Utilization Management Rn - Remote
Miami, FL · Remote
$35 - $39/hr
Urgent Hiring for "Remote Clinical Review Nurses ... Review approximately 20 cases a day for medical necessity. * Advocate for and protect members from ...
New
Miami, FL · Remote
$35 - $39/hr
Urgent Hiring for "Remote Clinical Review Nurses ... Review approximately 20 cases a day for medical necessity. * Advocate for and protect members from ...
New
Miami, FL · Remote
$35 - $39/hr
Urgent Hiring for "Remote Clinical Review Nurses ... Review approximately 20 cases a day for medical necessity. * Advocate for and protect members from ...
New
Miami, FL · Remote
$204.76K - $292.52K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Miami, FL · Remote
$204.76K - $292.52K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Miami, FL · On-site +1
$204.76K - $292.52K/yr
At least one (1) year of utilization review experience preferred PAY RANGE: $204,761 - $292,515 ... Remote
Miami, FL · On-site +1
$204.76K - $292.52K/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 ...
... 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 ...
... 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 ...
... 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 ...
... 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 ...
... 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 ...
Experience with utilization management systems or clinical decision-making tools such as Medical ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Experience with utilization management systems or clinical decision-making tools such as Medical ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Experience with utilization management systems or clinical decision-making tools such as Medical ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Experience with utilization management systems or clinical decision-making tools such as Medical ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Experience with utilization management systems or clinical decision-making tools such as Medical ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Experience with utilization management systems or clinical decision-making tools such as Medical ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Experience with utilization management systems or clinical decision-making tools such as Medical ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Plantation, FL · On-site +1
$25.75 - $33.25/hr
Experience with utilization management systems or clinical decision-making tools such as Medical ... Effectively work independently and as a team, in a remote setting. Required and Preferred ...
Miami, FL · Remote
$80.41K - $156.80K/yr
Jobs in this family include those involved in formulary management (such as, reviewing prior ... Monitors drug utilization and assists leadership team in understanding quality and cost control ...
Miami, FL · Remote
$80.41K - $156.80K/yr
Jobs in this family include those involved in formulary management (such as, reviewing prior ... Monitors drug utilization and assists leadership team in understanding quality and cost control ...
Fort Lauderdale, FL · Remote
$80.41K - $156.80K/yr
Jobs in this family include those involved in formulary management (such as, reviewing prior ... Monitors drug utilization and assists leadership team in understanding quality and cost control ...
Fort Lauderdale, FL · Remote
$80.41K - $156.80K/yr
Jobs in this family include those involved in formulary management (such as, reviewing prior ... Monitors drug utilization and assists leadership team in understanding quality and cost control ...
Miami, FL · On-site +1
Jackson Memorial Hospital Administration Address : 1611 NW 12 Avenue, Miami, FL 33136 (Remote and ... utilization, and improved documentation. • Participates in review of long stay patients to ...
Miami, FL · On-site +1
Jackson Memorial Hospital Administration Address : 1611 NW 12 Avenue, Miami, FL 33136 (Remote and ... utilization, and improved documentation. • Participates in review of long stay patients to ...
Remote FL Miami Time: Start Time:10:30 AM - End Time:07:00 PM Description: * Responsible for the ... Experience in utilization review, concurrent review and/or risk management a plus. Additional ...
Remote FL Miami Time: Start Time:10:30 AM - End Time:07:00 PM Description: * Responsible for the ... Experience in utilization review, concurrent review and/or risk management a plus. Additional ...
... appeals, utilization review, or medical necessity denials. * 2+ years in a leadership or ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
... appeals, utilization review, or medical necessity denials. * 2+ years in a leadership or ... Experience managing remote and/or offshore teams (Philippines experience preferred). * Strong ...
Hollywood, FL · Remote
$53.25 - $64/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Hollywood, FL · Remote
$53.25 - $64/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Miami, FL · Remote
$55.75 - $67/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Miami, FL · Remote
$55.75 - $67/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
$20.46 - $24.60
2% of jobs
$24.60 - $28.74
9% of jobs
$31.57 is the 25th percentile. Wages below this are outliers.
$28.74 - $32.88
21% of jobs
The median wage is $36.23 / hr.
$32.88 - $37.02
23% of jobs
$37.02 - $41.15
13% of jobs
$44.37 is the 75th percentile. Wages above this are outliers.
$41.15 - $45.29
10% of jobs
$45.29 - $49.43
8% of jobs
$49.43 - $53.57
5% of jobs
$53.57 - $57.71
5% of jobs
$57.71 - $61.85
2% of jobs
$61.85 - $65.99
2% of jobs
$20
$40
$65
| Aspect | Seasonal Remote Utilization Review | Physical Therapist |
|---|---|---|
| Credentials | Licensing, certification in utilization review or case management | State licensure, Doctor of Physical Therapy (DPT) or equivalent |
| Work Environment | Remote, healthcare insurance companies, case management settings | Clinics, hospitals, outpatient settings, some remote options |
| Industry Usage | Healthcare insurance, utilization management | Rehabilitation, patient care, musculoskeletal health |
Seasonal Remote Utilization Review professionals focus on evaluating medical necessity and optimizing healthcare resource use remotely, often within insurance companies. Physical Therapists provide direct patient care, focusing on rehabilitation and mobility improvement. While both roles require healthcare knowledge, they differ in work environment, credentials, and daily responsibilities.
$35 - $39/hr
Other
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
Urgent Hiring for "Remote Clinical Review Nurses"
Job Description:
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Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We're supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.
5,001 - 10,000 Employees
Hanover, MD, US
1983