Search Results: 12,977 vacancies
...Policy Setting Responsibilities
Responsible for utilization review and medical necessity recommendations, as requested
Decision-... ...to peer reviews.
- Conduct thorough medical review of patient cases to determine the medical necessity of services provided.
- Assess...
Suggested
Part time
Shift work
...offering up to a $3,500 in signing bonuses for our Utilization Review positions.
Emergency Room 3:00-11:30pm
Important Details:... ...reimbursement when appropriate.
Works collaboratively with RN Case Managers to expedite patient discharge On-site in Burlington....
Suggested
Full time
Local area
Relocation bonus
Shift work
Afternoon shift
$36.46 - $46.88 per hour
...job, you’re making a difference in people’s lives.
The RN Case Manager working in the Triad Model of Care Transitions partners... ...team to develop the plan of care and patient flow.
Tasks:
Reviews all cases within 24 – 48 hours or the next business day of admission...
Suggested
Part time
Shift work
Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support the quality, efficiency and satisfaction of care taking place at the...
Suggested
Monday to Friday
...individuals, our programs literally save lives.
The Utilization Reviewer in the Behavioral Health department is responsible for obtaining... ...initial clinical data for pre-certification and concurrent case reviews to ensure authorization of all necessary dates at each level...
Suggested
Hourly pay
Shift work
Monday to Friday
...salary: $60.00 - 72.26 per hour
work hours: 9 to 5
education: Doctorate
responsibilities:
The Medical and Promotional Reviewer will be a contributing member of the Medical Review Committee (MRC) and the Promotional Material Review Team (PMRT). The Medical...
Suggested
Hourly pay
Contract work
Work experience placement
We are seeking a highly motivated and detail-oriented individual to join our team as a Credit Review Analyst II. The successful candidate will be responsible for conducting thorough analyses of financial statements and assessments for accuracy in loan presentations. The...
Suggested
Work experience placement
...Dossiers, Letters and Frequently Asked Questions (FAQs), and periodic review of inquiries and responses. You will also provide advanced... ...Medical Information Contact Center staff on handling of "routine" cases; monitor and manage complex "escalated" cases from the Medical...
Suggested
Minimum wage
Holiday work
Full time
Temporary work
Local area
Night shift
...benefit.
One important aspect of this benefit is the expert review of college application essays. Our Essay Reviewers provide... ...866 or ****@*****.***. Determinations on requests for reasonable accommodation will be made on a case-by-case basis....
Suggested
Remote job
Hourly pay
Temporary work
Part time
Work from home
Home office
...**
**Position Summary:**
Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP). Additionally...
Suggested
Remote job
Local area
Immediate start
...every decision we make.
Job Posting Title
Physician Clinical Reviewer, MRx - Oncology - REMOTE
Job Description Summary
Key... ...the following utilization management functions:
Reviews all cases in which clinical determinations cannot be made by the Initial...
Suggested
Remote job
Work experience placement
Internship
Local area
...ultimate opportunity to gain new and challenging work experiences and create an unparalleled, direct impact.
Job Title: Promotional Review Committee (PRC) Manager
Location: Boston
Job Description
This position is part of the Marketing Operations team who...
Suggested
Contract work
Work experience placement
Remote job
Shift work
.../ hr based on experience.
Recognized for your abilities as a Case Manager
Are you ready for a Case Management role that brings... ...standards, company policies/procedures, and department operations.
Review/analyze case management reports, including Key Care Indicators,...
Suggested
Hourly pay
Contract work
Part time
Flexible hours
Weekend work
Sunday
Saturday
$145.27k - $185.03k
...is now searching for an experienced Nurse Director Utilization Review to join their award-winning healthcare team
This not-for-profit... ...Director Utilization Review will provide leadership to the hospital case management, integrated clinical services, discharge planning,...
Suggested
Local area
...of Duties
This position is responsible for administration and review of projects under the Somerville Zoning Ordinance. Work duties... ...on the zoning review process and municipal ordinances
Assigns cases as needed to Zoning Review Planners and manages/oversees assigned...
Suggested
Full time
Contract work
For contractors
Local area
Outdoor
Flexible hours
Afternoon shift
...Job Description
Job Description Job Summary:
The DHR Reviewer/ Inspector will be responsible for product quality assurance activities. This includes interpretation and implementation of quality standards to routine manufacturing and product release activities....
Work experience placement
Afternoon shift
...health status, and provide clinical coaching and support including review of medications
Following an established care plan, provide... ...driver's license and automobile insurance required.
Experience in case management, care planning, and assessment.
Ability to...
Remote job
Flexible hours
Shift work
Weekend work
Become a Case Manager with Tribute Home Care and play an important role in setting a new standard in elder care.
Make a difference - Find meaning - Lead - Collaborate - Grow - Have a voice - Laugh - Love your team
Tribute Home Care is looking for a customer-service...
Remote job
...Category
Nonprofit - Social Services
Description
Job Title: Case Manager - Family Supportive Housing
Location: Boston, MA 021... ...in temporary housing provided by Heading Home, weekly to review ISP progress and plan next steps;
Obtain resources and services...
Hourly pay
Permanent employment
Full time
Temporary work
Work experience placement
Local area
Immediate start
Shift work
86819 - SFO Reviewing and Investigations Manager
Number of jobs available 1
Detail of reserve list 12 Months
Region East Midlands... ...safeguarding reviews, domestic homicide reviews, MAPPA serious case reviews
• Develop and sustain effective working...
Holiday work
Permanent employment
Full time
Part time
Local area
Overseas
Trial period
Flexible hours
Rotating shift
Monday to Friday
