Utilization Review Coordinator Remote Jobs (NOW HIRING)

... utilization review, care coordination and quality of care. * High School Diploma. * 3 years ... Reviews authorization requests for initial determination and/or triages for clinical review and ...

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Participate in peer-to-peer calls as needed (coordinated by Dane Street) * Complete addenda when ...

Responsible for providing administrative and coordination support within utilization management ... The role involves reviewing authorization requests, supporting clinical triage processes ...

Rising Medical Solutions has an opening for a Utilization Review Nurse, and we want to hear from you! We're a bill review and cost containment company - so what does that mean? Basically we are ...

This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient admission and clinical information to ensure medical necessity and compliance of utilization review ...

Review submissions by the Claims Department to determine appropriateness of services through ... This is a fully remote position. * If work is performed offsite, location must be HIPAA compliant.

This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient admission and clinical information to ensure medical necessity and compliance of utilization review ...

Review submissions by the Claims Department to determine appropriateness of services through ... This is a fully remote position. * If work is performed offsite, location must be HIPAA compliant.

Coordinates with quality improvement teams to collect and analyze data, supporting compliance with ... Supports utilization review processes by planning, analyzing data, and setting goals to ensure ...

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Participate in peer-to-peer calls as needed (coordinated by Dane Street) * Complete addenda when ...

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Participate in peer-to-peer calls as needed (coordinated by Dane Street) * Complete addenda when ...

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Participate in peer-to-peer calls as needed (coordinated by Dane Street) * Complete addenda when ...

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Participate in peer-to-peer calls as needed (coordinated by Dane Street) * Complete addenda when ...

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Participate in peer-to-peer calls as needed (coordinated by Dane Street) * Complete addenda when ...

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Participate in peer-to-peer calls as needed (coordinated by Dane Street) * Complete addenda when ...

Person in this position will be available to assist Care Coordination staff when experiencing ... Utilization Management/Continuum of Care: Reviews hospital EMR census, completes and forwards daily ...

Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

Enter UM authorizations review requests in UM platform using ICD-10 and HCPCS codes * Verify ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable ...

This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Participate in peer-to-peer calls as needed (coordinated by Dane Street) * Complete addenda when ...