... ...case requirements Additional Details Remote, work-from-home position - work anywhere in the U.S. Independent contractor...Work from homeFull timeFor contractorsRemote workFlexible hours
- ...The Commercial Post Service Review team is responsible for clinically... ...IOP). The RNs perform reviews utilizing the Blue Shield of California... .... Responsibilities Your Work In this role, you will:... ...physical offices and work from home office/deskwork - Activity level...Work from homeFull timePart timeWork at officeLocal areaRemote workHome office1 day per week
Blue Shield Of California
Rancho Cordova, CA3 days ago $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...SuggestedFull timeWork at officeRemote workQuadrant Health Group
Boca Raton, FL8 days ago- ...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job... ...career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry...Work from homeFull timeImmediate startShift work
Medical Solutions Direct Hire
White Plains, NY5 days ago $78.54k - $121.72k
...Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal... ...Regional Utilization Review Documentation Specialist nurse works with the multidisciplinary team including physicians, staff...SuggestedFull timeWork at officeLocal areaShift workDay shiftTrinity Health
Maywood, IL1 day ago- ...Facility: Work From Home - Ohio Department: Utilization Review Team Schedule: Full time Hours: 40 Job Details: Under the supervision of the Manager of Utilization Management, the Utilization Review RN conducts medical record review for medical...Work from homeFull timeMonday to FridayShift workWeekend work
Dayton Children's
Ohio City, OH1 day 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...Work from homeHourly payTemporary workPart timeRemote workHome officeMonday to ThursdayFlexible hoursKLDiscovery
Eden Prairie, MN2 hours agonew$275k - $300k
...service line ~100% administrative, non-clinical role ~ Work from home, but candidate must be within reasonable driving distance of... ...PTO ~ Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA...Work from homePermanent employmentFull timeRemote workMonday to Friday- ...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non-traditional hours to provide access to medical necessity determinations for urgent and contractually required coverage requests 24/7, 365 days a year....SuggestedRemote workFlexible hoursSaturday
AmeriHealth Caritas
Newtown Square, PA3 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...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States2 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...SuggestedExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States17 minutes agonew - ...RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside... ...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 assessment...Work from homeFull timeLocal areaRemote work
VillageCare
New York, NY2 days 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...Remote workMonday to FridayFlexible hoursAfternoon shift
AmeriHealth Caritas
Newtown Square, PA4 days ago - ...(LTSS) Supervisor, the LTSS Reviewer is responsible for completing... ...inpatient and outpatient services, working closely with Service... ...Personal Assistance Services (PAS), home care (skilled) services,... ...received, nature of the request, utilization determination (and events...Remote workFlexible hours
AmeriHealth Caritas
Newtown Square, PA3 days ago $65k - $78k
...challenges. Join us and put your expertise to work in ways you never imagined possible. We... ...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,... ...What you should expect in this role Home-based position. High-speed internet...Work from homeFull timeContract workWork at officeRemote workFlexible hoursGainwell Technologies
Wilmington, NC3 days ago$55 - $57 per hour
...Work From Home - Clinical Pharmacist Reviewer - $55 - $57/hr (MA Only) Fully remote position with a leading pharmacy team Competitive pay + professional... ...role won't last! There are no costs for candidates utilizing our services as our clients pay for all related...Work from homeSecond jobRemote work- ...Job Description Description: Conifer Park is looking for an Utilization Review Coordinator to join the Medical Records team at our site in... ...wages, benefits, and a pension plan in a supportive working environment. Background checks, pre-employment & drug screenings...
Conifer Park Inc.
Schenectady, NY16 days ago - Job Summary: Conducts reviews of medical records and treatment plans to evaluate and... ...across the continuum of care. Identifies utilization trends, leads efforts for improvement initiatives... ...monitors progress and results. Develops work plans to meet business priorities and...Local area
Kaiser Permanente
Pleasanton, CA1 day ago $38.49 - $47.05 per hour
...healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may... ...optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical...Hourly payWork at officeRemote workFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA4 days ago- ...Description Dane Street , a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician... ...in supplemental income and non-traditional work while maintaining an active practice. Position Details...Extra incomeContract workFor contractorsRemote workFlexible hours
- ...reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting. This... ...and payer expectations for patient acuity and appropriate utilization. Works collectively with hospital operations (social services,...Part timeWork at officeLocal areaShift workDay shift
Universal Health Services, Inc.
Orlando, FL2 hours agonew - ...of 300+ high quality employees describe working here as " family atmosphere," "supportive... ...incoming patients. Coordinates the utilization management functions of a patient caseload... ...treatment team and performance of reviews, with external review organizations/managed...Daily paidPart timeReliefLocal areaDay shift
Universal Health Services, Inc.
West Columbia, SC2 hours agonew - ...Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem To coordinate and direct Utilization... .... Benefit Highlights: ~ Challenging and rewarding work environment ~ Competitive compensation, Paid Time Off ~ Excellent...Daily paidTemporary workPart timeReliefLocal area
Universal Health Services, Inc.
Savannah, GA2 hours agonew - ...team includes seasoned medical staff. Website: The Utilization Review Coordinator opportunity is a key member of the Lighthouse... ...Highlights ~ Referral Bonus Program ~ Challenging and rewarding work environment ~ Competitive Compensation & Generous Paid Time...Part time
Universal Health Services, Inc.
Augusta, GA2 hours agonew - ...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...Full timePart time
Napa County
Napa, CA2 hours agonew - ...Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join... ...~ Tuition Reimbursement ~ Challenging and rewarding work environment ~ Competitive Compensation & Generous Paid Time...Full timePart timeLocal area
Universal Health Services, Inc.
Brookline, MA2 hours agonew
