Average salary: $131,724 /yearly
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- Responsibilities Lighthouse Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Nurse, RN to add to our growing team. Lighthouse Care Center of Augusta Lighthouse Care Center of Augusta (LCCA) is a multi-discipline behavioral healthcare center...SuggestedWork at officeLocal area
- ...will be open continuous. The first set of applications will be reviewed after the first two weeks. A resume must be no more than two pages... ..., of sufficient scope and quality to perform the duties of a Utility Systems Operator. WG-5406-10: The applicant must have...SuggestedWork 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
- ...Utility Forester - Vegetation Management Specialist Position Summary Clear Path Utility Solutions plays a critical leadership role bridging construction companies and vegetation field services. We provide advanced emergency and non‑emergency vegetation management...SuggestedFull timeContract workFor contractorsWork at officeRemote workWork visaLong distanceFlexible hours
$105.38k - $215.38k
...billing Researching and analyzing tax laws, regulations, cases, and administrative guidance to develop client recommendations Reviewing client business information and tax return data to identify technical issues and planning opportunities Coaching and...SuggestedWork at officeVisa sponsorship2 days per week3 days per week$105.38k - $215.38k
...business objectives? We are looking for sharp, analytical Tax Managers, ready to take on new challenges, to join the State Strategic Tax Review group and work with a team focused entirely on delivering valuable, unique and innovative services to our Clients. Recruiting...SuggestedWork at officeLocal areaVisa sponsorship2 days per week3 days per week$20 per hour
Openwork is currently engaged in a search to find a skilled Maintenance Technicians in Lawrenceville, Georgia. In this hands-on and rewarding role, you will be responsible for supporting plant operations through maintenance, troubleshooting, and repair of industrial...SuggestedContract workWork experience placementDay shift$120.9k - $193.4k
...Becton Dickinson seeks a Global Facilities Excellence & Utilities Engineer to lead operational excellence across multiple manufacturing sites. The role establishes enterprise standards, governance, and continuous improvement programs for facilities, utilities, and infrastructure...SuggestedLocal area$120.9k - $193.4k
...Becton Dickinson seeks a Global Facilities Excellence & Utilities Engineer to lead operational excellence initiatives across multiple manufacturing and R&D sites. The role establishes enterprise standards, governance, and continuous improvement programs for facilities,...Suggested$78.68k - $160.75k
Deloitte Tax LLP is seeking a Tax Senior to join our National Federal Tax Services Strategic Tax Review practice. In this role, you'll help large and midsize organizations identify federal tax planning opportunities that can improve cash tax positions and, in some cases...SuggestedWork at officeVisa sponsorship2 days per week3 days per week$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- ...About This Role The Clinical Review Nurse I is responsible for reviewing and making medical determinations regarding claims to ensure they meet the benefits carried by members. This role is ideal for individuals seeking a flexible, virtual work environment while...SuggestedFull timeTemporary workFlexible hours
Elevance Health
Georgia8 hours ago $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$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...SuggestedHourly 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$34.32k - $42.9k
...Medical Benefits Review Associate Pay: Starting at $18.00/hour (based on experience), which may be below your state's minimum wage. Please take this into consideration when applying. Schedule: Monday-Friday | 8:00 AM -4:30 PM EST Location: Fully Remote About...Minimum wageFull timeLive inCurrently hiringWork at officeLocal areaRemote workMonday to FridayFlexible hours$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$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$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$206k - $220k
...Job Summary The Senior Director, Regional Sales, Utility is accountable for setting and leading the multi-year commercial strategy... ...accountability mechanisms, and weekly, monthly, and seasonal business reviews. Drives timely decisions and corrective actions based on...Full timeSeasonal workRemote work$54.1k - $116.76k
...one community at a time. Behavioral Health Precertification / Utilization Management Clinician 100% Remote | Monday–Friday | 12:00 PM... ...Management experience? Join our team and play a critical role in reviewing behavioral health authorization requests, supporting...Hourly payFull timeTemporary workLocal areaRemote workMonday to FridayWeekday work$54.1k - $116.77k
...person, one family and one community at a time. Behavioral Health Utilization Management Clinician Remote | Louisiana Preferred | Sunday... ...care and effective treatment planning. What You'll Do Review behavioral health services and treatment plans to determine...Hourly payFull timeTemporary workLocal areaRemote work- ...Job Description: Business Development Manager - Utility Solar! Work Remotely from a home office anywhere in the U.S. Approx. travel: 30%-50% Job Summary: The Business Development Manager will understand and support the breadth of Array's customers, which...Full timeFor contractorsLocal areaRemote workWork from homeHome office
- Description The Utilization Review Specialist coordinates insurance authorizations for individual therapy and IOP services, ensuring clients receive appropriate and timely care. This role works closely with clinical staff, psychiatry, and payors to gather documentation...Casual workLocal areaAfternoon shift
- ...days ago Requisition ID: 2562 Salary Range: $17.00 To $17.50 Annually Summary: The primary responsibility of this role consists of reviewing member transportation requests that are over the contractual mileage guidelines. ESSENTIAL FUNCTIONS Reviewing and making approval...Full timeFlexible hours
- Responsibilities Lighthouse Care Center of Augusta is seeking a dedicated, compassionate Utilization Review Coordinator to add to our growing team. Lighthouse Care Center of Augusta has been providing psychiatric services to the CSRA for more than 15 years. Located in...Local area
- ...Job Description Job Description Job title: Utilization Review Shift: 09:30 AM to 08:00 PM 13 weeks contract Description: Utilization Review RN - Target Review Health Plan Insurance (no acute care) BLS (AHA) RN state license \nCompany Description...Contract workShift work
Lancesoft INC
Atlanta, GAmore than 2 months ago - Verida Inc. in Villa Rica, GA is seeking a Full-Time Admin Support Worker to review member transportation requests and ensure adherence to mileage guidelines within Medicaid-related programs. The role requires 2+ years in healthcare customer service, strong MS Word/Excel...Full time
