Search Results: 1,254,937 vacancies
Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider... ...customer, Proficient
Strong interpersonal skills. Ability to work independently, as well as a member of a team , Advanced...
Medical
Permanent employment
Immediate start
...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles... ...to optimize member benefits. Works on reviews that are routine having limited or no previous medical review experience requiring... ...on a call is preferred.
* Home healthcare experience preferred...
Medical
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
...Description
The Chief Medical Officer, Group Medicare relies on... ...strategy for the GM business.
Work with local market utilization... ...Committee, monitor initial peer review on quality of care complaints... ...license
Physician (MD/DO), Nurse Practitioner, Physician...
Work from home
Medical
Local area
...Unit:
Care Management/Social Work
Work Shift:
Day (... ...States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51... ...and/or discharge planning/home care in a high volume, acute... ...Refers cases and issues to Medical Director and Triad Team in compliance...
Medical
Hourly pay
Shift work
...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday... ...outcomes, and to optimize member benefits. Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more...
Medical
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday
...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday... ...outcomes, and to optimize member benefits. Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more...
Medical
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday
STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!
Strategic Staffing Solutions (S3) is currently looking for a Registered Nurse-Review Analysis for a contract opening with one of our largest clients located in Detroit, MI.
This is a....
Suggested
Contract work
...Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of... ....
• While performing utilization review identifies areas for clinical documentation... ...both areas.
• Refers cases and issues to Medical Director and Triad Team in compliance with...
Medical
Shift work
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment... ...all payers and all levels of care as required by the payer. Work with physician advisor to better manage denials and downgrades....
Suggested
...Reviewing Medical Director at Conviva in Boise, Idaho, United States Job Description Become a part of our caring community and help us put... ...medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues...
Medical
...Description
QUALIFICATIONS
Qualified candidates must have one to three years prior office or relevant experience.
Ability to work on various assignments simultaneously and to communicate tactfully, verbally and in writing with department heads, managers,...
Medical
Flexible hours
Shift work
Night shift
Weekend work
Day shift
Weekday work
...Job Summary:
The Handicap Coordinator will review workers' compensation claims/medical records to identify pre-existing conditions that may have delayed... ...and PTO available
~ A day off for your birthday and work anniversary
~ Employee focused culture with appreciation...
Medical
Holiday work
Temporary work
Immediate start
...Registered Nurse RN - Utilization Review
Details
* Department: Utilization Mgt
* Schedule: M-F 8 hr... ...prospective, concurrent and retrospective medical necessity and/or compliance with... ...from State Board of
Nursing or current home state license for multi-state license...
Medical
Temporary work
Relief
Local area
...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
...MUST HAVE Knowledge of CPT, ICD-9/10 and HCPCS codes along with commonly used concepts and practices in Workers Compensation medical bill review/auditing . Prepares and compiles medical provider bill data for Workers Compensation clients.
The successful candidate...
Medical
Full time
...Perform clinical/coding medical claim review to ensure compliance with coding practices through a comprehensive review and analysis of medical claims, medical records, claims history, state regulations, contractual obligations, corporate policies and Medical, Medical...
Medical
...Regular
**Language Fluency:** English (Required)
**Work Shift:**
1st shift (United States of America)
**Please review the following job description:**
Supports... ...of Truist offering the position. Truist offers medical, dental, vision, life insurance, disability, accidental...
Medical
Holiday work
Full time
Part time
Shift work
Day shift
...Position Title:
Coding Inpatient Quality Reviewer/Educator (Work From Home)
Department:
HIM Coders
Job Description:
Coding Inpatient... ...quality of physician documentation within the body of the medical record to support code assignments. Responsibilities also...
Work from home
Medical
Work experience placement
...24-06-26
Position Title:
Medical Oncology Medical Director - Utilization Review
Job Description:
Clinical... ...with the opportunity to work remotely from home.
A proud member of the Elevance... ...case review, following initial nurse review, of Medical Oncology regimens...
Work from home
Medical
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Relocation bonus
Day shift
...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
