Search Results: 12,420 vacancies
...The Credit Review Team Leader Sr. will report directly to the Credit Review Group Manager. This role involves leading a team in various credit risk review engagements and continuous monitoring activities associated with a strong independent credit re Team Leader, Team...
Suggested
...related safety reports, safety fact sheets and chemical approvals.
Assisting in the generation of medical justification content reviews/templates for MSS.
Assisting in the evaluation and establishment of nutrient specifications (minimum and maximum) during the...
Suggested
...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...
Suggested
Remote job
Full time
Relocation package
Flexible hours
Shift work
...to join our team.
SUMMARY
The Outpatient Family Services Clinician, as a member of the Outpatient Family Services Team is responsible... ...and experiences.
Integrates principles of Trauma Informed Care in all aspects of work.
Is sensitive to the children's...
Suggested
Weekend work
Afternoon shift
...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/...
Suggested
Contract work
Remote job
Position Type:
Support Staff/Aide
Date Posted:
6/20/2023
Location:
District Wide
District:
South-Western City Schools - website Requirements : Applicants must be Highly-Qualified to be considered for a position. In order to be Highly-Qualified the...
Suggested
...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...
Suggested
Contract work
Work experience placement
Local area
Remote job
Shift work
Saturday
...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...
Suggested
Full time
Part time
Flexible hours
...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...
Suggested
For contractors
...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...
Suggested
Contract work
Work experience placement
Local area
Remote job
Monday to Friday
...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...
Suggested
Work experience placement
Local area
Remote job
Shift work
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...
Suggested
Remote job
Contract work
Monday to Friday
...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/...
Suggested
Holiday work
Full time
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday
...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 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and...
Suggested
Weekly pay
Holiday work
Full time
Contract work
Temporary work
Apprenticeship
Remote job
Work from home
Home office
...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 an Initial Clinical Reviewer, you will be a key member of the utilization management team. We...
Suggested
Currently hiring
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...
Hourly pay
Full time
Contract work
Local area
Relocation bonus
Weekend work
Afternoon shift
Weekday work
...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... ...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...
Holiday work
Full time
Temporary work
Apprenticeship
Home office
...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...
Remote job
Hourly pay
Full time
Flexible hours
