ZipRecruiter

Log In

2

Assistant Remote Utilization Review Jobs in Washington

J29 Inc.

Physician Auditor

Millersville, MD · On-site +1

$189K - $238K/yr

Remote Type: Part-Time *This position is contingent upon the successful award of the associated ... Minimum Requirements: * 10+ years clinical practice; experience in peer review, utilization review ...

next page

Showing results 1-20

All JobsUtilization Review JobsAssistant Remote Utilization Review JobsAssistant Remote Utilization Review Jobs in Washington

Assistant Remote Utilization Review information

What is the difference between Assistant Remote Utilization Review vs Utilization Review Nurse?

AspectAssistant Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certification in case management or utilization reviewRegistered Nurse (RN) license, often with additional certifications in case management or utilization review
Work EnvironmentRemote, administrative setting, telehealth or telecommutingRemote or hospital/clinic settings, primarily telehealth or administrative
Employer & IndustryHealth insurance companies, managed care organizations, healthcare providersHospitals, 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.

What are the most commonly searched types of Remote Utilization Review jobs in Washington? The most popular types of Remote Utilization Review jobs in Washington are:
What are popular job titles related to Assistant Remote Utilization Review jobs in Washington? For Assistant Remote Utilization Review jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Assistant Remote Utilization Review jobs in Washington look for? The top searched job categories for Assistant Remote Utilization Review jobs in Washington are:
What cities in Washington are hiring for Assistant Remote Utilization Review jobs? Cities in Washington with the most Assistant Remote Utilization Review job openings:
Assistant Remote Utilization Review jobs near you
Physician Auditor

Physician Auditor

J29 Inc.

Millersville, MD • On-site, Remote

$189K - $238K/yr

Part-time

Posted 7 days ago

Job description

Position: Physician Auditor - Contingent
Location: Remote
Type: Part-Time
*This position is contingent upon the successful award of the associated contract. Employment is not guaranteed until the contract is awarded, and the position is officially activated. Job responsibilities and requirements are subject to change.
About J29
J29 is an employee centered healthcare management consulting company that specializes in processing, reviewing, and analyzing medical claims, records, disputes, and audits. Established in 2017, J29 prides itself on its employee centric culture and high employee retention rates that allow us to ensure that we are creating a working environment that prioritizes the employee experience. Our team brings corporate performance that stretches to various areas where we can provide our clinical, healthcare policy, and compliance expertise through our support to health and human service programs at the State, Federal, and Commercial levels.
Responsibilities:
  • Perform blinded Independent Review (IRR) clinical evaluations, assessing medical necessity, appropriateness of care, and adherence to Medicare guidelines.
  • Collaborate in the development of rebuttals and contribute to informed escalation decisions as needed.
Minimum Requirements:
  • 10+ years clinical practice; experience in peer review, utilization review, or appeals
  • Familiarity with CMS/QIO processes preferred.
  • Licensed MD or DO in the U.S.; active, unrestricted license required.
J29, Inc. is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. J29, Inc. is a proud Veteran friendly employer.
J29 logo

About J29

Sourced by ZipRecruiter

Industry

Business management consulting

Company size

1 - 10 Employees

Headquarters location

Millersville, MD, US

Year founded

2017

View All J29 Jobs

Apply