Search Results: 3,249 vacancies
...Clinical Appeals Auditor | Responsibilities and Metrics
Are you looking for your next challenge? The Virtual Business Office Associates... ...appropriately as per the appeals process for the provider contract
Reviews and audits clinical documentation to ensure its sufficiency...
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Permanent employment
Contract work
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Flexible hours
Performs medical reviews using established criteria sets and/or performs utilization management of professional... ...outpatient, facility benefits or services, and appeals. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of...
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Summary
We are currently hiring for a Medical Reviewer II to join BlueCross BlueShield of South... ...you will perform medical reviews using clinical/medical information provided by... ...preauthorization/predetermination, requests for appeal OR reconsideration, referrals for...
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Full time
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Monday to Friday
...We are currently hiring for a Medical Reviewer II to join BlueCross BlueShield of South... ...you will perform medical reviews using clinical/medical information provided by physicians... ...preauthorization/predetermination, requests for appeal or reconsideration, referrals for...
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Holiday work
For contractors
Local area
Home office
Currently hiring
Monday to Friday
$21 per hour
...type well, and quick learners.
Job Title: Reviewer I, Medical
Duties:
Performs medical reviews... ...outpatient, facility benefits or services, and appeals. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of...
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Full time
Contract work
For contractors
Work from home
Monday to Friday
...Duties
WHAT IS THE APPEALS (AP)DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the... ...organizations to promote customer outreach and satisfaction.
Reviews and analyzes reports (e.g., Appeals Quality Measurement System,...
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Full time
Temporary work
Work experience placement
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Relocation
Night shift
Day shift
Monday to Friday
...Duties
WHAT IS THE APPEALS DIVISION?
A description of the business units can be found at:
Vacancies will be filled in the following... ..., mission-oriented programs. Coordinates the Appeals Business Review and/or other program reviews. Serves on task forces or study...
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Full time
Temporary work
Work experience placement
Local area
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Relocation
Night shift
Day shift
Summary
We are currently hiring for a Clinical Training and QA Coordinator to join BlueCross... ...quality control program for the medical review area, researches the Center for Medicare... ...Responds to specific provider inquiries and appeals requests.
Develops and maintains...
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Full time
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Local area
Currently hiring
Monday to Friday
...Job Description
About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered... ....
Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding.
Manages...
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Relief
Growing Home Southeast is hiring for a Clinical Director
Clinical Director is responsible for ensuring the highest quality of clinical... ...by the agency as stated in regulatory standards including reviewing and co-signing diagnostic assessments as necessary, providing...
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...Job Description
Physical Therapist - Clinic Manager
Get your career - and your patients - moving.
As a Clinic Manager, you'll have access to industry-leading programs and treatments and a team as innovative and passionate as you are. If you're looking for the...
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Full time
Local area
Relocation package
...Duties
WHAT ARE THE APPEALS, CRIMINAL INVESTIGATION, AND TRANSFORMATION & STRATEGY OFFICE DIVISIONS?
A description of the business... ...by Direct Deposit/Electronic Funds Transfer.
* Undergo a review of prior performance/conduct and an income tax verification. Refer...
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$60k - $85k
...communication skills. The ability of our team members to collaborate with others in a fast-paced environment is a necessity.
The drawing review coordinator position is a newly created role within our company. The primary responsibility for this position is the reviewof steel...
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Work alone
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...Posting Summary
Logo Posting Number FAC00022PO24 Advertised Title Clinical Assistant Professor Campus Columbia College/Division College of... ...upload their letter of recommendation to our online system.
Review of completed applications will begin immediately and continue...
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Part time
Local area
Immediate start
...the combined talents of our entire team. Help us help others, and join Team Unum today!
General Summary: The clinical consultant is responsible for reviewing, analyzing and interpreting medical information.
Works collaboratively with claims professionals, on-site physicians...
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Worldwide
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...Community | Hartsville & Darlington, SC (cprmc.com)
Administers the Clinical Documentation Integrity program for a single site. Using... ...and validate all of the appropriate diagnoses.
· Identifies and reviews principle and secondary diagnosis and complications to ensure diagnosis...
...The Clinical Supervisor is responsible for the overall direction and supervision of the nursing department during the shift. Ensures patient... ..., informs physicians of changes in patient's condition, reviews care of all patients, and acts as overall leader and resource person...
Relocation bonus
Shift work
Job Description Summary
Job Description
Under general supervision, performs patient scheduling functions and checks out duties in addition to a significant amount of higher-level work. Higher-level work may include a combination of TES (transaction editing system...
Hourly pay
Work experience placement
Shift work
Clinical Manager
Are you ready to join a supportive team that equips, empowers, and supports you while you operate in your innate gifting as a caregiver and advance your career? Do you want to join one of the largest hospice and home health companies in the country? Then...
Local area
...Posting Summary
Logo Posting Number FAC00199PO23 Advertised Title Clinical Assistant/Associate Professor Campus Columbia College/Division... ...to position, depending upon a variety of factors. Should review of your qualifications result in a decision to pursue your candidacy...
Full time
Part time
Local area
