Average salary: $225,000 /yearly
More statsSearch Results: 7,226 vacancies
Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or...
Suggested
Permanent employment
Immediate start
...UTILIZATION REVIEW NURSE (RN)
Randallstown, MD
NORTHWEST HOSPITAL
NW CARE MANAGEMENT
Full-time - Day shift - 8:00am-4:30pm... ...Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention...
Suggested
Permanent employment
Full time
Day shift
...UTILIZATION REVIEW NURSE (RN) - PRN
Baltimore, MD
SINAI HOSPITAL
UTILIZATION REVIEW
PRN - As Needed - 8:00am-4:30pm
RN Other... ...: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention...
Suggested
Permanent employment
Relief
...Description
Utilization Review Analyst
Job Summary
This position helps to ensure clinical documentation integrity and ICD-10-CM coding by engaging and educating providers.? The role will perform these duties in accordance with ICD-10 CM coding guidelines...
Suggested
Shift work
...reside within the Contiguous United States
Hours: M-F, 8:00 AM - 5:00 PM EST
Job Description:
As a Desktop Reviewer/Applications Processor our successful team members perform in a variety of exciting areas geared towards delivering an exceptional...
Suggested
Remote job
...As a Assessor Reviewer you will be responsible for face-to-face assessments of vulnerable populations for various clients. Persons being... ...programs, as well as employers and health plans offering clinical, analytical, and technical expertise.
Health has changed a lot...
Suggested
Remote job
...Health Advocates Network-Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/17/2024
~ Duration: 14 weeks...
Suggested
Weekly pay
Fixed term contract
Local area
Immediate start
Flexible hours
Shift work
...Job Description On behalf of our client, we are looking for a Review Assistant to join our team of professionals. If the... ...including collection and confirmation of data integrity in support of clinical review services.
In this role, you will:
Interpret review...
Suggested
Remote job
Shift work
Monday to Friday
...Qualifications**
**PURPOSE:**
Ensures alignment with the overall Corporate Strategic Plan through direction of the Clinical Medical Claims Review, Medical Underwriting, Medical Policy, Clinical Appeals and Analysis programs and Quality of Care Complaint Unit. May lead...
Suggested
Work experience placement
Local area
Immediate start
...UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends
Baltimore, MD
GRACE MEDICAL CENTER
CARE MANAGEMENT
Part-time... ...Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention...
Suggested
Permanent employment
Part time
Shift work
Weekend work
Day shift
...individuals heal, recover, and thrive.
Sante is seeking a Full-Time Clinical Manager to work in our Urgent Care Center as part of the BCCRS... ...Available 24/7 as an on-call supervisor
Daily review of open cases and consultation on difficult cases
Provides supervision...
Suggested
Full time
Contract work
Flexible hours
Shift work
All shifts
...Clinical Liaison, RN
The CommuniCare Family of Companies, is currently recruiting an experienced Sales/Marketing professional for the position of Clinical Liaison overseeing referrals for our facilities in the Baltimore, MD market. RN license required. We are looking...
Suggested
Full time
Flexible hours
The staff writer provides dynamic content for all Catholic Review Media channels, including but not limited to The Catholic Review and CatholicReview.org. The staff writer will develop, report and write news and feature articles as well as in-depth centerspreads for the...
Suggested
Work experience placement
Flexible hours
...The Department of Neurology is seeking a Clinical Research Monitor (CRM) who will take the lead on compliance monitoring of predominantly... ...data query resolution.
Participate on risk assessments by reviewing new studies for quality assurance and general content....
Suggested
Full time
Local area
Remote job
...Elevance Health Medical Oncology Medical Director - Utilization Review Hanover , Maryland Apply Now
Utilization Management of... ...delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.
The...
Suggested
Work experience placement
Local area
Remote job
Work from home
Relocation bonus
...specification files for these domains
Generates analysis data sets, tables, figures, and listings to support the analysis of clinical trials data
Reviews output across programs to ensure consistency
Reviews maintains and approves study documents per standard procedures...
Permanent employment
...Summary
I. General Summary
Reporting to the Vice President, Clinical Engineering, the Manager Clinical Engineering, manages the day-... ..., and appropriate use of sick and annual leave (PTO).
c. Reviews performance standards and assures performance evaluations for...
For contractors
...General Summary
This role is designed for the nurse who is a clinical and professional leader at the unit level. Demonstrates effective... ...personnel’s skills and development; leads unit based peer review processes.
2. Actively engaged in advancing own practice; role...
Permanent employment
Work experience placement
...Flexible schedule
Health insurance
Paid time off
As a Clinical Supervisor at Ellie Mental Health, you'll share our vision for... ...Troubleshoot issues within Valant, ADP, Teams, Outlook, and billing
Review EHR service lines and complete error corrections as needed...
Local area
Flexible hours
...Remains knowledgeable about specific state laws and regulations governing practice.
* Satisfactory completion of initial and annual clinical competencies to demonstrate aptitude as assigned by role.
A background check, security clearance and drug screening are required...
Full time
