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- ...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
Hines & Associates Inc
Elgin, IL12 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...Work from homeRemote jobFor contractorsFlexible hours
- 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
- 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
- ...The Commercial Post Service Review team is responsible for clinically... ...IOP). The RNs perform reviews utilizing the Blue Shield of California... .... 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
Rancho Cordova, CA2 days ago $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, FL7 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, NY4 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, IL17 hours ago- ...Facility: Work From Home - Ohio Department: Utilization Review Team Schedule: Full time Hours: 40 Job Details: Under the supervision of the Manager of Utilization Management, the Utilization Review RN conducts medical record review for medical...Work from homeFull timeMonday to FridayShift workWeekend work
Dayton Children's
Ohio City, OH58 minutes agonew $275k - $300k
...service line ~100% administrative, non-clinical role ~ Work from home, but candidate must be within reasonable driving distance of... ...PTO ~ Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA...Work from homePermanent employmentFull timeRemote workMonday to Friday$28 per hour
...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: $28 per... ...later is required. Proficiency in utilizing modern technology, especially...Work from homeHourly payTemporary workRemote workHome officeMonday to ThursdayFlexible hours- ...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, PA2 days ago - ...Role Overview: Under the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for inpatient and outpatient... ...;Utilization Management Reviewer must maintain a strong working knowledge of federal, state, and organizational regulations...SuggestedRemote workMonday to FridayFlexible hoursAfternoon shift
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, PA2 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, NY1 day 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, NY15 days ago $65k - $78k
...challenges. Join us and put your expertise to work in ways you never imagined possible. We... ...Summary We are seeking a skilled Utilization Review Nurse to conduct prior authorization,... ...What you should expect in this role Home-based position. High-speed internet...Work from homeFull timeContract workWork at officeRemote workFlexible hoursGainwell Technologies
Wilmington, NC2 days ago$55 - $57 per hour
...Work From Home - Clinical Pharmacist Reviewer - $55 - $57/hr (MA Only) Fully remote position with a leading pharmacy team Competitive pay + professional... ...role won't last! There are no costs for candidates utilizing our services as our clients pay for all related...Work from homeSecond jobRemote work- 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, CA17 hours 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, MA3 days ago- ...passion for behavioral health? Join Sanford Behavioral Health as a Utilization Review Coordinator and play a vital role in ensuring clients receive... ...to ensure high-quality, cost-effective care. This role works closely with the treatment team, insurance companies, revenue...Work at officeFlexible hours
Sanford Careers
Marne, MI29 days ago - ...Description Dane Street , a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician... ...in supplemental income and non-traditional work while maintaining an active practice. Position Details...Extra incomeContract workFor contractorsRemote workFlexible hours
- Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our... ...individuals to apply. Website: Benefits Challenging and rewarding work environment Competitive Compensation & Generous Paid Time...Full time
- Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our... ...apply. Website: Benefit Highlights Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off...Full timeLocal area
- Join to apply for the Utilization Review Coordinator role at HRI Hospital Responsibilities Utilization Review Coordinator Opportunity - HRI Hospital... ...development. Benefit Highlights Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off...Full time
- ...Job Summary The UR Reviewer 1 is responsible for performing inpatient admission... ...accredited School of Nursing or Social Work. ~ Experience ~2 years experience... ...related field (i.e. 3rd party payer) ~ Utilization review experience preferred....
Children's of Alabama
Birmingham, AL1 day ago $40.61 - $60.96 per hour
...Under general supervision, provides utilization review and denials management for an assigned patient... ...the general nature and level of work being performed by staff assigned to this... ...CPUR) preferred. Additional experience in home health, ambulatory care, and/or occupational...Relocation packageUniversity of Maryland Medical System
Upper Marlboro, MD1 day ago- ...Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem To coordinate and direct Utilization... .... Benefit Highlights: ~ Challenging and rewarding work environment ~ Competitive compensation, Paid Time Off ~ Excellent...Daily paidTemporary workPart timeReliefLocal area
Universal Health Services, Inc.
Savannah, GA9 days ago - ...standards of patient care quality? We're seeking a dedicated Utilization Review Specialist (URS) to join our team and ensure that the services... ...in a related field (e.g., healthcare administration, social work, psychology). Strong knowledge of medical records review processes...Part time
Universal Health Services, Inc.
Fayetteville, AR11 hours agonew
