Search Results: 57,149 vacancies
...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 patients lives...
Suggested
...elationships and ( A )mbition are at the heart of our everyday operations and the way we do business
The Opportunity
The QA Reviewer is responsible for a variety of Quality activities to ensure compliance with applicable quality objectives and regulatory requirements...
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Worldwide
Flexible hours
...this is more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national...
Suggested
Holiday work
Flexible hours
...Counties. CCRMC is a public hospital and health system that is dedicated to improving the health of the community.
The Utilization Review unit is part of the Quality department. The Utilization Review unit consists of discharge planning, utilization management, and...
Suggested
Full time
Temporary work
Local area
Immediate start
...utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare for monthly presentations, and manage both long and short-term projects, working collaboratively with...
Suggested
Hourly pay
Holiday work
Full time
Temporary work
Work experience placement
Local area
Flexible hours
...for IVDR projects
Generating necessary reports
Assist with coordinating with translation supplier and defining deadlines
Reviewing translations and translated templates using online translation tools, translation glossary and AI
Populating IFUs, SSPs, DoCs and...
Suggested
Hourly pay
Contract work
Work experience placement
Local area
...Anticipated End Date:
2024-05-06
Position Title:
Nurse Reviewer I
Job Description:
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday - Friday, from 9:30 am - 6 pm
The Nurse Reviewer I is responsible for conducting preauthorization...
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Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Day shift
Monday to Friday
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...Job Description
Avata Partners is seeking a Document Review Attorney in The Los Angeles area.
What is a Document Review Attorney?
A document review attorney is responsible for reviewing all documents pertaining to a court case. Most of the work...
Suggested
Full time
...Description:
As a part of the Utilization Management team the Utilization Review RN is a member of the Care Coordination team. The goal of care coordination is to assist in managing care, cost, and outcomes across the continuum of patient care as it relates to...
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Contract work
...transparency, reliability, and sustainability - creating a better way to go solar.
Q CELLS Home Energy Solutions seeks an Contract Review Specialist to to manage and control projects through administrative and specialized expertise with the Home Energy System division....
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Holiday work
Contract work
Remote job
...Cure Healthcare is seeking a RN - Utilization Review for positions in Chico, California. Current California license and AHA BLS required and additional certifications related to this specialty. This shift is By The Week. Required: 2 years of recent experience in Utilization...
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Shift work
...Responsibilities:
***This position is remote with a clear and current CA LVN license.
Position Summary:
The Utilization Review LVN uses clinical judgement in providing utilization management services. The focus is to provide high quality cost-effective care...
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Local area
Remote job
Flexible hours
Overview:
Utilization Review Supervisor
Pay: $27 - $30 per hour
The Utilization Review Supervisor will oversee a Utilization Review team to effectively implement and complete the authorization processes for Embark BH programs. The primary responsibilities...
Suggested
Hourly pay
Holiday work
...Nature and Scope
The position is responsible for reviewing Quality Control Laboratory data which may include raw material, in-process, and finished product release, instrument qualification protocol/report, stability program results and summaries, raw data related to...
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...Description
Title: LVN Utilization Review
Location: Fountain Valley
Department: Outpatient Utilization Management
Status: Per-diem
Shift: Days
Pay Range*: $40.00/hour
At MemorialCare Health System, we believe in providing extraordinary healthcare...
Suggested
Remote job
Shift work
...Center. Schedule will be Monday through Friday and expected need until November.
Must Have:
-Recent experience in Utilization Review 2 years or more.
-Proficient in MCG, InterQual, and experienced with Epic.
-Current Active California RN license
-Current CPR...
Remote job
Holiday work
Shift work
Day shift
Monday to Friday
...integrated Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place...
...Trauma Center. Schedule will be Monday through Friday and expected need until November. Must Have:-Recent experience in Utilization Review 2 years or more.-Proficient in MCG, InterQual, and experienced with Epic.-Current Active California RN license-Current CPR...
Remote job
Shift work
Day shift
Monday to Friday
Most of our positions require at least 2 years of nursing experience, with an active RN license and BLS and/or ACLS (if required) certified by the American Heart Association.What makes Mindlance Health different?Mindlance Health has thousands of rewarding travel assignments...
Weekly pay
Flexible hours
...services.
Reports To the Supervisor of the Unit.
Duties and Responsibilities:
Performs admission, concurrent, and retrospective reviews on all patients.
Ensures that status and level of care determination are accurate upon admission.
Ensures that pre...
Remote job
Weekly pay
Temporary work
Local area
