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$55k
...Utilization Reviewer Developmental Disabilities Services Human services professionals are encouraged... ...As a Utilization Reviewer, your daily work will involve: Conducting audits... ...allow you to primarily work from your home office. Travel throughout the Maryland...Work from homeFull timeImmediate startRemote workHome officeMonday to FridayLiberty Healthcare
Annapolis, MD7 hours ago- ...Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review... ...medical and healthcare plan guidelines. Work remotely with flexible hours, as little... ...equipment. Role is remote (work-from-home). Legal and Privacy California...Work from homeFull timeContract workFor contractorsWork at officeRemote workFlexible hours
Medical Review Institute
Dallas, TX2 days ago - ...as a Full-Time Commercial Documentation Review Specialist I and immerse yourself in an... ...least 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
Mercantile Bank
Grand Rapids, MI21 days ago $30 per hour
...jurisdiction and desire an engaging work environment where they are... ...an ongoing need for Document Reviewers. Document Reviewers will... ...Details ~ Remote work-from-home opportunity ~ Pay rate:... ...required. ~ Proficiency in utilizing modern technology, especially...Work from homeHourly payTemporary workRemote workHome officeMonday to ThursdayFlexible hoursKLDiscovery
Chicago, IL3 days ago- ...where your clinical insight truly drives client success. As a Utilization Review Specialist, you’ll be the bridge between quality care and... ...opportunity to make a powerful impact Why You’ll Love Working Here ⭐ A mission-driven environment where your work directly...SuggestedFull timeWork at officeImmediate start
Triumph Treatment Services
Yakima, WA9 days ago $15 per hour
...the data it’s trained on. That’s why we work with contributors from all over the world... ...structured way. Evaluate AI outputs by reviewing and ranking reasoning and problem-solving... ...hours/week, up to 40 hours working from home Join a global community of Coding experts...Work from homeWeekly payFreelanceRemote workFlexible hoursOutlier AI
Miami, FL7 hours ago- ...Position Overview: We are seeking a detail-oriented, proactive Utilization Review (UR) Coordinator to support insurance authorization... ...teams, and leadership about authorization status and updates Work collaboratively with the UR team to improve processes and enhance...Suggested
Your Behavioral Health
Torrance, CA10 days ago $28 per hour
...Utilization Review Assistant Amergis Healthcare is actively looking for a Utilization Review Assistant that would be interested in a 13... ...Degree ~ CPC, CCS or CMA preferred ~2+ years of experience working in a hospital setting with utilization review ~...SuggestedHourly payWeekly payFull timeContract workRemote workMonday to FridayAmergis Healthcare Staffing
Chicago, IL1 day ago$72.48k - $108.72k
...A healthcare organization is seeking a Utilization Manager Registered Nurse to join their team in Massachusetts. The role involves conducting clinical reviews for service authorizations and ensuring compliance with regulatory standards. Candidates must have an Associate...SuggestedRemote workCommonwealth Care Alliance
United States4 days ago- ...Long Term Services And Supports Reviewer Your career starts now. We... ...and outpatient services, working closely with Service Coordinators... ...Assistance Services (PAS), home care (skilled) services,... ...received, nature of the request, utilization determination (and events leading...SuggestedRemote workFlexible hours
AmeriHealth Caritas
Augusta, GA7 hours ago $26.5 - $47.59 per hour
...on workplace flexibility. Position Purpose: Authorize and review utilization of dental services provided in provider offices, community... ...reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual...SuggestedHourly payFull timeContract workPart timeWork at officeRemote workFlexible hoursAtlanta Staffing
Atlanta, GA2 days ago$15 per hour
...the data it’s trained on. That’s why we work with contributors from all over the world... ...structured way. \n Evaluate AI outputs by reviewing and ranking reasoning and problem-solving... ...hours/week, up to 40 hours working from home \n Join a global community of...Work from homeRemote jobWeekly payFreelanceFlexible hoursOutlier AI
El Paso, TX2 days ago$30.49 - $48 per hour
...s Way Baton Rouge, LA 70817, USA Description The Utilization Management Review Analyst analyzes patient records daily to determine the appropriateness... ...and overall evaluation of individual patient needs. Works directly with physicians, insurance companies, HIM...SuggestedHourly payFull timeWork experience placementLocal areaMonday to FridayWeekend workWomans
Baton Rouge, LA1 day ago- ...Job Description MSSI is seeking a travel nurse RN Utilization Review for a travel nursing job in Minneapolis, Minnesota. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~40 hours...SuggestedImmediate startRemote workShift work
MSSI
Minneapolis, MN22 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...SuggestedHourly payWeekly payContract workTemporary workImmediate startShift work
MedPro Healthcare Staffing
Greenbrae, CA28 days ago - ...Job Description GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Greenbrae, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration...Contract workImmediate startShift work
GQR Healthcare
Greenbrae, CA20 days ago - ...Case Manager with experience as follows: Must have strong Utilization Review and InterQual experience REQUIRED! Conducting patient initial... ..., we empower our professionals to choose when and where they work, while ensuring they receive the highest compensation...Immediate startMonday to FridayShift work
Slate Healthcare
Greenbrae, CA28 days ago - ...partners trust us, and healthcare staffing gets smarter. RN Case Manager with experience as follows:\n\nMust have strong Utilization Review and InterQual experience REQUIRED!\nConducting patient initial assessments\nAcute Care hospital experience\nEPIC EMR documentation...Shift work
Catalytic Solutions
Greenbrae, CA22 days ago - ...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,...Shift work
HonorVet Technologies
Syracuse, NY17 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 payFull timeWork experience placementWork at officeRemoteOnline
San Francisco, CA1 day ago- ...coordinating, integrating, and monitoring the utilization of physical health (PH) medical and... ...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...Contract workLive inWork at officeRemote work
Univera Healthcare
Buffalo, NY7 hours ago - ...) is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Philadelphia... ...name under which they are currently working. This position is remote - Full-time... ...?s medical condition and the potential home care needs. Performs early...Permanent employmentFull timeContract workPart timeLocal areaRemote workShift work
Pyramid Consulting (Travel)
Philadelphia, PA8 days ago $38.11 - $98.23 per hour
...Utilization Review Analyst - Registered Nurse (Per Diem) Apply for the Utilization Review Analyst - Registered Nurse (Per Diem) role at... ...month, though the team is ideally looking for someone who can work upwards of 5 shifts per month. We offer 8?hour shifts, with shifts...Hourly payDaily paid16 hoursShift workWeekend workBeth Israel Lahey Health
Burlington, MA4 days ago$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 DC4 days ago- ...Utilization Management Reviewer Mental Health Resource Center is looking for a Utilization Management Reviewer to monitor the utilization of clinical... ...provided, crisis stabilization units are a fast paced working environment and present employees with challenging and...Full timeMonday to Friday
Mental Health Resource Center Inc
Jacksonville, FL1 day ago - ...Occupational Therapist to join the utilization management team conducting reviews for cases requiring OT services. Preference... ...be given to those OTs who have worked with and have a high level of... ...is a REMOTE position working from home. Please consider that scheduling flexibility...Work from homeWork at officeRemote workFlexible hoursWeekend work
Molina Healthcare
Long Beach, CA4 days ago $26.5 - $47.59 per hour
...flexibility. **THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING PENNSYLVANIA HEALTH & WELLNESS... ....** **Position Purpose:** Performs reviews of member's care and health status of Applied... ...to improve quality and appropriate utilization of services + Interacts with BH healthcare...Work from homeHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hours$60k - $65k
...Background Utility Profit is on a mission to improve the experience of renting homes. We make it easy for renters to see the utility options for their address and set... ...not attend the demo when necessary. You'll work with customers who have demoed the product and...Work from homeWork at officeRemote workMonday to FridaySunroom LLC
Austin, TX7 hours ago- ...Onsite Position Position Purpose: Works in partnership with physicians, nurse case managers... ...for the corresponding level of care utilizing evidence-based criteria.... ...Discharge Planning, and Case Management. Reviews the appropriateness of Severity Index/Intensity...Contract workWork experience placementFlexible hours
DOCTORS HEALTHCARE PLANS, INC.
Miami, FL3 days ago - ...A national risk management provider is seeking a remote Utilization Review Case Manager. This role involves gathering clinical information, certifying medical necessity, and managing stakeholder communications. Ideal candidates will have a nursing degree, licensing, and...Remote work
CorVel
United States3 days ago
