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  • Utilization Reviewer

    $55k

     ...Utilization Reviewer Developmental Disabilities Services Human services professionals are encouraged...  ...As a Utilization Reviewer, your daily work will involve: Conducting audits...  ...allow you to primarily work from your home office. Travel throughout the Maryland... 
    Work from home
    Full time
    Immediate start
    Remote work
    Home office
    Monday to Friday

    Liberty Healthcare

    Annapolis, MD
    3 days ago

  • Otolaryngology - ENT for Utilization Review - Remote - Contract

     ...Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review...  ...medical and healthcare plan guidelines. Work remotely with flexible hours, as little...  ...equipment. Role is remote (work-from-home). Legal and Privacy California... 
    Work from home
    Full time
    Contract work
    For contractors
    Work at office
    Remote work
    Flexible hours

    Medical Review Institute

    Dallas, TX
    1 day ago

  • Physician Reviewer - Utilization Management

    $211.2k - $277.2k

     ...we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the...  ...Director, Utilization Management. Work Location: This is a remote position,...  ...daily work will be completed from your home office, occasional travel may be required... 
    Work from home
    Full time
    Local area
    Remote work
    Home office
    Weekend work

    Oscar Health

    Tampa, FL
    6 days ago

  • Utilization Review Nurse

    $35 - $45.94 per hour

     ...Utilization Review Nurse Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization...  ...the Supervisor, Utilization Review. Work Location: This is a remote position,...  ...daily work will be completed from your home office, occasional travel may be... 
    Work from home
    Hourly pay
    Full time
    Remote work
    Home office

    Oscar Health

    Virginia Beach, VA
    1 day ago

  • Commercial Documentation Review Specialist I

     ...as a Full-Time Commercial Documentation Review Specialist I and immerse yourself in an...  ...least 90 days, there is an opportunity to work from home 1-2 days per week) offers an opportunity...  ...a new challenge, allowing you to utilize your analytical skills in a fast-paced,... 
    Work from home
    Full time
    Flexible hours
    2 days per week
    1 day per week

    Mercantile Bank

    Grand Rapids, MI
    20 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
    8 days ago

  • Utilization Review Coordinator

     ...Position Overview: We are seeking a detail-oriented, proactive Utilization Review (UR) Coordinator to support insurance authorization...  ...teams, and leadership about authorization status and updates Work collaboratively with the UR team to improve processes and enhance... 
    Suggested

    Your Behavioral Health

    Torrance, CA
    9 days ago

  • Utilization Review Specialist

     ...where your clinical insight truly drives client success. As a Utilization Review Specialist, you’ll be the bridge between quality care and...  ...opportunity to make a powerful impact Why You’ll Love Working Here ⭐ A mission-driven environment where your work directly... 
    Suggested
    Full time
    Work at office
    Immediate start

    Triumph Treatment Services

    Yakima, WA
    8 days ago

  • Utilization Review Assistant

    $28 per hour

     ...Utilization Review Assistant Amergis Healthcare is actively looking for a Utilization Review Assistant that would be interested in a 13...  ...Degree ~ CPC, CCS or CMA preferred ~2+ years of experience working in a hospital setting with utilization review ~... 
    Suggested
    Hourly pay
    Weekly pay
    Full time
    Contract work
    Remote work
    Monday to Friday

    Amergis Healthcare Staffing

    Chicago, IL
    13 hours ago

  • Utilization Review Specialist

     ...Description Company : Skyway Behavioral Health Title : Utilization Review Specialist (URS) FLSA Status : Exempt Location : Remote...  ...or relevant experience required, master’s degree in social work or counseling field preferred. Exceptional organization skills... 
    Suggested
    Temporary work
    Local area
    Remote work

    Skyway Behavioral Health

    Downers Grove, IL
    3 days ago

  • Utilization Management Reviewer - Dental

    $26.5 - $47.59 per hour

     ...workplace flexibility. Position Purpose: Authorize and review utilization of dental services provided in provider offices, community...  ...reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual... 
    Suggested
    Hourly pay
    Contract work
    Work at office
    Remote work
    Flexible hours

    Georgia Staffing

    Atlanta, GA
    2 days ago

  • Long Term Services & Support Reviewer Utilization Management

     ...Long Term Services And Supports Reviewer Your career starts now. We...  ...and outpatient services, working closely with Service Coordinators...  ...Assistance Services (PAS), home care (skilled) services,...  ...received, nature of the request, utilization determination (and events leading... 
    Suggested
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Augusta, GA
    4 days ago

  • Distribution Reviewer

    $55k - $65k

     ...Distribution Reviewer Are you looking for a position where you can utilize your experience processing retirement plan distributions and loans? Do you excel...  ...you want the flexibility and convenience of working from home? Nova 401(k) Associates is looking to fill a fully... 
    Work from home
    Remote work
    Monday to Friday

    Nova 401(k) Associates

    Providence, RI
    2 days ago

  • Utilization Review Coordinator

     ...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, NY
    10 days ago

  • Healthcare Utilization Review Specialist

     ...employee benefits solutions. As a Healthcare Utilization Review Specialist, you’ll play a vital role in...  ...but not required:) Medical assistant, home health aide, nursing assistant, or other...  ...team of more than 200 employees, we work collaboratively to build customized self... 
    Suggested
    Full time
    Temporary work
    Flexible hours

    Cobalt Benefits Group LLC

    Houston, TX
    8 days ago

  • Utilization Management Review Analyst - NICU

    $30.49 - $48 per hour

     ...s Way Baton Rouge, LA 70817, USA Description The Utilization Management Review Analyst analyzes patient records daily to determine the appropriateness...  ...and overall evaluation of individual patient needs. Works directly with physicians, insurance companies, HIM... 
    Hourly pay
    Full time
    Work experience placement
    Local area
    Monday to Friday
    Weekend work

    Womans

    Baton Rouge, LA
    5 days ago

  • Travel Nurse RN - Utilization Review

     ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~40 hours... 
    Immediate start
    Remote work
    Shift work
    Afternoon shift

    MSSI

    Minneapolis, MN
    21 days ago

  • RN Appeals Reviewer

    $40.5 - $42.5 per hour

     ...Remote Rn Appeals Reviewer Adecco Healthcare & Life Sciences is hiring remote RN Appeals Reviewers! This role is remote / work from home. Please read below and apply with an updated resume...  ...criteria to clinical reviews ~ Utilization Management, pre-authorization, concurrent... 
    Work from home
    Weekly pay
    Full time
    Contract work
    Temporary work
    Local area
    Remote work

    Minnesota Staffing

    Minneapolis, MN
    2 days ago

  • Physician Reviewer - Orthopedic Spine Surgery (Utilization Review) MS

     ...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 ~ Set... 
    Price work
    Extra income
    For contractors
    Remote work

    Dane Street, LLC

    Parchman, MS
    29 days ago

  • Travel RN Case Manager - Utilization Review

     ...liaison between the patient’s family and healthcare organization. Work is administered in a variety of settings, including HMOs,...  ...Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are intended for... 
    Hourly pay
    Weekly pay
    Contract work
    Temporary work
    Immediate start
    Shift work

    MedPro Healthcare Staffing

    Greenbrae, CA
    27 days ago

  • Travel RN Case Manager - Utilization Review

     ...have experience with and proficient at Midas, InterQual, and Microsoft Office programs. Experience with discharge planning AND utilization review. Minimum of 3 years hospital experience. Must have recent experience with Interqual (within past 6 months)\n\n\nEMR: Cerner\n... 
    Work at office
    Shift work

    Genie Healthcare

    Chandler, AZ
    18 days ago

  • Travel RN Case Manager - Utilization Review

     ...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills \n 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 employment
    Temporary work
    Zero hours contract
    Immediate start
    Shift work

    Prime Staffing

    Greenbrae, CA
    27 days ago

  • Travel RN Case Manager - Utilization Review

     ...Job Description GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Greenbrae, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration... 
    Contract work
    Immediate start
    Shift work

    GQR Healthcare

    Greenbrae, CA
    19 days ago

  • Travel RN Case Manager - Utilization Review

     ...partners trust us, and healthcare staffing gets smarter. RN Case Manager with experience as follows:\n\nMust have strong Utilization Review and InterQual experience REQUIRED!\nConducting patient initial assessments\nAcute Care hospital experience\nEPIC EMR documentation... 
    Shift work

    Catalytic Solutions

    Greenbrae, CA
    21 days ago

  • Travel RN Case Manager - Utilization Review & Clinical Documentation Improvement

     ...Employment Type: Travel Description: RN-Case Manager/Utilization Review/CDI (clinical documentation improvement) Must have...  ...including hospitals, clinics, rehabilitation centers, old-age homes, schools, correctional facilities, and more. At HonorVet,... 
    Shift work

    HonorVet Technologies

    Syracuse, NY
    16 days ago

  • Utilization Manager Reviewer, RN (Multiple Openings!)

     ...coordinating, integrating, and monitoring the utilization of physical health (PH) medical and...  ...cases to the Medical Director for review. Refer to and work closely with Case Management to...  ...care. Collaborates with hospital, home care, care management, and other providers... 
    Contract work
    Live in
    Work at office
    Remote work

    Univera Healthcare

    Binghamton, NY
    1 day ago

  • RN Utilization Review Coordinator

    $34 - $51 per hour

     ...Description Job Description Description: RN Utilization Review Coordinator Reports to: Medical...  ...Site: Hybrid (Broomfield, CO office/Home office) Job Summary: The...  ...Prolonged periods of sitting at a desk and working on a computer. Standing, sitting,... 
    Hourly pay
    Full time
    Work at office
    Home office
    Afternoon shift

    NRT |Foundry Treatment Center

    Westminster, CO
    4 days ago

  • LPN/Medical Reviewer - Remote

    $23 per hour

     ...Carolina. Must be willing to work on site the first 1-2 weeks...  ...Title: Medical Claims Reviewer Location: SC (preferably within...  ...established criteria and managing utilization of professional, inpatient,...  ...weeks followed by work from home. Key Responsibilities... 
    Work from home
    Remote job
    For contractors

    CEI

    Columbia, SC
    22 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... 
    Hourly pay
    Full time
    Work experience placement
    Work at office

    RemoteOnline

    San Francisco, CA
    5 days ago

  • Local Contract Nurse RN - Utilization Review

     ...) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia...  ...name under which they are currently working. This position is remote - Full-time...  ...?s medical condition and the potential home care needs. Performs early... 
    Permanent employment
    Full time
    Contract work
    Part time
    Local area
    Remote work
    Shift work

    Pyramid Consulting (Travel)

    Philadelphia, PA
    7 days ago