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Suggested
Remote job
...Clinical Operations Medical Director
Utilization Management of Medical Oncology Benefits
Carelon Benefits Management
$20,000... ...and providers.
Job Summary:
Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and...
Medical
Work experience placement
Local area
Remote job
Work from home
Relocation bonus
...that are directly associated with the utilization management of medical services provided to Kaiser members. Works independently;... ...and contracted/planned providers. Manages projects related to chart reviews.
Conducts utilization data analysis (avoidable days, readmissions...
Medical
Hourly pay
Full time
Contract work
Local area
Shift work
...Reporting to the Manager of Clinical Operations, the Concurrent Review & Care Transition Nurse is a registered nurse or licensed... ...utilize clinical assessment skills to make decisions regarding medical necessity of services.
Apply clinical criteria and guidelines...
Medical
Hourly pay
Holiday work
Weekend work
Day shift
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Leandro, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 12 weeks
~36 hours per week
~...
Medical
Weekly pay
Holiday work
Shift work
...Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It... ...patient outcomes. Performs concurrent, and retrospective medical record reviews based on approved screening criteria, knowledge...
Medical
2 days per week
1 day per week
...member of the Population Health and Quality department, the Quality Review Nurse (QRN) will support key clinical quality initiatives at... ...works closely with the Grievance and Appeals team and the SFHP Medical Director to ensure that clinical quality concerns are addressed...
Medical
Hourly pay
Holiday work
...services through Housing and Homelessness Services, Emergency Medical Services Agency, HealthPAC, and Healthy Schools and Communities... ...POSITION
Under general direction, supervises Clinical Review Specialists in Alameda County Behavioral Health; coordinates day...
Medical
Holiday work
Full time
Temporary work
Local area
Remote job
Flexible hours
...attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality... ...offer a flexible portfolio of benefits and services, including medical, dental, and vision coverage, a 401(k) plan, additional benefits...
Medical
Remote job
Flexible hours
...As a Medical Assistant (MA) at Tiburcio Vasquez Health Center, Inc. (TVHC) this position... ...Prepares for patient appointments by reviewing and updating patient records prior to appointment... ...; accurately documents in the medical chart according to generally accepted medical standards...
Medical
Hourly pay
Holiday work
Full time
Temporary work
Flexible hours
Saturday
Monday to Friday
...the Opportunity
As the Product Manager for the Veza Access Reviews product, you'll work with various internal stakeholders and customers... ...care, dependent care, and commuter benefits (FSA)
~ Flexible medical, dental, and vision benefits
~ Parental leave
~ Flexible...
Medical
Local area
Flexible hours
...opportunity for accomplished attorneys to work in a remote, hourly capacity on sophisticated matters, primarily performing second-level review and quality control on high volumes of complex litigation documents to ensure all work product and client deliverables are accurate...
Suggested
Hourly pay
Full time
Temporary work
Remote job
Flexible hours
...Qualifications:
Loan Reviewer
US Citizenship required
Level 2 Peraton Screening will be run along with the usual Client process
Responsibilities:
Conduct loan file transaction testing to determine regulatory credit risk grades by analyzing repayment capacity...
Suggested
...Medical Director
About the Company
Top-tier life insurance & annuity provider
Industry
Insurance
Type
Privately Held... ...analysis, and referrals, as well as input on contestable claim reviews. The Medical Director will play a key part in training and developing...
Medical
...Medical Director
About the Company
Industry leader in the health & wellness industry & innovative managed care
Industry
Insurance... ...work within regulatory compliance. The Medical Director will review medical records, engage in discussions with external providers,...
Medical
...We are accepting resumes for full-time Medical billers at our downtown Berkeley location... ...Utilize EPIC when printing encounter/chart notes and as audit tool for insurance and... ...and manage patient account payments.
Review delinquent accounts and call (as directed...
Medical
Hourly pay
Holiday work
Full time
...and Lake Merced West.
Leading the Department’s Environmental Review and Compliance process, procedures, and coordination around... ...national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or...
Medical
Permanent employment
Full time
Work experience placement
Local area
Immediate start
Weekend work
Afternoon shift
...your career, and the financial world.Job Summary:The Credit Risk Review Leader for the Second Line of Defense in our OCC-regulated bank... ...practices), sex (including pregnancy, childbirth and related medical conditions, breastfeeding, and conditions related to breastfeeding...
Medical
Remote job
...(AR&L), patient safety and risk management activities for the medical center. Provides clinical, educational, consulting, and coordinating... ...physicians and staff regarding regional projects or regulatory reviews, i.e. the interpretation of regulatory requirements and the...
Medical
Local area
Shift work
...Health & Safety
Division has an opening for a
Medical Assistant
to join the team. In this role you will... ...medical terminology knowledge and experience with basic medical charting; proficiency in use of electronic medical records.
Demonstrated...
Medical
Hourly pay
Full time
Contract work
Monday to Friday
