Search Results: 12,806 vacancies
...Act as liaison between managed care organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning...
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...dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented... ...in Columbus. Learn more at
About the job:
The Utilization Review Nurse ensures that authorization requests and provider or member...
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Shift work
...way up to small, multi-trade and permit-required projects. For additional information, visit
JOB DESCRIPTION:
The Contract Review Specialist will assist in reviewing legal and risk management issues in vendor contracts. Construction related background/...
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...at Elevance Health in WILMINGTON, Delaware, United States
Managed Care Coordinator Clinician Non RN
Location: Remote, within 50 miles of an Elevance location
Shift: 10:30 am – 7 pm CST , with the possibility of a Saturday shift from 8 am – 2 pm CST .
The...
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Saturday
...while submitting an application, please review these frequently asked questions . Current... ...your application.
Job Title:Patient Care Resource ManagerDepartment:OSU Health... ...collaboratively with directors, managers, and clinicians to ensure delivery of differentiated,...
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...are dedicated to Changing People’s Lives® .
The Utilization Review department plays an essential role in helping fulfill our... ...Review team members advocate on behalf of our patients to managed care providers for necessary treatment. As a Utilization Review Specialist...
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...Responsibilities:
· Maintain updated state and county recording regulations and fees.
· Calculate and cut checks for all recording fees.
· Review and proofread documents and send for recording within time frame set by supervisor.
· Follow up with examiners, courthouses, and...
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...Elevance Health in WILMINGTON, Delaware, United States
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday... ...Guidelines, ICD -9 and CPT -4 coding, and managed health care including HMO , PO and POS plans strongly preferred.
+ BA...
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...at Elevance Health in WILMINGTON, Delaware, United States
Reviewer – Therapy Services
Location: Within 50 miles of pulse point location... ...the system guidelines that makes decisions on approval for care for a patient.
+ Processes system generated decisions for authorization...
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Monday to Friday
...Job Description Lexitas, a leader in legal contract staffing, is currently seeking experienced first and second level document review attorneys for several upcoming anticipated review projects. Candidates must be admitted and reside in Illinois, Michigan, Ohio, or...
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Monday to Friday
...Elwyn Delaware in Georgetown, Delaware, United States
Associate Clinician
Associate Clinician
$20.00 per hour
Elwyn Adult... ...The Associate Clinician will be responsible for general daily care of program residents providing counseling and advocacy in a therapeutic...
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Full time
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Local area
Relocation bonus
Night shift
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Weekday work
...costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system... ...the culture.
What You’ll Be Doing:
As a Physician Clinical Reviewer you will be a key member of the utilization management team. We...
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...at Humana in Dover, Delaware, United States
Become a part of our caring community and help us put health first
The Claims Review Representative 3 adjudicates claims in Humana’s legacy systems and Pareo upon making appropriate claim decisions. Decisions are made...
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Full time
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...you for payment as part of consideration for employment.
Nurse Reviewer I
+ Job Family: MED Licensed Nurse
+ Type: Full time
+... ...Guidelines, ICD -9 and CPT -4 coding, and managed health care including HMO , PO and POS plans strongly preferred.
+ BA/...
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Monday to Friday
...Humana in Dover, Delaware, United States
Become a part of our caring community and help us put health first
Humana Healthy... ...screen to take about 15 to 30 minutes. Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving forward...
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...at City National Bank in Newark, Delaware, United States
KYC REVIEW ANALYST - OPS
WHAT IS THE OPPORTUNITY ?
Conduct Enhanced Due Diligence background investigations for commercial loan borrowers in adherence with credit policy and compliance with BSA and...
Hourly pay
...Humana in Dover, Delaware, United States
Become a part of our caring community and help us put health first
Humana Healthy... ...recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward...
Weekly pay
Holiday work
Full time
Temporary work
Home office
Monday to Friday
...Experienced Document Review Attorney – Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on...
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Hourly pay
Full time
Flexible hours
...are just a few reasons to join our team.
SUMMARY
The Group Clinician is responsible for working with children/youth and their... ...backgrounds and experiences.
Integrate principles of Trauma Informed Care in all aspects of work.
Maintain accurate documentation of...
Summer work
Afternoon shift
...Description Summary
The Lead Group Clinician is responsible for facilitating daily group... ...principles of Trauma Informed Care in all aspects of work. Is sensitive to... ...Assists the Clinical Manager in monitoring, reviewing and ensuring compliance with as required...
