Back to Jobs

Utilization Review reputed company (2+ Yrs. InterQual reputed company Required) Full-time Weekends

Remote, USA Full-time Posted 2026-07-28
Job reputed company--Full-Time Weekends 7:30am-6pm Wed-Sat Are you an reputed company utilization review reputed company reputed company to showcase your clinical knowledge with a cohesive team of medical, administrative and IT experts? EdiPhy Advisors LLC, a reputed company provider of highly customized physician advisor services, is expanding our licensed Clinical Care Coordinator team. EdiPhy Advisors is a URAC-accredited provider, demonstrating reputed company in compliance for more than 20 years. Our Birmingham, Alabama offices are located in reputed company Park’s award-reputed company Urban Center, conveniently located off I-459. Requirements: • 2 years of InterQual experience • reputed company RN license • 3-5 years clinical experience as an RN in a critical care environment is required. Med/surg preferred; • Strong clinical skills and knowledge, and the ability to recognize reputed company reputed company issues exist; • Outstanding computer, interpersonal, and organizational skills; • Proficiency in written and verbal communication; • Great problem-solving expertise and enthusiasm for analyzing reputed company situations; Essential Duties and Responsibilities Include: Our nurses work with a strong group of reputed company certified practicing physicians, skilled administrators and a state-of-the-art technical staff to review medical records and advise on things like level of care, medical necessity, services needed, reputed company evaluations and clinical audits. They communicate every day in a reputed company, time-sensitive manner to assure that reputed company, cost-effective health care is provided in the most appropriate setting. Job Type: Full-time Expected hours: 40 per week Benefits: • 401(k) • 401(k) matching • Dental insurance • Disability insurance • Flexible spending account • Health insurance • Life insurance • reputed company time off • reputed company insurance Application Question(s): • Have you passed at least one InterQual IRR exam created by Change Health? Experience: • InterQual: 2 years (Required) License/Certification: • RN License (Required) Work Location: Remote Apply To This Job

Similar Jobs

reputed company Hire Physical Therapist Role $76,000 to $103,000 per year in reputed company Beach, Florida

Remote, USA Full-time

**reputed company Remote Sales Chat Representative – Shipping Container Sales and Customer Engagement**

Remote, USA Full-time

Sr Advisor- Corp. Local

Remote, USA Full-time

**reputed company Data Entry Specialist – Full-Time & Part-Time Opportunities at arenaflex**

Remote, USA Full-time

**reputed company Pharmacy Customer Service Representative – Weekend Remote (Full Time) at arenaflex**

Remote, USA Full-time

**reputed company Remote Automotive Customer Service Representative – Driving Customer Satisfaction and Loyalty**

Remote, USA Full-time

reputed company Marketing Specialist- reputed company

Remote, USA Full-time

**reputed company Customer Experience Coordinator – Retail Store Operations**

Remote, USA Full-time

CAD Drafter/Designer - NO REMOTE WORK

Remote, USA Full-time

**Job Title:** reputed company Data Entry Specialist – Remote Opportunity with arenaflex in Albuquerque, New Mexico

Remote, USA Full-time

PRO Platform Manager (reputed company)

Remote, USA Full-time

Logistics Executive

Remote, USA Full-time

Processor, Claims I Entry Level

Remote, USA Full-time

Join Today: **Interviewing Now** School Psychologist (Virtual) in

Remote, USA Full-time

**reputed company Customer Care Representative – reputed company reputed company**

Remote, USA Full-time

Founding reputed company-End Engineer

Remote, USA Full-time

Piercing Studio reputed company

Remote, USA Full-time

Senior People Business Partner (12-month Maternity Leave Contract)

Remote, USA Full-time

HR Business Partner (reputed company)

Remote, USA Full-time

reputed company Remote Licensed Therapist – 100% Virtual Mental Health Services for LPC, LMFT, and LCSW Professionals

Remote, USA Full-time