Average salary: $116,409 /yearly
More statsSearch Results: 43,262 vacancies
...Position Title: Medical Claims Review Nurse
Type: Fully Remote
Schedule: Monday to Friday, 9:00 AM to 5:00 PM local time. Daily Responsibilities:
~ Reviewing medical patient records against standard medical criteria.
Minimum Qualifications:
Three years...
Medical
Remote job
Local area
Monday to Friday
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide...
Suggested
...individuals to join the Ciox team for a specialized, part-time role as a Chart Retrieval Specialist.
What You Will Do...
Following your... ...You will arrive at scheduled times and scan/upload the assigned medical records using Datavant equipment and processes.
Datavant...
Medical
Hourly pay
Part time
Casual work
Local area
Remote job
Flexible hours
3 days per week
...supervision, the Utilization Coordinator provides utilization review, Amkai chart surveillance and denials management for the inpatient case... ...level of care. The Utilization Coordinator interfaces with the medical team, physician office staff, other staff members as well as...
Medical
Part time
Worldwide
...a patient's ability to pay for health care.
The Utilization Review Assistant is responsible for taking the data provided to their... ...registration, insurance verification or similar positions required.
Medical terminology experience required.
Pre-authorization and pre-...
Medical
...in the communities we serve, regardless of a patient's ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating medical necessity and clinical appropriateness of services in order to achieve quality outcomes and ensure appropriate...
Medical
...promote learning and personal fulfillment.
Benefits
~ Medical, Dental, Vision Insurance
~ Life and Disability Insurance
~... ...education and experience
Job Summary
The Utilization Review Specialist will examine medical and behavioral health insurance...
Medical
Contract work
...Mandarin Language Document Reviewer
Employment Type: Full Time, Mid-Level
Department: Legal
As a CGS Mandarin Document Reviewer... ...types, e.g., tables produced by database applications and charts and graphs produced by electronic spreadsheet applications, into...
Suggested
Holiday work
Full time
Relief
Flexible hours
...Description A-Line Staffing is now hiring in Hybrid Auditor Review Registered Nurse in Harrisburg, PA 17105. If you are interested... ...Clinical experience, hospital, nurse auditor, Utilization review, medical fraud, Research Nurse, Nurse reviewer, Prior Authorization,...
Medical
Hourly pay
Full time
Contract work
Immediate start
Remote job
...Responsibilities include medical review, which involves in-house review of Case Report Forms (CRFs) including query resolution and addenda writing, QA of data listings. May manage the activities of regional contract CRAs, and organizes the files and budgets associated...
Medical
Contract work
Utilization Review Specialist - Part Time | Mountain Laurel Recovery Center | Westfield, Pennsylvania
About... ...support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
Communicates effectively with...
Medical
Temporary work
Part time
SUMMARY OBJECTIVE:
Support the Loan Review Program, as assigned, to minimize the impact of losses, assess the quality of the bank's loan portfolio, and ensure that the bank's lending practices conform to established policy and quality lending standards. The primary...
Suggested
...regardless of a patient's ability to pay for health care.
The Charge Review Specialist, Physician Billing is responsible for all revenue... ...preferred. Working knowledge of CPT, HCPCS, ICD10, and medical terminology. Epic experience preferred.
Please complete your...
Medical
...Coast Medical Service is seeking a travel nurse RN Utilization Review for a travel nursing job in Dallastown, Pennsylvania.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/04/2024
~ Duration: 7 weeks
~40 hours...
Medical
Holiday work
Shift work
In this role you will be responsible for: Ensuring medication history review is completed accurately and consists of the full list of patient ambulatory medications. This position requires providing service to the following age population(s) Neonate, Infant, Pediatric,...
Medical
...Eurofins Lancaster Laboratories Inc seeks a Senior Data Review Scientist in Lancaster, PA to perform the following job duties: Review and audit complex routine and non-routine laboratory data one or more areas (including Method development and validation) according to...
...predictability, and sustainability.
Job Description
•This is not a work from home position and would work normal business hours
•Review and approve all batch records prior to production to ensure that they conform to requirements of cGMP and SOP requirements.
•...
Full time
Contract work
Worldwide
Flexible hours
Shift work
...of a patient's ability to pay for health care.
The Surgical Review Specialist prospectively reviews, validates, and audits procedure... ...queries
Serves as liaison between Physician Advisor/Medical Director, Finance, Utilization Review Department and CDCI.
PHYSICAL...
Medical
Full time
Remote job
...Hire Resolve is currently seeking a Tax Reviewer to join our client's team. Our client is a renowned accounting firm with a strong focus on tax services. As a Tax Reviewer, you will be responsible for reviewing and ensuring the accuracy of tax returns prepared by the...
Permanent employment
Full time
...Management and Director of Coding and Data Operations with the development of coding policies and procedures. Coordinates and conducts reviews of targeted cases to assure timely billing process and correct hospital reimbursement. Performs daily and random audits to validate...
