- C&S Employment Solutions (Jefferson City, MO)
- …experience in one or more of the following (pharmacy services, healthcare settings, utilization review ) must be computer proficient and have excellent written ... Hybrid Pharmacy Help Desk Technicians: $18/hr. + benefit package; 40 hours/week; 2 days remote and 3 days in office; shifts vary between 8 am-6 pm Sunday-Saturday… more
- CVS Health (AZ)
- …for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role, you'll be at the ... times may vary based on business needs. Location: 100% Remote (US only) **About Us** American Health Holding, Inc....intensive outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or… more
- BJC HealthCare (St. Louis, MO)
- …of RN experience performing care for hospitalized patients + 2 years of Utilization Review (UR) experience reviewing hospital admissions for medical necessity + ... team! This is a great opportunity for a local remote position. There is no communication with patients. This...medical services provided by the medical team. Ensure appropriate utilization , which includes the evaluation of potential under and… more
- Insight Global (New York, NY)
- Job Description Insight Global is looking for a Pre-Access Utilization Management Registered Nurse to sit remotely with one of their large health insurance ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- Dartmouth Health (Lebanon, NH)
- …communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote :Fully Remote ... * Area of Interest:Nursing * Pay Range:$79,747.20/Yr. - $127,587.20/Yr. (Based on 40 hours per week, otherwise pro rata) * FTE/Hours per pay period:.01 hrs/per week (per diem/temp) * Shift:Rotating * Job ID:35880 Dartmouth Health offers a total compensation… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Remote PRN Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of ... with healthcare providers to facilitate efficient patient care. The Clinical Utilization Review Specialist monitors adherence to hospital utilization… more
- PeaceHealth (Vancouver, WA)
- …wherever you are._** PeaceHealth is looking for a skilled and motivated **Registered Nurse Utilization Management (UM) Reviewer** to join our dedicated team in ... and technology tools to guide patient status determinations and promote appropriate utilization of hospital resources. You'll work fully remote *, with… more
- PeaceHealth (Vancouver, WA)
- …wherever you are._** PeaceHealth is looking for a skilled and motivated **Registered Nurse Utilization Management (UM) Reviewer** to join our dedicated team in ... and technology tools to guide patient status determinations and promote appropriate utilization of hospital resources. You'll work fully remote *, with… more
- Amergis (Wilmington, DE)
- The Utilization Review Specialist is responsible for the assessment and review of the healthcare delivery system with a concentration on tasks that promote ... as well as facility policy. This position is a remote position. However, you must live within the county...in Nursing or at least two years' experience in Utilization Review preferred + Certification in … more
- Centene Corporation (Richmond, VA)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... benefits including a fresh perspective on workplace flexibility. **100% Remote Position** **LCSW, LPC, LMHC Strongly Preferred** **Position Purpose:** Performs… more
