Care Management or Utilization Review experience, Preferred Certifications: Case Management or Utilization Review, Preferred Why Mercy? From day one, Mercy offers outstanding benefits - including ...
Care Management or Utilization Review experience, Preferred Certifications: Case Management or Utilization Review, Preferred Why Mercy? From day one, Mercy offers outstanding benefits - including ...
Operational Support: 1. Conducts thorough medical necessity reviews to assist with determining ... Work Type: This position is a remote position outside traditional office, often from home or ...
Operational Support: 1. Conducts thorough medical necessity reviews to assist with determining ... Work Type: This position is a remote position outside traditional office, often from home or ...
Operational Support: 1. Conducts thorough medical necessity reviews to assist with determining ... Work Type: This position is a remote position outside traditional office, often from home or ...
Operational Support: 1. Conducts thorough medical necessity reviews to assist with determining ... Work Type: This position is a remote position outside traditional office, often from home or ...
Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ... We provide customized Independent Medical Exams and Peer Review programs that assist our clients in ...
Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ... We provide customized Independent Medical Exams and Peer Review programs that assist our clients in ...
Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ... Coordinate Peer-to-Peer (P2P) Review preparation and assist with scheduling. Provide guidance and ...
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Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ... Coordinate Peer-to-Peer (P2P) Review preparation and assist with scheduling. Provide guidance and ...
Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
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Utilization Review Nurse
Tempe, AZ · Remote
$35 - $45.94/hr
You will report into the Supervisor, Utilization Review. Work Location ... This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois;
Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ... Coordinate Peer-to-Peer (P2P) Review preparation and assist with scheduling. Provide guidance and ...
Quick apply
Remote, but only considering candidates in PST. FLSA Status: Exempt Travel Requirement: None ... Coordinate Peer-to-Peer (P2P) Review preparation and assist with scheduling. Provide guidance and ...
Utilization Review Specialist
$25 - $30/hr
Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing ... Mobility to move throughout the office or client sites to assist patients as needed Mindful Health ...
Utilization Review Specialist
$25 - $30/hr
Utilization Review Specialist Mindful Health is a fast-growing company with the goal of providing ... Mobility to move throughout the office or client sites to assist patients as needed Mindful Health ...
Utilization Review Nurse
Plano, TX · Remote
***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Utilization Review Nurse
Plano, TX · Remote
***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...
The Utilization Review Nurse will use appropriate governmental policies as well as specified ... assist to coordinate effective, efficient transitions of care. * Coordinates referrals to Care ...
The Utilization Review Nurse will use appropriate governmental policies as well as specified ... assist to coordinate effective, efficient transitions of care. * Coordinates referrals to Care ...
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... performed. * Assist external clients in understanding payer requirements for authorizations.
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This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... performed. * Assist external clients in understanding payer requirements for authorizations.
Utilization Review Nurse - Remote
Portland, ME · On-site +1
The Utilization Review Nurse will use appropriate governmental policies as well as specified ... assist to coordinate effective, efficient transitions of care. * Coordinates referrals to Care ...
Utilization Review Nurse - Remote
Portland, ME · On-site +1
The Utilization Review Nurse will use appropriate governmental policies as well as specified ... assist to coordinate effective, efficient transitions of care. * Coordinates referrals to Care ...
ABA Utilization Review (UR) Specialist
Skokie, IL · On-site +1
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... performed. * Assist external clients in understanding payer requirements for authorizations.
ABA Utilization Review (UR) Specialist
Skokie, IL · On-site +1
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... performed. * Assist external clients in understanding payer requirements for authorizations.
We are currently seeking Board-Certified physicians in Pulmonology to conduct independent Utilization Reviews . This is a flexible, remote opportunity requiring just 1-2 hours per week -with no ...
We are currently seeking Board-Certified physicians in Pulmonology to conduct independent Utilization Reviews . This is a flexible, remote opportunity requiring just 1-2 hours per week -with no ...
Registered Nurse, Utilization Review (Remote) Local Candidates in the Austin, TX Area Only Long Term Opportunity | High Potential for Extension Use Your Clinical Expertise to Improve Healthcare ...
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Registered Nurse, Utilization Review (Remote) Local Candidates in the Austin, TX Area Only Long Term Opportunity | High Potential for Extension Use Your Clinical Expertise to Improve Healthcare ...
Utilization Review Technician III
Ontario, CA · On-site +1
$23.15 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
Utilization Review Technician III
Ontario, CA · On-site +1
$23.15 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
Utilization Review Technician III
Ontario, CA · On-site +1
$23.15 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
Utilization Review Technician III
Ontario, CA · On-site +1
$23.15 - $30.03/hr
UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the ...
REMOTE- We are looking for someone located in the Midwest area, with strong preference in Indiana ... Coordinate and support the hospital's Utilization Review and Case Management program to ensure ...
REMOTE- We are looking for someone located in the Midwest area, with strong preference in Indiana ... Coordinate and support the hospital's Utilization Review and Case Management program to ensure ...
Knowledge of utilization review processes, medical necessity criteria, and healthcare regulations ... LI-REMOTE Our Values * Connection: Care deeply & inspire hope. * Congruence: Stay curious & heed ...
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Knowledge of utilization review processes, medical necessity criteria, and healthcare regulations ... LI-REMOTE Our Values * Connection: Care deeply & inspire hope. * Congruence: Stay curious & heed ...
Utilization Review Nurse
Roseburg, OR · On-site +1
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Utilization Review Nurse
Roseburg, OR · On-site +1
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...
Assistant Remote Utilization Review information
See salary details
$11.54 - $13.57
1% of jobs
$13.57 - $15.60
1% of jobs
$15.60 - $17.64
4% of jobs
$17.64 - $19.67
9% of jobs
$20.63 is the 25th percentile. Wages below this are outliers.
$19.67 - $21.70
21% of jobs
The median wage is $23.46 / hr.
$21.70 - $23.73
16% of jobs
$23.73 - $25.76
18% of jobs
$26.78 is the 75th percentile. Wages above this are outliers.
$25.76 - $27.80
10% of jobs
$27.80 - $29.83
10% of jobs
$29.83 - $31.86
6% of jobs
$31.86 - $33.89
4% of jobs
$11
$24
$33
How much do assistant remote utilization review jobs pay per hour?
What is the difference between Assistant Remote Utilization Review vs Utilization Review Nurse?
| Aspect | Assistant Remote Utilization Review | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license, certification in case management or utilization review | Registered Nurse (RN) license, often with additional certifications in case management or utilization review |
| Work Environment | Remote, administrative setting, telehealth or telecommuting | Remote or hospital/clinic settings, primarily telehealth or administrative |
| Employer & Industry | Health insurance companies, managed care organizations, healthcare providers | Hospitals, insurance companies, healthcare organizations |
Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Assistant Remote Utilization Review typically supports the process with administrative tasks and basic review, while the Utilization Review Nurse performs more in-depth clinical assessments. Both require nursing credentials and often work remotely within healthcare or insurance industries.
- International Utilization Review Rn
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- Remote Preservice Review Nurse
- Remote Aetna Utilization Review Nurse
Part-time
Medical, Dental, Vision, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Mercy rating
6.7
Based on 201 frontline employees who took The Breakroom Quiz
523rd of 876 rated healthcare providers
Job description
Overview
Utilization Management for the assigned inpatient Care Management population. This position is designed to facilitate an effective process of the Mercy Care Management model; supporting quality patient care, safety and financial components; promoting integration of a seamless care model; assisting with patient throughput; collaborating to include coordination as evidenced by metrics, optimizing performance and adoption of best practice
Position Details:
Qualifications
Education: Graduate of an accredited school of nursing.
Licensure: Current license in the state of residence and/or employment
Experience: 2-3 years acute care hospital setting
Other: Must have the ability to work independently and meet deadlines, giving attention to detail and follow up.
Excellent time management skills, organizational skills, able to coordinate multiple tasks and prioritize work.
Must have a good understanding of medical terminology with the ability to read, discuss and understand patient medical information.
Excellent verbal and written communication skills, particularly telephone
Advanced computer skills and have the ability to interact effectively with a variety of people and situations at all levels of the organization.
Preferred Experience: Care Management or Utilization Review experience,
Preferred Certifications: Case Management or Utilization Review, Preferred
Why Mercy?
From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.
Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.
About Mercy
Sourced by ZipRecruiter
Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Chesterfield, MO, US
Year founded
1827