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- 🌟 We're Hiring: Physician Reviewer (Utilization Review)! 🌟 We are seeking a dedicated and experienced ABMS Board Certified MDs/DOs to... ...Insurance Location: Nashville, TN - Fully remote – Work from Home Contract: 1-year, contract to hire Schedule: Monday-...Work from homePermanent employmentContract workRemote workMonday to Friday
- ...cases involving largest reserves. Utilizes clinical skills to assess,... ...concurrent, and retrospective reviews for inpatient acute care, rehabilitation... ...to more junior professionals. Works autonomously, only requiring "... .... If you will be working at home occasionally or permanently,...Work from homeHourly payContract workTemporary workLocal areaDay shift
- 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 homeRemote jobFull timeContract workFor contractorsWork at officeFlexible hours
- ...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...SuggestedFor contractorsExtra incomeRemote workFlexible hours
Dane Street, LLC
New York, NY3 days ago - ...Utilization Review Team Administrative Support Provides administrative support to the Utilization Review Team and assists with eligibility... ...telephones, emails, and faxes. Monitors and completes multiple work queues. Maintains accurate and complete documentation of...SuggestedWork at officeFlexible hours
- The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient... ...Case Management department, and of CorVel. Opportunity to work from home. Candidates must reside in Pacific Time Zone. ESSENTIAL FUNCTIONS...Work from homeHourly payMinimum wageFull timeLocal areaRemote workFlexible hours
- ...Optimization the RN-CDS conducts concurrent reviews of inpatient medical records, adhering to... ..., and accrediting agency requirements. Utilizing strong clinical expertise, official... ...Preferred Bachelor of Science in Nursing Work Experience Minimum Three (3) years nursing...SuggestedFull timeWork experience placementWork at office
- ...Nursing Consultant - Prior Authorization and Utilization Review ~534293 PHOENIX REMOTE OPTIONS... ...employees are passionate about their work, committed to high performance, and... ...This position will primarily work from home with some in-office meetings and on-site...Work from homeFull timePart timeInternshipWork at officeRemote workFlexible hours
- ...jurisdiction who 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... .... A phone or table that utilizes Apple OS version 16 or later or...Work from homeHourly payTemporary workRemote workHome officeFlexible hoursMonday to Thursday
- ...Join Our National Team as a Reviewer! Are you looking to leverage... ...offers varied and challenging work? Our company, a leading... ...reconstruction. These reviews include utilization of knowledge of industry... ...be working remotely in their home office and will be exposed to...Work from homeWork at officeLocal areaRemote workHome officeFlexible hours
$22 per hour
...Utilization Review Coordinator (Part-Time) Remote Position (Must reside in CT, MA, NY, or NJ) About The Position Mountainside is looking... ...responsibilities, geographic location, performance, and working conditions. About Mountainside Mountainside Treatment...SuggestedHourly payPart timeWork at officeRemote workMountainside
Stamford, CT10 days ago- ...Job Description Job Description Position: Utilization Review Coordinator Job Type : Full Time Location: Remote Schedule: Monday... ...in behavioral health science preferred (Clinical Social Work, Clinical Psychology, Marriage and Family Therapy, or related...SuggestedHourly payFull timeRemote workFlexible hoursMonday to Friday
- ...role focused on organizing and tracking utilization review (UR) data for Alabama's Region II... ...on admission criteria. Maintains a working knowledge of all CMHC residential and housing... ...special needs that cannot be met in their home area. Help facilitate movement to...SuggestedRemote jobWork at officeLocal area
- ...healthcare organizations. We are looking to add a Utilization Review 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. Responsibilities include...SuggestedWork at officeRemote workFlexible hours
- ...committed to fostering a welcoming and collaborative work environment that encourages big-picture thinking,... ...- Reports of Investigation ("ROI") and the Utilities Senior Project Manager, the Utility Design Reviewer contributes alongside a team of Utility Design Reviewers...SuggestedRemote workRelocation
- ...direction of the Supervisor, the BH UM Reviewer is responsible for completing medical necessity... ...for inpatient and outpatient services, working closely with providers to collect all... ...treatment delivered is appropriately utilized and meets the member's needs in the least...Remote workFlexible hours
$60k - $72k
...Remote work available for Wisconsin residents only. The Utilization Review Specialist, Revenue Cycle provides quality assurance of medical care. Perform quality control related to patient treatment by medical staff to ensure clinical roles provided adequately for patients...Full timeImmediate startRemote workMarshfield Clinic Health System
Marshfield, WI19 days ago- ...: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary: We are seeking a detail... ...detail (minimum 50 WPM preferred). ~ Experience working with EHR systems (e.g., CareLogic, Credible, Epic,...Full timeWork at officeRemote workFlexible hours
- ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its... ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-... ...consistent, supplemental income Fully remote – work from anywhere You control volume and...Price workFor contractorsExtra incomeRemote workFlexible hours
- ...direction of a supervisor, the Clinical Care Reviewer - Utilization Management evaluates medical necessity... ...Care Reviewer must maintain a strong working knowledge of federal, state, and... ...Rehabilitation, or Long-Term Acute Care (LTAC), home health care, or medical office setting...Work at officeRemote workFlexible hoursMonday to Friday
- ...Supports (LTSS) Supervisor, the LTSS Reviewer is responsible for completing... ...and outpatient services, working closely with Service... ...Personal Assistance Services (PAS), home care (skilled) services, Adult... ...Environmental Modifications + Utilize technology and resources (systems...Remote workFlexible hours
- ...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...Price workContract workFor contractorsExtra incomeRemote 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 ~ Set...Price workFor contractorsExtra incomeRemote work
- ...Job Description Job Description RN- Utilization Review Nurse Inpatient *Full Time - 100% Remote Opportunity* COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY... ...dynamic position from the comfort of your own home as you will be responsible for the...Work from homeFull timeLocal areaRemote work
- ...driving better outcomes from the comfort of home. As a rapidly growing organization,... ...of this position is to ensure that the utilization process is thorough, organized and... ...virtual IOP caseload Completes peer reviews on cases with insurance Collaborates...Full timeWork at officeLocal areaRemote work
- ...week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $115 - (8751-62500) - TO About Summit Medical Staffing Nursing Summit...Weekly payImmediate startShift work
- ...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate $115 - (875... ...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
- ...Registered Nurse (RN) Requirements: Active CA State Registered Nurse License Valid BLS :Must have strong Utilization Review and InterQual experience Must have Acute Hospital experience Must have EPIC experience Graduate of an Accredited School...Daily paidTemporary workLong term contractLocal areaImmediate startFlexible hoursShift workDay shift
- ...Hours per pay period: 0.8 Department: Utilization Management Shift: 7:00-3:30 Job ID... ...Coordinator Location: Remote/work from home with strong preference for candidates residing... ...Prepares/faxes requested documentation for review to third party payers. Ensures receipt...Work from homeDaily paidTemporary workWork experience placementWork at officeRemote workFlexible hoursShift work
UnityPoint Health
West Des Moines, IA8 days ago - Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being... ..., medical management system, InterQual criteria, working knowledge of medical coding Working Conditions Working...Temporary workInterim roleWork at officeLocal areaRemote workShift work
