Average salary: $135,976 /yearly
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$28.37 - $39.19 per hour
...Acentra Health is seeking a dedicated and experienced Clinical Reviewer to join our growing and mission-driven team. This role offers... ...guidelines and contractual obligations. Skilled in conducting utilization reviews and patient chart reviews with accuracy and timeliness...SuggestedHourly payFull timeWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hours$167k - $205k
...project bids Reports to Division Manager of Underground Utilities Key Communication Partners Takeoff Manager, Estimators, Area... ...Complete estimate in a timely manner with ample time to review with the assigned reviewer Post bid, schedule, and review entire...SuggestedFull timeFor subcontractorWork at office$120.61k - $223.99k
...Interns. Researching and analyzing new facts patterns and laws, regulations, cases and administrative guidance. Comprehensive review of information to understand a Client's business and its tax returns. Managing a phased project from kick-off through completion...SuggestedWork at officeVisa sponsorship2 days per week3 days per week$7,980 - $9,994 per month
...Public Utilities Commission JC-514590 Energy Planning Data Analyst PUBLIC UTILITIES REGULATORY ANALYST III $7,980.00... ...other decision-makers regarding issues in the assigned areas. Review and prepare comments on pending legislation and respond to inquiries...SuggestedPermanent employmentFull timeTemporary workWork at officeRemote workVisa sponsorshipWork visaMonday to Friday2 days per week$24.95 - $37.43 per hour
...What To Expect Tesla is looking for a Utility Field Service Technician to work across the entire Tesla organization to problem solve and ensure the success of our large-scale utility energy assets. Tesla needs a diversely talented and skilled technician ready to move...SuggestedHourly payFull timeTemporary workWork at officeFlexible hoursWeekend work$107.6k - $198.4k
...integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector. Deloitte's Power, Utilities & Renewables practice is at the forefront of top trends and issues facing the ever-evolving power, utilities and renewable energy...Suggested$104k - $172k
...Company Description: Raftelis helps local governments and utilities thrive by providing management consulting expertise to help transform local governments and utilities. We've provided professional consulting services to more than 700 organizations in the last year...SuggestedFull timeLocal areaWork visaFlexible hoursNight shift- ...ensuring clients receive timely and medically necessary care. Position Overview: We are seeking a detail-oriented, proactive Utilization Review (UR) Coordinator to support insurance authorization processes across all levels of care — including Detox, Residential, PHP,...Suggested
$18 - $20 per hour
Utilization Review Coordinator Primary Purpose To assign utilization review requests; to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. Are you an ideal candidate? We are looking for enthusiastic...SuggestedWork at officeLocal areaFlexible hours- Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective...Suggested
$57.28 - $88.92 per hour
...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at...SuggestedDaily paidMinimum wageWork at officeLocal areaShift work$57.28 - $88.92 per hour
Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued - they’re invaluable. Join our team at Providence...SuggestedWork at officeLocal areaShift work- ...ensuring our patients receive the optimal level of care that will be most beneficial to their health and recovery. Website: The Utilization Review Clinician is responsible for the managing, reviewing and monitoring the utilization of resources related to the patient and...SuggestedWork at officeLocal area
$55.56 - $85.96 per hour
A healthcare facility in California is seeking a Utilization Review Case Manager to validate patient admissions and levels of care. The role involves performing patient chart reviews, securing authorizations for clinical services, and collaborating with healthcare teams...SuggestedHourly pay$25 - $37.47 per hour
...organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance... ...develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal...SuggestedHourly payReliefWork at office- ...culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Social Worker-Utilization Review monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, admissions, and...
$10k
...primary duties in an official law enforcement capacity such as: Utilizing intelligence information to track illegal operations, criminal... ...employment site, to complete your application. Be certain to review ALL details of the job opportunity announcement and follow all...Full timeLocal areaImmediate startRelocationNight shiftU.S. Customs and Border Protection
California10 days ago$57.28 - $88.92 per hour
...Description Responsible for providing utilization review and coordination of care throughout the healthcare continuum to promote quality and cost effective care to the members. Providence caregivers are not simply valued – they’re invaluable. Join our team at...Minimum wageFull timeWork at officeLocal areaShift work- ...leading healthcare institution in Los Angeles is seeking a UM Review Nurse to ensure high-quality, evidence-based care. The nursing... ...commitment to continuous process improvement, ensuring optimal patient outcomes and resource utilization. #J-18808-Ljbffr UCLA Outpatient Clinics
$29.95 - $44.77 per hour
A national risk management firm is seeking a Utilization Review Case Manager to analyze clinical information for patient admissions and treatment. This remote position requires strong CPT and ICD coding knowledge, along with effective organizational and communication skills...Remote jobHourly pay- ...overnight and attend meetings May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses May be... ...Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets Must have technical...Minimum wageFull timeWork at officeLocal areaRemote workFlexible hoursNight shift
$50 per hour
A healthcare provider in California is seeking a full-time Assistant DON/Utilization Review Nurse. The role involves ensuring adherence to the hospital’s utilization review plan and overseeing nursing standards. Candidates must possess a State of Nevada Nursing License...Full time$25 - $37.47 per hour
...include monitoring patient stay, conducting medical necessity reviews, and providing training to staff. The ideal candidate must have an Associate's degree in nursing and relevant experience in utilization management. This position offers an hourly wage ranging from $2...Hourly pay$47.2 - $63.45 per hour
...achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness. Qualifications EDUCATION, EXPERIENCE...Full timePart timeWork experience placementLocal areaShift work- A behavioral health facility in San Jose is seeking a Utilization Review Specialist - PRN. You will coordinate inpatient care and assist the staff with reviews and certifications. This role requires an Associate Degree in Nursing and preferably a Bachelor’s or Master’s...Relief
- A mental health care organization in Torrance, California is seeking a detail-oriented Utilization Review Coordinator to oversee insurance authorization processes across various levels of care. The successful candidate will collaborate with clinical teams, obtain necessary...Monday to Friday
$57.2k - $74.13k
...Breakdown Structure (WBS) roll-ups, and Task Plan Sheet roll-ups, all utilizing data generated by the Government. Additional support... ...Project Managers with day-to-day functions, assisting in program reviews, scheduling meetings, tracking action items, and supporting...Temporary workFor contractorsWork at officeDT Professional Services
California7 days ago- ...Actions and Milestones (POA&M) for government approval to be further reviewed by key stakeholders and incorporate feedback and edits. The... ...documentation, statement of needs, CFT charters, and CBAs. Utilize research and analysis documentation generated under all tasks...Work at office
Supply Chain Management Inc.1.com (SCMI1)
California22 days ago $30.37 - $59.21 per hour
...This role involves assessing services for optimal outcomes, ensuring compliance with state and federal regulations, and conducting reviews for prior authorizations. The ideal candidate will possess at least 2 years of hospital experience and a valid RN license. Competitive...Hourly pay$56.44 - $87.63 per hour
A leading healthcare organization is seeking an RN for Utilization Review who can manage both prospective and concurrent reviews while working remotely. Key responsibilities include conducting clinical reviews and navigating a fast-paced regulatory environment. Candidates...Remote jobHourly payDaily paid
