Top 64 Optech Jobs | SimplyHired

Utilization Review Nurse
OpTech LLC —Michigan
- $36 - $39 an hour
- Contract
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
14d
Licensed OEP Insurance Telesales Engagement Agent - Remote, 3-4 month assignment
OpTech LLC —Remote
- $21.00 - $23.50 an hour
- Weekends as needed
- Remote
- Sales
- Customer service
- Computer literacy
- Health insurance
Quick Apply
13h
Project Manager -IT Infrastructure Projects
OpTech LLC —Okemos, MI
- $45 - $55 an hour
- Contract
- Computer science
- Computer Science
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
13d
R&D/Lab Technician
OpTech LLC —Freeport, TX
- $20 - $21 an hour
- Contract
- Mid-level
- Electrical experience
- In-person
- Health insurance
- Dental insurance
Quick Apply
8d
Physical Therapist
OpTech LLC —Morristown, NJ
- $48 - $50 an hour
- Full-time
- CPR Certification
- BLS Certification
- Physical & Rehabilitation Medicine
- Health insurance
- Dental insurance
Quick Apply

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Licensed OEP Insurance Telesales Engagement Agent - Remote, 3-4 month assignment
OpTech LLC —Remote
Active Florida state health 2-15 or 2-40 Health license required,. Generate new customer sales and maintain existing members via qualified inbound calls/…
$21.00 - $23.50 an hour
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13h

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Utilization Review Nurse

OpTech LLC -
Michigan

Quick Apply

Job Details

Contract
$36 - $39 an hour
14 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance

Qualifications

Nursing
RN License
Bachelor's degree
Utilization management
Acute care experience
Productivity software

Full Job Description

Why work at OpTech?
OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at OpTech, not only do you get health and dental benefits, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! To view our complete list of openings, please visit our website at www.optechus.com.

RN Review Analyst / Utilization Review Nurse

Position Summary

We are seeking an experienced Registered Nurse to perform prospective, concurrent, and retrospective utilization reviews to ensure medical necessity, appropriate level of care, and effective use of healthcare services. This role reviews authorization requests, appeals, and clinical documentation while collaborating with providers, members, and healthcare teams to support quality patient outcomes and regulatory compliance.

Key Responsibilities

Review and authorize inpatient, outpatient, ambulatory, and ancillary service requests using established clinical guidelines.
Evaluate medical necessity, level of care, length of stay, and treatment plans.
Conduct retrospective reviews and appeal determinations in accordance with regulatory and accreditation standards.
Coordinate discharge planning and transitions of care.
Collaborate with providers, facilities, and internal departments to resolve authorization, eligibility, and benefit-related issues.
Identify and document quality-of-care concerns and recommend appropriate action.
Support care management initiatives and member outreach activities as needed.
Educate providers on policies, procedures, and benefit requirements.

Qualifications

Current unrestricted Michigan Registered Nurse (RN) license required.
2+ years of clinical nursing experience in acute care, case management, utilization review, discharge planning, or related healthcare settings.
Managed care, health plan, or utilization management experience preferred.
Strong understanding of medical necessity criteria, level-of-care determinations, and healthcare regulations.
Excellent communication, critical thinking, and organizational skills.
Bachelor's degree in Nursing or related field preferred.
Case Management Certification (CCM) preferred.

By submitting your application, you acknowledge that recruiting technologies, including AI-assisted tools, may be used to support candidate evaluation, sourcing, matching, and communications.

OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws. https://www.optechus.com/eeo_self_identification/

Pay: $36.00 - $39.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Application Question(s):

How many years of experience do you have with clinical nursing experience in acute care, case management, utilization review, discharge planning, or related healthcare settings?
How many years of experience do you have with medical necessity criteria, level-of-care determinations and healthcare regulations?
How many years of experience do you have with documentation in case management systems?

Education:

Bachelor's (Preferred)

Experience:

Managed Care: 1 year (Preferred)
Utilization Management: 1 year (Preferred)
Health Plan: 1 year (Required)
Microsoft Office: 5 years (Required)

License/Certification:

Unrestricted Michigan RN License (Required)

Work Location: Remote

Quick Apply

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Optech jobs

Utilization Review Nurse

Licensed OEP Insurance Telesales Engagement Agent - Remote, 3-4 month assignment

Project Manager -IT Infrastructure Projects

R&D/Lab Technician

Physical Therapist

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