Remote Utilization Review Specialist

OverviewPosition SummaryWe are seeking a highly skilled and detail-oriented Peer Review Specialist to support our Residential, PHP, and IOP levels of care. This individual will be responsible for conducting peer reviews, case consultations, and interfacing with insurance payers to obtain continued authorization. The ideal candidate will be a licensed...

Job Title: Utilization Review SpecialistWe are seeking a skilled professional to assess and interpret customer needs, requirements, and medical records.Key Responsibilities:Assess and interpret customer needs, requirements, and medical records.Review medical claims for medical necessity, ensuring alignment with industry standards.Requirements include an...

Are you an experienced healthcare professional looking for a challenging and rewarding role in utilization review?We are seeking a skilled Utilization Review Specialist to join our team in a virtual process.As a Utilization Review Specialist, you will be responsible for assessing and interpreting customer needs, requirements, and medical records. You will...

Improve patient care by working as a Utilization Management specialist in a virtual environment.Key responsibilities include assessing and interpreting customer needs, requirements and medical records, as well as reviewing medical claims for medical necessity.Required skills and qualifications include:Active PHRN and USRN Mainland License1 year Bedside...

Utilization Management SpecialistWe are seeking a skilled Utilization Management Specialist to join our team.Job Description:Our ideal candidate will assess and interpret customer needs, requirements and medical records, reviewing medical claims for medical necessity.Key Responsibilities:Assess and interpret customer needs, requirements and medical...

Job Opportunity: Utilization Management ProfessionalSalary Package: Competitive Benefits.Work from home in a flexible environment.Requirements:Active PHRN and USRN Mainland License required.1 year Bedside experience, preferably with UR/UM background desired but not mandatory.Job Summary:Deliver high-quality medical claims reviews for medical necessity by...

About Utility Engineering:We are the leading company in intelligent aerial imaging, providing businesses with actionable insights to recover revenue, reduce risk and improve build quality. We serve customers in various industries, including infrastructure, construction and real estate. Our mission is to accelerate the global transition to renewable energy...

Job Title: Clinical Authorization SpecialistWe are seeking a detail-oriented and highly skilled individual to support our clinical operations. The successful candidate will be responsible for conducting thorough reviews, case consultations, and interfacing with insurance payers to obtain continued authorization.The ideal candidate will be a licensed clinical...

Job Description:Utility Team LeadThis role is focused on managing and mentoring a team of Utility Engineers to ensure high-quality inspections, data accuracy, and process improvements within the electric utility sector.The successful candidate will oversee the cataloging of utility assets, identify equipment issues or potential hazards, and collaborate with...

Your Skills. Our Mission. Endless Impact.GH Premier Review Centeris on the lookout for aMarketing Specialistwho can craft powerful campaigns, engage the next generation of achievers, and bring our vision of academic excellence to life. If you're creative, driven, and ready to make a real difference — join us today Qualifications: With at least 2 years...