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- Join to apply for the Utilization Review Appeals Specialist role at Michigan Medicine . Talent Acquisition... ...The Audit and Appeals Specialist works in Revenue Cycle. They work closely with... ...timeframe. Work Locations Work From Home position or Alternate: Onsite in Ann Arbor...Work from homeFull timeWork at officeRemote workMonday to Friday
$211.2k - $277.2k
...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 homeFull timeRemote workHome officeWeekend work- ...Utilization Management Nurse Reviewer The Utilization Management Nurse Reviewer plays a crucial role in healthcare... ...PRN nurses will be required to work at least one weekend per month, one major... ...and computer work. Work From Home Technical Requirements: Supply and...Work from homeReliefWork at officeFlexible hoursShift workWeekend work
Dane Street
Scranton, PA44 minutes agonew - Hematology/Oncology Physician - Utilization Review Remote - Flexible Independent Contractor (1099) Opportunity... ...complete No minimum case requirements - work as much or as little as you’d like Additional Details Remote, work‑from‑home position - work anywhere in the U.S....Work from homeFor contractorsRemote workFlexible hours
- 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 homeRemote jobFor contractorsFlexible hours
$1,099 per month
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 homeRemote jobFull timeContract workFor contractorsWork at officeFlexible hours$1,099 per month
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- 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 homeFull timeFor contractorsRemote workFlexible hours
$35 - $41 per hour
Job Title: Utilization Review - FULLY REMOTE Job Description This role involves performing precertification... ...review experience is a plus. Work Environment The position requires an initial... ...person. The role is primarily work-from-home, ideally located within 2 hours of the...Work from homePermanent employmentContract workTemporary workWork at officeRemote work$2,210 per week
...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... ...defer decision to a second level reviewer. This individual interfaces with...Work from homeFull timeTemporary workPart timeCasual workWork at officeRemote workMonday to FridayAll shiftsFlexible hours$26.5 - $47.59 per hour
Join to apply for the Utilization Review Clinician - Behavioral Health role at Centene Corporation. You could be the one who changes everything... ...on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: California and Oregon for Medicare...Work from homeHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hours$40 per hour
Utilization Review Licensed Practical Nurse Utilization Review Licensed Practical Nurse 1 day ago Be among... ...LPNs - are you 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? Check out Hines...Work from homeHourly payFull timeTemporary workReliefRemote workMonday to FridayFlexible hours$38.49 - $47.05 per hour
...RN Utilization Management Reviewer The RN Utilization Management Reviewer is responsible for facilitating care for members who may have complex... ...promote optimal health. This position is self-directed and works independently and collaboratively to facilitate care using...SuggestedHourly payFull timeWork at officeRemote workFlexible hoursBlue Cross Blue Shield of Massachusetts
Hingham, MA1 day ago$28.9 - $35.45 per hour
...based on experience We are seeking Virtual Utilization Review Specialists to join our team. Full-time... ...Responsible for ConnectCare and ADT work queues assigned to VUR for revenue cycle... ...#workfromhome #onlinejobs #remotejobs #workfromanywhere #J-18808-Ljbffr Work Based At HomeWork from homeRemote jobFull timeReliefWork at office- Additional Information About the Role Join a stable work from home team. This is a great opportunity for a local remote position. Schedule... ...performing care for hospitalized patients. 2 years of utilization review (UR) experience reviewing hospital admissions for medical...Work from homeReliefLocal areaRemote workMonday to FridayFlexible hoursShift work
- .... We are currently seeking a dedicated Utilization Reviewer to join our dynamic team. Why Choose... ...resources, strong EAP services, and a healthy work-life balance in a supportive... ...CPUR) preferred. Additional experience in home health, ambulatory care, and/or occupational...Relocation package
University of Maryland Medical System
Largo, MD7 days ago $25 per hour
...jurisdiction and desire an engaging work environment where they are... ...an ongoing need for Document Reviewers. MS, United States (Remote)... ...Position Details Remote work-from-home opportunity Pay rate: $25 per... ...is required Proficiency in utilizing modern technology, especially...Work from homeHourly payTemporary workRemote workHome officeMonday to ThursdayFlexible hours- ...coordinating, integrating, and monitoring the utilization of behavioral health (BH) services... ...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 workWork at office
Excellus Health Plan
Rochester, NY41 minutes agonew - Join Our National Team as a Reviewer! Are you looking to leverage your... ...varied and challenging work? Our company, a leading parent... ...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
- ...Commercial Documentation Review Specialist I Join Mercantile Bank as a Full-Time Commercial... ...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
- ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its... ...preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully... ...case - predictable, supplemental income Work remotely from anywhere you choose Set your...Remote jobPrice workExtra incomeFor contractors
- Join to apply for the Utilization Review Specialist role at Sonora Behavioral Health Hospital Responsibilities Provide consultation and guidance... ...'s degree required. Bachelor's or master’s degree in social work, behavioral or mental health, Nursing or other related health...Remote work
- ...rewarding journey with GLC - a recruiter will connect quickly to review pay , start date , and assignment details so you can... ...be determined. Posted job title: CA - RN Case Manager (Strong Utilization Review (InterQual) exp REQUIRED) M-F, no weekends - Rate......Weekly payFull timeContract workReliefLocal areaImmediate startRelocation packageShift work
GLC On-The-Go
Greenbrae, CA6 days ago - ...streamlined manner. We are seeking to add an ABA Utilization Review (UR) 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. Your Responsibilities Review...Work at officeRemote workFlexible hours
$35.45 per hour
...tuition reimbursement Flexible weekend work schedules with remote work options Recognized... ...What to Expect (Job Responsibilities) Utilize proactive triggers to identify potential... ...services Conduct medical necessity reviews for admissions and collaborate with the care...Immediate startRemote workFlexible hoursWeekend work$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, CA4 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, NY25 days ago $35 - $50 per hour
...Description JobTitle : Retro Claims Reviewer Location : West Hills/Canoga Park 91... ...Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong... ...and communication skills ~ Ability to work independently and prioritize tasks ~ Proficiency...Hourly payContract workTemporary workTEKsystems
Los Angeles, CA3 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...For contractorsRemote work
- ...Type: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary We are seeking a detail-oriented... ...to detail (minimum 50 WPM preferred). Experience working with EHR systems (e.g., CareLogic, Credible, Epic,...Full timeWork at officeRemote workFlexible hours
