Average salary: $107,356 /yearly
More statsGet new jobs by email
$20 - $25 per hour
...Job Title: Utilization Review Coordinator Reports To: Revenue Cycle Management Leadership Location: Remote FLSA Status: 90 day Temporary to Direct Hire Schedule: Monday-Friday 8am-5pm Compensation: $20-25/hour Northpoint Recovery Holdings, LLC began...SuggestedFull timeTemporary workRemote workMonday to Friday$89.54k - $136.47k
City/State Norfolk, VA Work Shift First (Days) Overview: Sentara Health is hiring a Remote Utilization Review Registered Nurse. Candidates must reside in the State of Virginia. As an integrated care manager, specializing in Utilization review, the registered nurse...SuggestedFull timeTemporary workRemote workShift work- ...healthcare. About the Role We’re seeking a Clinical Care Reviewer to help bring Rula’s care efficiency pilots to life as part of... ...may not meet every preferred requirement. ~ Experience in utilization management, peer review, or clinical quality roles ~ Familiarity...SuggestedFull timeLive inCurrently hiringRemote workHome office
$17.71 - $25.28 per hour
...insurance companies, and patients to ensure proper coding, documentation, and adherence to billing regulations Essential Functions -Review and assess medical claims submitted by healthcare providers, insurance companies, and patients to identify any discrepancies,...SuggestedHourly payFull timeWork at officeRemote workMonday to FridayFlexible hoursShift work$21.7 - $27 per hour
Job Description A bit about this role: The Utilization Management Coordinator plays a vital role in supporting Clinical Operations by managing... ...authorization-related inquiries across multiple case types Review member inpatient status and clinical documentation to support...SuggestedFull timeContract workInternshipWork at officeRemote workMonday to FridayShift work$23 per hour
...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:...SuggestedRemote workFlexible hours- ...Physician Peer Reviewer – Endocrinology Federal Hearings and Appeals Services (FHAS) is a URAC-accredited Independent Medical Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30 years, FHAS has provided external peer review...SuggestedContract workWork experience placementWork at officeRemote work
$150k - $160k
...Job Summary The Manager, Utility Sales leads the Territory Manager team to achieve sales goals for the assigned category. This role... ...territory managers to achieve sales and developmental goals. Reviews, negotiates, and approves customer terms and agreements in...SuggestedFull timeSeasonal workWork at officeRemote work$65.52k - $118.56k
...Utilization Management Nurse Work from home within Oregon, Washington, Idaho or Utah Preference will be given to current employees... ...management (such as prospective concurrent and retrospective review) to best meet the member’s specific healthcare needs and to promote...SuggestedFull timeWork at officeImmediate startRemote workWork from homeFlexible hours- ...the Government Services and Hydrocarbons sectors. Job Summary Our client is seeking a Senior Purchasing Specialist – Clean Utilities & Mechanical Procurement to support major capital projects by managing end-to-end procurement activities for assigned equipment,...SuggestedFull timeContract workLocal area
$54.1k - $116.77k
...health care one person, one family and one community at a time. Utilization Management Nurse Consultant Clinical Precertification RN (... ...receive the right care at the right time. 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 shiftWeekday work- Rising Medical Solutions has an opening for a Utilization Review Nurse , and we want to hear from you! We're a bill review and cost containment company - so what does that mean? Basically we are trying to fix a very broken healthcare system by reducing the cost of healthcare...SuggestedFull timeTemporary workFlexible hours
- ...Employee Assistance Plan (EAP) 401K retirement accounts with company match Employee Referral Bonus Program JOB SUMMARY: The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services by conducting pre-service, concurrent, and retrospective...SuggestedRemote jobFull timeTemporary workLocal area
- ...accredited college or university in Nursing, Social Work, Behavioral Health or related field required preferred. 2-3 years of utilization review experience in behavioral health, addiction treatment, or managed care. Strong understanding of ASAM criteria, LOCUS, DSM-5,...SuggestedRemote jobDaily paidFull time
$75k - $90k
...accommodation or an alternative application process. Clinical Reviewer - LCSW, LPC, LCPC - Salem, Oregon OR Care Management F-T Reg 4... ...electronic medical record system; apply evidence-based criteria to utilization management reviews; document clinical determinations; provide...SuggestedRemote jobFull timeContract workWork from home$2,627 per week
...Travel RN - Case Management/Utilization Review - Case Management American Traveler Medford, Oregon, United States Position ID: P-776030 Position status: Open Assignment type: travel Shift: Days Length (weeks): 13 Openings: 1 Start date: 2026-12...Weekly payPermanent employmentTemporary workCasual workLocal areaShift workWeekend workDay shift$2,462 per week
...Travel RN - Case Management/Utilization Review - Case Management American Traveler Springfield, Oregon, United States Position ID: P-772039 Position status: Open Assignment type: travel Shift: Days Length (weeks): 13 Openings: 1 Start date: 202...Weekly payPermanent employmentFull timeCasual workLocal areaShift workWeekend workDay shift- ...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
- ...life balance Remote setting ROLE DESCRIPTION This individual will utilize clinical knowledge and communication skills to obtain patient... ...be met, this individual will defer decision to a second level reviewer. This individual interfaces with case managers and disease management...Temporary workWork at officeRemote workMonday to FridayFlexible hours
- Hines & Associates, Inc. is seeking a Nursing Review professional to validate outpatient and inpatient services against established criteria. The role focuses on certifying care when guidelines are met and coordinating with case managers across programs. Responsibilities...Remote jobMonday to Friday
$2,040.41 per week
...Travel RN - Case Management/Utilization Review - Case Management American Traveler Portland, Oregon, United States Position ID: P-758002 Position status: Open Assignment type: travel Shift: Days Length (weeks): 13 Openings: 1 Start date: 2026-0...Weekly payMonday to FridayShift workDay shift$65k - $80k
...As a Claims Advocate, you'll manage a portfolio of new claims, utilizing your growing expertise to identify third-party negligence early... ...and legal requirements. Policy Analysis and Compliance: Review and interpret policy language to align with company policies and...Full timeLocal areaRemote workFlexible hoursERGO NEXT Insurance
Oregon State27 days ago- ...The Reimbursement Representative performs reconciliation and review of all outstanding Medicare/Commercial patient balances in accordance... ...knowledge of Microsoft Outlook, Word and Excel Ability to utilize the internet, specifically Medicare and Medicaid websites...Full timePart timeWork at office
- ...maintain supporting documentation. Partner with People Ops to review payroll tax reporting, resolve discrepancies, and support... ...Improve visibility into project costs, engagement margins, utilization, and services profitability. Maintain consistency across accounting...Contract workFor contractorsLocal areaRemote workHome office
$57.21 - $86.35 per hour
...Evaluation and Mitigation Strategies (REMS) program requirements. Review prescriptions for clinical appropriateness, dosing accuracy,... ...of information. KPA 4 – Adherence & Counseling Utilize the company's adherence program to counsel patients on the use...Local areaRemote workAmerican Oncology Network
Oregon State15 hours ago- ...development tools to create working prototypes that engineers can review and reference during build. Stay Engaged with Engineering... ...Manual dexterity required to use desktop computer and peripherals. Utilization of software and email to perform job functions. Compensation...Full timeWork at officeRemote work
- ...GCHQ, together with private sector experts. BlueVoyant services utilize large real-time datasets with industry leading analytics and... ...support fair and efficient hiring decisions. All applications are reviewed by a member of our hiring team, and final hiring decisions are...Contract workWork at officeLocal areaRemote workWorldwide
- ...implementation of new practices and procedures, and efficient control and utilization of financial resources. ~ Develops and manages annual... ...aspects of the general ledger ~ Preparation, analysis, review and presentation of monthly, quarterly, and annual financial...Local area
Civic Media
Oregon State15 hours ago - ...management. Duties/Responsibilities: Conducts comprehensive literature reviews and synthesizes relevant literature. Identifies relevant... ...of ideas into actionable projects. Considers the utility of best practices for data management and data analysis, and a...Work at office
- ...consulting for cities, counties, school systems, special districts, utilities, and related agencies. Our work spans classification and... ...competitive compensation and sound workforce decisions. What you’ll do - Review represented job classifications, existing pay schedules and...
