Average salary: $89,000 /yearly
More statsSearch Results: 3,199 vacancies
...authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at... ...Functions as a hands-on supervisor, coordinating and monitoring clinical and non-clinical team activities to facilitate integrated, proactive...
Suggested
...EST.
Daily responsibilities will include the following: Candidates will be reviewing medical patient records against standard medical criteria.
Candidates MUST have 3 years of clinical nursing experience along with 1 year of utilization or medical claims review experience...
Suggested
Permanent employment
Temporary work
Local area
Remote job
...methodology is designed to facilitate and insure the achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity...
Suggested
Full time
Part time
Work experience placement
...Job Description
JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE
For this position we are seeking a (RN) Registered... ...state and federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence...
Suggested
Holiday work
Immediate start
Remote job
Home office
Flexible hours
...rapidly, and we anticipate that our Colton Location in San Bernadino County, will be operational by Summer of 2024.
Utilization Review Coordinator Position Overview
Pay: $25 - $30 / Hour
Ocean View Utilization Review Coordinator in our psychiatric health...
Suggested
Summer work
...M-F 8:30 AM to 5:00 PM PST.
KNOWLEDGE/SKILLS/ABILITIES
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members...
Suggested
Remote job
...TRB and Associates is seeking an experienced and motivated plan review engineer with current registration as a civil, structural, mechanical, or architect (State of California preferred) and a minimum of two years of experience in plan review and/or design on commercial...
Suggested
Holiday work
Full time
Temporary work
Part time
Remote job
Flexible hours
$500 - $600 per day
...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...
Suggested
Daily paid
Full time
Part time
For contractors
$20.47 - $28.66 per hour
...Cal members under 21 years old and collaborates within Promise Clinical Team. The Clinical Services Coordinator Intermediate will report... ...telephone or correspondence
Within extension of authority, review specific CHP eligibility referrals
Process service authorization...
Suggested
Work experience placement
...Job Description
JOB DESCRIPTION
Job Summary
Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations...
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Remote job
Monday to Friday
...primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing... ...safety standards.
Required Experience: Minimum 0-2 years of clinical practice. Preferably hospital nursing, utilization management,...
Suggested
Remote job
...state of Nebraska. This position supports our Prior Authorization review process with our Nebraska Medicaid Health Plan. Strong... ...all state and federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based...
Suggested
Remote job
Weekend work
Monday to Friday
$20.47 - $28.66 per hour
...Your Role
The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi-Cal Care Management. This individual will interact telephonically and electronically with members and providers as per established protocol or direction to ensure...
Suggested
...may allow us to pay outside of this range.
Summary:
As a Clinical Rehabilitation Specialist , you will:
Be responsible for... ...content expert.
Essential Functions:
· Ability to review patient medical charts and understand pharmaceuticals, test results...
Suggested
Hourly pay
Holiday work
Full time
Apprenticeship
Flexible hours
...POSITION SUMMARY:
Under the direction of the Senior Director of Clinical Operations (SDCO), and in partnership with the Dental Director... .../AIDS required.
Knowledge of clinic operations, utilization review, quality management, patient billing, accounting, budgeting and...
Suggested
Full time
Local area
Shift work
Saturday
...Medicaid and Medicare. We are looking for a LPN or LVN Care Review Clinician with Prior Authorization experience. Experience with... ...office location.
KNOWLEDGE/SKILLS/ABILITIES
Analyzes clinical service requests from members or providers against evidence based...
Remote job
Monday to Friday
$20.47 - $28.66 per hour
...Your Role
The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers and members in the medical management process by telephone or correspondence. The...
Physicians Choice Home Health is recruiting for a Clinical Care Coordinator to join our Home Healthcare Team. In this role, you will be... ...of Care/DC of patients that are admitted to the hospital.
3. Review and sign Start of Care Orders, Recertification Orders, Resumption...
Holiday work
Temporary work
Work from home
....
Learn more and apply today by visiting our website at:
Clinical Supervisor
Position will be housed out of the Carson Outpatient... ...plans are completed within policy timeframes.
Assesses, reviews and reports safety concerns to supervisor, and any issues per protocol...
Traineeship
Local area
...Job Title: ABA Clinical Supervisor (Associate Clinical Supervisor)
Position Type: Part-Time
About the Position:
We are looking... ...implementing intervention plans and provides feedback
Reviews consumer's data and progress with parents/caregivers
Troubleshoots...
Part time
Immediate start
Flexible hours
