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About the job Utilization Review Specialist
About Us
Congress Billing is a sophisticated Billing Management Company that strongly... ...the growth of our team, and provide a positive and fulfilling work environment.
Requirements
To be considered for the...
Suggested
Full time
Remote job
...HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is seeking a Case Manager, Utilization Review position to join our team in Birmingham, AL!... ...at work and take care of the people you love at home! We also offer a great benefits package, including...
Work from home
Flexible hours
Night shift
Weekend work
...individuals with a desire to teach, learn and join our community as a Utilization Review Specialist at our campus in Tucson, AZ. With this groundbreaking opportunity not only will you be working with our home offices, but you will also be enhancing your training and...
Work from home
Holiday work
Home office
...Job Description
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/17/2024
~ Duration: 12 weeks
~40...
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Remote job
Shift work
...HumanEdge Travel Nursing and Allied Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Hartford, Connecticut.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/13/2024
~ Duration...
Suggested
Immediate start
Remote job
Shift work
Clinical Operations Medical Director
Utilization Management of Medical Oncology... ...PulsePoint locations with the opportunity to work remotely from home.
A proud member of the Elevance... ...:
Perform physician-level case review, following initial nurse review, of Medical...
Work from home
Work experience placement
Local area
Remote job
Relocation bonus
...Position Summary:
The Utilization Reviewer (UR) is a strong advocate for clients to access medically necessary care by pursuing insurance... ...any issues.
Develop and maintain strong and productive working relationships with review agencies.
Maintain up-to-date expertise...
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Remote job
Full time
Monday to Friday
...sick leave, 10 paid holidays, life insurance, and a retirement plan. Postal Service employment also includes career advancement, good working conditions, and GREAT job security.
The Postal Service is the largest government related agency in terms of employees, currently...
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Holiday work
Full time
Currently hiring
...records and files to the corresponding Utilization Review or Medical Case Management case.
Concurrently... ...administrative staff with overflow work, including word processing, data entry... ...must be able to provide and confirm safe home office environment. Home office must be...
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Remote job
Hourly pay
Holiday work
Full time
Home office
Monday to Friday
...education - these concepts are at the core of Hampton Behavioral Health Center's mission.
We are looking for a Full Time Utilization Review Coordinator . In this role you will assist in screening patients to ensure that criteria are met, perform admission clinical...
Suggested
Full time
Local area
...experience
Job Summary
The Utilization Review Specialist will examine medical and behavioral... ...a provider and maintain enrollment.
Works directly with Contract Administrators on... ...needs.
Our Langhorne campus is home to 550 residents and provides outpatient...
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Contract work
...Click here.
Responsibilities:
Responsible for various aspects of utilization management to ensure that care is rendered in accordance with... ...during the acute stay, utilizing InterQual system as a guideline. Works collaboratively with the Case Management team, other...
Suggested
Relocation
Night shift
Weekend work
$41 per hour
...actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled... ...health solutions in the public sector.
Acentra seeks a Utilization Clinical Reviewer to join our growing team.
Job Summary
As a Utilization...
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Hourly pay
Full time
Local area
Remote job
...are pleased to announce the following available position: PRN Utilization Review Coordinator
This position is responsible for monitoring... ...communication (verbal and written) skills are essential. Able to work independently and collegially with all clinical disciplines....
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Relief
...Overview:
Medical Behavioral Hospital is looking for a Utilization Review Coordinator to coordinate patients services across the continuum... ...Special tuition offers through Capella University
Work/life balance with great professional growth opportunities...
Suggested
Part time
...Associate Medical Director to join our Utilization Management team.
Oscar is the first... ...outpatient, and pharmacy services by reviewing clinical information and applying evidence... ...Utilization Management.
This is a work-from-home/remote role. You must reside in one of...
Work from home
Holiday work
Full time
Remote job
...incentives, bonuses, overtime, shift differential, etc.)****
Utilization Reviewer
Pathway Family Services, LLC. provides resources for youth... ...Qualifications:
Bachelor's degree in nursing, social work, psychology, or a related field.
A minimum of three years...
Hourly pay
Local area
Flexible hours
Shift work
JOIN OUR TEAM AS A UTILIZATION REVIEW (UR) COORDINATOR!
Your Work Matters How will you make a difference?
The UR Coordinator is responsible for contacts external case managers/managed care organizations for certification and recertification of insurance benefits throughout...
Holiday work
Full time
...year.
~ Paid holidays and time off.
~ Work-life balance.
~ Remote/hybrid setting.... ...ROLE DESCRIPTION:
This individual will utilize clinical knowledge and communication... ...individual will defer decision to a second level reviewer. This individual interfaces with case...
Holiday work
Temporary work
Remote job
Monday to Friday
...improving and preserving sight.
Description
Primary Function:
Under CNO supervision, the Utilization Coordinator provides utilization review, Amkai chart surveillance and denials management for the inpatient case load. This role utilizes the...
Part time
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