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)
Description Flexible Independent Contractor (1099) Remote Opportunity Required State Medical License in Indiana, Kentucky, Nevada, Oregon, Oklahoma, South Carolina or Texas ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent
Hi, were Oscar. Were hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding
Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait
Relief, Days Pay range: $27.74 - $41.61 ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT: Utilization Management DATE LAST REVIEWED: August 2025 OUR VISION: Creating America’s healthiest community, together OUR
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes
A career can mean different things at different workplaces. Apply now to see what it means to us and what its like to work somewhere your voice is heard, your wellness is a priority, and your
Experience these exceptional benefits when you join Med-Metrix! • 8-Hour Shifts • Day 1 HMO with 2 of your dependents covered for FREE • Group Life Insurance • Medical Cash Allowance • Rice Allowance • Clothing
By joining Sedgwick, youll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with
Job DetailsJob Location: Rockford, IL 61108Position Type: Full TimeSalary Range: $45.00 - $52.00 HourlyTravel Percentage: NoneAre you passionate about clinical quality, accuracy, and continuous improvement -and looking for a role that allows you to make a
Work From Home Work From Home Work From Home, Indiana 46544 The Utilization Review Coordinator performs admission screening for patients in a bed for medical necessity, and reviews for appropriateness of setting and utilization. WHO WE ARE With 11 ministries
Its more than a career, its a calling.OK-REMOTE Worker Type:Regular Job Summary:Evaluates the medical necessity and appropriateness of hospital admissions and surgical procedures. Ensures payors receive clinical information to support services provided by hospital. Ensures hospital
JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes
Employment Type:Part time Shift: Description:The Utilization Review (UR) Nurse has well-developed knowledge and skills in areas of utilization management (UM), medical necessity, and patient status determination. This individual supports the department by developing and/or maintaining effective and efficient processes
Description Board Certified Nephrologist - Texas State Medical License 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
Description Flexible Independent Contractor (1099) Remote Opportunity OREGON state medical license required. 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
Description Flexible Independent Contractor (1099) Opportunity Required State Medical License in Florida or Oregon 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
Location:Remote - Ohio Department:Utilization Management Weekly Hours:20 Status:Part time Shift:Variable (United States of America) Pay Grade:$32.25 - $47.00 This is a remote position; however, employment is limited to residents of certain U.S. states due to legal, tax,
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective