Average salary: $34,136 /yearly
More statsSearch Results: 17,134 vacancies
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
...UTILIZATION REVIEW NURSE (RN)
~Randallstown, MD
~NORTHWEST HOSPITAL
~NW CARE MANAGEMENT
~Full-time - Day shift - 8:00am-4:... ...delays and denial of payment.
Chart Review: Reviews the medical record by applying utilization review criteria, to assess clinical...
Medical
Full time
Day shift
...Corporate Strategic Plan through direction of the Clinical Medical Claims Review, Medical Underwriting, Medical Policy, Clinical Appeals and... ...QUALIFICATIONS:**
**Education Level:** Bachelor's degree in nursing OR in lieu of a Bachelor's degree, an additional 4 years of...
Medical
Work experience placement
Local area
Immediate start
...UTILIZATION REVIEW NURSE (RN) - PRN
~Baltimore, MD
~SINAI HOSPITAL
~UTILIZATION REVIEW
~PRN - As Needed - 8:00am-4:30pm... ...Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center...
Medical
Relief
...Elevance Health Medical Oncology Medical Director - Utilization Review Hanover , Maryland Apply Now
Utilization Management of Medical Oncology Benefits... ...Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive...
Medical
Work experience placement
Local area
Remote job
Work from home
Relocation bonus
...UnitedHealth Group Medical Claims Review, Medical Director - Remote Baltimore , Maryland Apply Now
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve...
Medical
Remote job
Minimum wage
Work experience placement
Local area
...Job Description
Job Description Unlock Your Potential at Johns Hopkins Bayview Medical Center | NOW HIRING Registered Nurses | Medical Unit!
Johns Hopkins Bayview Medical Center stands as a distinguished institution, encompassing a 420-bed teaching hospital, a...
Medical
Immediate start
Flexible hours
Shift work
Night shift
Rotating shift
...Office Manager or designee(s), serves as technical lead in the review of appraisals to ascertain equitable property prices and values... ...within thirty (30) calendar days of hire. Plans offered include:
Medical, Prescription, Dental and Vision insurance.
Flexible Spending...
Medical
Holiday work
Full time
Contract work
Temporary work
Part time
Work experience placement
Flexible hours
...What's In it for you?!
\n
\n1. Low Nurse- to- patient ratios (1:6)
\n2. UMROI is... ...Orthopaedic Institute.
The Comprehensive Medical Rehabilitation Unit is a 32-Bed Unit;... ...Contributes to development of unit based peer review processes; actively participates in...
Medical
Holiday work
Full time
Temporary work
Shift work
Night shift
...As a Assessor Reviewer you will be responsible for face-to-face assessments of vulnerable populations for various clients. Persons being... ...completing level of need assessments preferred.
If a nurse, must have an active and unrestricted state license.
COMMITMENT...
Suggested
Remote job
...environment, we offer exciting career paths for nurses like you.
Responsibilities for a Clinical Support Specialist:
Review Oasis 485 documentation.
Applies... ...vacation and sick leave, vision, dental and medical health plans, employer paid life insurance,...
Medical
Weekly pay
Holiday work
Local area
Remote job
...Job Description On behalf of our client, we are looking for a Review Assistant to join our team of professionals. If the... ...services.
Coordinate, distribute, and track highly confidential medical information from multiple sources (fax, web, and phone).
Interpret...
Medical
Remote job
Shift work
Monday to Friday
...Provisioning, etc.
Should have good knowledge of JAVA /J2EE, JavaScript and other scripting languages and XML
Strong knowledge of Access Reviews and certifications in SailPoint.
Excellent oral & written communication skills and ability to work with global counterparts...
Suggested
...With over 40 years of experience in Real Estate Law, McCabe, Weisberg & Conway, LLC has an immediate opening for a full time a Title Reviewer in our Laurel, MD office. We are a fast- paced, mid-sized law firm representing mortgage lenders, banks and financial institutions...
Suggested
Full time
Immediate start
...Renal Registered Nurse - Grace Medical Center
~Sign On Bonus Potential: $20,000.00
~Baltimore, MD
~GRACE MEDICAL CENTER
~BALTO ST. HEMODYAL
~Full-time w/Weekend Commitment - Day shift - 5:00am-5:30pm
~Staff Nurse
~77116
~Posted:
March 10, 2...
Medical
Full time
Local area
Immediate start
Relocation bonus
Shift work
Weekend work
Day shift
Saturday
...Registered Nurse - PRN - Grace Medical Center
~Baltimore, MD
~GRACE MEDICAL CENTER
~PRN - Various Shifts - Hours Vary
~Staff Nurse
~72669
~Posted:
March 10, 2024
Apply Now
// Setting the Saved Jobs link
function setsavedjobs(externalidlist...
Medical
Relief
Immediate start
Shift work
...Job Description
Job Description
Utilization Review Specialist/Behavioral Health Substance Abuse
FLSA Status: Exempt... ...appropriate client information to third party payers regarding the medical necessity of treatment in a timely manner. The Utilization Review...
Medical
Remote job
Full time
Work experience placement
Flexible hours
...Registered Nurse (RN) Medical Surgical
General Summary of Position
Medical/Surgical-Post Surgical Unit Highlights
48 private rooms
75% Med Surg Patients
25% Post Surgical Patients
NICHE Certified (Nurses Improving Care for Healthsystem Elders)
Fantastic opportunity...
Medical
Holiday work
Full time
Relief
Local area
Relocation package
Night shift
Weekend work
Afternoon shift
Job Details
Job Location
Severn Regional Office - Severn, MD
Position Type
Part Time
Education Level
High School/ GED
Salary Range
$24.25 Hourly
Travel Percentage
Negligible
Job Category
Non-Direct Support Professional/ Administrative
Hourly pay
Part time
...staff development program which includes an evaluation that the nurse graduate is competent, through skills validation, the nurse... ...management interventions.
The nurse graduate may administer medications under the DIRECT supervision of an RN. The nurse graduate may NOT...
Medical
Permanent employment
