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  • 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
    4 days ago
  • 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... 
    Work from home
    Remote job
    Full time
    Contract work
    For contractors
    Work at office
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    1 day ago
  • 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
    Work at office
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    10 hours ago
  • Overview 1099 Utilization Review work for Radiation Oncologists - Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...case requirements Additional Details Remote, work-from-home position - work anywhere in the U.S. Independent contractor... 
    Work from home
    Full time
    For contractors
    Remote work
    Flexible hours

    Medical Review Institute of America

    Dallas, TX
    10 hours ago
  • Overview The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical...  .... PRN nurses will be required to work at least one weekend per month, one...  ...and computer work. Work From Home Technical Requirements Supply and support... 
    Work from home
    Temporary work
    Relief
    Work at office
    Remote work
    Flexible hours
    Shift work
    Weekend work

    Dane Street

    Washington DC
    1 day 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... 
    Suggested
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    United States
    10 hours 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... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    United States
    2 days ago
  •  ...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.... 
    Suggested
    Remote work
    Flexible hours
    Saturday

    AmeriHealth Caritas

    Newtown Square, PA
    3 days ago
  • $28 per hour

     ...jurisdiction and desire an engaging work environment where they are...  ...an ongoing need for Document Reviewers. Document Reviewers will...  ...Position Details Remote work-from-home opportunity Pay rate: $28 per...  ...later is required. Proficiency in utilizing modern technology, especially... 
    Work from home
    Hourly pay
    Temporary work
    Remote work
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Mc Lean, VA
    2 days ago
  •  ...(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... 
    Suggested
    Remote work
    Flexible hours

    AmeriHealth Caritas

    Newtown Square, PA
    3 days ago
  •  ...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 home
    Full time
    Local area
    Remote work

    VillageCare

    New York, NY
    2 days ago
  •  ...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
    Home office
    Weekend work
    Sunday
    Saturday

    Oscar Health

    New York, NY
    4 days ago
  • Overview Join to apply for the Physician Reviewer - Neurological Surgery (Utilization Review) LA role at Dane Street . This is a telework opportunity for physicians...  ...; choose services and case types, dictate volume, and work based on availability No doctor-patient relationship... 
    Suggested
    For contractors
    Remote work

    Dane Street

    Washington DC
    3 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,...  ...What you should expect in this role Home-based position. High-speed internet... 
    Work from home
    Full time
    Contract work
    Work at office
    Remote work
    Flexible hours

    Gainwell Technologies

    Wilmington, NC
    3 days ago
  •  ...Job Summary: Conducts reviews of medical records and treatment plans to evaluate...  ...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... 
    Suggested
    Local area

    Kaiser Permanente

    Pleasanton, CA
    4 days ago
  • $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... 
    Hourly pay
    Work at office
    Remote work
    Flexible hours
    Shift work

    Blue Cross Blue Shield of Massachusetts

    Hingham, MA
    4 days ago
  •  ...Utilization Review Coordinator Supervisory Role - Behavioral Health. Napa County Salary:...  ...The Napa Valley Napa County is home to 140,000 residents who share a strong...  ...Clinicians , review data and trends, and work closely with program and fiscal staff to... 
    Full time
    Part time

    Napa County

    Napa, CA
    17 hours ago
  •  ...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... 

    Conifer Park Inc.

    Schenectady, NY
    21 days ago
  •  ...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 home
    Immediate start
    Shift work

    Medical Solutions Direct Hire

    White Plains, NY
    10 hours ago
  • Dane Street, a leading national provider of Utilization Review (UR) and Independent Review Organization (IRO) services, is expanding our panel...  ...clinical or surgical practice. Position Highlights Remote Work: 100% telecommute using a secure, intuitive portal Flexible... 
    Extra income
    Contract work
    Remote work
    Flexible hours

    Dane Street

    Los Angeles, CA
    10 hours ago
  •  ...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 employment
    Temporary work
    Zero hours contract
    Shift work

    Prime Staffing

    Greenbrae, CA
    2 days ago
  • $57 per hour

    Overview Work From Home - Clinical Pharmacist Reviewer - $57/hour (MA Only) Fully remote position with a leading pharmacy team $57/hour pay rate + professional...  ...role won’t last! There are no costs for candidates utilizing our services as our clients pay for all related... 
    Work from home
    Hourly pay
    Second job
    Remote work

    ProPivotal

    Hingham, MA
    4 days ago
  •  ...Description Dane Street , a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician...  ...in supplemental income and non-traditional work while maintaining an active practice. Position Details... 
    Extra income
    Contract work
    For contractors
    Remote work
    Flexible hours

    Dane Street

    Denver, CO
    10 hours ago
  •  ...Dane Street, a nationally recognized Independent Review Organization (IRO) and a leading provider of Utilization Review (UR) services, is expanding its panel of physician...  ...) Why Join Dane Street? True Flexibility: Work from anywhere, anytime-you control your schedule... 
    Extra income
    Contract work
    For contractors
    Remote work
    Flexible hours

    Sane Street

    New York, NY
    2 days ago
  • $40.61 - $60.96 per hour

     ...Under general supervision, provides utilization review and denials management for an assigned patient...  ...the general nature and level of work being performed by staff assigned to this...  ...CPUR) preferred. Additional experience in home health, ambulatory care, and/or occupational... 
    Relocation package

    University of Maryland Medical System

    Upper Marlboro, MD
    2 days ago
  •  ...Job Summary The UR Reviewer 1 is responsible for performing inpatient admission...  ...accredited School of Nursing or Social Work. ~ Experience ~2 years experience...  ...related field (i.e. 3rd party payer) ~ Utilization review experience preferred.... 

    Children's of Alabama

    Birmingham, AL
    2 days ago
  • $57 per hour

    Hiring Immediately: Clinical Pharmacist Reviewer - $57/hour (Remote - Massachusetts Only...  ...$57/hour (Remote - Massachusetts Only) Work from home while making an impact on patient care...  ...available! There are no costs for candidates utilizing our services as our clients pay for all... 
    Work from home
    Remote job
    Hourly pay
    Second job
    Immediate start

    Itlearn360

    Hingham, MA
    10 hours ago
  • $113 per hour

     ...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $113 - (875...  ...our travelers are given the best customer service. Our team works hard to find the best jobs with the most aggressive rates!... 
    Shift work

    Anders Group

    Greenbrae, CA
    2 days ago
  •  ...Description American Traveler is seeking a CA-licensed RN Case Manager with strong Utilization Review and InterQual experience for a weekday hospital assignment. Responsibilities Work in an acute care hospital setting Monday through Friday schedule, 0730 to 16... 
    Daily paid
    For contractors
    Monday to Friday
    Shift work
    Weekday work

    American Traveler

    Greenbrae, CA
    2 days ago
  •  ...Job Description Job Description Job Summary The Utilization Review Coordinator conducts utilization reviews to determine if patients...  ...to commercial and government payers. · Complete short stay work-queue reviews and track and trend results for reporting and education... 
    Full time
    Work experience placement
    Work at office
    Local area

    Plum Creek Recovery Ranch

    Lockhart, TX
    24 days ago