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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 home
    Hourly pay
    Full time
    Part time
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    Remote work
    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    13 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 home
    Full time
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    Remote work
    Monday to Friday

    Michigan Medicine

    Ann Arbor, MI
    4 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... 
    Work from home
    Full time
    Remote work
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    Modern MedEd

    Phoenix, AZ
    4 days ago
  • 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.... 
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    Remote work
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    1 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 home
    Remote job
    For contractors
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    1 day 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
    Remote job
    Full time
    Contract work
    For contractors
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    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    2 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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    Flexible hours

    Medical Review Institute

    Dallas, TX
    2 days ago
  • $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... 
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    Actalent

    Atlanta, GA
    5 days 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... 
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    Monday to Friday
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    Hines

    Freeport, IL
    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
  • 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.... 
    Suggested
    Full time

    Cone Health

    Greensboro, NC
    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... 
    Work from home
    Relief
    Local area
    Remote work
    Monday to Friday
    Flexible hours
    Shift work

    BJC HealthCare

    Saint Louis, MO
    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
    Remote job
    Full time
    Relief
    Work at office

    Work Based At Home

    Jackson, MS
    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... 
    Suggested
    Full time
    Remote work
    Shift work

    Henry Ford Health System

    Warren, MI
    13 hours 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... 
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    Hourly pay
    Temporary work
    Remote work
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery India

    Jackson, MS
    2 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... 
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    Work at office
    Local area
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    Paul Davis Restoration, Inc

    Jacksonville, FL
    4 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... 
    Work from home
    Full time
    Remote work

    Iapetus Holdings LLC

    Pontiac, MI
    3 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
  •  ...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
  • 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

    Sonora Behavioral Health Hospital

    Tucson, AZ
    1 day ago
  •  ...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/... 
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    Contract work
    Work at office
    Monday to Friday

    US Tech Solutions

    Columbia, SC
    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
  •  ...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 pay
    Full time
    Contract work
    Relief
    Local area
    Relocation package
    Shift work

    GLC On-The-Go

    Tuba City, AZ
    21 days ago
  •  ...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 pay
    Weekly pay
    Contract work
    Temporary work
    Immediate start
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    MedPro Healthcare Staffing

    Greenbrae, CA
    5 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
    4 days ago
  • $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 home
    Remote job
    Full time
    Contract work
    Work at office
    Flexible hours

    Gainwell Technologies

    Raleigh, NC
    4 days ago
  •  ...openings in our Omaha, Nebraska office for Utilization Review Nurses. The Utilization Review Nurse...  .... Foster a positive and close working relationship with other Company staff,...  ...situations. WHAT WE OFFER Work From Home (Up to 2 days per week upon eligibility... 
    Work from home
    Permanent employment
    Full time
    Work at office
    2 days per week

    Berkshire Hathaway Homestate Companies

    Omaha, NE
    4 days ago
  • $19.5 - $26 per hour

     ...About the job Document Review and Data Entry Specialist Job details Salary...  ...pride ourselves on providing our employees a work experience built on family values. Our...  ...the following: Use TRAX program areas utilized for Maintenance personnel and perform setup... 
    Hourly pay
    Full time
    Work experience placement
    Work at office

    RemoteOnline

    San Francisco, CA
    2 days ago
  •  ...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 time
    Work at office
    Remote work
    Flexible hours

    Recruiting Choices

    Houston, TX
    13 hours ago