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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 hoursEnlyte
Arlington, TX5 days ago- ...Role The Medical Director, Utilization Management - will report to... ...deliver and collaborate on clinical review activities, which includes... .... Responsibilities Your Work In this role, you will:... ...physical offices and work from home office/deskwork - Activity level...Work from homeFull timePart timeWork at officeLocal areaRemote workHome office1 day per week
Blue Shield Of California
El Dorado Hills, CA2 days ago $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 shiftTrinity Health
Maywood, IL2 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 homeFull timeImmediate startShift work
Medical Solutions Direct Hire
White Plains, NY2 days ago $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 workQuadrant Health Group
Boca Raton, FL3 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
Dane Street
United States4 days ago $25 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: $2... ...required. ~ Proficiency in utilizing modern technology, especially...Work from homeHourly payTemporary workPart timeRemote workHome officeMonday to ThursdayFlexible hoursKLDiscovery
Jackson, MS1 day 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...Suggested
Conifer Park Inc.
Schenectady, NY8 days ago - ...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
- ...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...SuggestedExtra incomeFor contractorsRemote workFlexible hours
Dane Street, LLC
New York, NY20 days 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...SuggestedExtra incomeContract workRemote workFlexible hours
Dane Street, LLC
New York, NYa month ago - ...passion for behavioral health? Join Sanford Behavioral Health as a Utilization Review Coordinator and play a vital role in ensuring clients receive... ...to ensure high-quality, cost-effective care. This role works closely with the treatment team, insurance companies, revenue...SuggestedWork at officeFlexible hours
Sanford Careers
Marne, MI22 days ago - ...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...SuggestedWork at officeLocal areaImmediate startFlexible hours
Perimeter Healthcare
Jackson, TN12 days ago $2,690 per week
...Travel Nurse RN - Case Manager, Utilization Review - $2,690 per week at Travel Nurses, Inc. summary: This position is for a Travel Nurse... ...serving as a Case Manager specializing in Utilization Review, working 40 hours per week on 8-hour shifts for a 13-week travel...SuggestedWeekly payFull timeImmediate startRemote workShift workTravel Nurses, Inc.
Bozeman, MT1 day ago- ...Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join... ...: Benefit Highlights ~ Challenging and rewarding work environment ~ Competitive Compensation & Generous Paid Time...SuggestedFull timePart timeLocal area
Universal Health Services, Inc.
Brookline, MA7 hours ago - ...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 workPart timeReliefLocal area
Universal Health Services, Inc.
Savannah, GA1 day ago - ...of 300+ high quality employees describe working here as " family atmosphere," "supportive... ...incoming patients. Coordinates the utilization management functions of a patient caseload... ...treatment team and performance of reviews, with external review organizations/managed...Daily paidPart timeReliefLocal areaDay shift
Universal Health Services, Inc.
West Columbia, SC1 day ago $100k - $126.59k
...Arcadis is seeking a Senior Utility Coordinator to join our Atlanta... ...and perform technical work related to utility existing locations... ...offers the ability to work from home 1-2 days per week. Role... ...submittals and responses Review Design plans and Prepare utility...Work from homeFull timePart timeWork at officeLocal areaRelocation2 days per week1 day per weekARCADIS
Atlanta, GA4 days ago- ...reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting. This... ...and payer expectations for patient acuity and appropriate utilization. Works collectively with hospital operations (social services,...Part timeWork at officeLocal areaShift workDay shift
Universal Health Services, Inc.
Orlando, FL1 day ago - ...years of experience in the specialty BLS EPIC ~ Works a case manager/utilization review RN. Day shift with some weekends possible. Must have... ..., Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many...Weekly payLong term contractPermanent employmentTemporary workWork at officeShift workWeekend workDay shift
LanceSoft
Kealakekua, HI5 days ago - ...Shift: 8 hours, days ~ Employment Type: Travel Works a case manager/utilization review RN. Day shift with some weekends possible. Must have medical... ..., Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many...Weekly payLong term contractPermanent employmentTemporary workWork at officeShift workWeekend workDay shift
LanceSoft
Kealakekua, HI5 days ago - ...and Tag) Coordinator for our Utility Services division who is responsible... ...projects related to utility work being performed on customer... ...vendors, and subcontractors; and review all outage (ORCA) and permit-... ...(flexibility to work from home when appropriate). A can-do...Work from homeFor subcontractorLocal area
IB Abel Inc
Scranton, PA18 days ago - ...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
Kemper
Dallas, TX5 days 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 employmentTemporary workFor contractorsZero hours contractImmediate startShift work
Prime Staffing
Quincy, CA12 hours ago - ...partner in innovation. Medical Claims Reviewer Overall Purpose of the Position:... ...support and review of medical claims and utilization practices. The positions are for a sub-... ...Palmetto GBA. Worksite: This is a Work-from-home position. We are classified as a HUBZone...Work from homeFull timeContract workFor contractorsLive inWork at officeRemote workHome officeMonday to FridayFlexible hoursShift work
Broadway Ventures
Augusta, GA23 days ago - ...Type: Regular Time Type: Full time Work Shift: Day (United States of America)... ...hours per week. Job Description: The Utilization Analyst works with physicians, the payers... .... Using the concepts of utilization review, clinical documentation improvement and revenue...Full timeShift work
Beth Israel Lahey Health
Burlington, MA1 day ago - ...Responsibilities Utilization Review Specialist Opportunity Emerald Coast Behavioral Hospital provides inpatient treatment services... ...-ups on all appeals for resolution. Maintains denial log. Works within the organization's utilization management plan in...Part timeLocal area
Universal Health Services, Inc.
Panama City, FL1 day ago - ...Responsibilities Utilization Review Specialist Rivendell Behavioral Health Services is an 80-bed full-service behavioral healthcare... ...available options for patients. Maintains a good working relationship with referral sources as well as knowledge of community...Full timePart timeLocal areaImmediate start
Universal Health Services, Inc.
Benton, AR1 day ago - ...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
Anders Group
Quincy, CA13 hours ago - ...compact RN license that would work with Texas) Shift: They... ...team is working to complete review Should have a 10 -12 caseload... ...systems according to utilization management policies and guidelines... ...necessity all day. Will work from home with multiple monitors and...Work from homeContract workRemote workFlexible hoursShift workWeekend workSundaySaturday
Axelon
Texas City, TX2 days ago
