Get new jobs by email
$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 FridayIntegrity Healthcare...
Sacramento, CA7 hours agonew- 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
- ...Job Description Utilization Review Coordinator Supervisory Role - Behavioral Health. Napa... ...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...SuggestedFull timePart time
Napa County
Napa, CA7 days ago - Overview The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical... .... PRN nurses will be required to work at least one weekend per month, one... ...and computer work. Work From Home Technical Requirements Supply and support...Work from homeTemporary workReliefWork at officeRemote workFlexible hoursShift workWeekend work
- ...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 States1 day 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 States3 days ago $28 per hour
...jurisdiction and desire an engaging work environment where they are... ...an ongoing need for Document Reviewers. Document Reviewers will... ...Position Details Remote work-from-home opportunity Pay rate: $28 per... ...later is required. Proficiency in utilizing modern technology, especially...Work from homeHourly payTemporary workRemote workHome officeMonday to ThursdayFlexible hours- ...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, PA2 days ago - ...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, NY1 day 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...SuggestedRemote workFlexible hours
AmeriHealth Caritas
Newtown Square, PA2 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, NC2 days ago- ...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
Conifer Park Inc.
Schenectady, NY20 days ago - Overview Join to apply for the Physician Reviewer - Neurological Surgery (Utilization Review) LA role at Dane Street . This is a telework opportunity for physicians... ...; choose services and case types, dictate volume, and work based on availability No doctor-patient relationship...For contractorsRemote work
- ...Job Summary: Conducts reviews of medical records and treatment plans to evaluate... ...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
$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, MA3 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 homeImmediate startShift work
Medical Solutions Direct Hire
White Plains, NY4 days ago - ...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external agencies...Permanent employmentTemporary workZero hours contractShift work
Prime Staffing
Greenbrae, CA1 day ago - Description Dane Street, a leading national provider of Utilization Review (UR) and Independent Review Organization (IRO) services, is expanding... ...clinical or surgical practice. Position Highlights Remote Work: 100% telecommute using a secure, intuitive portal Flexible Schedule...Extra incomeContract workRemote workFlexible 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 workMedical Solutions Direct Hire
White Plains, NY2 days ago- ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding its panel of physician... ...) Why Join Dane Street? True Flexibility: Work from anywhere, anytime-you control your schedule...Extra incomeContract workFor contractorsRemote workFlexible hours
- ...Description American Traveler has an immediate opening for a Travel RN Case Management/Utilization Review Case Management job in Greenbrae, California. RN travelers who work with us receive a highly competitive pay and benefits package. You'll enjoy the personalized...Daily paidTemporary workFor contractorsImmediate startShift work
American Traveler
Greenbrae, CA1 day 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
$113 per hour
...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $113 - (875... ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates!...Shift workAnders Group
Greenbrae, CA1 day agoHiring Immediately: Clinical Pharmacist Reviewer - $57/hour (Remote - Massachusetts Only) at Pr[...]
$57 per hour
Hiring Immediately: Clinical Pharmacist Reviewer - $57/hour (Remote - Massachusetts Only... ...$57/hour (Remote - Massachusetts Only) Work from home while making an impact on patient care... ...available! There are no costs for candidates utilizing our services as our clients pay for all...Work from homeRemote jobHourly paySecond jobImmediate start- Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our... ...apply. Website: Benefit Highlights Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off...Full timeLocal area
- Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our... ...individuals to apply. Website: Benefits Challenging and rewarding work environment Competitive Compensation & Generous Paid Time...Full time
- ...Job Summary The UR Reviewer 1 is responsible for performing inpatient admission... ...accredited School of Nursing or Social Work. ~ Experience ~2 years experience... ...related field (i.e. 3rd party payer) ~ Utilization review experience preferred....
Children's of Alabama
Birmingham, AL1 day ago
