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  • $26.5 - $47.59 per hour

     ...perspective on workplace flexibility. THIS POSITION IS REMOTE/WORK FROM HOME SUPPORTING THE FOLLOWING PLANS: CALIFORNIA AND OREGON...  ...PARTIAL HOSPITALIZATION AS WELL AS ECT TREATMENTS, AND UTILIZATION REVIEW NOTIFICATIONS FOR APPROVALS AND DENIALS . ACTIVE,... 
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    Full time
    Part time
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    Monday to Friday
    Flexible hours

    Centene Corporation

    Sacramento, CA
    3 days ago
  • $211.2k - $277.2k

     ...we're Oscar. We're hiring a Physician Reviewer to join our Utilization Review team. Oscar is the first...  ...with 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... 
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    Full time
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    Oscar Health

    New York, NY
    29 days ago
  •  ...Job Description Job Description Utilization Review Nurse (LVN, LPN, RN Compact licenses are accepted for this position) Location - Remote "Work from Home" but must have a multi state compact license unencumbered Job Purpose: Review Workers Compensation... 
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    Elite

    Houston, TX
    6 days ago
  • 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... 
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    Medical Review Institute of America

    Dallas, TX
    4 days ago
  • $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... 
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    Medical Review Institute of America

    Dallas, TX
    1 day ago
  • $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... 
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    Full time
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    Medical Review Institute of America

    Dallas, TX
    15 hours ago
  • Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute...  ...minimum case requirements Additional Details Remote, work-from-home position work anywhere in the U.S. Independent contractor... 
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    Medical Review Institute

    Dallas, TX
    15 hours ago
  • $56.44 - $87.63 per hour

     ...a HYBRID role. You must be available to work Onsite in Anaheim, CA 20% and work remote 80%! Responsible for providing utilization review and coordination of care throughout the healthcare...  ...Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: Hybrid... 
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    Providence Health and Services

    Anaheim, CA
    6 hours agonew
  •  ...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

    United States
    2 days ago
  • $35 - $45.94 per hour

     ...Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review...  ...the Supervisor, Utilization Review. Work Location: This is a remote position, open...  ...daily work will be completed from your home office, occasional travel may be... 
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    Oscar Health

    Dallas, TX
    14 days ago
  •  ...during JHM management and safe transfer to home. Proactively communicates with payors to...  .... Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical Solutions...  ...Solutions, you’ll find a great place to work and a career home. We’ve received Best... 
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    Medical Solutions

    Baltimore, MD
    21 days ago
  • $30 per hour

     ...Join to apply for the Document Reviewer role at KLDiscovery India ....  ...jurisdiction and desire an engaging work environment where they are...  ...Position Details Remote work-from-home opportunity Pay rate: $30 per...  ...16 or later Proficiency in utilizing modern technology, especially... 
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    Monday to Thursday
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    KLDiscovery India

    Virginia, MN
    2 days ago
  •  ...HealthVine - Utilization Management Physician Reviewer Pediatric Medicaid ACO The Utilization Management (UM) Physician Reviewer at Cincinnati Childrens...  ...necessary, evidence-based, and cost-effective care. Working within an Accountable Care Organization (ACO) model, this... 
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    Full time
    Remote work
    Relocation package
    Monday to Friday
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    Cincinnati Children's

    Cincinnati, OH
    3 days ago
  • $136.22k - $163.05k

     ...Utilization Review Coordinator Supervisory Role - Behavioral Health. Napa County Salary:...  ...The Napa Valley Napa County is home to 140,000 residents who share a strong...  ...Clinicians , review data and trends, and work closely with program and fiscal staff to... 
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    Full time
    Part time

    Napa County

    Napa, CA
    8 days ago
  • $32 - $36.5 per hour

     ...experienced individual to proactively monitor utilization of services for patients to optimize...  ...professional clinical staff. Conduct reviews, in accordance with certification...  ...Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or... 
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    Hourly pay
    Part time
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    Acadia Healthcare

    Cathedral City, CA
    3 days ago
  •  ...excellent customer service. Candidates preferred experience is 2-5 years of utility customer support experience, strong communication and data entry skills, and be tech-savvy. This is a remote, work from home role. Responsibilities: Handles inquiries and... 
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    Iapetus Holdings LLC

    Pontiac, MI
    1 day ago
  •  ...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,... 
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    Full time
    Flexible hours
    2 days per week
    1 day per week

    Mercantile Bank

    Grand Rapids, MI
    1 day ago
  •  ...manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The...  ...motivated, detail-oriented and interested in working in a cohesive and rewarding environment. This is a remote or office/home hybrid position. Your Responsibilities... 
    Full time
    Work at office
    Remote work
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    Spectrum Billing Solutions

    Skokie, IL
    14 days ago
  •  ...Family who are dedicated to the work of health and healing across...  ...Job Summary The Peer Review Specialist facilitates provider...  ...assigned routine monitoring, utilizing defined guidelines and criteria...  ...package to maintain a healthy home-work balance. For more... 
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    Sanford Health

    Bemidji, MN
    4 hours agonew
  • $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... 
    Full time
    Work at office
    Remote work

    Quadrant Health Group

    Boca Raton, FL
    20 days ago
  • $2,163 per week

     ...American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description...  ...RN license and BLS certification. Responsibilities Work within a hospital case management unit Serve an acute care... 
    Daily paid
    Remote work
    Monday to Friday
    Shift work
    Day shift

    American Traveler

    Fort Myers, FL
    3 days ago
  •  ...Employment Type: Travel Must have strong Utilization Review and InterQual experience REQUIRED!...  ...as one of the Best Staffing Firms to Work for.LanceSoft specializes in providing Registered...  ...Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care... 
    Weekly pay
    Long term contract
    Permanent employment
    Temporary work
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    LanceSoft

    Greenbrae, CA
    27 days ago
  •  ...seeking an experienced RN Case Management/Utilization Review nurse with at least 3 years of clinical...  ...for a diverse patient population Work schedule is Monday to Friday, 8am to 5pm...  ...PACU, ICU, Step-Down, Telemetry, or direct home health Experience with case... 
    Daily paid
    For contractors
    Monday to Friday
    Shift work

    American Traveler

    Tuba City, AZ
    13 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... 
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    Dane Street

    Washington DC
    3 days ago
  • $2,951.6 per week

     ...influence your total pay.* \n \nAZ - RN Case Management/Utilization Review in Tuba City, AZ LeaderStat is currently seeking a AZ - RN...  ..., would be 1 weekend a month 1 year of experience working as a full-time Registered Nurse Clinical experience within... 
    Weekly pay
    Full time
    Contract work
    Interim role
    Monday to Friday
    Shift work
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    LeaderStat

    Tuba City, AZ
    14 days ago
  • $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 pay
    Full time
    Work experience placement
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    RemoteOnline

    San Francisco, CA
    15 hours ago
  • $1,824 per week

     ...during JHM management and safe transfer to home. Proactively communicates with payors to...  .... Posted job title: Case Management (Utilization Review) About Medical Solutions At Medical...  ...Solutions, you’ll find a great place to work and a career home. We’ve received Best Places... 
    Work from home
    Weekly pay
    Daily paid
    Local area
    Shift work

    Medical Solutions

    Baltimore, MD
    1 day 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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    Extra income
    For contractors
    Remote work

    Dane Street, LLC

    Parchman, MS
    29 days 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... 
    Extra income
    Contract work
    For contractors
    Remote work
    Flexible hours

    Dane Street, LLC

    New York, NY
    more than 2 months ago
  •  ...(LTSS) Supervisor, the LTSS Reviewer is responsible for completing...  ...inpatient and outpatient services, working closely with Service...  ...toPersonal Assistance Services (PAS), home care (skilled) services,...  ...received, nature of the request, utilization determination (and events... 
    Remote work
    Flexible hours

    RPMGlobal

    New York, NY
    2 days ago