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JOB SUMMARY
The Utilization Review Registered Nurse (RN) provides a clinical review of cases using... ...appropriate use of resources and timely follow-through with the plan of care. Provides ongoing communication with the health plan, provider...
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The Itemization Review Manager is responsible for the overall aspects of the medical review team including personnel hiring, quality assurance of product, workflow, maintaining the tracking of and accountability of staff regarding production standards and turn-around expectations...
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The Itemization Review Team Lead will provide support for the Itemization Review Supervisor while working with IBR team and CERIS internal departments.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Maintain Q&A support for the IBR Team
Effectively works with coordinator...
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Full time
Local area
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...Carrus Care Mansfield mental health clinic serving the pediatric and adolescent population, is seeking a Utilization Review Coordinator (RN)
ESSENTIAL FUNCTIONS:
1. Responsible for coordinating andmonitoring day-to-day operations of the utilization management program...
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...Springs is looking for a licensed Counselor to join our Utilization Review department at our Arlington location! This full-time position... ...team members advocate on behalf of our patients to managed care providers for necessary treatment. As a Utilization Review Specialist...
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...passionate, creative and goal-oriented Behavioral Health Intake Clinician - RN to join the team at WellBridge Fort Worth and have an... ...Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention...
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...JOB SUMMARY:
Under general supervision, performs all title review functions in support clearing titles for AL, GA, MS, and TX. This person will perform tasks that require knowledge/skill to identify curative issues. The position requires substantial coordination with...
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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety...
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Job Title: Registered Nurse Utilization Review
Location: Irving, TX, 75038
Duration: 13 Weeks
Shift: Monday - Friday 8 am - 5 pm... ...is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization...
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...career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of... ...with you the one necessary ingredient that can't be taught - a caring and supportive nature that will shine through as you help customers...
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...Description
Job Description Cayuga Centers is hiring immediately for Clinicians in our HS/PRS Program
Earn $72,000-76,000 annually
About... ...dedicated tofamily support and preservation, trauma-informed care, and serving vulnerable populations with unique needs. Founded...
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...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital...
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...Job Description
Job Description POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive review of the submitted documentation to ensure that all services billed are supported by the medical records. The Nurse Auditor will...
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Local area
...Fort Worth, TX 76109
The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on... ...review of medical reports to determine appropriateness of medical care. Clinical and/or technical expertise is utilized to address the...
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Minimum wage
Full time
Local area
Flexible hours
...passionate, creative and goal-oriented Behavioral Health Intake Clinician - RN to join the team at WellBridge Fort Worth and have an... ...Provides planning and delivery of direct and indirect patient care through the nursing process of Assessment, Planning, Intervention...
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...Job Description
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/03/2024
~ Duration: 12 weeks
~40...
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...Fort Worth, TX 76109
The Itemization Review Supervisor will maintain a positive team building approach with emphasis on reporting,... ...needs and the savings your bottom line wants.
Our purpose is care.
Every injured worker needs timely, compassionate care. We value...
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...to improve
neighborhoods, create jobs, or improve the health care services or educational opportunities available to the communities... ...to use our search tools and/or apply for a career opportunity review Accessibility at Citi .
View the " EEO is the Law " poster....
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Telehealth, fully remote Therapist / Counselor opportunity for part-time or full-time. Bonus Offered
Details:
~100% remote work
~ High volume of regular client referrals
~ Therapy focused model with zero administrative work
~5-40 hrs per week - You ...
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...indicators for tracking covenant compliant obligors, industry and subsegment research and consolidation of KPI/KRI for the Risk Directed Reviews and implement Tableau visualization. While working on these priorities the analysts is expected to use SAS, Python, Advanced Excel,...
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Full time
