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...You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspec Clinical, Clinician...
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...well. We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review...
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Remote job
Work experience placement
Internship
Local area
ESSENTIAL FUNCTIONS:
•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...
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...determination of the Cost, Income, and Sales Comparison Approaches to value.
Performs other duties, up to and including, final review and valuation of complex commercial/ industrial properties.
Communicates professionally and successfully with the public to share...
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Work experience placement
...Provides accurate and complete clinical information to payors based on synthesized documentation in the medical record.
Conducts utilization review on all assigned cases and ensures authorizations are completed timely with all dates of service reviewed.
Completes...
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...explore the job opportunities we have to offer.
General Description and Classification Standards
The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances, and laws. Duties include but are not limited to...
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...explore the job opportunities we have to offer.
General Description and Classification Standards
The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances, and laws. Duties include but are not limited to...
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For contractors
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...serve the Veteran community?
Would you enjoy being able to review medical records and complete assessment questionnaires to help... ...options available.
PandoLogic. Category: Healthcare, Keywords: Clinical Psychologist By applying, you consent to your information...
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...Description
Job Description ***This position is fully remote***
JOB SUMMARY:
Under general supervision, performs all title review functions in support clearing titles for AL, GA, MS, and TX. This person will perform tasks that require knowledge/skill to...
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Remote job
...of a multidisciplinary team in completing pre-screening assessments of prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains...
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Relief
Remote job
Shift work
2 days per week
3 days per week
Monday to Friday
6-Person team in Duluth, GA who will review and corroborate that contracts and paperwork was digitally input correctly.
Will last 1.5+ months. Reliable people with a focus on detail desired.
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...Land Plan Reviewer I
Hours: Full-Time
Service Area: Urban Planning
Reports to: Deputy Southeast Officer Director and Principals in Support of City of Atlanta staff
Supervises: Not Applicable
Location: Atlanta
The...
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Full time
Contract work
Local area
Afternoon shift
..., a "2023 Best Place to Work and Healthiest Employer", seeks a Review Nurse, PA/UM. The Review Nurse to conducts prior approval and... ...requests as per PAUM policy and procedures
Evaluate initial clinical information and approve cases that meet criteria. Document clearly...
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Overview:
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond....
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Overview:
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond....
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...Elevance Health Medical Oncology Medical Director - Utilization Review Midland , Georgia Apply Now
Utilization Management of... ...delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.
The...
Work experience placement
Local area
Remote job
Work from home
Relocation bonus
...Masters degree in School Psychology or related field
Valid state licensure
Perks
Flexible hours
Weekly pay
Clinical team for support
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Doing 1:1 check-ins and discussing school feedback with you....
Weekly pay
Immediate start
Flexible hours
...& Whitney, the difference you make is on display every day. Just look up. Are you ready to go beyond?
The Metrology & Material Review Board Manager is a highly visible, key leadership role in collaborating with the operations team by providing communication relative...
Holiday work
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Flexible hours
...Responsibilities
Coastal Harbor Health is currently seeking a Utilization Review Coordinator ( Per Diem/or As Needed ) To coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services to optimize reimbursement.
Coastal...
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Relief
Local area
.... Serve as a recognized architectural, design and construction expert for a segment of mid-scale IHG brand hotels. Manager, Design Review will focus primary responsibilities on the Design Review discipline as assigned per hiring manager.
Design Review Responsibilities...
Permanent employment
For contractors
Immediate start
2 days per week