Average salary: $104,848 /yearly
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...Description This is a remote position.
We are currently seeking a highly skilled and experienced individual to join our team as a Clinical Review Manager. In this role, you will provide leadership and oversight to the Review and Evaluation Process, ensuring efficient and...
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Remote job
...This is a remote position.
The Review and Evaluation Nurse will be responsible for performing prospective, concurrent, or retrospective utilization review/medical management for all services provided by our organization. This role entails evaluating the appropriateness...
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Remote job
...well. We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer, MRx - Oncology - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical...
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Work experience placement
Internship
Local area
...Physical Medicine & Rehabilitation physician to process utilization reviews . Worker's Compensation experience is preferred but, not... ...FL, IL, KY, LA, NV, or TX license.
JOB SUMMARY:
Utilizes clinical expertise, and reviews workers' compensation claims by providing...
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For contractors
Remote job
Monday to Friday
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide clinical...
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...education and experience
Job Summary
The Utilization Review Specialist will examine medical and behavioral health insurance... .../authorization issues as needed.
Schedules and conducts clinical meetings and ongoing ISP meetings as needed.
May involve appeals...
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...role you will be responsible for: Ensuring medication history review is completed accurately and consists of the full list of patient... ...for employment at Jefferson for employees working at Jefferson's clinical entities or at the University. If you are not currently...
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...development of coding policies and procedures. Coordinates and conducts reviews of targeted cases to assure timely billing process and correct... ...health, medicine and social science.
Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-...
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...hours).
Job duties include:
Completing appointments and taking photos (approximately 3-5 photos per home) of mechanical room. (Reviews take on average 5 to 10 minutes to complete)
Driving to occupied homes and conducting quality reviews on the day it is scheduled....
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For contractors
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...predictability, and sustainability.
Job Description
•This is not a work from home position and would work normal business hours
•Review and approve all batch records prior to production to ensure that they conform to requirements of cGMP and SOP requirements.
•...
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Full time
Contract work
Worldwide
Flexible hours
Shift work
...Senior Planner (Development Review)
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Senior Planner (Development Review)
Salary
See Position Description
Location
Pittsburgh, PA
Job Type
CS Non-Competitive, Full Time
Job Number
24-SPDR-01
Department
City Planning...
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Full time
Work experience placement
Local area
Relocation
...Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. This function requires...
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...Job Description
Job Description Looking for attorneys with oil & gas experience to assist with various document review and lease analysis projects in the oil and gas industry. The work will be done remotely and involves reviewing oil and gas related documents for...
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Full time
Part time
Remote job
Shift work
...Expected:
• Perform admission, continued stay and discharge reviews on all managed care clients.
• Maintain positive relationships... ...Navinet, etc.
• Monitor Census for accuracy of funding.
• Attend clinical staffing to obtain information for client reviews.
• Maintain...
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Local area
Work from home
Flexible hours
Shift work
Monday to Friday
...passionate about cybersecurity and enhancing the security posture of clients' product development lifecycle. You will apply your code review experience and contribute to a variety of services our team offers clients, particularly where we perform penetration testing...
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Work experience placement
Local area
...is responsible for covering vast roles within the Utilization Review management team that include managing bill processing, downgrades... ...claim and authorization for RN when insurance companies accept clinical review.
**ESSENTIAL RESPONSIBILITIES:**
* Ensures accurate...
Remote job
Local area
...Job Description
Job Description Document review project currently in progress.
This is remote work for a Philadelphia area law firm. Must be located within Pennsylvania.
Must have an active attorney license in any state
Must have a PC/Mac
Business hours...
Remote job
Shift work
...communities we serve, regardless of a patient's ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating medical necessity and clinical appropriateness of services in order to achieve quality outcomes and ensure appropriate...
$80k - $110k
BAYADA Home Health Care is seeking a Registered Nurse (RN) to fill the position of Nurse Manager/Home Care RN for our Broomall, PA Pediatrics home care office. This office provides best in class care to our clients throughout Delaware county.
Highlights ...
Weekly pay
Holiday work
Full time
Local area
Home office
Monday to Friday
Overview Utilization Review Nurse
Berkshire Hathaway GUARD Insurance Companies, an A+ Superior rated Insurance company is seeking... ...patients, employers, providers, and attorneys
Utilize good clinical judgment, careful listening, and critical thinking and...
Holiday work
Night shift
Weekend work
