Average salary: $104,268 /yearly
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$63.1k - $94.65k
...position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Utilization Review RN based in the United States. Join a healthcare team dedicated to improving patient outcomes, ensuring appropriate...SuggestedTemporary workPart timeWork at officeRemote workWork from homeFlexible hoursShift workAfternoon shift$92.4k - $138.6k
...that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Manager for Utilization Review is responsible for the leadership and management of the centralized Virtual Utilization Management Program and maintaining...SuggestedTemporary workWork at officeLocal areaRemote work$27 - $30 per hour
...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...SuggestedRemote work$101.6k - $142k
...every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. The Director of Virtual Utilization Review will serve as a strategic leader focused on driving client partnerships, performance outcomes, and transformational change...SuggestedTemporary workWork at officeLocal areaRemote work$63.1k - $94.65k
...and overall qualifications. *Must have current compact RN license, or be willing to obtain* Schedule Information: Our Utilization Review team provides coverage seven days a week, operating between 8:00 a.m. and 10:00 p.m. To support our patients and partners, team...SuggestedTemporary workPart timeWork at officeLocal areaRemote workFlexible hoursShift work$85k - $95k
...opportunities, drive operational efficiency, and improve healthcare outcomes. The Opportunity MedReview is seeking an experienced DRG Reviewer to join our Payment Integrity team. This role is responsible for analyzing inpatient medical records and claims to validate...SuggestedWork at officeRemote workFlexible hours$76k
...Position Summary The Clinical Reviewer Specialist is responsible for performing clinical and medical necessity reviews to support... ...~3 years of experience in appeals processing, utilization management, case management, or clinical review operations....SuggestedPermanent employmentTemporary workLive inImmediate startRemote workRelocationFlexible hours$70.3k - $73.83k
...in going the extra mile and aim to make a genuine difference in our participants’ lives. The Utilization Management Medical Assistant (UM MA) is accountable for the review and audit of authorization requests to ensure services are authorized and meet standard medical...SuggestedWork at office- Looking for motivated people who want a remote career with upside — not another dead-end job. This seat works warm leads. You talk with people who already requested help on financial-protection options. You are trained, coached, and measured on activity and results. ...SuggestedRemote work
- ...position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Medical Review Officer / Paramedic based in the United States. We are seeking an experienced Medical Review Officer / Paramedic to support medical...SuggestedFull timeContract workWork at officeRemote work
$78k - $99.2k
...applications and next steps. Our partner is looking for a Senior Nurse Reviewer based in the United States. Make a meaningful impact on... ...feedback. This remote opportunity combines clinical analysis, utilization review, and claims auditing in a collaborative, quality-...SuggestedFull timeRemote workWork from homeFlexible hours- ...Job Description: Summary: The Advocacy Clinical Review Coordinator investigates member and provider appeals, grievances, and complaints... ...(3) years clinical experience and one (1) year in quality/utilization review; or an LPN with 3 years of appeals experience accepted...SuggestedRemote 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$63.75k - $127.5k
...Microsoft Office Suite, with advanced skills in Excel and Word • Knowledge of appraisal methodologies, including valuation principles, review processes, and industry best practices, preferred.This position may be eligible for remote work in select geographic locations,...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeRemote workWork from home$50k - $60k
...values work-life balance, continuous learning, and career development. Summary Gainwell Technologies is seeking a Medical Reviewer (Laboratory Specialist) to provide laboratory subject-matter expertise supporting Medical Review Services for California healthcare...SuggestedFull timeRemote workHome officeMonday to FridayFlexible hours- ...service provider—we’re your trusted partner in innovation. Medical Review Nurse (Temporary Contract, Remote) Compensation rate: $32.5K... ...clinical experience plus two years of experience with utilization/medical review, quality assurance or end stage renal disease/...Contract workTemporary workFor contractorsLive inWork at officeRemote workWork from homeHome officeMonday to Friday
$35 per hour
...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....Remote workFlexible hours$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,...Hourly payPermanent employmentPart timeRemote work10 hours per week$43 per hour
...: Job Title - Clinical Reviewer Job Location - Remote Duration - 3+ Months Pay Rate - $43/hr. on w2 with no benefits : The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with...Hourly payFull timeContract workRemote workMonday to FridayFlexible hoursShift workDay shift$84k - $103k
...barriers to rapid clean energy deployment. We work closely with utilities, regulators, businesses, advocates, and customers to evolve... ...cost allocation, ratemaking, and related regulatory issues. Review utility filings, commission orders, stakeholder comments, legislation...Temporary workImmediate startRemote workWork from homeHome officeVisa sponsorshipWork visaFlexible hours- ...Clinical Reviewer – Registered Nurse (RN) Comagine Health | Washington State | Remote / Work From Home Department: Care Management Contract: Washington Labor & Industries (L&I) Location: Washington State – Remote Employment Type: Full-Time This is an...Full timeContract workLocal areaRemote workWork from homeHome office
$154.4k - $242.55k
...best of my knowledge. Job Description About the role: Join Takeda as an Associate Director, US Medical Ad/Promo Regulatory Review where you will serve as an internal expert on FDA regulations, guidance, and enforcement trends governing the promotion of prescription...Minimum wageFull timeLocal areaRemote workNight shift$90k - $120k
...the Southeastern US About the Position As a mid-level Electrical Engineer in the Oil & Gas group, you will support industrial, utility, and oil & gas projects throughout North America with a focus on power system studies, utility distribution engineering, substation...Full timeFor contractorsRemote work$113.75k - $139.03k
...Job Description: Job Title Regional Utility Sales Professional (Midwest) Collaborate with Innovative 3Mers Around the World... ...company vehicle, which will require pre-employment and ongoing review of motor vehicle history for candidates who are offered and hired...Full timeH1bRemote workRelocation packageFlexible hours$27.02 - $48.55 per hour
...About This Role The Utilization Review Clinician - Behavioral Health performs clinical reviews and assessments related to mental health and substance abuse, ensuring that the level of care and services provided are medically appropriate. This fully remote role supports...Full timeWork at officeRemote workFlexible hoursDay shiftCentene
Oregon State9 hours ago$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...Hourly payFull timePart timeWork at officeRemote workFlexible hoursAfternoon shift- ...Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support Oregon Medicaid. The role requires independent clinical licensure and experience in behavioral health and utilization management. It offers a full-time day-shift schedule and a...Full timeRemote workDay shift
Centene
Oregon State9 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...Full timeWork at officeRemote workWork from home$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...Full timeWork at officeImmediate startRemote workWork from homeFlexible hours$94.4k - $266.3k
...successful deployment in the cloud Facilitate business process reviews with customers to understand their requirements and challenges.... ..., and Practice Lead to generate estimates and timelines to be utilized in Statements of Work Deliver customer end user training and...Work at officeLocal areaRemote workNeuraFlash, Part of Accenture
Oregon State3 days ago
