.... Connecting. Growing together.
The Clinical Coverage Review Medical Director is a key member of the Optum Enterprise Clinical... ...panel to assist or obtain assistance in complex or difficult cases
Document clinical review findings, actions and outcomes in accordance...
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Minimum wage
Work experience placement
Local area
...RN Case Manager
Come Grow with Us!
TruHealth is a division of American Health Partners, a multifaceted company with operations... ...projects involving development of monitoring/collection tools, review of medical records, data entry, analysis, and preparation of audit...
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...RN Case Manager
RN Case Manager Full Time Days M-F 8 hour shifts on-site
New Hires may be eligible for a $5,000 sign on bonus!... ...with ongoing providers. Collaborates with Social Work, Utilization Review, Clinical Documentation Specialists, and others as necessary to...
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Full time
Relocation bonus
Day shift
...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to... ...tough challenges.
Primary Responsibilities:
* Determine that the case is assigned to the appropriate team for review (e.g., Medicare,...
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Holiday work
Full time
Work experience placement
Immediate start
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Home office
Weekend work
Afternoon shift
...Job Description
Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/...
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Full time
Local area
Remote job
Flexible hours
...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and...
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Minimum wage
Full time
Local area
Flexible hours
Hmong Chinese Language Document Reviewer
Employment Type: Full Time, Mid-Level
Department: Legal
As a CGS Hmong Chinese Document... ...pending before the court and pretrial motions for criminal cases pending at the Federal Court.
- Examines, prepares, and processes...
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Full time
Flexible hours
Portuguese Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Portuguese
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions...
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...opening our first office in Dallas in a matter of days! As an on-site Case Compliance Specialist, you'll work with operations to optimize... ...with operations. This role understands the workflow, reviews analytics, identifies bottlenecks through production audits, and...
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...collaborates with Insurance verification, insurance CM, Hospital Case Manager UR/transition Planner and physicians to facilitate... ...authorization for stay is required , Fax numbers to Send clinical reviews b) Follow up on each account during the stay and on discharge for...
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Local area
Immediate start
Flexible hours
...of service.
KNOWLEDGE/SKILLS/ABILITIES
Provides telephone, clerical, and data entry support for the Case Management team.
Responsible for initial review of assigned case levels to assist in Case Management assignment.
Reviews data to identify principal member...
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Full time
Work experience placement
...position with hybrid capability?
Then TFI Family Services has the job for you!
We are looking for full-time Permanency Case Managers to add to our Dallas team! All you need is a Bachelor’s degree. We will teach you the rest!
A Day in The Life as a Permanency...
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Flexible hours
Shift work
$65 - $85 per hour
...homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to complete) Each review is meant to evaluate the quality of the finished construction.
Driving...
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Part time
For contractors
...ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.
Preferred candidates will hold a NM, TX, MN, and/or NC License....
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Remote job
...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC
What You'll be Doing
Do you have...
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...Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews. Hours are flexible within certain time parameters.
There are part time and full time contract positions. Compensation is on a 1...
Full time
Contract work
Part time
Interim role
Remote job
Flexible hours
...quarterly meetings.
~3, 12 hour shifts. Saturday, Sunday, Monday.
JOB SUMMARY
The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical necessity criteria to resolve the medical appropriateness of inpatient and outpatient...
Immediate start
Remote job
Shift work
Weekend work
Sunday
Saturday
...consumer experiences an episode of psychiatric hospitalization, incarceration, and/or homelessness.
Arrange for monthly case supervision review with Field Supervisor and attend Treatment Team meetings.
Act as the liaison between family, referring agencies, and other...
Holiday work
Full time
Flexible hours
Weekend work
...Job Description Description: Description
The Director position requires a self-driven individual who can complete high quality reviews while meeting strict deadlines. The individual must possess excellent written and verbal communication skills, outstanding...
...dust, dirt, and the like.
When an application is selected for review, typically, only applicants who indicate the relevant education... ...Salvation Army!
Other details
Job Family TX-NON-EXEMPT
Job Function Case Management
Pay Type Hourly
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Hourly pay
Shift work
Night shift