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Flex Schedule Remote Utilization Review Jobs in Minnesota

TPAC Underwriters

Clinical Risk Nurse

Blaine, MN · On-site +1

$90K - $120K/yr

This is a remote or hybrid, full-time position located in our Blaine, MN office depending on ... and utilization review opportunities * Serve as a clinical subject matter expert for internal ...

Ramsey County, MN

Planning Analyst

Saint Paul, MN · On-site +1

$80K - $120K/yr

... flex schedule in which at least two days per week are performed in office and other days can be ... Detailed information is available for review at * Medical, dental and vision insurance * The County ...

Harris

You will set your own hours and will not be held to a daily work hour schedule. Esrun Health wants ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

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All JobsUtilization Review JobsFlex Schedule Remote Utilization Review JobsFlex Schedule Remote Utilization Review Jobs in Minnesota

Flex Schedule Remote Utilization Review information

What is the difference between Flex Schedule Remote Utilization Review vs Flex Schedule Remote Case Manager?

AspectFlex Schedule Remote Utilization ReviewFlex Schedule Remote Case Manager
Primary RoleReview healthcare services for medical necessity and appropriatenessCoordinate patient care, develop care plans, and facilitate services
CredentialsTypically requires nursing, medical, or healthcare-related certificationsOften requires nursing, social work, or healthcare certifications
Work EnvironmentRemote, independent review setting, often within insurance or healthcare companiesRemote or hybrid, involving direct patient interaction and care coordination
Industry UsageCommon in insurance, healthcare, and utilization management sectorsCommon in healthcare, insurance, and patient advocacy sectors

Flex Schedule Remote Utilization Review focuses on evaluating medical necessity remotely, while Flex Schedule Remote Case Manager involves coordinating patient care and services. Both roles often require healthcare certifications and are performed remotely, but their core responsibilities differ in review versus patient management.

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Cities in Minnesota with the most Flex Schedule Remote Utilization Review job openings:

Flex Schedule Remote Utilization Review jobs near you

Senior Workers' Compensation Claims Examiner | Remote

Minneapolis, MN • Remote

KING'S INSURANCE STAFFING LLC
See more jobs at KING'S INSURANCE STAFFING LLCexternal

$80K - $110K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted just now

Job description

Our client, an A-rated Insurance Carrier, is seeking to add a Senior Workers' Compensation Claims Examiner to their Midwest team. This would be a fully remote position. Duties will consist of handling mid to complex Workers' Compensation Lost Time claims from inception to close. Qualified candidates must reside in the Midwest and possess a strong knowledge in one or multiple Midwest states.
  • Handle moderate to complex Workers' Compensation claims from inception to close.
  • Pending will range from 90 - 120 claims.
  • Negotiate settlements with injured workers and attorneys.
  • Ensure appropriate investigation of the underlying facts and circumstances are carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, proper negotiation strategy is employed.
  • ‎Provides direction to legal counsel and manages litigation process.
  • Attend settlement conferences on serious injury claims.
Requirements:
  • 5 - 10+ years of experience handling Workers Compensation claims.
  • Strong Workers' Compensation knowledge in one or more Midwest states
  • Must have experience handling litigated files.
  • Excellent Customer Service and Organizational skills.
  • High School Diploma; Bachelor's Degree preferred but not required.
Salary/Benefits:
  • $80,000 to $110,000 annual base salary plus 10% Target bonus
  • Flex schedule and ability to work remotely
  • Extremely competitive Medical, Dental, Vision and Life plans
  • Paid Parental Leave
  • Employer matching 401(k) plan