RN - Utilization Review
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Torrance, CA · Remote
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Registered Nurse - Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient ...
Ontario, CA · On-site +1
$24.65 - $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 ...
Ontario, CA · On-site +1
$24.65 - $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 ...
We are currently seeking Board-Certified physicians in Oncology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no ...
We are currently seeking Board-Certified physicians in Oncology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no ...
Folsom, CA · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ...
Folsom, CA · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ...
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Folsom, CA · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ...
Quick apply
Folsom, CA · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ...
We are currently seeking Board-Certified physicians in Family Medicine to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week ...
We are currently seeking Board-Certified physicians in Family Medicine to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week ...
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Quick apply
Rancho Cucamonga, CA · Remote
$30.64 - $45.80/hr
The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...
Los Angeles, CA · Remote
$42 - $45/hr
Manage multiple reviews, priorities, and deadlines in a fast-paced remote work environment ... Previous utilization review or utilization management experience. * Experience in occupational ...
Los Angeles, CA · Remote
$42 - $45/hr
Manage multiple reviews, priorities, and deadlines in a fast-paced remote work environment ... Previous utilization review or utilization management experience. * Experience in occupational ...
Sacramento, CA · Remote
$42 - $45/hr
Manage multiple reviews, priorities, and deadlines in a fast-paced remote work environment ... Previous utilization review or utilization management experience. * Experience in occupational ...
Sacramento, CA · Remote
$42 - $45/hr
Manage multiple reviews, priorities, and deadlines in a fast-paced remote work environment ... Previous utilization review or utilization management experience. * Experience in occupational ...
Los Angeles, CA · On-site +1
$80K - $90K/yr
Remote BCBA Supervisor & Clinical Consultant - California About CCBS CCBS is a clinician-owned ABA ... Minimum 30 clinical hours per week; 90% utilization of recommended treatment hours is the ...
Los Angeles, CA · On-site +1
$80K - $90K/yr
Remote BCBA Supervisor & Clinical Consultant - California About CCBS CCBS is a clinician-owned ABA ... Minimum 30 clinical hours per week; 90% utilization of recommended treatment hours is the ...
Los Angeles, CA · On-site +1
$80K - $90K/yr
Remote BCBA Supervisor & Clinical Consultant - California About CCBS CCBS is a clinician-owned ABA ... Minimum 30 clinical hours per week; 90% utilization of recommended treatment hours is the ...
Los Angeles, CA · On-site +1
$80K - $90K/yr
Remote BCBA Supervisor & Clinical Consultant - California About CCBS CCBS is a clinician-owned ABA ... Minimum 30 clinical hours per week; 90% utilization of recommended treatment hours is the ...
San Diego, CA · Remote
$79K - $97K/yr
... BCBA) to provide remote Applied Behavior Analysis (ABA) services to children and families across ... Experience providing ABA services to individuals with autism or developmental disabilities ...
Quick apply
San Diego, CA · Remote
$79K - $97K/yr
... BCBA) to provide remote Applied Behavior Analysis (ABA) services to children and families across ... Experience providing ABA services to individuals with autism or developmental disabilities ...
San Diego, CA · On-site +1
$78K - $96K/yr
... BCBA) to provide remote Applied Behavior Analysis (ABA) services to children and families across ... Experience providing ABA services to individuals with autism or developmental disabilities ...
San Diego, CA · On-site +1
$78K - $96K/yr
... BCBA) to provide remote Applied Behavior Analysis (ABA) services to children and families across ... Experience providing ABA services to individuals with autism or developmental disabilities ...
San Diego, CA · On-site +1
$78K - $96K/yr
... BCBA) to provide remote Applied Behavior Analysis (ABA) services to children and families across ... Experience providing ABA services to individuals with autism or developmental disabilities ...
San Diego, CA · On-site +1
$78K - $96K/yr
... BCBA) to provide remote Applied Behavior Analysis (ABA) services to children and families across ... Experience providing ABA services to individuals with autism or developmental disabilities ...
| Aspect | Remote Bcba Autism Utilization Review | Remote Bcba Autism Case Manager |
|---|---|---|
| Certifications | BCBA, Autism-specific training | BCBA, Autism-specific training |
| Work Environment | Reviewing medical and insurance documentation remotely | Coordinating care and services remotely |
| Employer & Industry | Healthcare, insurance companies, therapy providers |
Both roles require BCBA certification and focus on autism services, but the Autism Utilization Review primarily involves evaluating insurance claims and authorizations, while the Autism Case Manager coordinates ongoing care and services for clients. Understanding these differences helps professionals choose the role that best fits their skills and career goals.
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Full-time
This job post has expired today. Applications are no longer accepted.
Registered Nurse – Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).InterQual experience is mandatory; candidates without this will not be considered. Proficient in Epic, with recent use within the last 6–12 months. Experience working with HMOs, IPAs, and similar managed care organizations. Strong knowledge of Medicare regulations and associated utilization management processes, including: Condition Code 44 (CC44)Advance Beneficiary Notices (ABNs)Hospital-Issued Notices of Noncoverage (HINNs)Medicare Coverage Status Notices (MCSNs)
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Health care and social assistance
51 - 200 Employees
Iselin, NJ, US
2024