Average salary: $95,642 /yearly
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Job Overview
The Physician Reviewer of Utilization Management will provide... ...guidance for processing of referrals to Medical Director staff and to UM staff. Physician... ...oversight, guidance, and training sessions to UM nurse reviewers and other UM staff where...
Medical
Holiday work
Flexible hours
...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...
Suggested
Worldwide
Flexible hours
...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...
Suggested
...California Applicants:
Responsibilities:
The Utilization review tech essentially works to coordinate the utilization review and... ...skills.
Preferred qualifications:
# Completion of a medical terminology course; preferred.
# Knowledge of HIPAA regulations...
Medical
Remote job
...journeys of recovery.
We are actively seeking a utilization review specialist to work in our corporate office in Pasadena, CA.... ...package that includes multiple healthcare plans (Vision, Dental and Medical benefit options, Holiday Pay, Sick Time & Paid Time Off) if...
Medical
Holiday work
...provide needed information on an account.
Special Projects as needed.
Required Education and Experience:
Previous experience working in a psychiatric or chemical dependency setting, with two years of utilization review experience preferred.
Registered Nurse...
Suggested
...various lines of business including, but not limited to, Medicare, MediCal, USDOL, State Workers Compensation, Third Party Lien, Self-pay,... ...based on AMAs CPT, ICD-9-CM, HCPCS II, and OMFS guidelines.Reviews claim fields in accordance with the Gold Standards set forth by...
Medical
Full time
Shift work
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Hourly pay(17)
Immediate start(20)
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Staff(41)
...comprehensive, competitive and generous providing room for potential growth and position/compensation advancement.
Responsibilities:
· Review search data provided by customers/abstractors for completeness and accuracy.
· Type and/or review all products offered within...
Suggested
...Clinical Trials (CT) Quality Assurance Reviewer position(s) is located at the Kaiser Permanente... ...criteria development and trending); medical care delivery in hospital and outpatient... ...or CCRP; CIP, preferred.BA/BSN in Nursing. Primary Location: California,Pasadena,Walnut...
Medical
Full time
Local area
Shift work
..., competitive and generous providing room for potential growth and position/compensation advancement.
SUMMARY:
Capable of reviewing moderate to difficult title documentation and preparing title
products.
ESSENTIAL FUNCTIONS:
Review and organize search...
Suggested
...forward.
Job Overview
The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business... ...care, and inpatient/outpatient treatment plans for medical necessity and efficiency with coverage guidelines. The...
Medical
Hourly pay
Holiday work
Flexible hours
...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site... ...accredited college or university in social work, mental health, nursing, or related field, preferred.
Successful completion of BLS &...
Suggested
Relief
Local area
Remote job
...Imagine loving what you do and where you do it.
Job Category
Nurse - Medical Case Manager
Compensation Overview
The annual base... ...disability and medical treatment as well as in-house medical reviews as applicable to claim handling laws and regulations....
Medical
Holiday work
Contract work
Local area
...equipment planning and evaluation, program planning, marketing, staff review and budget preparation.
· Maintain proper records necessary... ...equipment and therapeutic radioisotopes.
· Manage the medical physics service in a manner to meet or exceed established standards...
Medical
Full time
Relocation
Flexible hours
Monday to Friday
...Onyx Health Care Staffing is seeking a travel nurse RN MICU - Medical Intensive Care Unit for a travel nursing job in San Dimas, California.
Job Description & Requirements
~ Specialty: MICU - Medical Intensive Care Unit
~ Discipline: RN
~ Start Date: 05/20/2...
Medical
Weekly pay
Shift work
$42.92 - $50.31 per hour
...Job Summary:
The Medical Social Worker III provides assessments, coordination, and... ...indicated by QM findings, documentation review, case presentations, staff and patient feedback... ..., consultant, and liaison to medical, nursing, ancillary staff, and to community...
Medical
Full time
Internship
Local area
Work from home
Shift work
...Job Details:
This position presents an opportunity to join an elite team of passionate physicians and nurses within the Medical Surgical (MS) unit. This unit sees a wide variety of conditions including endocrine, wound care, neurology and gerontology as well as patients...
Medical
Temporary work
Second job
...get in a civilian career. Challenging Work Feel inspired with great case diversity and over 40,000 visits coming into the U.S. Army medical facilities and clinics around the world every day. See and study diseases that are not usually encountered in the private sector,...
Medical
...Job Description
PHP is seeking a travel nurse RN MICU - Medical Intensive Care Unit for a travel nursing job in San Dimas, California.
Job Description & Requirements
~ Specialty: MICU - Medical Intensive Care Unit
~ Discipline: RN
~ Start Date: 05/13/2024...
Medical
Shift work
...We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you... ...work again. Let us help.
THE POSITION:
Medical-Surgical nurses provide direct care to adult patients in a variety of settings...
Medical
Hourly pay
Temporary work
