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 ...
We are currently seeking Board-Certified physicians in Rheumatology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with ...
We are currently seeking Board-Certified physicians in Rheumatology to conduct independent Utilization Reviews . This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with ...
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews . This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum ...
Nurse Utilization Review Supervisor
Miami, FL · On-site +1
Oversight of denials during weekends, review and resolve if patient classification issue vs ... Provides in-service on various aspects of utilization management as requested to weekend staff.
Nurse Utilization Review Supervisor
Miami, FL · On-site +1
Oversight of denials during weekends, review and resolve if patient classification issue vs ... Provides in-service on various aspects of utilization management as requested to weekend staff.
Utilization Management Nurse Consultant - Florida
Gainesville, FL · Remote
$29.10 - $62.32/hr
Position Summary Utilization Management is a 24/7 operation and work schedule may include weekends ... This includes reviewing written clinical records. - Utilizes clinical skills to coordinate ...
Utilization Management Nurse Consultant - Florida
Gainesville, FL · Remote
$29.10 - $62.32/hr
Position Summary Utilization Management is a 24/7 operation and work schedule may include weekends ... This includes reviewing written clinical records. - Utilizes clinical skills to coordinate ...
Utilization Management Nurse Consultant - Florida
Ocala, FL · Remote
$29.10 - $62.32/hr
Position Summary Utilization Management is a 24/7 operation and work schedule may include weekends ... This includes reviewing written clinical records. - Utilizes clinical skills to coordinate ...
Utilization Management Nurse Consultant - Florida
Ocala, FL · Remote
$29.10 - $62.32/hr
Position Summary Utilization Management is a 24/7 operation and work schedule may include weekends ... This includes reviewing written clinical records. - Utilizes clinical skills to coordinate ...
Utilization Management Nurse Consultant - Florida
Lakeland, FL · Remote
$29.10 - $62.32/hr
Position Summary Utilization Management is a 24/7 operation and work schedule may include weekends ... This includes reviewing written clinical records. - Utilizes clinical skills to coordinate ...
Utilization Management Nurse Consultant - Florida
Lakeland, FL · Remote
$29.10 - $62.32/hr
Position Summary Utilization Management is a 24/7 operation and work schedule may include weekends ... This includes reviewing written clinical records. - Utilizes clinical skills to coordinate ...
Utilization Management Nurse Consultant - Florida
Pensacola, FL · Remote
$29.10 - $62.32/hr
Position Summary Utilization Management is a 24/7 operation and work schedule may include weekends ... This includes reviewing written clinical records. - Utilizes clinical skills to coordinate ...
Utilization Management Nurse Consultant - Florida
Pensacola, FL · Remote
$29.10 - $62.32/hr
Position Summary Utilization Management is a 24/7 operation and work schedule may include weekends ... This includes reviewing written clinical records. - Utilizes clinical skills to coordinate ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Orlando, FL · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Orlando, FL · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Miami, FL · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Miami, FL · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Jacksonville, FL · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Jacksonville, FL · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Tampa, FL · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
Remote Medical Review Nurse -UM/Post Appeals (Michigan RN license req)
Tampa, FL · Remote
$29.05 - $67.97/hr
Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review ...
UR COORDINATOR
Delray Beach, FL · On-site +1
$60K - $75K/yr
The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of utilization review to ensure appropriate reimbursement by third party payers. This includes managing ...
UR COORDINATOR
Delray Beach, FL · On-site +1
$60K - $75K/yr
The Utilization Review Coordinator (UR Coordinator) is responsible to perform the process of utilization review to ensure appropriate reimbursement by third party payers. This includes managing ...
Clinical Review Specialist | Admissions | Remote
Pompano Beach, FL · On-site +1
$25/hr
... Full-Time • Evenings & Weekends as Needed Banyan Treatment Centers is seeking a licensed ... Familiarity with admissions or utilization review processes * Experience with Salesforce or similar ...
Clinical Review Specialist | Admissions | Remote
Pompano Beach, FL · On-site +1
$25/hr
... Full-Time • Evenings & Weekends as Needed Banyan Treatment Centers is seeking a licensed ... Familiarity with admissions or utilization review processes * Experience with Salesforce or similar ...
... Weekends as Needed Banyan Treatment Centers is seeking a licensed clinician to serve as a Clinical ... Familiarity with admissions or utilization review processes * Experience with Salesforce or similar ...
Quick apply
... Weekends as Needed Banyan Treatment Centers is seeking a licensed clinician to serve as a Clinical ... Familiarity with admissions or utilization review processes * Experience with Salesforce or similar ...
... Weekends as Needed Banyan Treatment Centers is seeking a licensed clinician to serve as a Clinical ... Familiarity with admissions or utilization review processes * Experience with Salesforce or similar ...
... Weekends as Needed Banyan Treatment Centers is seeking a licensed clinician to serve as a Clinical ... Familiarity with admissions or utilization review processes * Experience with Salesforce or similar ...
Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base ... Responsibilities * Review pre-auths, concurrent reviews, claims, and appeals * Make medical ...
Quick apply
Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base ... Responsibilities * Review pre-auths, concurrent reviews, claims, and appeals * Make medical ...
... remote utilization review and physician advisory services. * Serve as chair of the Lee Health ... Weekend coverage will involve addressing escalationssent by case/utilization managersrelated to ...
... remote utilization review and physician advisory services. * Serve as chair of the Lee Health ... Weekend coverage will involve addressing escalationssent by case/utilization managersrelated to ...
Licensed Physician Reviewer-GI (remote)
Miami, FL · On-site +1
$204K - $292K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Licensed Physician Reviewer-GI (remote)
Miami, FL · On-site +1
$204K - $292K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
... work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for ... The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient ...
... work remote. The incumbent conducts initial, concurrent and retrospective chart reviews for ... The Utilization Review Case Manager coordinates with the healthcare team for optimal and efficient ...
Remote Weekend Utilization Review information
What is the difference between Remote Weekend Utilization Review vs Remote Weekday Utilization Review?
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.
Contractor
Posted 15 days ago
Job description
Oncology Utilization Review State Medical Licenses required: Arizona, Florida, Minnesota, North Dakota, Oregon or Tennessee
Flexible Independent Contractor (1099) Opportunity
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
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 minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information
Requirements
- Must have a Medical Degree MD or DO
- Must have a current State Medical License in one of the above listed states.
- Current Board Certification in Medical Oncology
- Must have 5 years of clinical experience, residency can be included
- Daytime availability is required for peer-to-peer conversations
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.