- 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company.
- Knowledge of medical terminology and procedures.
- Verbal and written communication skills.
- Utilization management experience
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Utilization Review Nurse · The ideal candidate will have 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company. · Knowledge of medical terminology and procedures · ...
Dallas Employment6 days ago
- Work in company Remote job
Cardiology Utilization Review - Remote - Contract (1099)
Only for registered members
Flexible Independent Contractor Opportunity We are currently seeking Board-Certified physicians in Cardiology to conduct independent Utilization Reviews This is a flexible fully remote opportunity requiring just 1–2 hours per week —with no minimum commitment · ...
Dallas, TX1 month ago
- Work in company
Dermatology Utilization Review - Remote - Contract (1099)
Only for registered members
We are seeking Board-Certified physicians in DERMATOLOGY to conduct independent Utilization Reviews for MRIoA. This is a flexible, fully remote opportunity requiring just 1–2 hours per week. · Conduct independent Utilization Reviews. · ...
Dallas1 month ago
- Work in company Remote job
Oncology Utilization Review - Remote - contract 1099
Only for registered members
Oncology Utilization Review Board Certified physicians in Oncology are sought for independent reviews requiring minimal time commitment. · ...
Dallas, TX1 month ago
- Work in company Remote job
Dermatology Utilization Review - Remote - Contract (1099)
Only for registered members
We are currently seeking Board-Certified physicians in DERMATOLOGY to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1–2 hours per week —with no minimum commitment. · Must have a Medical Degree MD or DO · Must have a current S ...
Dallas, TX1 month ago
- Work in company Remote job
OBGYN Utilization Review - REMOTE - contract (1099)
Only for registered members
We are currently seeking BoardCertified physicians in OB/GYN TITLE to conduct independent Utilization Reviews. · ...
Dallas, TX3 weeks ago
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We are currently seeking Board-Certified physician in Medical Genetics to conduct independent Utilization Reviews This is a flexible fully remote opportunity requiring just 1–2 hours per week—with no minimum commitmentConduct independent Utilization Reviews of patient records. · ...
Dallas3 weeks ago
- Work in company
Cardiology Utilization Review - Remote - Contract (1099)
Only for registered members
+Flexible Independent Contractor Opportunity+ · 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 review solutions. · +We are ...
Dallas1 month ago
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We are seeking Board-Certified physicians in Genetics to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just · 1–2 hours per week—with no minimum commitment.Covered under MRIoA's Errors and Omissions policy. · ...
Dallas1 month ago
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+Oncology Utilization Review flexible Independent Contractor Opportunity Board-Certified physicians in Oncology to conduct independent Utilization Reviews 1–2 hours per week–with no minimum commitment Work remotely from anywhere in the US Covered under MRIoA's Errors and Omission ...
Dallas1 month ago
- Work in company Remote job
Genetics Utilization Review - Remote - Contract (1099)
Only for registered members
We are seeking Board-Certified physicians in Medical Genetics to conduct independent Utilization Reviews. · Conduct independent Utilization Reviews. · ...
Dallas, TX3 weeks ago
- Work in company Remote job
Genetics Utilization Review - Remote - Contract 1099
Only for registered members
We are currently seeking Board-Certified physicians in Genetics to conduct independent Utilization Reviews. · Conduct independent Utilization Reviews. · ...
Dallas, TX1 month ago
- Work in company
Gastroenterology Utilization Review - Remote - Contract (1099)
Only for registered members
We are seeking Board-Certified physicians in Gastroenterology to conduct independent Utilization Reviews in a flexible, fully remote opportunity requiring just 1–2 hours per week. · Conduct independent Utilization Reviews. · ...
Dallas1 month ago
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We are seeking Board-Certified physicians in OB/GYN TITLE to conduct independent Utilization Reviews. · Must have a Medical Degree MD or DO · Must have a current STATE unencumbered medical license · Current Board Certification in OB/GYN · ...
Dallas3 weeks ago
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We are seeking two Clinical Review Nurses (Prior Authorization) to analyze prior authorization requests. You will provide recommendations to support quality, compliance, and cost-effective care. · Review and process prior authorization requests. · Ensure compliance with turnaroun ...
Dallas1 day ago
- Work in company Remote job
PM&R Pain Utilization Review - Remote - Contract (1099)
Only for registered members
We're seeking Board-Certified physicians in PM&R with a Pain Fellowship with a current MINNESOTA State Medical License to provide expert Utilization Reviews. · ...
Dallas, TX1 month ago
- Work in company
Dermatology (MD/DO) Utilization Review - Remote - Contract (1099)
Only for registered members
We are seeking Board-Certified physicians in DERMATOLOGY to conduct independent Utilization Reviews. · ...
Dallas1 month ago
-
We're seeking Board-Certified physicians in PM&R with a Pain Fellowship with current MINNESOTA State Medical License to provide expert Utilization Reviews. · Provide expert Utilization Reviews. · ...
Dallas1 month ago
- Work in company Remote job
Internal Medicine (MD/DO) Utilization Review - Remote - Contract (1099)
Only for registered members
Flexible Independent Contractor Opportunity State Medical License required: FLORIDA, OREGON or TEXAS. Board-Certified physicians in Internal Medicine to conduct independent Utilization Reviews fully remote opportunity requiring just 1–2 hours per week —with no minimum commitment. ...
Dallas, TX1 month ago
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Welcome to The Freelance Firm We are a national network of experienced high-level freelance attorneys and paralegals who provide remote on-demand support for both short-term and long-term legal projects for our client law firms. · ...
Dallas, Texas, , United States1 week ago
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· Welcome to The Freelance Firm · <\/div> · <\/div> · We are a national network of experienced, high -level, freelance attorneys and paralegals who provide remote, on -demand support for both short -term and long -term legal projects for our client law firms. · <\/div> · <\/div> ...
Dallas, Texas, , United States1 day ago
Utilization Review Nurse-Remote-Contract - Dallas - HireOps Staffing LLC
Description
$40/hour - Contract for 6 monthsMust reside in TX
Full time remote
Candidates must be based in TX.
RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.
pay rate is $40/hourThis position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and medical and network management divisions.
Collects clinical and non-clinical data. Verifies eligibility. Determines benefit levels in accordance to contract guidelines. Provides information regarding utilization management requirements and operational procedures to members, providers and facilities.Registered Nurse (RN) with valid, current, unrestricted license in the state of operations.
PREFERRED JOB REQUIREMENTS:
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Utilization Review Nurse-Remote-Contract
Employment Only for registered members Dallas
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Cardiology Utilization Review - Remote - Contract (1099)
Only for registered members Dallas, TX
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Dermatology Utilization Review - Remote - Contract (1099)
Only for registered members Dallas
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Oncology Utilization Review - Remote - contract 1099
Only for registered members Dallas, TX
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Dermatology Utilization Review - Remote - Contract (1099)
Only for registered members Dallas, TX
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OBGYN Utilization Review - REMOTE - contract (1099)
Only for registered members Dallas, TX
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Genetics Utilization Review - Remote - Contract (1099)
Only for registered members Dallas
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Cardiology Utilization Review - Remote - Contract (1099)
Only for registered members Dallas
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Genetics Utilization Review - Remote - Contract 1099
Only for registered members Dallas
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Oncology Utilization Review - Remote - contract 1099
Only for registered members Dallas
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Genetics Utilization Review - Remote - Contract (1099)
Only for registered members Dallas, TX
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Genetics Utilization Review - Remote - Contract 1099
Only for registered members Dallas, TX
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Gastroenterology Utilization Review - Remote - Contract (1099)
Only for registered members Dallas
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OBGYN Utilization Review - REMOTE - contract (1099)
Only for registered members Dallas
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Remote Clinical Review Nurse
Only for registered members Dallas
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PM&R Pain Utilization Review - Remote - Contract (1099)
Only for registered members Dallas, TX
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Dermatology (MD/DO) Utilization Review - Remote - Contract (1099)
Only for registered members Dallas
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PM&R Pain Utilization Review - Remote - Contract (1099)
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Internal Medicine (MD/DO) Utilization Review - Remote - Contract (1099)
Only for registered members Dallas, TX
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Remote, Contract
Only for registered members Dallas, Texas, , United States
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Remote, Contract
Only for registered members Dallas, Texas, , United States