Utilization Management
Reston, VA · Remote
Reston, VA (Remote) Duration: 3+ Months Contract PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre ...
New
Reston, VA · Remote
Reston, VA (Remote) Duration: 3+ Months Contract PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre ...
New
Reston, VA · Remote
Reston, VA (Remote) Duration: 3+ Months Contract PURPOSE: Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre ...
New
$80K - $95K/yr
Comprehensive benefits including health, dental, and vision insurance. * A collaborative, inclusive ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
$80K - $95K/yr
Comprehensive benefits including health, dental, and vision insurance. * A collaborative, inclusive ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...
... dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access ... Additionally, we embrace a remote-first culture that supports collaboration and flexibility ...
... dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access ... Additionally, we embrace a remote-first culture that supports collaboration and flexibility ...
Be Seen First
Orange, CA · Remote
$23 - $26/hr
Utilization Management Coordinator - Inpatient Review (Health Plan) Remote | Contract-to-Permanent Hire | Medicare Advantage We are seeking an experienced Utilization Management Coordinator ...
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Be Seen First
Orange, CA · Remote
$23 - $26/hr
Utilization Management Coordinator - Inpatient Review (Health Plan) Remote | Contract-to-Permanent Hire | Medicare Advantage We are seeking an experienced Utilization Management Coordinator ...
Location Requirements This position is remote but requires the employee to live within our service ... Payor Utilization Management: 3 years recommended experience * Proficiency with Microsoft Office ...
Location Requirements This position is remote but requires the employee to live within our service ... Payor Utilization Management: 3 years recommended experience * Proficiency with Microsoft Office ...
Savannah, GA · Remote
$36K - $89K/yr
DCS is a dental revenue cycle management company that works with dentists, dental offices, and DSOs ... The Remote Dental Billing Specialist is the cornerstone in our insurance billing operations ...
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Savannah, GA · Remote
$36K - $89K/yr
DCS is a dental revenue cycle management company that works with dentists, dental offices, and DSOs ... The Remote Dental Billing Specialist is the cornerstone in our insurance billing operations ...
... Utilization Managers (RNUM ... These will be completely remote positions, working entirely from the Nurse's home. The Nurse will ...
... Utilization Managers (RNUM ... These will be completely remote positions, working entirely from the Nurse's home. The Nurse will ...
... Utilization Managers (RNUM ... These will be completely remote positions, working entirely from the Nurse's home. The Nurse will ...
... Utilization Managers (RNUM ... These will be completely remote positions, working entirely from the Nurse's home. The Nurse will ...
Brooklyn, NY · Remote
$30K/yr
We're currently seeking a Remote Dental Treatment Closer to help qualified leads move forward with ... Maintain detailed records in our CRM and meet/exceed monthly performance goals. * Stay current with ...
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Brooklyn, NY · Remote
$30K/yr
We're currently seeking a Remote Dental Treatment Closer to help qualified leads move forward with ... Maintain detailed records in our CRM and meet/exceed monthly performance goals. * Stay current with ...
Monterey Park, CA · On-site +1
$250K - $325K/yr
Medical Director - Utilization Management (Part Time) Department: HS - UM Employment Type ... This is a Remote - US based position. * The national target base salary range for this role is ...
Monterey Park, CA · On-site +1
$250K - $325K/yr
Medical Director - Utilization Management (Part Time) Department: HS - UM Employment Type ... This is a Remote - US based position. * The national target base salary range for this role is ...
Monterey Park, CA · Remote
$250K - $325K/yr
About the Role The PartTime Medical Director - Utilization Management, Outpatient Services provides ... This is a Remote - US based position. * The national target base salary range for this role is ...
Monterey Park, CA · Remote
$250K - $325K/yr
About the Role The PartTime Medical Director - Utilization Management, Outpatient Services provides ... This is a Remote - US based position. * The national target base salary range for this role is ...
Description About the Role The Part‑Time Medical Director - Utilization Management, Outpatient ... This is a Remote - US based position. * The national target base salary range for this role is ...
Quick apply
Description About the Role The Part‑Time Medical Director - Utilization Management, Outpatient ... This is a Remote - US based position. * The national target base salary range for this role is ...
As a Utilization Management Clinical Dental Processor, you will leverage your professional judgment ... in this remote role. Preferred Qualifications: * X-Ray certification is highly preferred.
As a Utilization Management Clinical Dental Processor, you will leverage your professional judgment ... in this remote role. Preferred Qualifications: * X-Ray certification is highly preferred.
As a Utilization Management Clinical Dental Processor, you will leverage your professional judgment ... in this remote role. Preferred Qualifications: * X-Ray certification is highly preferred.
As a Utilization Management Clinical Dental Processor, you will leverage your professional judgment ... in this remote role. Preferred Qualifications: * X-Ray certification is highly preferred.
New York, NY · Remote
$211K/yr
We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first ... This is a remote position, open to candidates who reside in the United States. While your daily ...
New York, NY · Remote
$211K/yr
We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first ... This is a remote position, open to candidates who reside in the United States. While your daily ...
Manhattan, NY · Remote
Utilization Management RN - Pediatrics (Remote) | New York RN License Required | 110K+ Fully remote opportunity Pediatric Utilization Management focus Fast interview process Location: Remote - Must ...
Manhattan, NY · Remote
Utilization Management RN - Pediatrics (Remote) | New York RN License Required | 110K+ Fully remote opportunity Pediatric Utilization Management focus Fast interview process Location: Remote - Must ...
$20.80/hr
Utilization Management LPN Allmed Benefits: Vision Insurance, Health Insurance ... Dental Insurance and 401(k) Pay Rate: $20.80/hr (Paid Weekly) Work Location: Remote (Must have ...
$20.80/hr
Utilization Management LPN Allmed Benefits: Vision Insurance, Health Insurance ... Dental Insurance and 401(k) Pay Rate: $20.80/hr (Paid Weekly) Work Location: Remote (Must have ...
Tampa, FL · On-site +1
$78K - $151K/yr
Federal health/vision/dental/term life/long-term care (many federal insurance programs can be ... Utilization Management (UM) in VA Healthcare plays a critical role in helping the VA manage and ...
Tampa, FL · On-site +1
$78K - $151K/yr
Federal health/vision/dental/term life/long-term care (many federal insurance programs can be ... Utilization Management (UM) in VA Healthcare plays a critical role in helping the VA manage and ...
$20.80/hr
Utilization Management LPN Allmed Benefits: Vision Insurance, Health Insurance ... Dental Insurance and 401(k) Pay Rate: $20.80/hr (Paid Weekly) Work Location: Remote (Must have ...
$20.80/hr
Utilization Management LPN Allmed Benefits: Vision Insurance, Health Insurance ... Dental Insurance and 401(k) Pay Rate: $20.80/hr (Paid Weekly) Work Location: Remote (Must have ...
Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through Saturday, 8:00 AM - 5:00 PM PST ...
Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or Mountain Time Zone is preferred Work Schedule: Tuesday through Saturday, 8:00 AM - 5:00 PM PST ...
$15.63 - $19.08
14% of jobs
$21.93 is the 25th percentile. Wages below this are outliers.
$19.08 - $22.53
14% of jobs
$22.53 - $25.98
17% of jobs
The median wage is $27.88 / hr.
$25.98 - $29.44
11% of jobs
$29.44 - $32.89
8% of jobs
$32.89 - $36.34
6% of jobs
$38.93 is the 75th percentile. Wages above this are outliers.
$36.34 - $39.79
7% of jobs
$39.79 - $43.25
7% of jobs
$43.25 - $46.70
5% of jobs
$46.70 - $50.15
5% of jobs
$50.15 - $53.61
5% of jobs
$15
$31
$53
| Aspect | Remote Dental Utilization Management | Remote Dental Claims Processing |
|---|---|---|
| Primary Role | Reviewing and authorizing dental treatments based on medical necessity | Processing and adjudicating dental insurance claims for reimbursement |
| Required Skills | Dental knowledge, review protocols, insurance policies | Claims coding, data entry, insurance guidelines |
| Work Environment | Remote, healthcare/insurance industry | Remote, insurance/healthcare industry |
| Certifications | Dental credentials often preferred; insurance knowledge | Claims processing certifications, insurance knowledge |
Remote Dental Utilization Management focuses on evaluating dental treatments for necessity, while Remote Dental Claims Processing handles the financial reimbursement process. Both roles are essential in dental insurance workflows but differ in responsibilities and skill sets.
Other
This job post has expired today. Applications are no longer accepted.
Job Title: Utilization Management
Location: Reston, VA (Remote)
Duration: 3+ Months Contract
PURPOSE:
Supports the Utilization Management clinical teams by assisting with non-clinical administrative tasks and responsibilities related to pre-service, utilization review, care coordination and quality of care.
3 years’ experience in health care/managed care setting or previous work experience within division
2 years of CPT and ICD-10 coding.
Previous authorization experience
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It services
1,001 - 5,000 Employees
Atlanta, GA, US
1994