Average salary: $55,494 /yearly
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...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to help... ..., using applicable benefit plan documents, evidence-based medical policy and nationally recognized clinical guidelines and criteria...
Medical
Hourly pay
Temporary work
Work experience placement
Local area
Immediate start
Remote job
Home office
Shift work
Day shift
Afternoon shift
Monday to Friday
...required
Summary:
The RN Utilization Review II is responsible for determining the clinical... ...services.
The RN Utilization Review Nurse collaborates as necessary with other... ...information and treatment plans and apply medical necessity criteria to determine the appropriate...
Medical
Permanent employment
Temporary work
Local area
Area: HPUtilization Mgmt 7065 / 1346
Class: RN Utilization Review
Shift: 1
Start: 08:00:00
End: 17:00:00
Suggested
Shift work
Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible... ...for services. The RN Utilization Review Nurse collaborates as necessary with other members... ...and treatment plans and apply medical necessity criteria in order to determine...
Medical
Permanent employment
Immediate start
...Description
Job Description POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive review... ...to ensure that all services billed are supported by the medical records. The Nurse Auditor will oversee processing of the Demand...
Medical
Local area
...Job Description
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 05/06/2024
~ Duration: 12 weeks
~40...
Suggested
Remote job
Shift work
...flexible and experienced physicians for our medical reviewstream division. This telecommute... ...:
Relying on clinical background, reviews health claims providing medical interpretation... ...agencies, carriers, employers, nurses and health care professionals.
-Medical...
Medical
Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
Description
Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The choice is yours, work...
Suggested
Hourly pay
Contract work
Temporary work
For contractors
...in a safe family like setting?
Mainstream Nonprofit Solutions has the job for you!
We are looking for full-time Utilization Review Specialist to add to our team! A Bachelor’s degree is required with two to four years of experience in social services with...
Suggested
Hourly pay
Holiday work
Full time
Remote job
Flexible hours
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
...Position Summary
Working from instructions and pre-established guidelines, under general supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered based on state/URAC guidelines in accordance with...
Medical
Overview:
Mesa Springs
Utilization Review Specialist
Mesa Springs is a 72-bed behavioral hospital located in Fort Worth,... ...Monitor hospital LOS, report appropriately.
Work with Director of Nursing to ensure documentation requirements are met
Interface with...
Suggested
Flexible hours
...Description
Healthcare Administrative Assistant - Medical Review/Program Integrity Coordinator
Dallas, TX
(Hybrid schedule with 2... ...with information from the meeting.
Work with the Lead MR nurses to compile and send out overpayment packets to the Medicare Administrative...
Medical
Hourly pay
For contractors
Remote job
$80k - $90k
...center in the one and only, Dallas, TX!
This Nurse should have a minimum of 5 years... ...minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2 years... ...schedule- Once per quarter
Benefits--
Medical, Dental, HSA, Life Insurance/AD&D,...
Medical
For contractors
Flexible hours
...deliver excellent care patients deserve? At Medical City Dallas we support our colleagues in... ...our Team as a Medical ICU Registered Nurse and access programs to assist with every... ...Medical ICU opening. Our team will promptly review your application. Highly qualified candidates...
Medical
Permanent employment
Full time
Temporary work
Part time
Flexible hours
Description
IntroductionDo you have the career opportunities as a Medical ICU Registered Nurse you want in your current role? We invest in what matters... ...to apply for our Medical ICU Registered Nurse opening. We review all applications. Qualified candidates will be contacted...
Medical
Permanent employment
Full time
Temporary work
Part time
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...
Medical
Remote job
Description
Medical City Arlington Registered Nurse - Medical/Surgical
Days (Rotating Weekends)
Introduction
Are you passionate about the patient... ...Registered Nurse Medical Surgical opening. We promptly review all applications. Highly qualified candidates will be...
Medical
Permanent employment
Full time
Temporary work
Part time
Flexible hours
Korean Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Korean
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions, Conceptual...
Remote job
...As our Director of Specialty Bill Review Services, you will maximize savings and client... ...Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill... ...medical bill review auditors, nurse auditors, med-legal nurse, negotiators and...
Medical
Remote job
Flexible hours
