Search Results: 779,544 vacancies
...therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science... ...project-specific training and coaching of team members and review of team output cross-functionally.
- Effectively represent...
Medical
Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or...
Medical
Permanent employment
Immediate start
...care for the sick and injured; educate physicians, nurses and other health care providers; and improve... ...ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating medical necessity and clinical appropriateness of services...
Medical
...complex issues.
The Preservice Review/Prior Authorization RN will... ...review, discharge planning, medical and behavioral care... ...enjoy the flexibility to work remotely * from anywhere within the U.... ...Bachelor of Science degree in Nursing or a Master of Science degree...
Remote job
Medical
Hourly pay
Minimum wage
Work experience placement
Local area
Weekend work
Matrix Medical Network is searching for physicians looking for additional... ...collaborating physician (Chart Reviews). Our collaborators over see our highly skilled Nurse Practitioners in the field as stated... ...099 (Chart Reviews)
Location: Remote Opportunity - State of Missouri...
Remote job
Medical
Full time
For contractors
Relief
Flexible hours
...Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately... ...and a media stipend are provided for remote workspace.
ABOUT DANE STREET:
A fast-...
Remote job
Medical
Temporary work
Shift work
Weekend work
...their quest to receive all the disability benefits they medically, legally, and ethically qualify for from both government... ...benefits journey to improve their life trajectory.
The remote Medical Records Review Specialist is a medical professional working to build medical...
Remote job
Medical
Holiday work
Flexible hours
...POSITION SUMMARY
The Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and extended hospital stays, including psychiatry; affirming compliance with CMS’ Conditions of Participation regarding...
Medical
...Description :
Serco is seeking a motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions... ...and information management.
Hybrid or full-time remote work. This is position is contingent on contract award....
Remote job
Medical
Permanent employment
Full time
Contract work
Work experience placement
Local area
Immediate start
...Utilization Review RN - Remote at Guidehouse in Boise, Idaho, United States Job Description Job Family : Clinical Appeals Nurse Travel Required : None Clearance Required : None What You Will... ...efficiency and quality assurance of medical necessity reviews in alignment with...
Remote job
Medical
Holiday work
Temporary work
Flexible hours
Weekend work
Afternoon shift
...60-90 days training, eligible for hybrid schedule of 3 days remote/2 days in office .
MUST BE highly proficient with computer... ...used concepts and practices in Workers Compensation medical bill review/auditing . Prepares and compiles medical provider bill data...
Remote job
Medical
Full time
Licensed attorneys needed for several document review positions for Minneapolis law firm. Positions are both long and short term. Remote work, but attorneys must be actively licensed in any state and available to work business hours on CST. Must have a computer and be able...
Remote job
Hourly pay
Permanent employment
Contract work
Temporary work
Work experience placement
Shift work
...Health Services
Residential - Utilization Review Coordinator
Role and Responsibilities... ...impact patient care
Applies approved medical necessity criteria towards conducting... ...representatives or billing company when admission nursing assessment is complete.
Occasionally...
Remote job
Medical
Temporary work
Local area
...Clinical Pharmacist Reviewer- REMOTE at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people... ...Description Summary Facilitates efforts in the development of medical pharmacy solutions programs. Supports drug utilization review...
Remote job
Medical
About the job Contract Review Consultant - Remote
Hoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, strategy, and people, is hiring a Contract Review Consultant to...
Remote job
Contract work
...treatment facility located in Flushing, NY is looking for an Clinical Review Nurses.
Type: Contract
Schedule: M-F 8:30am-5:30pm -1 Hour Break,... ...compliance standards.
Responsible for determining the medical appropriateness of inpatient and outpatient services by...
Medical
Permanent employment
Contract work
...based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and... ...continuous improvement in both areas.
• Refers cases and issues to Medical Director and Triad Team in compliance with Department...
Medical
Hourly pay
Shift work
Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance...
Medical
Permanent employment
Temporary work
...from over $500B in wasted spending due to medical billing fraud, waste, and administrative... ...Doing
We are looking for a Medical Bill reviewer to join our team! Do you have experience... ...(preferred)
Would consider 100% remote for the right candidate
Our Culture...
Remote job
Medical
Flexible hours
...Utilization Review Authorization Coordinator - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward... ...closely integrated network of hospitals, multispecialty medical groups, urgent care centers, skilled nursing facilities and behavioral health centers.Based in...
Remote job
Medical
