Average salary: $165,089 /yearly
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- Molina Healthcare is seeking a Nurse Reviewer to support utilization management in Arizona. You will review documentation to confirm medical necessity and appropriate care level using MCG/InterQual guidelines and Molina policies, validating records to ensure accurate reimbursement...Suggested
- ...This position is not eligible for Visa Sponsorship. Job Title - Utilities Maintenance Technician Position Summary: Multi-skilled... ...equipment, with key plant indicators such as safety, quality, cost. Review maintenance plans and optimize to drive reliability of equipment...SuggestedWork experience placementWork at officeShift workDay shift
$16 per hour
...actions have a big impact. You belong in a company that allows you to act with purpose and thrive in your own way. What You’ll Do: As a Utility Worker at Sodexo, you will support kitchen and facility operations by maintaining cleanliness, sanitation, and organization...SuggestedHourly payFull timeWork experience placementLocal areaWorldwideFlexible hoursShift workRotating shiftWeekend workDay shiftAfternoon shift$29.05 - $56.64 per hour
Job DescriptionJob SummaryUtilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies...SuggestedHourly payWork experience placementWork at office$35 - $45 per hour
...Position Title: Clinical Review Nurse - Concurrent Review Location: Remote, Compact Nursing License Required, Central Time Zone... ...medical records in health management systems according to utilization management policies and guidelines Works with healthcare...SuggestedRemote workShift workWeekend work- ...Title: HEDIS Reviewer II Location: Fully Remote Duration: 6 Months QUESTIONNAIRE FOR TOP OF RESUME Is the name listed on your resumes your legal name and spelt correctly, if not please provide that name? What is your current address (including...SuggestedWork at officeLocal areaRemote workMonday to Friday
- ...Title: Engineer I, Utility Team: Energy Engineering Report To: Manager, Energy Engineering Location: Phoenix, AZ (Not Queen... ...the abrupt breakdown of utility facilities Make and review technical document Monitoring utility operation...SuggestedFull timeWork at officeLocal areaMonday to Friday
- Nestlé USA is seeking a Utilities Maintenance Technician for the Glendale, AZ facility to maintain essential utility equipment and support day shift operations for ready-to-drink beverages. You will handle boilers, ammonia refrigeration, RO systems, and related equipment...SuggestedDay shift
- ...position is not eligible for Visa Sponsorship. Job Title – Utilities Maintenance Technician Position Summary: Multi-... ...equipment, with key plant indicators such as safety, quality, cost. Review maintenance plans and optimize to drive reliability of...SuggestedWork experience placementWork at officeRelocation packageShift workDay shift
- Centuri is seeking a field liaison and site inspector to support gas utility work requests and coordinate with the customer. You will conduct onsite inspections for gas installation or replacement and generate the necessary documentation. Responsibilities include maintaining...Suggested
- Sodexo is seeking a Utility Worker at PHOENIX CHILDREN'S HOSPITAL in Phoenix, AZ. The role supports kitchen and facility operations by maintaining cleanliness, sanitation, and organization in food production and service areas, including dishwashing, cleaning, and restocking...SuggestedFull timeFlexible hoursRotating shift
$16 per hour
Sodexo is seeking a dedicated Utility Worker at PHOENIX CHILDREN'S HOSPITAL in Phoenix. This full-time on-site role supports kitchen and facility operations by cleaning, sanitizing, and organizing food production areas, utensils, and equipment. Shifts include mornings and...SuggestedHourly payFull timeFlexible hoursShift workWeekend workDay shift$219k - $286.9k
...Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the...SuggestedFull timeLocal areaRemote workWork from homeHome officeWeekend work$56.2k - $100.98k
...Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines... ...Analyzes BH member data to improve quality and appropriate utilization of services Provides education to providers members and their...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hoursAfternoon shift$160k
Integra’s Utilization Management (UM) division is looking for an experienced individual to direct the clinical and non-clinical utilization... ...but are not limited to: Prepare and maintain Utilization Review Plan policies and procedures Obtain or maintain...SuggestedFull timeTemporary workLocal areaRemote workFlexible hours$60.53k - $129.63k
...health care one person, one family and one community at a time. Utilization Management Nurse Consultant - Clinical Precertification RN (... ...at the right time, in the right setting. What You'll Do Review clinical cases and make coverage determinations using evidence...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shift$54.1k - $129.63k
...care one person, one family and one community at a time. RN Utilization Management Nurse Consultant (Medicare – Joint Procedures) Remote... ...the right care at the right time. What You’ll Do Review and assess clinical information for Medicare precertification...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work$53.19k - $82.43k
...named us one of America’s Best Hospitals. What You Will Do in This Role: The Utilization Management Specialist provides advanced operational and workflow support to Utilization Review (UR) Nurses to ensure timely, accurate, and compliant execution of the...Full timeRemote work$47.84k
...Experienced Document Review Attorney – Remote Great opportunity for licensed attorneys interested in getting started with document review. Please apply to get on our roster for future matters! Excellent work environment and corporate culture. JOB REQUIREMENTS:...Temporary workRemote workFlexible hours- ...Physician Peer Reviewer – Pediatrician and Family Medicine - Board Certified in Arizona Overview Federal Hearings and Appeals Services... ...Independent Medical Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30 years, FHAS...Contract workWork experience placementWork at officeRemote work
$72.8k
...Experienced Document Review Attorney – Remote Opportunity for a licensed attorney fluent in Portuguese interested in a potential 5–7-week project. We anticipate that the project will start over the next few weeks. Excellent work environment and corporate culture....Temporary workRemote workFlexible hours$60.53k - $129.63k
...Predetermination Nurse Must be willing and able to work Monday through Friday, 9am - 5:30pm EST or CST with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours. Utilizes clinical experience and...Hourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift$54.1k - $142.58k
...one community at a time. Position Summary Schedule is Monday through Friday, 9:00am to 5:30pm in the candidate's time zone. Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours. Medicare Precertification...Hourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$60k
...Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual will play a key role in collaborating with our Medical Director to perform benefit and...Full timeTemporary workLocal areaRemote work- ...RN - Utilization Review MedWave Healthcare Staffing is currently seeking a Utilization Review RN for a travel assignment in Tuba City, Arizona. The candidate that will best match this position will have at least 1 year of experience as a RN and previous travel experience...Weekly payContract work
- Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide. Calvary's proven...Full timeLocal areaShift work
$35 - $40 per hour
Base Pay Range $35.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of home health...Contract workRemote workFlexible hoursWeekend work- ...lives of our patients, families, and communities every day. Overview Phoenix Medical Psychiatric Hospital is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health...Work at office
- ...profound commitment to prioritizing well‑being so that you can provide exceptional care to others. How you’ll contribute A Utilization Review Specialist who excels in this role: Facilitates clinical reviews for all patient admissions and continued stays. Analyzes patient...Full timeTemporary workPart timeReliefFlexible hours
- ...Utilization Review Nurse Full compliance is required 2 weeks prior to the start date. Hospital rental property limited and based on availability. Shared contractor housing only. No pets or family allowed per hospital policy. Tuba City Regional Healthcare does not...For contractors