Job Opportunities
Find jobs near you, whether onsite, hybrid, or remote.- Similar Jobs to: Utilization Review Author-Remote
Utilization Review Author-Remote
R1 RCMBoiseThe Utilization Review Specialist will be part of our Physician Advisory Team providing first level initial admission and continued stay case reviews. The Utilization Review Specialist will determine
Utilization Review Author-Remote
R1 RCMSalt Lake CityThe Utilization Review Specialist will be part of our Physician Advisory Team providing first level initial admission and continued stay case reviews. The Utilization Review Specialist will determine
Utilization Review RN - Remote
Providence Health & ServicesPortlandUtilization Review RN - Remote Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team at Providence Health Plan Partners and thrive in our culture of patient-focus
Utilization Review RN - Remote
Providence Health & ServicesRentonDescriptionUtilization Review RN - Remote. The RN Care Coord‑Qual Med Mgmt will provide administration of medical management programs that include prior authorization, concurrent hospital and skilled
Utilization Review Nurse- Remote
Gainwell TechnologiesKansas CityLocation: Any city, AK, US, 99999Work Mode: Virtual (Exception only)It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put y
Utilization Review Nurse
Umpqua HealthRoseburgAbout Umpqua Health At Umpqua Health, we’re more than just a healthcare organization; we’re a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of i
Physician Reviewer - Psychiatry (Utilization Review)
Dane StreetNew YorkJob Overview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an ac
Physician Reviewer - Psychiatry (Utilization Review)
Dane Street, LLCNew YorkOverview Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an active
Utilization Review Registered Nurse
BJC HealthCare (New)New YorkAdditional Information About the RoleJoin a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all uni
Physician Reviewer - Orthopedic Spine (Utilization Review)
Dane Street, LLCGranite HeightsDane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active T
Utilization Review Registered Nurse - PRN
BJC HealthCareSaint LouisAdditional Information About the RoleJoin a stable work from home team. This is a great opportunity for a local remote position. Schedule PRN (As needed) Shifts will fall between Monday-Friday 8 a.m.
Endocrinology Utilization Review - Remote - 1099 (contract)
Medical Review Institute of AmericaOrlandoFlexible Independent Contractor (1099) Opportunity Prefer Medical State Licenses in one of the following: TX, MN, NM, DC, MD, OR, IN, PA, VA.About MRIoA Founded in 1983, Medical Review Institute of Am
(RN) Care Review Clinician- Utilization Review (Remote, MS based)
Molina HealthcareUnited StatesJOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinica
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
Dane StreetNew YorkDane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking a Board-Certified Physical Medicine and Rehabilitati
Care Review Clinician- Utilization Review (RN/LPN- Mississippi based- REMOTE)
Molina HealthcareJacksonJob Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, i
Care Review Clinician- Inpatient Utilization Review (RN-CA License)
Molina HealthcareLong BeachJOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinica
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
Dane Street, LLCNew YorkDane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Physical Medicine and Rehabilitation
Care Review Clinician- Utilization Review (RN/LPN- Mississippi based- REMOTE)
Molina HealthcareJacksonJOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinic
Behavioral Health Utilization Review Registered Nurse
Hines & Associates IncRockfordDescription:Nurses - are you looking for a change? Want to work no nights, no weekends, and no holidays? Be able to work from home 50% of the time once trained? Check out Hines & Associates!ABOUT US:H
RN - Utilization Reviewer - Coordinated Care - PT - Remote
University of Mississippi Medical CenterJacksonRN - Utilization Reviewer - Coordinated Care page is loaded## RN - Utilization Reviewer - Coordinated Carelocations:Jackson, MS - Main Campustime type:Part timeposted on:Posted 16 Days Agojob requisit
Registered Nurse (RN) – Utilization Review, Per Diem
Dartmouth-HitchcockLebanonOverview Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through as
Utilization Review Nurse RN - Grace Medical Center
LifeBridge HealthBaltimoreUtilization Review Nurse RN - Grace Medical Center Baltimore, MD GRACE MEDICAL CENTER Part-time - Weekends - Day shift - 8:00am-4:30pm RN OTHER 96385 $40.12-$62.19 Experience based Posted:
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesAlaskaDescription We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational t
Registered Nurse (RN) Care Management - Utilization Review
Providence Health and ServicesAnchorageDescription We are hiring for Care Manager RN positions at Providence Alaska Medical Center in Anchorage, AK! Join us as a Care Manager to play a vital, hands‑on role during a transformational t
I/DD Utilization Management Reviewer (QP)-Remote NC
Partners Behavioral Health ManagementAlbemarleIf you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.Full Time Social Services Albemarle, NC, US