Average salary: $81,597 /yearly

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  • $41 - $45.5 per hour

     ...supports members through clinical assessments, health education, and utilization management. Key Responsibilities: Perform clinical...  ...outcomes. Conduct prospective, concurrent, and retrospective reviews for inpatient, rehab, referrals, and select outpatient services... 
    Suggested
    Remote job

    Mindlance

    Wisconsin
    13 hours ago
  • Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently...  ...and Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    Wisconsin
    1 day ago
  • A leading pediatric healthcare organization in Wisconsin is looking for a Utilization Management Clinical Registered Nurse responsible for providing precertification and telephonic reviews of inpatient hospitalizations. Candidates must hold an RN license and have at least... 
    Suggested

    Texas Children's Hospital

    Wisconsin
    4 days ago
  • A national Independent Review Organization is looking for Board-Certified Orthopedic Surgeons for a fully remote, non-clinical role that offers flexible scheduling and supplemental income. Responsibilities include reviewing medical records for medical necessity and submitting... 
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    Remote job
    Extra income
    Flexible hours

    Dane Street, LLC

    Wisconsin
    13 hours ago
  • Overview Come lead with us at Houston Methodist Hospital. At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and... 
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    Permanent employment
    Work experience placement
    Relief
    Local area

    Houston Methodist

    Wisconsin
    4 days ago
  • 1 month ago Be among the first 25 applicants Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician panel. We are seeking Board-Certified Orthopedic Surgeons... 
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    Extra income
    Contract work
    For contractors
    Remote work
    Flexible hours

    Dane Street

    Wisconsin
    13 hours ago
  • A leading healthcare provider in the United States is seeking an experienced Utilization Review Nurse (URN) PRN to conduct thorough medical record reviews to determine the necessity of inpatient services. The ideal candidate must be a Registered Nurse with a minimum of... 
    Suggested
    Relief

    Houston Methodist

    Wisconsin
    1 day ago
  • $28 per hour

     ...are valued and respected. We have an ongoing need for Document Reviewers. Document Reviewers will review documents for complex...  ...Ventura 13), Sonoma (14), or newer is required. Proficiency in utilizing modern technology, especially computers and related remote work... 
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    Hourly pay
    Temporary work
    Remote work
    Work from home
    Home office
    Monday to Thursday
    Flexible hours

    KLDiscovery

    Wisconsin
    3 days ago
  •  ...License: NM license preferred, not required Schedule: M-F, 8 hrs/day; occasional Sat/Sun flex Assignment: 2 years Responsibilities Review and adjudicate clinical service requests. Apply clinical judgment using organizational criteria. Support anticipatory case... 
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    Live in
    Remote work
    Flexible hours

    The Judge Group

    Wisconsin
    4 days ago
  •  ...protected veterans shall be available for inspection upon request by any employee or applicant for employment. Please contact ****@*****.*** to schedule a time to review the affirmative action plan during regular office hours. #J-18808-Ljbffr Entergy Corporation
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    Contract work
    Work at office
    Local area
    Relocation

    Entergy Corporation

    Wisconsin
    2 days ago
  • $37.44k - $47.84k

    General Description of Position Under general supervision of the Utilities Crew Leader, provides assistance to ensure the efficient...  ...all of the benefits offered by the City of Van Alstyne please review our Summary of Benefits. Candidates MUST successfully complete... 
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    Full time
    Temporary work
    For contractors
    Local area
    Night shift
    Afternoon shift

    Gfoat

    Wisconsin
    2 days ago
  • the City of Wills Point is seeking a Utilities Superintendent to join our team. Position Overview: The Utilities Superintendent plans, directs and reviews the activities of the Public Works Department, including engineering, water/wastewater, construction inspections,... 
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    Temporary work
    Local area

    Gfoat

    Wisconsin
    13 hours ago
  • $27.02 - $48.55 per hour

    Join to apply for the Clinical Review Clinician - Appeals role at Centene Corporation . You could be the one who changes everything...  ..., Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License / Certification LPN... 
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    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours
    Shift work

    Centene Corporation

    Wisconsin
    3 days ago
  •  ...Participates in the process to evaluate clinical service requests. Practices anticipatory case management for members whose cases come for review, in partnership with case managers. Participates in the Physician Review Units' appeal process of service denials. Participates in... 
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    Temporary work
    Immediate start
    Remote work
    Work from home
    Weekend work

    Mindlance

    Wisconsin
    2 days ago
  • Overview The US Oncology Network is looking for a Clinical Insurance Reviewer to join our team at Texas Oncology . This full-time remote position will support the Central Image Scheduling Department at our 500 South Henderson Suite 400 clinic in Fort Worth, Texas. Typical... 
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    Full time
    Work experience placement
    Work at office
    Remote work
    Monday to Friday
    Shift work

    US Oncology Inc.

    Wisconsin
    2 days ago
  • Description First Merchants Bank is seeking a Loan Review Officer to join our team! This position will provide an independent evaluation of the quality of the bank's commercial loan portfolio, including large or high-risk lending products and credit administration procedures... 
    Flexible hours

    First Merchants Bank

    Wisconsin
    4 days ago
  • $13 per hour

     ...Onsite Segment: Community Meals Brand: Trio-Community-Meals State: Texas (US-TX) The Role at a glance: We are looking to add a skilled utility worker to our Trio Community Meals team in Waco, TX. As a utility worker, you will have the opportunity to oversee sanitation... 
    Full time
    Work at office

    Lancer Hospitality

    Wisconsin
    1 day ago
  • Job Summary/Purpose Supervise, coordinate, and assist in the construction and repair of both overhead and underground distribution. Job Duties/Responsibilities Respond to and resolve customer issues in a timely and professional manner. Provide leadership and training...
    Contract work
    Local area
    Relocation
    Visa sponsorship
    Work visa

    Entergy Corporation

    Wisconsin
    1 day ago
  • Utility Technician page is loaded## Utility Technicianlocations: Plastipak - Garland, TXtime type: Full timeposted on: Posted Todayjob requisition id: REQ22974As a Utility Technician, you will operate the downstream machinery within our facility. Providing plastic containers... 
    Full time
    Temporary work
    Flexible hours
    Rotating shift

    Plastipak Packaging, Inc

    Wisconsin
    4 days ago
  • $38 per hour

     ...reimbursement, wellness programs & lifestyle spend. Pet adoption assistance. What you’ll accomplish Operate, monitor, and maintain essential utilities and support systems that keep our facility running smoothly. Lead preventative and corrective maintenance on boiler systems,... 
    Monday to Friday
    Shift work
    Night shift
    Day shift
    3 days per week

    Nestlé SA

    Wisconsin
    13 hours ago
  •  ...production team in a variety of functions including, but not limited to, maintenance, clean‑up, yard work, warehouse, production, utilities, material handling and other. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the... 
    Permanent employment
    Temporary work
    Local area
    Shift work

    CRH

    Wisconsin
    2 days ago
  •  ...excavator or property owner at the work site. Your Responsibilities as a Locator: Correctly, safely, and efficiently locate underground utilities, including telecommunications, electric power, cable TV, gas, water, and sewer systems. Thoroughly search for underground... 
    Extra income
    Full time
    For contractors
    Weekend work

    Reconnus

    Wisconsin
    3 days ago
  •  ...consulting company is seeking experienced Chiropractors for a telework role that offers schedule flexibility. You'll conduct comprehensive reviews of clinical cases and provide objective, evidence-based medical opinions. The ideal candidate should have at least 5 years of... 
    Remote job

    Dane Street, LLC

    Wisconsin
    1 day ago
  • A leading medical evaluation firm is looking for experienced Chiropractors to conduct telework clinical reviews. Candidates will perform detailed evaluations of medical records, prepare summaries, and answer client inquiries while maintaining a flexible schedule as independent... 
    Remote job
    For contractors
    Flexible hours

    Dane Street

    Wisconsin
    1 day ago
  • A leading oncology provider is seeking a Clinical Insurance Reviewer for a full-time remote role. Responsibilities include reviewing and processing medical insurance verification, obtaining authorizations, and communicating with clinical staff regarding insurance guidelines... 
    Remote job
    Full time

    US Oncology Inc.

    Wisconsin
    2 days ago
  •  ...your career with Alsco Uniforms! Job Summary The Route Relief/Utility RSR supports the Service Department in its objectives to meet our...  ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-1... 
    Full time
    Local area
    Worldwide

    Alsco

    Wisconsin
    1 day ago
  •  ...on behalf of a partner company. We are currently looking for a Utilization Management Specialist - REMOTE. In this role, you will...  ...effective utilization management practices. This position involves reviewing patient admissions and collaborating with multidisciplinary teams... 
    Remote job
    Flexible hours

    Jobgether

    Wisconsin
    4 days ago
  • **Company:**US0013 Sysco Central Texas (Division of USA I)**Sales Territory:**None**Zip Code:**78132**Travel Percentage:**0The pay range provided is not indicative of Sysco’s actual pay range but is merely algorithmic and provided for generalized comparison. Factors that...
    Work experience placement
    Local area
    Worldwide
    Night shift

    FHLB Des Moines

    Wisconsin
    2 days ago
  •  ...on behalf of a partner company. We are currently looking for a Utilization Management Coordinator - REMOTE. In this role, you will...  ...incoming faxes for authorization requests Enter UM authorizations review requests using ICD-10 and HCPCS codes Verify eligibility and... 
    Remote job
    Temporary work

    Jobgether

    Wisconsin
    13 hours ago
  • A leading healthcare organization is seeking a Medical Director to evaluate clinical service requests and provide clinical leadership. This fully remote position requires a Board Certified M.D. or D.O. with at least 5 years of clinical experience, including inpatient experience...
    Remote job

    Mindlance

    Wisconsin
    1 day ago