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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, TX1 day ago- ...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... ...decision to a second level reviewer. This individual interfaces with...Work from homeTemporary workWork at officeRemote workMonday to FridayFlexible hours
$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 timeWork at officeRemote workQuadrant Health Group
Boca Raton, FL1 day 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, CA3 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, IL4 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, NY3 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 homeFull timeLocal areaRemote work
VillageCare
New York, NY15 hours 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....SuggestedRemote workFlexible hoursSaturday
AmeriHealth Caritas
Newtown Square, PA1 day 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 States15 hours 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...SuggestedExtra incomeFor contractorsRemote workFlexible hours
Dane Street
United States3 days ago - ...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...SuggestedPrice workExtra incomeFor contractorsRemote work
Dane Street
Drew, MS3 days ago - ...services including skilled nursing and home health aide services, medical daycare... ...approved services are provided. Our Utilization Management Reviewers cultivate and maintain relationships... ...member reaches their 21st birthday. ; Work Arrangement:; Remote role....SuggestedContract workRemote workMonday to FridayFlexible hoursShift work
AmeriHealth Caritas
Newtown Square, PA3 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...SuggestedRemote workFlexible hours
AmeriHealth Caritas
Newtown Square, PA1 day ago $86k - $110k
...We offer remote work opportunities (AR, AZ, CO, FL, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR,... ...Affiliated are encouraged to apply! Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness...SuggestedContract workTemporary workInterim roleWork at officeLocal areaRemote workShift workTriwest Healthcare
Phoenix, AZ15 hours ago- ...Job Description ***Utilization Review experience required*** Our agency is looking for an experienced and reliable Utilization Review Coordinator to work in our UR Department. LPN preferred. The ideal candidate would exhibit a strong work ethic and be highly motivated...SuggestedFull time
Rayville Recovery
Rayville, LA3 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...Weekly payFull timeImmediate startRemote workShift workTravel Nurses, Inc.
Bozeman, MT3 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 payWork at officeRemote workFlexible hoursShift workBlue Cross Blue Shield of Massachusetts
Hingham, MA2 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...Local area
Kaiser Permanente
Pleasanton, CA4 days ago $45 - $62 per hour
...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 homeHourly payImmediate startShift workMedical Solutions Direct Hire
White Plains, NY1 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, GA15 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, NY9 days ago - ...Masters degree Assure residents meet criteria for admission, and review initial clinical information through discharge. Monitor and... ...all details necessary to get the task done well Team Player: Works well as a member of a group Motivations Required ~...Work at office
Acadia Healthcare
New Castle, DE2 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, TX1 day 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, CA2 days ago - ...tax-free stipend amount to be determined. Posted job title: RN:Utilization Review,07:00:00-19:00:00 About Voca Healthcare As a Voca... ...to support you. Voca’s experienced and dedicated travel team works in concert with you every step of the way. Our long-standing...Weekly payFor contractorsZero hours contractImmediate startShift work
Voca Healthcare
Quincy, CA1 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, CA2 days 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, TX3 days ago - A Medical Bill Reviewer I will perform activities related to the accurate... .... Additionally, youll: Utilize knowledge of medical coding requirements... .... ~1-3+ years of related work experience in a medical office... .... Monday and Friday work from home if you choose to, Tuesday...Work from homeWork experience placementWork at officeImmediate startHome officeMonday to Friday
- ...Job Title: Principal Consultant - Utility Return on Equity & Cost of Capital Specialist... ...addition, we immerse our employees in a hard-working, collegial and cooperative culture with... ...hybrid model, with flexibility to work from home two days a week. Duties &...Work from homeWork at officeRemote workFlexible hours2 days per week
Concentric Energy Advisors
Marlborough, MA1 day ago - ...GQR Healthcare is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California. Job Description... ...• Orientation every Monday • Local travelers welcome **Work Environment:** • Scrub Color: Royal/Navy Blue • PPE...Contract workFor contractorsLocal areaShift workSundayDay shift
GQR Healthcare
Los Angeles, CA3 days ago
