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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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    Monday to Friday

    TapTalent.ai

    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
    18 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
    17 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
  •  ...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... 
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    Dane Street, LLC

    New York, NY
    2 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
    17 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
    17 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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    Minimum wage
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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
    18 hours ago
  •  ...Overview Doctors Neuropsychiatric Hospitals is looking for a PRN Utilization Review Coordinator to coordinate patients' services across the...  ...Special tuition offers through Capella University Work/life balance with great professional growth opportunities... 
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    NeuroPsychiatric Hospitals

    Bremen, IN
    17 hours 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
    19 hours 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
    18 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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    Full time
    Local area
    Monday to Friday

    Universal Health Services

    Byron Center, MI
    6 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... 
    Full time
    Work at office
    Local area

    Universal Health Services

    Charleston, SC
    18 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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    Flexible hours
    Monday to Thursday

    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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    Local area
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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... 
    Hourly pay
    Part time
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    Remote work

    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
  •  ...Utilization Review Analyst - Per Diem Michael's House is currently seeking a dynamic Utilization Review Analyst - Per Diem. This role is...  ...department at our Treatment Center. Do you have a passion for working with patients with co-occurring disorders and chemical... 
    Daily paid
    Local area

    Universal Health Services

    Palm Springs, CA
    18 hours ago
  •  ...committed to fostering a welcoming and collaborative work environment that encourages big-picture thinking,...  ...- Reports of Investigation ("ROI") and the Utilities Senior Project Manager, the Utility Design Reviewer contributes alongside a team of Utility Design Reviewers... 
    Remote work
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    Fluor

    California
    more than 2 months ago
  •  ...admission, need for continued stay, and proper utilization of physician, nursing, and ancillary services. Responsible for concurrent review on specific patients. Develops, coordinates...  ..., Behavioral Health: Master's in Social Work or related field Skills and Knowledge:... 
    Daily paid
    Casual work
    Work at office
    Local area
    Shift work
    Weekend work

    Sutter Health

    Berkeley, CA
    7 hours ago
  •  ...Utilization Review Specialist The Utilization Review Specialist (URS) exercises independent judgment and professional discretion in the practice of case management to a select group of patients. The URS collaborates with physicians to ensure that patients are at the... 
    Shift work

    St Mary's Medical Center

    Huntington, WV
    1 day ago
  •  ...Market Appeals Specialist In Utilization Review The Georgia Business Center is a centralized office for multiple Universal Health Services...  ...in behavioral health to written correspondence. Capability to work independently in a multifaceted, fast-paced environment with... 
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    Local area

    Universal Health Services

    Atlanta, GA
    19 hours ago
  •  ...Utilization Review Specialist Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with seventeen locations...  ...correspondence relating to new clients that require Authorization Working closely with the Avenues Recovery billing team to properly... 
    Temporary work
    Currently hiring
    Flexible hours

    Avenues Recovery

    Toms River, NJ
    19 hours ago
  •  ...direction of the Supervisor, the BH UM Reviewer is responsible for completing medical necessity...  ...for inpatient and outpatient services, working closely with providers to collect all...  ...treatment delivered is appropriately utilized and meets the member's needs in the least... 
    Remote work
    Flexible hours

    AmeriHealth Caritas

    United States
    more than 2 months ago
  •  ...: Full-Time Department: Clinical Operations / Utilization Management Reports To: Utilization Review Manager Position Summary: We are seeking a detail...  ...detail (minimum 50 WPM preferred). ~ Experience working with EHR systems (e.g., CareLogic, Credible, Epic,... 
    Full time
    Work at office
    Remote work
    Flexible hours

    Recruiting Choices

    Houston, TX
    3 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... 
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    Dane Street, LLC

    New York, NY
    3 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 ~ Set... 
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    Dane Street, LLC

    Parchman, MS
    3 days ago