utilization review remote jobs in Philadelphia

Utilization Management RNWe’re actively seeking qualified candidates for a Utilization Management Coordinator / RN opportunity supporting inpatient utilization management and care coordination. This position is remote; however, candidates must reside in Pennsylvania, New Jersey, or Delaware to be eligible for potential conversion.Position OverviewThe...

The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and professional development by conducting regular 1:1s, managing performance reviews, and driving compliance with organizational, state, and federal requirements. The...

The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and professional development by conducting regular 1:1s, managing performance reviews, and driving compliance with organizational, state, and federal requirements. The...

Job Title: Utility Accounting SMELocation : Philadelphia PA 19107Duration : 12 Months Note: Onsite interview is must. This is Hybrid Role. Position overview / Statement of WorkThe Lead Accounting Subject Matter Expert (SME) serves as the functional authority for accounting and financial business processes throughout the CIS implementation. This individual...

Department: Right of Way ProfessionalLocation: Remote - PACompensation: $64,374 - $101,702 / yearDescriptionLocation: Pennsylvania (candidate will have the flexibility to work out of their home office but must reside in Pennsylvania)Schedule: Full-time; ExemptTravel: Candidate can expect to travel locally and throughout Pennsylvania about 50% of the timeWhy...

Job Title: Regional EHS Manager - Utility ConstructionLocation: Hybrid - Mid-Atlantic RegionSalary: $135,000-$170,000 + Bonus and PerksSkills: Utility Construction, OSHA, Transmission, Distribution, Substation, InfrastructureAbout The Company / The Opportunity:Join a well-established leader in the utilities industry supporting critical infrastructure...

Vice President of Bill Review Operations About the Company Innovative healthcare solutions provider specializing in insurance services Industry Insurance Type Privately Held Founded 2004 Employees 501-1000 Categories Insurance Specialties bill review out-of-network repricing primary ppo and alternative repricing administration edi and...

*This position is fully remote/home based. This is 2 year FTC. Applications will be accepted from candidates based in the following US states: FL, IL, MA, MD, NY, PA, TX, VA.In the US, this is a union represented position as part of the Pacific Media Workers Guild, Local 39521 of the NewsGuild-Communication Workers of America. Role Summary As a Peer Review...

*This position is fully remote/home based. This is 2 year FTC. Applications will be accepted from candidates based in the following US states: FL, IL, MA, MD, NY, PA, TX, VA. In the US, this is a union represented position as part of the Pacific Media Workers Guild, Local 39521 of the NewsGuild-Communication Workers of America. Role Summary As a Peer Review...

Job DescriptionJob DescriptionAbout Burns:Burns Engineering provides professional engineering design and project management services for transportation, facilities, and infrastructure projects. We help our clients attain their strategic goals and initiatives through successful large-scale infrastructure projects. Burns' full-service capabilities include...

Travel RN - Case Management/Utilization Review - Case ManagementAmerican TravelerPhiladelphia, Pennsylvania, United StatesPosition ID: P-753603Position status: OpenAssignment type: travelShift: DaysLength (weeks): 13Openings: 2Start date: 2026-10-19T00:00:00.000Z$2,488.00/week (estimated advertised weekly pay)DescriptionAmerican Traveler is hiring a Case...

Now accepting applicants for Focus Group studies. Earn up to $750 per week part-time working from home. Must register to see if you qualify. No Data Entry experience needed. Data Entry Clerk Work From Home - Part Time Remote Focus Group Panelists Our company is seeking motivated individuals to participate in National & Local Paid Focus Groups, Clinical...

External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Insurance Analyst III - Remote Requisition Number R7945 Insurance Analyst III - Remote (Open)...

Company DescriptionA best-in-class city that attracts best-in-class talent, Philadelphia is an incredible place to build a career. From our thriving arts scene and rich history to our culture of passion and grit, there are countless reasons to love living and working here. With a workforce of over 30,000 people, and more than 1,000 different job categories,...

External candidates: In order for your application to be correctly processed please sign-in before you applyInternal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Insurance Analyst III - RemoteRequisition Number R7945 Insurance Analyst III - Remote (Open)Location Arizona -...

Biology Expert Required Skills biological data analysis scientific reading comprehension assessment and question creation written and verbal communication remote team collaboration About micro1 micro1 is the leading AI data lab for training frontier models and evaluating AI agents. Experts contribute their diverse subject matter knowledge across domains...

City/StateNorfolk, VAWork Shift Multiple shifts availableOverview: Sentara Health Plan is currently hiring a Claims Processor I - Remote! Status: Full-time, permanent position (40 hours) Work hours: 8am to 5pm EST, M-F Location: Candidates may work remotelyVirginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana,...

100% Remote B2B Sales/Full Desk Recruiter 100% Remote B2B Sales/Full Desk Recruiter  Location: Must be located in EST or CST - this is a fully remote position Salary : $50KBase + Aggressive Commission StructurePosition Overview: We are seeking a motivated and results-driven Full Desk Recruiter to join our team. This 100% remote position is designed for...

Libresprite Expert $20 - $70/hour pay Required Skills Libresprite Pixel Art Graphic Design Illustration About micro1 micro1 is the leading AI data lab for training frontier models and evaluating AI agents. Experts contribute their diverse subject matter knowledge across domains such as finance, healthcare, STEM engineering, and more. micro1 transforms...

Insurance Defense Attorney ---THIS POSITION IS REMOTE ANYWHERE IN GEORGIA FOR 3RD YEAR ASSOCIATES TO SENIOR COUNSEL LEVEL--- We are an AmLaw 100 full service law firm advising businesses, institutions, and individuals on complex legal and strategic matters. Our work is recognized by respected industry observers, reflecting a strong reputation for practical...