Search Results: 737,982 vacancies

 ...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

Daiichi Sankyo, Inc.

New Jersey
6 days ago
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
Full time
Immediate start

Ageatia Global Solutions

Baltimore, MD
3 days ago
**Resp & Qualifications** **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... 
Medical
Remote job
Work experience placement
Immediate start

CareFirst

Washington DC
4 days ago
 ...Nurse Reviewer I Description Nurse Reviewer I Location: Within 50 miles of a pulse point in the following states: * California * Colorado...  ...on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior... 
Medical
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work

Elevance Health

Colorado Springs, CO
3 days ago
 ...management, discharge planning and utilization review. Review admissions and service...  ...prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement...  .../ Registration: ~ Licensed Registered Nurse credentialed from the Florida Board of... 
Medical
Temporary work
Relief
Local area

Ascension

Pensacola, FL
13 days ago
 ...Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour Responsible for...  ...continuous improvement in both areas. Refers cases and issues to Medical Director and Triad Team in compliance with   Department... 
Medical
Hourly pay
Shift work

Albany Medical Center

Albany, NY
1 day ago
 ...Nurse Reviewer I Description Nurse Reviewer I Location: Within 50 miles of a pulse point Shift : Monday - Friday from 9:30 am - 6:0...  ...Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior... 
Medical
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday

Elevance Health

Denver, CO
3 days ago
 ...Reviewing Medical Director at Conviva in Boise, Idaho, United States Job Description Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve... 
Medical

Idaho State Job Bank

Boise, ID
1 day ago
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

Strategic Staffing Solutions

Detroit, MI
4 days ago
 ...population in their quest to receive all the disability benefits they medically, legally, and ethically qualify for from both government and...  ...life trajectory. Job Overview: The remote Medical Records Review Specialist is a medical professional working to build medical... 
Medical
Holiday work
Permanent employment
Remote job
Flexible hours

Perfect Path, LLC, d/b/a Trajector Services

Gainesville, FL
8 days ago
 ...based on Departmental standards. • While performing utilization review identifies areas for clinical documentation improvement and...  ...continuous improvement in both areas. • Refers cases and issues to Medical Director and Triad Team in compliance with Department... 
Medical
Shift work

Albany Medical Center

Albany, NY
4 days ago
 ...Job Summary: The Handicap Coordinator will review workers' compensation claims/medical records to identify pre-existing conditions that may have delayed recovery. Gather all supporting medical documentation and submit with necessary forms/applications to the Ohio Bureau... 
Medical
Holiday work
Temporary work
Immediate start

Sheakley Group, Inc

Cincinnati, OH
3 days ago
Job 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

VITAS Healthcare

Maitland, FL
3 days ago
JOB DESCRIPTION Job Title: MEDICAL DATA ENTRY/DOCUMENTATION REVIEWER JOB SUMMARY Sunstar Paramedics is seeking a medical data entry / document reviewer to work in our patient billing services department. This position is responsible for auditing EMS transport documentation... 
Medical

Sunstar Paramedics

Largo, FL
2 days ago
 ...Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide... 
Suggested

Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
23 hours ago
 ...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
Permanent employment
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday

Concentra Career Choice

Dallas, TX
13 days ago
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING! Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of our largest clients located in Detroit, MI! Title: Registered Nurse Re...
Contract work

Strategic Staffing Solutions

Detroit, MI
20 days ago
Position Description : Serco is seeking a motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team in supporting CMS implementation of the Payment Error Rate Measurement (PERM) Program to produce national... 
Medical
Permanent employment
Full time
Contract work
Work experience placement
Local area
Immediate start
Remote job

Serco North America

Washington DC
1 day ago
 ...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
Remote job

Injury Management Organization, Inc

Plano, TX
2 days ago
Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance... 
Medical
Permanent employment
Temporary work

Huntsville Memorial Hospital

Huntsville, TX
5 days ago