Average salary: $40,000 /yearly
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...Description & Requirements
Maximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determination reports, creates individualized outcome reports, showing strengths...
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Overview:
From our Dallas corporate headquarters to our clinics, worksites, and mobile locations, Concentra colleagues remain focused... ...supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered...
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Description
Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The choice is yours, work...
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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety...
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Immediate start
...in a safe family like setting?
Mainstream Nonprofit Solutions has the job for you!
We are looking for full-time Utilization Review Specialist to add to our team! A Bachelor’s degree is required with two to four years of experience in social services with...
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Full time
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Temp to Perm - Local Candidates only. Current RN Compact license required
Summary:
The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services....
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...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to... ...Oncology Preservice Review Nurse you will be performing pre-service clinical coverage review of services that require notification, using...
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...Description
Job Description POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive... ...Perform reviews of medical records, coding, and servicing using clinical expertise and audit tools.
Analyze and apply appropriate CPT...
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...Utilization Review Authorization Coordinator - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date... ...and external customers.Coordinates with UR RN to send the clinical information to payor on specific accounts.Document authorization...
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Korean Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Korean
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions, Conceptual...
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...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...
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Area: HPUtilization Mgmt 7065 / 1346
Class: RN Utilization Review
Shift: 1
Start: 08:00:00
End: 17:00:00
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...owned and part of Beacon Hill Staffing Group, LLC. Beacon Hill Legal seeks US barred attorneys in the Dallas market to join our remote review teams. We have a number of large reviews in the pipeline looking to kick off during April.
Please note -candidates applying for...
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Work from home
...Are you looking for a non-clinical opportunity for work/life balance needs yet want to stay clinically active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to make a difference in the...
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...Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023... ...observation. Communicates with the physicians and clinicians. Assures clinical information is sent to the payor timely to complete the...
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$80k - $90k
...and only, Dallas, TX!
This Nurse should have a minimum of 5 years INPATIENT clinical nursing experience in an acute care hospital setting and minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2 years experience working with InterQual...
For contractors
Flexible hours
...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...
Remote job
Alacrity Solutions
Quality Reviewer
Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property...
Holiday work
Full time
Temporary work
For contractors
Remote job
...Dallas, TX 75231
Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate...
Hourly pay
Minimum wage
Full time
Local area
Remote job
Flexible hours
...accessibility, integrity, and quality care are what is most important. We put a lot of emphasis on the thought that—in order for our clinical team to be accessible to clients—we must fully support our clinicians by allowing them to do what they are trained to do. We...
Part time
Private practice
Relocation bonus
