Remote Dental Utilization Review Jobs in Nevada (NOW HIRING)

Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential ... Many DUR roles offer hybrid or fully remote schedules. * Rewards: Competitive salary, benefits, and ...

Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential ... Many DUR roles offer hybrid or fully remote schedules. * Rewards: Competitive salary, benefits, and ...

The UM Nurse will integrate the functions of utilization review, discharge planning and resource ... Work Location & Schedule This role offers either a hybrid or fully remote work arrangement.

... reviews, evaluating medical necessity to support optimal outcomes and regulatory compliance ... Location: 100% Remote Reporting to the Chief Medical Officer, the Medical Director focuses on ...

From start to finish, this role drives the authorization process-reviewing prospective ... Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness.

Knowledge of utilization review process and prior authorization process in a managed health care industry * Knowledge of ICD9 / CPT coding and Milliman Care Guidelines Soft Skills: * Detail oriented ...

Knowledge of utilization review process and prior authorization process in a managed health care industry * Knowledge of ICD9 / CPT coding and Milliman Care Guidelines Soft Skills: * Detail oriented ...

Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

Remote or onsite, we prefer on site but if the candidate is experienced and licensed in NV we are ... utilization review. Maintains professional client relationships. Additional Functions and ...

Conduct utilization reviews for behavioral health services across multiple levels of care using ... Ability to work independently and within a team in a remote or office-based environment

Conduct utilization reviews for behavioral health services across multiple levels of care using ... Ability to work independently and within a team in a remote or office-based environment

Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

A dental services company is seeking a Remote Data Entry Associate to support document review and data entry tasks. The role requires a high school diploma, attention to detail, and the ability to ...

Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams. Family & Caregiver Collaboration * Provide caregiver training and coaching to ...