Search Results: 10,244 vacancies
Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining... ...a variety of pre-admission, concurrent, and retrospective UM related reviews... ...for services. The RN Utilization Review Nurse collaborates as necessary with other members...
Suggested
Permanent employment
Immediate start
...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...
Suggested
Hourly pay
Holiday work
Full time
Work experience placement
Immediate start
Remote job
Home office
Weekend work
Afternoon shift
...Job Description
Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of... ....U., C.C.U., E.R., and orthopedics preferred
Prospective, concurrent and retrospective utilization review experience preferred...
Suggested
Minimum wage
Full time
Local area
Remote job
Flexible hours
...Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) Validate that cases/... ...Identify and utilize appropriate resources to conduct non-clinical res RN, Nurse, Oncology, Radiation, Clinical Research, Remote, Healthcare...
Suggested
Remote job
...Structure:
Notre quipe compte un associ et un collaborateur. Elle conseille ses clients dans tous les domaines du droit de la concurrence et de la distribution, tant en matire de conseil que de contentieux. Elle accompagne des clients franais ou internationaux dans les...
Suggested
...Saturday, Sunday, Monday.
JOB SUMMARY
The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical... ...departments regarding medical necessity for prospective, concurrent, and retrospective reviews. Partners as a team to ensure...
Suggested
Immediate start
Remote job
Shift work
Weekend work
Sunday
Saturday
Job Summary:
As a Professional Review Nurse, you'll play a crucial role in ensuring the accuracy and appropriateness of medical services... ...orthopedics is advantageous.
Experience in prospective, concurrent, and retrospective utilization review is a plus.
Salary...
Suggested
Full time
Remote job
Flexible hours
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$68k - $110k
...Join Baylor University Medical Center as a Registered Nurse and be part of something better!
FT Evening 2pm -10:00pm or 2:00pm -12:0... ...and a deep Commitment to those we serve.
The Registered Nurse (RN) Unit PRN is a licensed professional who uses the BSWH nursing professional...
Suggested
Full time
Work experience placement
Relief
Immediate start
Relocation package
Shift work
Afternoon shift
$80k - $90k
...seeking an experienced Utilization Management RN to join our esteemed surgical center in the one and only, Dallas, TX!
This Nurse should have a minimum of 5 years INPATIENT... ...and minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2 years...
Suggested
For contractors
Flexible hours
...Education
* Must have a Bachelor's degree in Nursing, Health Administration, Public Health or... ...of leadership experience in Utilization Review or Care Management.
Equivalent... ...Licensure
* RNs Only: Must have current, valid RN license or temporary RN license from the Texas...
Suggested
Temporary work
...clinical treatment team.
Conducts clinical reviews in accordance with certification... ...length of stay and conducts initial and concurrent reviews when indicated to provide clinical... ...of: Social Work, Psychology, Psychiatric Nursing, Marriage and Family and Child...
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Full time
Flexible hours
Portuguese Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Portuguese
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions...
Suggested
Remote job
...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and...
Suggested
Hourly pay
Minimum wage
Full time
Local area
Flexible hours
Physician medical reviewer needed for REMOTE weekend work, minimum of two weekends per month.
The pay rate is $105 per hour under a 12-month contract.
Eligible to work from any state.
This position requires an initial time commitment to undergo and complete training...
Suggested
Remote job
Hourly pay
Contract work
Shift work
Weekend work
Sunday
Saturday
...been categorized correctly Determine and confirm member eligibility and benefits Obtain additional documentation required for case review Place relevant documents into image repository Initiate outbound contact to members or prov Appeals, Clinical, Microsoft, Remote, Health...
Suggested
Remote job
...Disadvantaged Business with proven expertise providing independent medical reviews, records/data management services, medical coding,... ...Bachelor’s degree from an accredited college or university in nursing and/or Juris Doctorate from an accredited law school, required....
Holiday work
Full time
Contract work
For contractors
Remote job
Monday to Friday
$65 - $85 per hour
...homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to complete) Each review is meant to evaluate the quality of the finished construction.
Driving...
Full time
Part time
For contractors
...Experienced Document Review Attorney – Remote
Great opportunity for l icensed attorneys with document review experience interested... ...standing in the state in which they physically reside.
No concurrent employment.
At least 18 months of prior document review experience...
Remote job
Hourly pay
Full time
Flexible hours
...Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews. Hours are flexible within certain time parameters.
There are part time and full time contract positions. Compensation is on a 1...
Full time
Contract work
Part time
Interim role
Remote job
Flexible hours
...documentation
Communicate with healthcare facility Clients to ensure accuracy of timesheet documentation
Facilitate detailed review of Provider pay documentation
Facilitate detailed review of Provider expense reconciliation data
Responsible for accurate entry...
Full time
Locum
