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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,... 
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    Part time
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    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    5 days 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 home
    Full time
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    Remote work
    Monday to Friday

    Michigan Medicine

    Ann Arbor, MI
    4 days ago
  • $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... 
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    Full time
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    Quadrant Health Group

    Boca Raton, FL
    10 days ago
  • $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... 
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    Full time
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    Modern MedEd

    Phoenix, AZ
    4 days ago
  •  ...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... 
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    Elite

    Houston, TX
    8 days 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... 
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    Medical Review Institute of America

    Dallas, TX
    1 day ago
  • Overview Join to apply for the Support Specialist- Utilization Review/Full Time/Remote role at Henry Ford Health . The support specialist is...  ...and resolution. Qualifications High School Diploma/G.E.D. Working knowledge of computers and software systems; strong verbal and... 
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    Henry Ford Health

    Warren, MI
    4 days ago
  • $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... 
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    Medical Review Institute of America

    Dallas, TX
    3 days ago
  • $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 home
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    Full time
    Contract work
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    Medical Review Institute of America

    Dallas, TX
    2 days ago
  •  ...Join to apply for the PRN - Remote UROLOGY Utilization Review role at Medical Review Institute of...  ...if you prefer. Why Consider Peer Review Work? Stay up-to-date on clinical practices...  ...Additional Details Remote, work-from-home position—work anywhere in the U.S. Covered... 
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    Medical Review Institute of America

    Dallas, TX
    4 days ago
  •  ...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... 
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    Hinesassoc

    Chicago, IL
    4 days ago
  • 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... 
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    Full time
    For contractors
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    Medical Review Institute

    Dallas, TX
    2 days ago
  • Join to apply for the PRN - Remote Utilization Review Work for a Neurosurgery role at Medical Review Institute of America 3 weeks ago Be among the...  ...case requirements Additional Details Remote, work-from-home position—work anywhere in the U.S. Covered by MRIoA’s Errors... 
    Work from home
    Remote job
    Full time
    For contractors
    Relief
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    4 days ago
  • $35 - $45.94 per hour

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

    Oscar Health

    Dallas, TX
    16 days ago
  •  ...during JHM management and safe transfer to home. Proactively communicates with payors to...  .... Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions...  ...Solutions, you’ll find a great place to work and a career home. We’ve received Best... 
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    Local area
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    Medical Solutions

    Baltimore, MD
    23 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-...  ...supplemental income Fully remote – work from anywhere You control volume and... 
    Price work
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    Flexible hours

    Dane Street

    United States
    4 days ago
  • 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.... 
    Full time

    Cone Health

    Greensboro, NC
    4 days ago
  • $56.44 - $87.63 per hour

     ...a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare...  ...Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: Hybrid... 
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    Full time
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    Providence Health & Service

    Anaheim, CA
    4 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 Home
    Work from home
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    Work Based At Home

    Jackson, MS
    4 days ago
  • 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... 
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    Relief
    Local area
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    BJC HealthCare

    Saint Louis, MO
    4 days ago
  •  ...GENERAL SUMMARY: Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care...  ...specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye... 
    Full time
    Remote work
    Shift work

    Henry Ford Health System

    Warren, MI
    8 hours agonew
  • $30 per hour

     ...Join to apply for the Document Reviewer role at KLDiscovery India ....  ...jurisdiction and desire an engaging work environment where they are...  ...Position Details Remote work-from-home opportunity Pay rate: $30 per...  ...16 or later Proficiency in utilizing modern technology, especially... 
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    Hourly pay
    Temporary work
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    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery India

    Virginia, MN
    4 days 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 home
    Work at office
    Local area
    Remote work
    Home office
    Flexible hours

    Paul Davis Restoration, Inc

    Jacksonville, FL
    4 days ago
  •  ...HealthVine - Utilization Management Physician Reviewer Pediatric Medicaid ACO The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens...  ...necessary, evidence-based, and cost-effective care. Working within an Accountable Care Organization (ACO) model, this... 
    Full time
    Remote work
    Relocation package
    Monday to Friday
    Shift work
    Weekend work

    Cincinnati Children's

    Cincinnati, OH
    5 days ago
  •  ...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 home
    Full time
    Flexible hours
    2 days per week
    1 day per week

    Mercantile Bank

    Grand Rapids, MI
    3 days ago
  •  ...excellent customer service. Candidates preferred experience is 2-5 years of utility customer support experience, strong communication and data entry skills, and be tech-savvy. This is a remote, work from home role. Responsibilities: Handles inquiries and... 
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    Full time
    Remote work

    Iapetus Holdings LLC

    Pontiac, MI
    3 days ago
  •  ...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 job
    Price work
    Extra income
    For contractors

    Dane Street, LLC

    Jackson, MS
    4 days 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 office
    Remote work
    Flexible hours

    Spectrum Billing Solutions

    Skokie, IL
    4 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 employment
    Temporary work
    Zero hours contract
    Shift work

    Prime Staffing

    Tuba City, AZ
    16 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 employment
    Temporary work
    Zero hours contract
    Immediate start
    Shift work

    Prime Staffing

    Greenbrae, CA
    29 days ago