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$59.24k - $76k
...edge technology, or providing clinical services you'll work alongside dedicated professionals who share your... ...license is required We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization review on workers...Work from homeFull timePart timeLocal areaRemote workFlexible hours- ...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... ...decision to a second level reviewer. This individual interfaces with...Work from homeTemporary workPart timeWork at officeRemote workMonday to FridayFlexible hours
$78.54k - $121.72k
...Type: Full time Shift: Day Shift Description: Utilization Review- RN Reviewer- Regional Coverage for Loyola, Gottlieb and MacNeal... ...Regional Utilization Review Documentation Specialist nurse works with the multidisciplinary team including physicians, staff...SuggestedFull timeWork at officeLocal areaShift workDay shift- ...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job... ...career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry...Work from homeFull timeImmediate startShift work
$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...SuggestedFull timePart timeWork at officeRemote work- ...Role Overview: The After Hours Behavioral Health (BH) Utilization Management (UM) Reviewer is scheduled to work non-traditional hours to provide access to medical necessity determinations for urgent and contractually required coverage requests 24/7, 365 days a year....SuggestedRemote workFlexible hoursSaturday
- ...services including skilled nursing and home health aide services, medical daycare... ...approved services are provided. Our Utilization Management Reviewers cultivate and maintain relationships... ...member reaches their 21st birthday. ; Work Arrangement:; Remote role....SuggestedContract workRemote workMonday to FridayFlexible hoursShift work
- ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient... ...;Utilization Management Reviewer must maintain a strong working knowledge of federal, state, and organizational regulations...SuggestedRemote workMonday to FridayFlexible hoursAfternoon shift
- ...(LTSS) Supervisor, the LTSS Reviewer is responsible for completing... ...inpatient and outpatient services, working closely with Service... ...Personal Assistance Services (PAS), home care (skilled) services,... ...received, nature of the request, utilization determination (and events...SuggestedRemote workFlexible hours
- ...RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* Must reside... ...Tri-State Area - NY, NJ, or CT COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY... ...position from the comfort of your own home as you will be responsible for the assessment...Work from homeFull timeLocal areaRemote work
$38.49 - $47.05 per hour
...healthcare? Bring your true colors to blue. The RoleThe Clinical Utilization Reviewer is responsible for facilitating care for members who may... ...optimal health. This position is self-directed and works independently and collaboratively to facilitate care using clinical...SuggestedHourly payWork at officeRemote workFlexible hoursShift work- Job Summary: Conducts reviews of medical records and treatment plans to evaluate and... ...across the continuum of care. Identifies utilization trends, leads efforts for improvement initiatives... ...monitors progress and results. Develops work plans to meet business priorities and...SuggestedLocal area
$45 - $62 per hour
...Direct Hire is seeking a Registered Nurse (RN) Case Manager, Utilization Review for a nursing job in White Plains, New York. Job... ...career. At Medical Solutions, you’ll find a great place to work and a career home. We’ve received Best Places to Work awards, landed top industry...Work from homeHourly payImmediate startShift work- ...Job Description Description: Conifer Park is looking for an Utilization Review Coordinator to join the Medical Records team at our site in... ...wages, benefits, and a pension plan in a supportive working environment. Background checks, pre-employment & drug screenings...Suggested
- ...Desk Review Specialist Kemper is one of the nations leading specialized... ...challenge, and a healthy work-life balance can be highly... ...most cost-effective parts were utilized within industry standards.... ...onsite with occasional work from home opportunities out of our local...Work from homeWork experience placementCasual workWork at officeLocal area
- A Medical Bill Reviewer I will perform activities related to the accurate... .... Additionally, you’ll: Utilize knowledge of medical coding... ...preferred. ~1-3+ years of related work experience in a medical office... .... Monday and Friday work from home if you choose to, Tuesday...Work from homeWork experience placementWork at officeImmediate startHome officeMonday to Friday
- ...Shift 1st Shift (Days) Description Registered Nurse Utilization Reviewer At Bristol Health, we begin each day caring today for... ...The appropriate Nurse Utilization Reviewer will have a strong working knowledge of nationally recognized criteria sets including...Full timeShift workDay shift
- ...AHA Must-Have: Strong assessment, discharge planning, and utilization review skills 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 workFor contractorsZero hours contractImmediate startShift work
- ...tax-free stipend amount to be determined. Posted job title: RN:Utilization Review,07:00:00-19:00:00 About Voca Healthcare As a Voca... ...to support you. Voca’s experienced and dedicated travel team works in concert with you every step of the way. Our long-standing...Weekly payFor contractorsZero hours contractImmediate startShift work
- ...tax-free stipend amount to be determined. Posted job title: Utilization Review Case Manager About Anders Group WHY ANDERS? Anders Group... ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates!...For contractorsImmediate startShift work
- ...Type: Per Diem Time Type: Part time Work Shift: Day (United States of America)... ...Lahey Hospital and Medical Center. The Utilization Analyst works with physicians, the payers... .... Using the concepts of utilization review, clinical documentation improvement and revenue...Daily paid16 hoursPart timeShift workWeekend work
$40 per hour
...Candidates must be based in TX. RN working in the insurance or managed care industry... ...responsible for performing initial, concurrent review activities; discharge care coordination... .... Provides information regarding utilization management requirements and operational...Full timeContract workWork at officeRemote work- ...Job Description Position Title: Utilization Review Nurse Location: Fully Remote Position... ...cost-effective, and compliant delivery of home health care. This role monitors... ...Self-directed, flexible, and able to work independently with minimal supervision....Remote workFlexible hoursWeekend work
- ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description... ...• Orientation every Monday • Local travelers welcome **Work Environment:** • Scrub Color: Royal/Navy Blue • PPE...Contract workFor contractorsLocal areaShift workSundayDay shift
- ...tax-free stipend amount to be determined. Posted job title: Utilization Review Case Manager About Anders Group WHY ANDERS? \n Anders Group... ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates! \...Immediate startShift work
- ...contract position in Quincy California . This is a 7a-3p, 07:00:00-15:00:00, 8.00-5 position in the Critical Access Hospital RN, Utilization Review RN . The ideal candidate will possess a current state license as a RN and have at least 2 years of recent experience as a...Weekly payContract workZero hours contractImmediate startShift work
- ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must live in the state of Florida or Texas Job Purpose: Review Workers Compensation requests submitted...Work from homeLive inRemote work
- ...Job Title: Care review Clinician | Utilization review nurse Location: 100% Remote in CA Duration: 06 months+ contract (Possibility of extension... ...inpatient authorizations, Pediatrics, CCS and UM Works with the Utilization Management team primarily responsible...Contract workWork at officeRemote workShift work
$26.5 - $47.59 per hour
...for this role have the flexibility to work remotely from their home anywhere in the Eastern time zone.... ...rotating basis. Previous concurrent review experience is highly preferred.... ...health management systems according to utilization management policies and guidelines...Work from homeHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hours- ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~4...Immediate startShift work