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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-... 
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    24HRPO

    Nashville, TN
    7 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... 
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    Nationwide Childrens Hospital

    Columbus, OH
    14 hours ago
  •  ...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,... 
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    The Cigna Group

    Sacramento, CA
    more than 2 months ago
  •  ...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... 
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    OSS HEALTH

    York, PA
    13 hours ago
  • 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... 
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    Medical Review Institute of America

    Dallas, TX
    1 day ago
  •  ...Founded in 1983,  Medical Review Institute of America (MRIoA)is...  ...specializing in technology-driven utilization management and clinical medical...  ...ADDITIONAL INFORMATION : Work remotely from anywhere in the...  ...a remote position (work-from-home). Jobicy job ID: 121976... 
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    Medical Review Institute of America

    Remote
    29 days ago
  •  ...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... 
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    AltaPointe Health

    Sycamore, AL
    13 hours ago
  •  ...Come Work At A Place Where Innovation And Teamwork Come Together To Support The Most Exciting Missions In The World! Job Title: Utilization Review Specialist Cost Center: 101651289 Revenue Cycle Administration Scheduled Weekly Hours: 40 Employee... 
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    Marshfieldclinichealthsystems

    Marshfield, WI
    13 hours ago
  • 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... 
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    CorVel

    Rancho Cucamonga, CA
    3 days ago
  •  ...Position Summary The Associate Utilization Review Assistant is responsible for providing non-clinical support to the Utilization Management...  ...providers and members, and processing requests per standard work in order to ensure that Utilization Management activities are... 
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    Martin's Point Health Care

    Portland, ME
    13 hours ago
  •  ...Utilization Management And Review Coordinator Behavioral Hospital is a beautiful and new state-of-the-art facility. As a joint venture with the...  ...Requirements: Experience: A minimum of three years' experience working with psychiatric utilization review criteria strongly... 
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    Universal Health Services

    Byron Center, MI
    1 hour ago
  •  ...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... 
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    Arizona Health Care Cost Containment System

    Phoenix, AZ
    4 days ago
  •  ...effectiveness through the integrating and function of case management, utilization review and discharge planning. Essential Functions:...  ...Qualifications Education: Prefer a Bachelor's Degree in social work, psychology or counseling with documented field work experience... 
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    Universal Health Services

    Portsmouth, VA
    14 hours ago
  •  ...Hospital Kalamazoo Behavioral Health Hospital is looking for a Utilization Review Coordinator to coordinate patients' services across the...  ...off policy, special tuition offers through Capella University, work/life balance with great professional growth opportunities,... 
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    NeuroPsychiatric Hospitals

    Kalamazoo, MI
    1 hour ago
  •  ...relationships that help answer the "how" in moving forward. We work closely with every client to create personalized, high-...  ...to help people thrive in recovery. Position Summary The Utilization Review Analyst will conduct initial and concurrent reviews with respective... 
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    Odyssey Behavioral Healthcare

    Levittown, PA
    14 hours ago
  •  ...Utilization Review Coordinator Palmetto Lowcountry Behavioral is currently recruiting for the Utilization Review Coordinator position. The...  ...Degree or RN required. Clinical degree such as nursing, social work, psychology, health information management or other related... 
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    Universal Health Services

    Charleston, SC
    14 hours ago
  •  ...jurisdiction and 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: $25 per...  ...later is required. Proficiency in utilizing modern technology, especially... 
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    KLDiscovery Limited

    Chicago, IL
    1 day ago
  •  ...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... 
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    Paul Davis Restoration, Inc.

    Jacksonville, FL
    4 days ago
  • $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... 
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    Mountainside

    Stamford, CT
    9 days ago
  •  ...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... 
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    Spectrum Billing Solutions

    Skokie, IL
    13 days ago