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$59.24k - $76k
...edge technology, or providing clinical services you'll work alongside dedicated professionals who share your... ...license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization review on workers...Work from homeFull timePart timeLocal areaRemote workFlexible hours$275k - $300k
...MediCare service line 100% administrative, non-clinical role Work from home, but candidate must be within reasonable driving distance... ...CME, 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$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 work- ...Role The Medical Director, Utilization Management - will report to... ...deliver and collaborate on clinical review activities, which includes... .... 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
$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 shift- ...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
- ...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
- ...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
- ...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: 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
- ...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...SuggestedPrice workExtra incomeFor contractorsRemote work
- ...services including skilled nursing and home health aide services, medical daycare... ...approved services are provided. Our Utilization Management Reviewers cultivate and maintain relationships... ...member reaches their 21st birthday. ; Work Arrangement:; Remote role....SuggestedContract workRemote workMonday to FridayFlexible hoursShift work
$25 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 hours- ...(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...SuggestedRemote workFlexible hours
- ...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...Suggested
$86k - $110k
...We offer remote work opportunities (AR, AZ, CO, FL, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR,... ...Affiliated are encouraged to apply! Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness...Contract workTemporary workInterim roleWork at officeLocal areaRemote workShift work- ...Job Summary: Conducts reviews of medical records and treatment plans to evaluate and consult... ...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
$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 work- ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert... ...New York medical license (Required) Work Location: Fully Remote / Telehealth Compensation...Extra incomeContract workRemote workFlexible hours
- ...passion for behavioral health? Join Sanford Behavioral Health as a Utilization Review Coordinator and play a vital role in ensuring clients receive... ...to ensure high-quality, cost-effective care. This role works closely with the treatment team, insurance companies, revenue...Work at officeFlexible hours
- ...preferred Experience: Must have one (1) year experience in the Utilization Review process and/or two (2) years’ clinical experience in a... ...skills, communication skills and ability to perform detailed work. Ability to use the English language and medical terminology...Work at officeLocal areaImmediate startFlexible hours
$45 - $62 per hour
...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 homeHourly payImmediate startShift work$2,690 per week
...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse... ...serving as a Case Manager specializing in Utilization Review, working 40 hours per week on 8-hour shifts for a 13-week travel...Weekly payFull timeImmediate startRemote workShift work- ...Shift: 8 hours, days ~ Employment Type: Travel Works a case manager/utilization review RN. Day shift with some weekends possible. Must have medical... ..., Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many...Weekly payLong term contractPermanent employmentTemporary workWork at officeShift workWeekend workDay shift
- ...years of experience in the specialty BLS EPIC ~ Works a case manager/utilization review RN. Day shift with some weekends possible. Must have... ..., Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many...Weekly payLong term contractPermanent employmentTemporary workWork at officeShift workWeekend workDay shift
- ...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
- ...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
- ...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
$100k - $126.59k
...Arcadis is seeking a Senior Utility Coordinator to join our Atlanta... ...and perform technical work related to utility existing locations... ...offers the ability to work from home 1-2 days per week. Role... ...submittals and responses Review Design plans and Prepare utility...Work from homeFull timePart timeWork at officeLocal areaRelocation2 days per week1 day per week- ...Masters degree Assure residents meet criteria for admission, and review initial clinical information through discharge. Monitor and... ...all details necessary to get the task done well Team Player: Works well as a member of a group Motivations Required ~...Work at office