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$26.5 - $47.59 per hour
...perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA AND OREGON... ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE,...Work from homeHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hoursCentene Corporation
Sacramento, CA1 day 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- 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
- 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
$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... ...minimum case requirements Additional Details Remote, work-from-home position work anywhere in the U.S. Independent contractor...Work from homeFull timeFor contractorsRemote workFlexible hours
$35 - $41 per hour
Job Title: Utilization Review - FULLY REMOTE Job Description This role involves performing precertification... ...review experience is a plus. Work Environment The position requires an initial... ...person. The role is primarily work-from-home, ideally located within 2 hours of the...Work from homePermanent employmentContract workTemporary workWork at officeRemote work$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- Overview The Utilization Review Support Specialist completes and documents in Cone Healthlink (CHL / EPIC) payor communication to include notification... ...regulations HIPAA and commercial payer rules. Organizes work / resources to accomplish objectives and meet deadlines....SuggestedFull time
- 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
$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$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- 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
- ...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
- 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
- .... 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...Part timeRelocation package
University of Maryland Medical System
Largo, MD10 hours agonew - ...levels of care (inpatient, Extended Hospital Outpatient and OBS). 3-year acute medical Care Manager/UM experience performing utilization review in a hospital setting (not health plan/medical group) • InterQual required, this is a Hardstop • Experience with HMOs,...Remote work
Pacer Group
Torrance, CA1 day ago - ...streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The... ..., detail-oriented and interested in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities Review...Work at officeRemote workFlexible hours
$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, prospective... .... What You Should Expect In This Role Home-based position. High-speed internet and...Work from homeRemote jobFull timeContract workWork at officeFlexible hours- ...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 payWeekly payContract workTemporary workImmediate startShift work
MedPro Healthcare Staffing
Greenbrae, CA6 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, AZ22 days ago - ...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 employmentTemporary workZero hours contractImmediate startShift work
Prime Staffing
Greenbrae, CA5 days ago - Overview Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources, and the quality of patient care rendered. Combines clinical, business, regulatory knowledge, and skill to reduce significant financial risk and...Remote jobFull timeShift work
- ...1st week and then will be deployed to work from home. Will provide the equipment. Nice To Have... ...of our members. Responsibilities: Reviews and evaluates medical or behavioral eligibility... ...management program interventions. Utilizes clinical proficiency, claims knowledge/...Work from homeContract workWork at officeMonday to Friday
- 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
- ...Type: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary We are seeking a detail-oriented... ...to detail (minimum 50 WPM preferred). Experience working with EHR systems (e.g., CareLogic, Credible, Epic,...Full timeWork at officeRemote workFlexible hours
- ...Wilshire Blvd, Beverly Hills, CA Required: * RN license in CA * 3 years of clinical experience in hospital or urgent care * Utilization review experience * Knowledge of ICD10, CPT, HCPC * Familiarity with HMO, PPO, POS Preferred: * Managed care experience * Knowledge...Local areaRemote workWeekend work
Zenex Partners
Beverly Hills, CA2 days ago
