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- ...Utilization Management Nurse Reviewer The Utilization Management Nurse Reviewer plays a crucial role in healthcare... ...PRN nurses will be required to work at least one weekend per month, one major... ...and computer work. Work From Home Technical Requirements: Supply and...Work from homeReliefWork at officeFlexible hoursShift workWeekend work
Dane Street
Scranton, PA11 hours 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...Work from homePermanent employmentContract workTemporary workWork at officeRemote work$38.49 - $47.05 per hour
...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex... ...promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care using...SuggestedHourly payFull timeWork at officeRemote workFlexible hoursBlue Cross Blue Shield of Massachusetts
Hingham, MA2 days ago- .... 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...SuggestedRelocation package
University of Maryland Medical System
Largo, MD8 days ago - ...coordinating, integrating, and monitoring the utilization of behavioral health (BH) services... ...cases to the Medical Director for review. Refer to and work closely with Case Management to... ...care. Collaborates with hospital, home care, care management, and other providers...SuggestedContract workWork at office
Excellus Health Plan
Rochester, NY11 hours 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 homeFull timeFlexible hours2 days per week1 day per week
- ...rewarding journey with GLC - a recruiter will connect quickly to review pay , start date , and assignment details so you can... ...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate......SuggestedWeekly payFull timeContract workReliefLocal areaImmediate startRelocation packageShift work
GLC On-The-Go
Greenbrae, CA7 days ago - ...manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The... ...motivated, detail-oriented and interested in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities...SuggestedFull timeWork at officeRemote workFlexible hours
- ...Employment Type: Travel Description: RN-Case Manager/Utilization Review/CDI (clinical documentation improvement) Must have... ...including hospitals, clinics, rehabilitation centers, old-age homes, schools, correctional facilities, and more. At HonorVet,...SuggestedShift work
HonorVet Technologies
Syracuse, NY26 days ago $35 - $50 per hour
...Description JobTitle : Retro Claims Reviewer Location : West Hills/Canoga Park 91... ...Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong... ...and communication skills ~ Ability to work independently and prioritize tasks ~ Proficiency...SuggestedHourly payContract workTemporary workTEKsystems
Los Angeles, CA4 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...SuggestedHourly payFull timeWork experience placementWork at officeRemoteOnline
San Francisco, CA5 days ago$2,312.8 - $2,407.8 per month
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Medford, Wisconsin. Job Description... ...aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare...SuggestedHourly payWeekly payContract workShift workGQR Healthcare
Medford, WI5 days ago$3,579 per month
...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description... ...aligning with your goals, values, and the way you want to work. \n \nAs an award-winning talent partner, we support...SuggestedHourly payWeekly payContract workShift workGQR Healthcare
Los Angeles, CA29 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...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
$20.38 - $31.81 per hour
...Job Description Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician... ...and Care Coordination Additionally, the position works closely with the Care Coordination department to support...SuggestedFull timeWork at officeGuthrie
Cortland, NY26 days ago- ...Dane Street: Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our... ...supplemental income through non-traditional clinical work. Position Overview: We are currently seeking...Extra incomeContract workFor contractorsRemote workFlexible hours
- ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its... ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical,... ...– predictable, supplemental income Work remotely from anywhere you choose...Price workExtra incomeContract workFor contractorsRemote work
- ...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, CA3 days ago - ...SIGN ON BONUS** **Role Overview** Our Utilization Management Reviewers evaluate medical necessity for... ...Management Reviewer must maintain a strong working knowledge of federal, state, and organizational... ..., or Long-Term Acute Care (LTAC), home health care, or medical office...Remote workRelocation packageMonday to FridayFlexible hoursAfternoon shift
$114k - $161k
...Principal Consultant - Utility Return on Equity & Cost of Capital Specialist Join to apply... ..., we immerse our employees in a hard-working, collegial and cooperative culture with the... ...hybrid model, with flexibility to work from home two days a week. Duties &...Work from homeFull timePart timeWork at officeRemote workFlexible hours2 days per weekConcentric Energy Advisors
Washington DC5 hours ago- ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding our panel of expert... ...New York medical license (Required) Work Location: Fully Remote / Telehealth Compensation...Extra incomeContract workRemote 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,... ...What you should expect in this role Home-based position. High-speed internet and...Work from homeFull timeContract workWork 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, CA4 days ago $55 - $57 per hour
...Work From Home – Clinical Pharmacist Reviewer – $55 - $57/hr (MA Only) Fully remote position with a leading pharmacy team Competitive pay + professional... ...won’t last! There are no costs for candidates utilizing our services as our clients pay for all related...Work from homeFull timeSecond jobRemote work- ...Behavioral of Springfield has an immediate opening for a Full-Time Utilization Review Coordinator. We are seeking individuals who are committed... ...responsibilities include the following: Within two working days of admission, obtains initial certification based on established...Full timeImmediate startMonday to FridayFlexible hoursShift work
- **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials... ...or GED required + Bachelor's Degree preferred + 0-2 years of work experience in utilization review, hospital admissions or...Work experience placementWork at officeLocal area
- ...Responsibilities Utilization Review Coordinator The Carolina Center for Behavioral Health is currently hiring utilization review coordinators... .... Benefit Highlights: Challenging and rewarding work environment • Career development opportunities • Competitive...ReliefCurrently hiringLocal area
- ...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 workReliefLocal area
- Job Summary: Conducts reviews of medical records and treatment plans to evaluate and consult... ...independently. Observes and identifies utilization trends and learns about addressing... ...demonstrates flexibility in approaches to work. Assesses and responds to the needs of others...Local area
- ...preferred Experience: Must have one (1) year experience in the Utilization Review process and/or two (2) years’ clinical experience in a... ...skills, communication skills and ability to perform detailed work. Ability to use the English language and medical terminology...Full timeWork at officeLocal areaImmediate startFlexible hours
