Average salary: $57,301 /yearly
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$30 per hour
...This is a remote position. Paradigm is seeking a Medical Record & Technology Specialist to support clinical review activities and the use of our client's AI technology. This position assists with reviewing medical records, interpreting clinical documentation, maintaining...SuggestedContract workWork at officeRemote workTrial period- Job Summary We are seeking a dedicated and detail-oriented Utility Line Locator to join our team. In this role, you will be responsible... ..._____________________________________________ The company has reviewed this job description to ensure that essential functions and...SuggestedFull timeContract workFlexible hoursShift workNight shiftWeekend workDay shift
$40k
...brand are highly recognized and respected for our strong commitment to quality and safety. We are America’s leader in underground utility damage prevention and advanced infrastructure services, performing more than 84 million locates each year for the more than 1,400 telecommunications...SuggestedHourly payExtra incomeFull timeFor contractorsShift workNight shift- ...We’re looking for an organized and dependable Utilization Management Assistant to join New Paradigm Staffing, helping clinical and insurance teams manage medical necessity reviews. This role is perfect for someone who wants exposure to the clinical-review side of...SuggestedFull timeRemote work
- ...We’re looking for a detail-oriented and motivated Remote Utilization Management Support Clerk to join New Paradigm Staffing, a growing... ...someone who enjoys organization, documentation, and supporting care review processes. What You’ll Do Gather clinical documents...SuggestedFull timeRemote work
- ...We’re looking for a detail-focused Entry-Level Documentation Quality Reviewer to join New Paradigm Staffing , ensuring healthcare documents meet quality and compliance standards. This role is perfect for someone who enjoys reviewing text and identifying errors....SuggestedFull timeRemote work
- ...Job Title: Project Manager - Utility Scale Battery Energy Storage Systems (BESS) Job Location: Juno Beach, FL (In Office) Job Type: Long-term Contract Job Overview: The Project Manager is responsible for leading advanced technical, financial...SuggestedLong term contractWork at officeLocal area
- ...contracted independent practices. Annual revenues last year exceeded $2 billion. This exceptional position will oversee the group's Utilization management program either from the group's Headquarters in San Antonio, Texas or it may be managed from the home city of the...SuggestedRemote work
$31.94 - $43.92 per hour
...Create and manage discharge plans Coordinate with MDs, nurses, and social workers Lead care planning discussions Utilization Management Review medical necessity & admission status Ensure correct level of care (IP vs Observation) Communicate with insurance/...SuggestedRelocation packageShift workWeekend workAfternoon shiftLancesoft INC
Tallahassee, FL6 days ago$18 - $19 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. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Accesses, triages...SuggestedWork at officeLocal areaFlexible hours- ...and healing environment that improves patient outcomes and empowers patients toward long-term recovery. Position Summary The Utilization Review Specialist is responsible for managing all aspects of insurance authorization and concurrent review for assigned patients....Suggested
- ...Miami-Dade and Broward counties.The following Job Description will also apply at Broward Pace Program sites. Job Summary The Utilization Review Analyst supports the Florida PACE Centers’ UM Program by combining administrative expertise with analytical skills to...SuggestedFull timePart timeLocal areaShift work
$240k - $250k
...a managed care setting, collaborating with peers and healthcare providers to address utilization, quality management, performance improvement, pharmacy and therapeutics, peer review, credentialing, and physician leadership challenges. At least three (3) years of experience...SuggestedTemporary workMonday to FridayFlexible hoursShift workSenior Community Care of Florida
Florida4 days ago- A healthcare provider in Florida seeks a Utilization Review Coordinator to monitor patient treatment activities and collaborate with healthcare teams for optimal care. This full-time position requires a Registered Nurse, LPN, or Master's level Social Worker with experience...SuggestedFull time
- ...forward‑thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence. The Utilization Review Specialist Senior responsibilities include: Functions as the primary liaison between the funding agents and all other...SuggestedReliefWeekend work
- Responsibilities We are pleased to announce the following available position: FT Utilization Review Coordinator, including weekends. This position is responsible for monitoring the treatment activities offered to the patient, interfacing with the treatment team/managed...Local area
- A leading healthcare provider in Jacksonville is seeking a TEMP FT Utilization Review Coordinator to monitor treatment activities and ensure quality patient care. The ideal candidate will have a nursing or social work background with experience in Utilization Management...Temporary workWeekend work
- Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal communications skills with all levels of internal and external customers...Work experience placement
- ...appropriate patient discharge, and prevent re-hospitalization. Utilizes department tools and resources to organize and prioritize case... ...planning, interfacing with insurance companies and/or utilization review may substitute for the degree. Medical terminology required....Full timeRemote workMonday to Friday
- A healthcare organization in Miami is seeking a Utilization Review Analyst to support their PACE program by analyzing healthcare resource usage, coordinating communications, and ensuring compliance. The ideal candidate will have a bachelor's degree in a related field,...
$55k - $70k
...Job Description Job Description Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing...Work at officeRemote workFlexible hours- ...physician practices. HOW YOULL MAKE AN IMPACT Your Role: Conducts ongoing pre-certification concurrent and retrospective reviews on the Tallahassee Memorial Behavioral Health Center (TMBHC) inpatient population. Coordinates reviews with the respective insurance...Full timeSecond jobWork at office
- A treatment center in Florida is seeking a Utilization Review Specialist responsible for managing insurance authorizations and ensuring compliance with payer requirements. The ideal candidate has over 3 years of experience in behavioral health, excellent communication...
$71.2k - $127.2k
A healthcare institution in Leesburg, Florida is seeking a Utilization Review Nurse to assess hospital admissions and resource utilization. The role involves ensuring timely patient discharges and upholding accurate medical documentation. The ideal candidate will possess...ReliefShift work- A large healthcare provider in Tampa is seeking a Utilization Review Specialist Senior. This hybrid position involves acting as a liaison for funding agents and ensuring appropriate levels of care through comprehensive reviews. Candidates must have a Registered Nurse license...Weekend work
$18 - $19 per hour
Sedgwick in Tampa, Florida, is looking for a Utilization Review Coordinator. This role involves assigning utilization review requests, verifying and entering data, and supporting clinical staff in a team-based environment. The ideal candidate has a High School diploma,...- Tampa General Hospital is hiring for a Case Management position in Tampa, Florida. The role involves assisting Case Managers and Social Workers with discharge planning and ensuring effective communication with payers. Ideal candidates will hold a High School Diploma, have...Remote jobFull time
$211.2k - $277.2k
...Job Description Job Description 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....Full timeLocal areaRemote workWork from homeHome officeWeekend work$47 per hour
A prominent healthcare provider in Miami is seeking a Registered Nurse for a critical role in conducting chart reviews and coordinating patient care. This position requires an Associate's Degree in Nursing and 3 years of clinical experience. The ideal candidate will possess...Hourly payShift work$55k - $70k
...Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals specializing in the substance use disorder...Full timeWork at officeRemote workFlexible hours
