Average salary: $52,488 /yearly
More statsSearch Results: 11,011 vacancies
...live well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Clinical Review Pharmacist
The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests...
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Local area
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...core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
As a Oncology, Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in...
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...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
Summary
Key member of the utilization management team, and provides timely medical review of service requests...
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Work experience placement
Internship
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...the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene... ...of medical care.
+ Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness...
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Flexible hours
...all Federal and State requirements.
+ Ensure second-level reviews have been performed and documented and may confer with medical... ...including d appeal and denial letters, NOMNC letters, AOR forms, clinical information.
+ Act as a point person for internal and...
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Hourly pay
Full time
Work experience placement
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Monday to Friday
...a part of the #1 full truckload carrier in the nation. Be a part of Swift Transportation.
Job Responsibilities: What you will do
Review violations, log and follow up to ensure compliance.
Are to include but are not limited to the following, other duties may be assigned...
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..., Retrospective UM. Supervises staff who conduct retrospective review of medical claims for appropriate DRG or non-DR coding and processing... ...(CCS) or Certified Professional Coder (CPC)
•2+ years of clinical experience
•2+ years coding experience
•2+ years...
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...Phoenix Medical Psychiatric Hospital is looking for a Utilization Review Coordinator to coordinate patients services across the... ...needed.
Initial Precertification with payors.
Concurrent Clinical review with payors.
Document in the electronic system daily...
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...Job Title:
Sr. Credit Risk Review Officer
Location:
Scottsdale
What you'll do:
This position is responsible for planning and executing quarterly continuous credit file examination of assigned reviewable units or risk segments. The Senior Credit Risk Review...
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Matrix Medical Network is searching for physicians looking for additional income as a collaborating physician (Chart Reviews). Our collaborators over see our highly skilled Nurse Practitioners in the field as stated by state law. This is a Great Opportunity for physician...
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Full time
For contractors
Relief
Remote job
Flexible hours
...owned community bank and one of Prairie Business Magazine's 50 best places to work for 10 years running. We are looking for a Credit Review Associate who can clearly identify borrower risk and translate the risk factors into terms others can understand within a narrative...
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Full time
...Job Description Hi, we're Oscar. We're hiring a Utilization Review Appeals RN to join our Utilization Review team.
About the role... ...claims UR nurse is responsible for the investigation and review of clinical appeals and post-claim cases. This involves using clinical...
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Hourly pay
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Full time
Remote job
...are dedicated to Changing People’s Lives® .
The Utilization Review department plays an essential role in helping fulfill our... ...managed care organizations and the facility’s behavioral health clinical treatment team.
Conducts clinical reviews in accordance with...
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Full time
Flexible hours
...Role: Penalty Review Specialist-1276
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
Primary Duties:
Analyze applicant data for abatement consideration.
Request additional information when needed....
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Contract work
...Responsibilities
Utilization Review Coordinator
Via Linda Behavioral Hospital is a brand-new behavioral health provider... ...high quality patient care through the review and evaluation of clinical practices.
Qualifications
Education and Experience:...
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Full time
Local area
...creating a strong path to vehicle ownership for our customers.
That’s Nice, But What’s the Job?
In short, as the Funding (Loan Review) Agent, you will be responsible to review customer income documentation and communicate with our Retail stores.
In long, you will:...
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Saturday
...FT 36 Hours Per Week
Shifts: Mid
As a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing... ...the acute care medical hospital. This requires proficiency in clinical criteria, evidence-based practice, regulatory compliance,...
Hourly pay
Shift work
...Role: Purchase Reviewer-1153
Estimated Duration: 6+ months
Location: Phoenix, AZ
Position Description
The purpose of this position is to provide support to constituents, including education administrators and staff, community members, education partners...
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Full time
Contract work
Casual work
Local area
Shift work
Monday to Friday
...Responsibilities
UTILIZATION REVIEW COORDINATOR
Arbour Counseling Services, a subsidiary of Universal Health Services, provides... ...but not required
Requires light travel to various clinics in MA
Must be proficient in Excel, Word, Outlook, etc.
Must...
Temporary work
Local area
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
