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Remote Weekend Utilization Review Jobs in Oregon

Remote Triage Nurse

Eugene, OR · On-site +1

$80K/yr

... are utilization. Together with our health plan partners, we are changing the way our society ... nights or weekends. When not managing acute issues, Triage Nurses focus on care coordination ...

Review, research and authorize requests for authorization of elective, direct, ancillary, urgent ... Remote, US Type of Employment: Full-time, permanent FLSA Classification (USA Only): Exempt Work ...

Remote; however, this role requires working Eastern Time business hours. REPORTS TO: SVP, Head of ... Partner with Business Systems to align staffing data with project tracking, utilization metrics ...

Senior SCADA Engineer, EPC (Remote)

Bend, OR · On-site +1

$110K - $151K/yr

Mentor junior and mid-level engineers through technical review, knowledge sharing, and standards ... Effective utilization of project management, scheduling, and task management tools. Minimum Skills ...

Director, Trade Client Relations

OR · Remote

$155K - $175K/yr

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed

... utilization in current accounts. Understands and assesses customer's business issues and objectives ... This is a remote sales opportunity and will cover the West Region (AZ/NV/CA/ID/OR/WA) estimated 70 ...

... utilization in current accounts. Understands and assesses customer's business issues and objectives ... This is a remote sales opportunity and will cover the West Region (AZ/NV/CA/ID/OR/WA) estimated 70 ...

Manager, Supply Chain Remote Company Overview: AMSURG is an independent leader in ambulatory ... Produce monthly vendor utilization reports for each corporate contract by center * Perform various ...

Manager, Supply Chain Remote Company Overview: AMSURG is an independent leader in ambulatory ... Produce monthly vendor utilization reports for each corporate contract by center * Perform various ...

DevOps Engineer, Cloud Platform

OR · On-site +1

$52.75 - $72.25/hr

Contribute to cost efficiency initiatives by optimizing resource utilization across Kubernetes and ... Remote Travel requirements As a digital first company, the majority of your work can be ...

Showing results 21-40

Remote Weekend Utilization Review information

What is the difference between Remote Weekend Utilization Review vs Remote Weekday Utilization Review?

AspectRemote Weekend Utilization ReviewRemote Weekday Utilization Review
CredentialsTypically requires a healthcare professional license and utilization review certificationSame as weekend role, healthcare license and utilization review certification
Work EnvironmentRemote, weekend hours, often part-time or flexibleRemote, weekday hours, standard business hours
Employer & IndustryHealth insurance companies, third-party administratorsSame as weekend role, health insurance industry
Work SchedulePrimarily weekends, possibly eveningsWeekdays, 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.

What are the most commonly searched types of Weekend Utilization Review jobs in Oregon? The most popular types of Weekend Utilization Review jobs in Oregon are:
What cities in Oregon are hiring for Remote Weekend Utilization Review jobs? Cities in Oregon with the most Remote Weekend Utilization Review job openings:

OR - Provider Support Specialist - Remote

InstantServe LLC

Corvallis, OR • On-site, Remote

Full-time

Re-posted 24 days ago


Job description

JOB SUMMARY/PURPOSE Serve as an advocate for providers by ensuring they are informed, supported, and educated on Samaritan Health Plans' procedures, benefits, policies, and available provider tools Coordinates and provides administrative support to the Network Contracting and Relations team. Partners with internal departments to research, coordinate, and resolve provider-related issues, ensuring timely and accurate follow-through. Document all provider interactions and outcomes in internal systems. Support implementation and onboarding of new providers, including credentialing follow-up and demographic updates. Monitor, track, and follow up on provider issues; escalate complex or unresolved items as needed. Assist in maintaining accurate provider directories by validating demographic and operational information. Participate in Network Management projects and initiatives to support departmental goals. Support cross-functional collaboration to resolve routine provider operational concerns. DEPARTMENT DESCRIPTION The Network Management / Provider Relations department is responsible for developing, supporting, and maintaining relationships with the provider network across all product lines. The team ensures providers have the information, resources, and operational support needed to deliver high-quality care to plan members. The department collaborates with internal stakeholders including Claims, Utilization Management, IT, and Configuration to resolve provider issues and improve overall provider satisfaction. EXPERIENCE/EDUCATION/QUALIFICATIONS Bachelor's degree or equivalent combination of education and relevant experience within the health care industry required Strong organizational skills with the ability to manage multiple priorities effectively Excellent written and verbal communication skills Proficiency in Microsoft Office applications (Word, Excel, Outlook, PowerPoint) required Health plan experience strongly preferred, particularly in one or more of the following areas: Provider Relations Referral Authorization Provider Data Maintenance Claims Processing KNOWLEDGE/SKILLS/ABILITIES Data entry accuracy. Organization and time management. Basic managed care concepts. Communication and collaboration. Ability to follow SOPs. Detail orientations
Shift: Days (0800-1700) Remote, no weekends
Specialty Type: Clerical
Sub Specialties: Clerical/Office Assistant/Support
General Certifications: N/A
Please CLICK HERE to view details.

InstantServe logo

About InstantServe

Sourced by ZipRecruiter

InstantServe provides a one-stop solution to all Healthcare, IT/Non-IT Staffing needs. Established in 2016, InstantServe is a strong workforce of over 100+ go-getters with a demonstrated background in IT/Non-IT service. We are a nationally certified SBE from the Department of Administration (State of PA). As a proud Minority Woman Owned Small Business Enterprise (M/WBE), InstantServe boasts of a strong team of professionals who have extensive experience catering to several Federal, Public, Commercial, and Healthcare Clients which includes 26 States and 46 government agencies. InstantServe is a client-centric organization that offers cost-effective and reliable solutions. Client satisfaction is sacrosanct! Our team strives to provide the best staffing and IT solutions to take your business to the next level.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Wayne, PA, US

Year founded

2016

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