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- ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must have a multi state compact license unencumbered Job Purpose: Review Workers Compensation...Work from homeRemote work
Elite
Houston, TX17 days ago $35 - $41 per hour
...Utilization Review - Fully Remote This role involves performing precertification and medical necessity... ...review experience is a plus. Work Environment: The position requires an... ...person. The role is primarily work-from-home, ideally located within 2 hours of the regional...Work from homePermanent employmentContract workTemporary workWork at officeRemote workRemote Staffing
Mission Viejo, CA19 hours ago$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 homeHourly payFull timeRemote workHome officeOscar Health
Dallas, TX19 hours ago- Join to apply for the Utilization Review Appeals Specialist role at Michigan Medicine . Talent Acquisition... ...The Audit and Appeals Specialist works in Revenue Cycle. They work closely with... ...timeframe. Work Locations Work From Home position or Alternate: Onsite in Ann Arbor...Work from homeFull timeWork at officeRemote workMonday to Friday
$211.2k - $277.2k
...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 work- ...Utilization Management Nurse Reviewer The Utilization Management Nurse Reviewer plays a crucial role in healthcare... ...PRN nurses will be required to work at least one weekend per month, one major... ...and computer work. Work From Home Technical Requirements: Supply and...Work from homeReliefWork at officeFlexible hoursShift workWeekend work
Dane Street
Lancaster, PA1 day 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
- Hematology/Oncology Physician - Utilization Review Remote - Flexible Independent Contractor (1099) Opportunity... ...complete No minimum case requirements - work as much or as little as you’d like Additional Details Remote, work‑from‑home position - work anywhere in the U.S....Work from homeFor contractorsRemote workFlexible hours
$1,099 per month
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$1,099 per month
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
- ...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...SuggestedRemote workFlexible hours
AmeriHealth Caritas
Wichita, KS19 hours ago $2,210 per week
...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... ...defer decision to a second level reviewer. This individual interfaces with...Work from homeFull timeTemporary workPart timeCasual workWork at officeRemote workMonday to FridayAll shiftsFlexible hours$40 per hour
Utilization Review Licensed Practical Nurse Utilization Review Licensed Practical Nurse 1 day ago Be among... ...LPNs - are you 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? Check out Hines...Work from homeHourly payFull timeTemporary workReliefRemote workMonday to FridayFlexible hours- Additional Information About the Role Join a stable work from home team. This is a great opportunity for a local remote position. Schedule... ...performing care for hospitalized patients. 2 years of utilization review (UR) experience reviewing hospital admissions for medical...Work from homeReliefLocal areaRemote workMonday to FridayFlexible hoursShift work
$38.49 - $47.05 per hour
...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex... ...promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care using...Hourly payFull timeWork at officeRemote workFlexible hoursBlue Cross Blue Shield of Massachusetts
Hingham, MA3 days ago$28.9 - $35.45 per hour
...based on experience We are seeking Virtual Utilization Review Specialists to join our team. Full-time... ...Responsible for ConnectCare and ADT work queues assigned to VUR for revenue cycle... ...#workfromhome #onlinejobs #remotejobs #workfromanywhere #J-18808-Ljbffr Work Based At HomeWork from homeRemote jobFull timeReliefWork at office- ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its... ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-... ...consistent, supplemental income Fully remote – work from anywhere You control volume and...Price workExtra incomeFor contractorsRemote workFlexible hours
Dane Street, LLC
New York, NY3 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-... ...consistent, supplemental income Fully remote – work from anywhere You control volume and...Price workExtra incomeFor contractorsRemote workFlexible hours
Dane Street, LLC
New York, NY3 days ago - .... We are currently seeking a dedicated Utilization Reviewer to join our dynamic team. Why Choose... ...resources, strong EAP services, and a healthy work-life balance in a supportive... ...CPUR) preferred. Additional experience in home health, ambulatory care, and/or occupational...Relocation package
University of Maryland Medical System
Largo, MD9 days ago $25 per hour
...jurisdiction and desire an engaging work environment where they are... ...an ongoing need for Document Reviewers. MS, United States (Remote)... ...Position Details Remote work-from-home opportunity Pay rate: $25 per... ...is required Proficiency in utilizing modern technology, especially...Work from homeHourly payTemporary workRemote workHome officeMonday to ThursdayFlexible hours- ...coordinating, integrating, and monitoring the utilization of behavioral health (BH) services... ...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 workWork at office
Excellus Health Plan
Rochester, NY1 day ago - ...Conduct utilization management reviews by assessing medical necessity, appropriateness of care, and adherence to clinical guidelines. Collaborate with healthcare providers to facilitate timely authorizations and optimize patient care. Analyze medical Management, Registered...
AmeriHealth Caritas Family of Companies
Washington DC1 day ago - Join Our National Team as a Reviewer! Are you looking to leverage your... ...varied and challenging work? Our company, a leading parent... ...reconstruction. These reviews include utilization of knowledge of industry... ...be working remotely in their home office and will be exposed to...Work from homeWork at officeLocal areaRemote workHome officeFlexible hours
- ...Commercial Documentation Review Specialist I Join Mercantile Bank as a Full-Time Commercial... ...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 homeFull timeFlexible hours2 days per week1 day per week
$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 homeRemote jobFor contractorsCEI
Columbia, SC3 days ago- ...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, CA3 days ago - ...rewarding journey with GLC - a recruiter will connect quickly to review pay , start date , and assignment details so you can... ...to be determined. Posted job title: AZ - RN Case Management/Utilization Review About GLC On-The-Go GLC is more than just a staffing...Weekly payFull timeContract workReliefLocal areaRelocation packageShift work
GLC On-The-Go
Tuba City, AZ25 days ago - Join to apply for the Utilization Review Specialist role at Sonora Behavioral Health Hospital Responsibilities Provide consultation and guidance... ...'s degree required. Bachelor's or master’s degree in social work, behavioral or mental health, Nursing or other related health...Remote work
- ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its... ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully... ...case - predictable, supplemental income Work remotely from anywhere you choose Set your...Remote jobPrice workExtra incomeFor contractors
