Average salary: $190,412 /yearly
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$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
$14 per hour
...Join to apply for the Content Reviewer - US | WFH role at TELUS Digital Looking for a freelance opportunity where you can make an impact on technology from the comfort of your home? If you are dynamic, tech-savvy, and always online to learn more, this part‑time...SuggestedHourly payPart timeFreelanceImmediate startWork from homeFlexible hoursTELUS Digital
Minnesota9 hours ago$66.26k - $84.03k
...learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here . Job Summary Utilization Management Nurse performs clinical review of prior approvals, network exceptions, benefit inquiries, inpatient medical/surgical admissions and...SuggestedFull timeWork at officeRemote workWork from home$80k
...documentation skills in addition to clinical experience. Please review the roles and responsibilities of this position below. Please... ...Assist the Physician Reviewer, as applicable, in selecting and utilizing evidence-based criteria and support of clinical rationale....SuggestedFull timeRemote workHome officeMonday to FridayWeekend work$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...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shift$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...SuggestedFull timeRemote work$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- ...Overview Dane Street is seeking experienced, licensed Chiropractors to join our growing team of expert clinical reviewers. In this role, you will apply your chiropractic expertise to conduct comprehensive reviews of clinical cases and provide objective, evidence-based...SuggestedContract workFor contractorsRemote 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:...SuggestedTemporary 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....SuggestedTemporary 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...SuggestedHourly 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...SuggestedHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$70 per hour
...management, and application of evidence-based guidelines; Prior experience in medical AI evaluation, clinical content or exam-question review, or medical annotation/QA (a plus); Strong written English (C1+). This opportunity is not fit to medical students,...SuggestedHourly payPermanent employmentPart time10 hours per week$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...SuggestedFull 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$27 - $30 per hour
...a Best Addiction Treatment Center and seven straight Star Tribune Top Workplace awards. *Hybrid work model* Job Summary The Utilization Review Coordinator is responsible for obtaining and maintaining insurance authorizations for treatment services. This position partners...Remote work$35 - $40 per hour
We are seeking an experienced Registered Nurse (RN) with health plan or payer-side Utilization Management (UM) experience to support clinical quality review and AI model development for prior authorization use cases. The ideal candidate will have expertise in applying evidence...Hourly payLocal areaRemote workShift work$100k
...able to secure new DOT Health Card\n \n• Able to hand-lift and utilize two-wheeler, lift gate and/or other equipment to move and/or... ...federal laws and regulations. Please click on the following links to review: (1) our EEO Policy; (2) the "EEO is the Law" poster and...Local areaImmediate startRelocation packageMonday to FridayShift workNight shiftEarly shiftPerformance Foodservice
Minnesota8 days ago- Minnesota Adult & Teen Challenge is seeking an Utilization Review Coordinator to manage insurance authorizations for treatment services. This role collaborates with admissions, counselors, and payers to ensure timely authorizations and compliance with payer and regulatory...Remote job
- ...Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale. Key...Remote jobWork from home
$80 - $90 per hour
...Infrastructure Brooksource is partnering with a leading Upper Midwest utility to hire a Project Engineer supporting a multi-year portfolio of... ...-based engineering position. You'll spend time in the field reviewing construction progress, supporting contractors, resolving issues...Daily paidContract workFor contractorsWork at officeLocal areaFlexible hours$180k
...effectively with the architectural and structural elements. Review and offer guidance on MEP designs and plans. Ensure the MEP... ...to ensure thorough cost analysis and estimate coordination. Utilize technical knowledge to provide creative alternative solutions to...For contractorsFor subcontractorLocal areaFlexible hours$45k
...settlements for a variety of types of insurance. Call clients to review, renew, or sell additional coverage if needed and get referral... ..., and in-person interaction. Working at a computer and utilizing a telephone Occasionally lifting up to 50lbs May involve travel...Temporary workWork at officeMonday to Friday$16 per hour
...living. Records: Accurately documents progress and activity; reviews records and logs to stay abreast of changes in service plans; maintains... ...Supplies and Equipment: Correctly follows procedures in utilizing medical equipment; reports malfunction or disrepair. Meal Preparation...Hourly payFull timePart timeSeasonal workLocal areaImmediate startShift workWeekend work$75.89k - $126.49k
...new stores, remodels and partner-led projects from early site review through design development, construction documentation and field... ...timelines. Assess early design risks, including layout feasibility, utility/MEP constraints, signage, exterior scope, landlord requirements...Minimum wageLocal area$16 - $27.9 per hour
...accounts through Decision Pro and gather necessary documentation Review loan files to ensure accuracy and completeness. Verify... ...departments, and in-person interaction. Working at a computer and utilizing a telephone Occasionally lifting up to 50lbs Pay Range: $16 -...Hourly payFull timeTemporary workWork at officeMonday to Friday- ...leadership to deliver financial and strategic results through the utilization of Financial Planning and Analysis of best practices. Support... ...on the AOP process. Support monthly/quarterly business review process. Financial modeling and ad hoc analytics. Develop and...
$30 - $36 per hour
...Experience supporting engineering, architecture, construction, utilities, or professional services firms\n\t• APMP certification or other... ...how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: Insight GlobalWork at office
