Average salary: $75,000 /yearly
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$94k - $109.2k
...talented individual for an Associate Manager, Clinical Claim Review who is responsible for supervising the day-to-day prepay, post... ...and timelines are met. Evaluate and analyze productivity, utilization, efficiency, finding rates, savings, appeal overturn rate, and...SuggestedFull timeContract workRemote workFlexible hours$74.3k - $106.1k
...Summary We are seeking a talented individual for a Nurse Reviewer Appeals and Hearings role to coordinate and perform all appeal... ...of medical record coding experience required. ~3+ years of utilization review experience or claims auditing required. ~ Working knowledge...SuggestedFull timeRemote workFlexible hours$86k - $124k
...leadership and technical development academies to help build your skills and capabilities. Summary The Operational Readiness & Review (ORR) Lead role oversees the readiness assessment, demonstrations, cutover, and increased customer service of one or more legacy...SuggestedFull timeRemote workFlexible hours$94.4k - $293.8k
...ready to step into the heart of digital transformation in one of the world’s most critical — and most dynamic — industries? The Utilities Industry is transforming at unprecedented speed. Clean energy demand is soaring, grid resilience is essential, and customer expectations...SuggestedFull timeWork experience placementLive inWork at officeLocal area$78k - $85k
...Summary We are seeking a talented individual for a Nurse Reviewer- Itemized Bill Review role to perform reviews of medical records... ...policy and industry standards. Perform level‑of‑care and utilization reviews by analyzing medical records and comparing them against...SuggestedFull timeWork from homeFlexible hours- ...What To Expect Tesla is looking for a Utility Field Service Technician to work across the entire Tesla organization to problem solve and ensure the success of our large-scale utility energy assets. Tesla needs a diversely talented and skilled technician ready to move...SuggestedHourly payFull timeTemporary workWork at officeFlexible hoursWeekend work
- ...Certified Applicator / Pole Inspection – Utility Infrastructure Position Overview Vantage Point Solutions ( is seeking a highly... ...data collection devices. ~ Support quality assurance reviews and compliance checks for infrastructure inspection programs....SuggestedRemote jobFull time
$25 - $35 per hour
Ad Ref: FAR-02842 Do not fill out any form or use any other apply button on this page. Use the blue link below to submit your application. FAR Inspections is actively seeking a reliable independent contractor to perform residential mortgage inspections in Upton County...SuggestedHourly payPrice workExtra incomeFull timeContract workFor contractorsLive inLocal areaFlexible hours- Job Description Job Description Description: Anthem is a people-focused organization dedicated to providing exceptional pest control services while fostering personal and professional growth for our team members. We are a dynamic and fast-growing organization at the...SuggestedWork at officeLocal area
$85k - $120k
...Company Description: Raftelis helps local governments and utilities thrive by providing management consulting expertise to help transform local governments and utilities. We've provided professional consulting services to more than 700 organizations in the last year...SuggestedRemote jobFull timeLocal areaWork visaFlexible hoursNight shift- ...are committed to process improvement, innovation, and building a talented team to drive our mission forward. As a Pest Control Utility Technician with us you will be helping to create our customer’s experience and drive our well-established service standards. The...SuggestedWork at officeLocal area
$104k - $172k
...Company Description: Raftelis helps local governments and utilities thrive by providing management consulting expertise to help transform local governments and utilities. We've provided professional consulting services to more than 700 organizations in the last year...SuggestedRemote jobFull timeLocal areaWork visaFlexible hoursNight shift- ...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
- ...Utilization Review Pharmacist Shape the drug benefit landscapeanalyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct...Suggested
- ...medical necessity and appropriateness of the treatment plan . This position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from...SuggestedFull timeContract workRemote work
- About the Role The Utilization Review Coordinator plays a critical role in ensuring that patients at our facility receive the appropriate level of care while managing treatment costs. This position involves coordinating, assessing, and authorizing treatment plans, collaborating...Full timePart timeWeekend work
- ...Utilization Review Nurse (Ur Nurse) Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer customized, self-funded insurance...Full timeTemporary workSummer workWork at officeFlexible hours
- ...exceptional services and/or placement waivers are secured and reviewed, with all deadlines met. Negotiate and communicate with parties... ...and youth through the adoption process. Experience with utilization management in behavioral and/or medical healthcare. Experience...Contract work
- ...the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning,... ...interpreting patient charts for patients on unit and under own care. Reviews patients’ charts for completion and accuracy; identifies and...ReliefLocal areaImmediate startShift work
CHRISTUS Health
Texas57 minutes agonew $40 per hour
...This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining... ...accordance to contract guidelines. Provides information regarding utilization management requirements and operational procedures to members,...Remote jobFull timeContract workWork at office- ...Job Description Job Description POSITION SUMMARY: The Utilization Review Specialist is responsible for assisting in the facilitation of critical criteria reviews on patients for behavioral medicine admissions and continued stays, completion of certifications/interfaces...Full timeImmediate startShift work
- ...Job Description Job Description About the Role: Bracane Company is seeking a dedicated and detail-oriented Utilization Review RN to join our team in Austin, TX. This is an exciting opportunity for a clinical professional to make a meaningful impact by ensuring...
- ...needed throughout the process \n Responsible to oversee and review Bill of Materials (BOM), as well as final order fulfillment \n... ...performance characteristics, applications, and product limitations \n Utilizing Hilti technology resources to maintain accurate records of...For contractorsLocal area
Hilti
Texas23 days ago - Job Title This position is fully remote, however, you must reside in the State of Texas The position is a contract for about 6 months. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and ...Remote jobContract work
- WNS, part of Capgemini, is seeking a remote RN/LPN for utilization review in the United States. The role involves assessing medical necessity, resolving escalations, and maintaining HIPAA-compliant documentation with HealthHelp policies. Requires active nursing license...Remote jobWork at office
$278.58k - $397.96k
...cardiovascular disease for a panel of at least 5,000 patients, utilizing the care team and NPs/PA support as needed. Assess patients’... ...condition, payer coverage, guidelines, and industry standards. Review PCP requests for external cardiology referrals and participate...Work at office- Summary The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing a variety of pre-admission, concurrent,...Full time
$98.53k - $120.22k
...Job Number: 179477, Job Title: Utilization Management Review Nurse, Salary: $98,529.60 - $120,224.00 Harris Health is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris...Work experience placementWork at officeRemote workFlexible hoursWeekend work$300k
...prescriptions. Our goal is to provide evidence-based care that utilizes medication management, TMS and ketamine therapy in a... ...team What You’ll Be Doing Perform initial evaluations, reviewing history, symptoms, and prior treatment Create personalized...Flexible hours$234k
...Conduct comprehensive patient examinations: medical history review, physical assessment, and diagnostic evaluation. Order and... ...clinical decision‑making by actively participating in resource and utilization management. Oversee clinical emergencies in clinic: syncope...Temporary workRelocation packageWeekend work
