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...Daily responsibilities will include the following: Candidates will be reviewing medical patient records against standard medical criteria.
Candidates MUST have 3 years of clinical nursing experience along with 1 year of utilization or medical claims review experience...
Medical
Permanent employment
Temporary work
Local area
Remote job
...Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/... ...to providers.
We are seeking a Registered Nurse with Appeals or claim review knowledge. Must be computer...
Medical
Remote job
Monday to Friday
...Description
Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles,... ...benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending...
Medical
Hourly pay
Contract work
Local area
Immediate start
Shift work
...data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity,... ...Requirements
Minimum three (3) years’ experience practicing nursing as a licensed Registered Nurse
Minimum of three (3) years...
Medical
Full time
Remote job
Flexible hours
...desired outcomes with quality care that is medically appropriate and cost-effective based on... ...medical necessity/utilization review, and/or other utilization management activities... ...Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred....
Medical
...Job Description
Avata Partners is seeking a Document Review Attorney in The Los Angeles area.
What is a Document Review Attorney?
A document review attorney is responsible for reviewing all documents pertaining to a court case. Most of the work...
Suggested
Full time
We're looking for a talented Revenue Integrity Analyst / Claims Review Specialist to join our team on a 24-week contract basis. As a crucial member of our team, you'll be instrumental in optimizing the operational and financial effectiveness of our dynamic health system...
Medical
Full time
Contract work
Remote job
...talented Supervisor - Case Manager/Utilization Review . This is a 03+ Months Contract... ...but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick... ...to Case managers/Utilization Review Nurse.
Need to work with insurance companies...
Medical
Contract work
Local area
Immediate start
...desired outcomes with quality care that is medically appropriate and cost-effective based on... ...procedures.
Conducts prior authorization reviews to determine financial responsibility for... ...Completion of an accredited Registered Nurse (RN).
Required Experience
1-3 years...
Medical
Overview:
St. Francis Medical Center is one of the leading comprehensive healthcare... ...comprehensive admission and concurrent review of the medical record for the medical necessity... ...-graduation of an accredited school of nursing and a current state Registered Nurse...
Medical
Full time
Part time
Work experience placement
...the fastest way to share a moment!
We're looking for an Ad Review & Integrity Specialist to join the Review Operations team at Snap... ...origin, ancestry, physical disability, mental disability, medical condition, genetic information, marital status, sex, gender, gender...
Medical
Work experience placement
Local area
Shift work
Weekend work
Afternoon shift
Early shift
...Job Responsibilities
The Utilization Review Case Manager validates the patient's placement... ...criteria. The UR Case Manager uses medical necessity screening tools, such as InterQual... ...Diploma??????Graduate of an accredited nursing program??
Bachelor's Degree??Nursing preferred...
Medical
Full time
Shift work
...requirements of producing required design models, calculations, reports, specifications, and drawings.
Duties:
Performs technical review of proposed electrical plans and specifications submitted by District personnel, consultant staff, or commissioned architects and...
Suggested
Holiday work
Full time
Contract work
Local area
Flexible hours
...opportunity employer fostering a workforce that embraces and reflects
the rich diversity of Los Angeles County
School Site Reviewer - Instructional Materials $25 Hourly
OPPORTUNITY FOR TEMPORARY EMPLOYMENT
Online applications
must be submitted by:
7...
Suggested
Hourly pay
Permanent employment
Contract work
Temporary work
Part time
...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
...Title: Utilization Review Assistant
Location: Long Beach
Department... ...in Healthcare. Across our family of medical centers, we support each one of our... ...years' experience as a Licensed Vocational Nurse.
Outpatient pediatric clinic experience...
Medical
Permanent employment
Full time
Immediate start
Shift work
Weekend work
...Job Description
JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE
For this position we are seeking a (RN) Registered Nurse with previous... ...toward desired outcomes with quality care that is medically appropriate and cost-effective based on the...
Medical
Holiday work
Immediate start
Remote job
Home office
Flexible hours
...be remote, reporting to office located in Sacramento, CA although it can be done remote.
We are an experienced Utility Design Reviewer on a direct hire basis with our clients team of professionals.
Our client a well-established global EPC organization, together...
Contract work
For contractors
For subcontractor
Local area
Remote job
Relocation
...desired outcomes with quality care that is medically appropriate and cost-effective based on... ...clinical guidelines.
Conducts inpatient reviews to determine financial responsibility for... ....
Under the direction of a Registered Nurse, identifies appropriate benefits,...
Medical
Remote job
...Company Description
mxdwn is an online music and entertainment magazine with news, reviews and features about the latest and best in modern entertainment.
Job Description
If you live and breathe movies and love talking about movies, filmmaking, and storytelling...
Afternoon shift
