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$78.54k - $121.72k
...Regional Utilization Review Documentation Specialist (RN) at TrinityHealth summary: The Regional Utilization Review Documentation Specialist... ...Regional Utilization Review Documentation Specialist nurse works with the multidisciplinary team including physicians, staff...SuggestedFull timeWork at officeLocal areaShift workDay shift$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- ...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... ...decision to a second level reviewer. This individual interfaces with...Work from homeTemporary workWork at officeRemote workMonday to FridayFlexible hours
- ...Senior Utilization Review Coordinator II (PT) at Kaiser Permanente summary: The Senior Utilization... ...monitors progress and results. Develops work plans to meet business priorities and... ...Oakland Reg - 1950 Franklin - Rgnl Hosp-Home Health/Hospice - 0201 Pay Range: $ -...SuggestedFull timeWork experience placementLocal areaFlexible hoursShift work
- 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
$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- ...The Commercial Post Service Review team is responsible for clinically... ...IOP). The RNs perform reviews utilizing the Blue Shield of California... .... 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
$28 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... .... ~ Proficiency in utilizing modern technology, especially...Work from homeTemporary workPart timeRemote workHome officeMonday to ThursdayFlexible hours- ...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
- ...Senior Utilization Review Coordinator I (LVN) at Kaiser Permanente summary: The Senior Utilization... ...flexibility in approaches to work; champions change and helps others adapt... ...Oakland Reg - 1950 Franklin - Rgnl Hosp-Home Health/Hospice - 0201 Pay Range: $ -...SuggestedFull timeWork experience placementLocal areaFlexible hoursShift 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
- ...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
- ...(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
- ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient... ...;Utilization Management Reviewer must maintain a strong working knowledge of federal, state, and organizational regulations...SuggestedRemote workMonday to FridayFlexible hoursAfternoon shift
- ...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
$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$57 per hour
...Work From Home - Clinical Pharmacist Reviewer - $57/hour (MA Only) ~ Fully remote position with a leading pharmacy team ~$57/hour pay rate + professional... ...role won't last! There are no costs for candidates utilizing our services as our clients pay for all related...Work from homeHourly paySecond jobRemote work$41.12 - $50.26 per hour
...true colors to blue. The Role The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical... ...policies. This position is part of a larger team and works independently and collaboratively to facilitate care using...Hourly payWork at officeFlexible hoursShift work- ...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
- ...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
- ...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
- ...Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join... ...: Benefit Highlights ~ Challenging and rewarding work environment ~ Competitive Compensation & Generous Paid Time...Full timePart timeLocal area
- ...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- ...Rang Healthcare is seeking a travel nurse RN Utilization Review Manager for a travel nursing job in Albuquerque, New Mexico. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 11/03/2025 ~ Duration: 13 weeks ~40...Weekly payContract workFor contractorsLocal areaShift workDay shift
- ...Rang Healthcare is seeking a travel nurse RN Utilization Review Manager for a travel nursing job in Madison, Wisconsin. Job Description &... .... Ensuring that patients have transport to and from their homes and all pertinent healthcare facilities. Meeting with members...Weekly payContract workFor contractorsLocal areaShift work
$8 per hour
...Travel RN Case Manager (Utilization Review) - $3,336 per week at Host Healthcare summary: The Travel RN Case Manager (Utilization Review) provides specialized nursing care focused on case management for a 13-week travel assignment in Bakersfield, California. This role...Full timeShift work- ...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 workFor contractorsZero hours contractImmediate startShift work
- ...Desk Review Specialist Kemper is one of the nations leading specialized... ...challenge, and a healthy work-life balance can be highly... ...most cost-effective parts were utilized within industry standards.... ...onsite with occasional work from home opportunities out of our local...Work from homePart timeWork experience placementCasual workWork at officeLocal area
- ...tax-free stipend amount to be determined. Posted job title: Utilization Review Case Manager About Anders Group WHY ANDERS? Anders Group... ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates!...For contractorsImmediate startShift work