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- ...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
- ...(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
- ...we're Oscar. We're hiring a Physician Reviewer to join our Utilization Review team. Oscar is the first... ...has a weekend requirement. You will work 5 days per week to include Saturdays... ...daily work will be completed from your home office, occasional travel may be required...Work from homeFull timeRemote workHome officeWeekend workSundaySaturday
- ...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
- ...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...SuggestedFull timePart time
$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 hours$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...SuggestedHourly payWork at officeRemote workFlexible hoursShift 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...Suggested
- ...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...SuggestedPermanent employmentTemporary workZero hours contractShift work
$51.43 - $79.84 per hour
...Manager RN Per diem / On call Day shift The Utilization Review (UR) Nurse has a strong clinical background blended with a well... ...actively participates in process improvement initiatives, working with multiple departments and multi-disciplinary staff. This...SuggestedDaily paidFull timeLive inLocal areaRemote workShift workDay shift- ...Description American Traveler is seeking a CA-licensed RN Case Manager with strong Utilization Review and InterQual experience for a weekday hospital assignment. Responsibilities Work in an acute care hospital setting Monday through Friday schedule, 0730 to 16...SuggestedDaily paidFor contractorsMonday to FridayShift workWeekday work
$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!...SuggestedShift work- ...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
- ...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....
$40.61 - $60.96 per hour
...Under general supervision, provides utilization review and denials management for an assigned patient... ...the general nature and level of work being performed by staff assigned to this... ...CPUR) preferred. Additional experience in home health, ambulatory care, and/or occupational...Relocation package- ...Job Description Job Description Job Summary The Utilization Review Coordinator conducts utilization reviews to determine if patients... ...to commercial and government payers. · Complete short stay work-queue reviews and track and trend results for reporting and education...Full timeWork experience placementWork at officeLocal area
$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 work- ...Description: - Must have strong Utilization Review and InterQual experience REQUIRED! - Conducting... ...as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered... ...Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care...Weekly payLong term contractPermanent employmentTemporary workWork at officeShift work
- ...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...Hourly payFull timeWork experience placementWork at office
- ...Shift 1st Shift (Days) Description Registered Nurse Utilization Reviewer At Bristol Health, we begin each day caring today for... ...The appropriate Nurse Utilization Reviewer will have a strong working knowledge of nationally recognized criteria sets including...Full timeShift workDay shift
- ...Job Description GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Conroe, Texas. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks...Contract workImmediate startShift work
- ...Job Description GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Medford, Wisconsin. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration:...Immediate startShift work
- ...Job Description GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration...Immediate startShift work
- ...First Connect Health is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Greenbrae, California. Job... ...care, respect, and responsiveness at every step. When you work with First Connect Health, you're not just another number — you...Weekly payLong term contractTemporary workLocal areaShift work
- Are you passionate about working with people and delivering efficient... ...commercial lines. Effectively review and explain coverages to... .... Monday and Friday work from home if you choose to, Tuesday through... ...Sentry University (SentryU) and utilize our Tuition Reimbursement program...Work from homeWork experience placementWork at officeImmediate startHome officeMonday to Friday
- ...Type: Regular Time Type: Full time Work Shift: Day (United States of America)... ...Burlington, MA. Job Description: The Utilization Analyst works with physicians, the payers... .... Using the concepts of utilization review, clinical documentation improvement and revenue...Full timeShift workWeekend work
- ...Job Description Job Description Occupational Therapist – Utilization Review Location: Remote Licensure: Current, active, and unrestricted Occupational Therapy license issued by the Arkansas State Medical Board. Job SummaryAstyra is seeking a licensed Occupational...Remote work
$40 per hour
...Candidates must be based in TX. RN working in the insurance or managed care industry... ...responsible for performing initial, concurrent review activities; discharge care coordination... .... Provides information regarding utilization management requirements and operational...Full timeContract workWork at officeRemote work