Average salary: $97,587 /yearly

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$16 per hour

 ...TO: UM Supervisor LOCATION: Allegiance office or off-site FLSA STATUS: Non-Exempt POSITION RESPONSIBILITIES: The Medical Review Tech is responsible for the coordination and collaboration of the medical review process. The incumbent is expected to provide... 
Suggested
Holiday work
Full time
Flexible hours
Afternoon shift

Allegiance Benefit Plan Mgmt.

Billings, MT
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... 
Suggested
Full time
Immediate start

Ageatia Global Solutions

Baltimore, MD
1 day ago
 ...regarding admissions, case management, discharge planning and utilization review. Review admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria.... 
Suggested
Temporary work
Relief
Local area

Ascension

Pensacola, FL
6 days ago
 ...and abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review. At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive... 
Suggested
Remote job
Full time
Flexible hours

Integrity Management Services, Inc.

Alexandria, VA
4 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
3 days ago
Job DetailsMedical Record Reviewer Posted: 05/10/2023 Contemporary Consultants CompanyThis is a part-time, independent contractor position...  ...experience and ability to audit the processes, policies and medical record documentation. Some training will be provided. A short... 
Suggested
Contract work
Part time
For contractors
Night shift

Contemporary Consultants Company

Pittsburgh, PA
12 days ago
Flood Review is responsible for ensuring sufficient flood insurance coverage and regulatory timing requirements on all loans closed or purchased where the property is in a flood zone. This is a regulatory requirement. The team handles complex and time sensitive flood issues... 
Suggested

Flagstar Bank

Lansing, MI
1 day ago
 ...Contract Review and Insurance Consultant (Remote, 6 Months) Do you have a keen eye for detail and expertise in commercial insurance...  ...Hilderhoff Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability,... 
Suggested
Hourly pay
Holiday work
Full time
Contract work
Temporary work
For contractors
Local area
Remote job

LHH Recruitment Solutions

Detroit, MI
19 days ago
 ...Job Title: Reviewer II, Medical Job Location: Columbia, SC Zip Code: 29229 Top 3/5 Skills: 2 years clinical experience. Working knowledge of word processing software. Required Training: Active RN licensure in state hired, OR, active compact multistate... 
Suggested
For contractors
Work experience placement

Mindlance

Columbia, SC
4 days ago
 ...Registered Nurse Utilization Review Details * Department: Utilization Management * Schedule: Part Time, Every Saturday and Sunday...  ...assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria.... 
Suggested
Temporary work
Part time
Relief
Local area
Weekend work
Sunday
Saturday

Saint Vincent's Medical Center Riverside

Jacksonville, FL
3 days ago
 ...Responsibilities include medical review, which involves in-house review of Case Report Forms (CRFs) including query resolution and addenda writing, QA of data listings. May manage the activities of regional contract CRAs, and organizes the files and budgets associated... 
Suggested
Contract work

Planet Group

Columbus, OH
1 day ago
 ...Target PR Range: 42-56/hr *Depending one experience Job responsibilities and requirements: 1. Botox CM reviews, inclusive of ad promo, medical education materials, training materials 2. Participate in weekly collab meetings (Wednesdays 12pm-2pm PST, Thursday... 
Suggested
Remote job
Contract work

Planet Group

California
2 days ago
 ...Target PR Range: 38-48/hr *Depending one experience Job Title: Sr. Manager, Medical Review What hours and days will this person be working: Flexible as long as all review activities are done on time; the team this person would support is split between US and... 
Suggested
Remote job
Contract work
Flexible hours
Early shift

Planet Group

Remote
10 hours ago
 ...Target PR Range: 29-39/hr *Depending on experience JOB SUMMARY: 1. Will electronically review promotional materials and other materials and will provide medical expertise and expert review as described above. Including discussing and collaborating with appropriate... 
Suggested
Remote job
Contract work

Planet Group

Illinois
2 days ago
 ...assigned, e.g., ingredient and finished product assessments and/or medical safety assessments. Presenting MSS related analyses,...  ...Assisting in the generation of medical justification content reviews/templates for MSS. Assisting in the evaluation and establishment... 
Suggested

The Fountain Group

Columbus, OH
10 hours ago
 ...Medical Case Manager (Concurrent Review) Job Summary: The Medical Case Manager (LVN) will be responsible for reviewing and processing requests for authorization and notification of medical services from health professionals clinical facilities and ancillary providers... 
Weekly pay
Full time
Immediate start

SUNSHINE ENTERPRISE USA LLC

Orange County, FL
2 days ago
 ...Dover, Delaware, United States 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 moderately complex to complex issues where... 
Weekly pay
Holiday work
Full time
Work from home
Home office

Conviva

Delaware, OH
28 days ago
 ...balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the...  ...contractor.    JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions... 
Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday

Select Medical

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

Albany Medical Center

Albany, NY
1 day 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... 
Shift work

Albany Medical Center

Albany, NY
1 day ago
 ...Position : Clinical Medical Review Location: Baltimore, MD #Hybrid (Required to visit provider offices) 12+Months Contract Job Description : ~ The Clinical Medical Review Nurse handles day to day review of professional and institutional claims... 
Contract work

KMM Technologies, Inc.

Baltimore, MD
a month ago
 ...support and direction, including organization and monitoring of all medical services. Responsible for direct supervisory oversight of...  ...professional growth and development and to ensure staff's expertise. * Reviews quality audits and shares audit results in a timely manner with... 
Holiday work
Remote job
Flexible hours

Amerihealth Caritas Health Plan

Palm Beach Gardens, FL
3 days ago
 ...Department: Utilization Review Shift: Primarily Days (United States of America) Employee Type: Regular Per Diem Type...  ...an ongoing basis to assure that patients receive care that is medically necessary, safe, and delivered in the most cost-effective manner... 
Shift work

Marshall Medical Center

Placerville, CA
1 day ago
 ...therapies, oncology and genomics, diagnostic lab services, and medical and scientific expertise. This combination of skill and knowledge...  ...Summary: Under the direction of the Manager of Record Review and/or the Record Review Team Lead, the Record Review Specialist... 
Flexible hours

Versiti, Inc.

Grand Rapids, MI
4 days ago
- Restaurant reviews **Restaurant reviews Website Builder Software** Template created with the best free website builder software. Responsive, fully customizable with easy Drag-n-Drop Nicepage website builder. Adjust colors, fonts, header and footer, layout and other... 

Nicepage

Idaho
2 days ago
 ...UTILIZATION REVIEW NURSE (RN) ~ Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Full-time - Day shift -...  ...avoidable delays and denial of payment. Chart Review: Reviews the medical record by applying utilization review criteria, to assess... 
Permanent employment
Full time
Day shift

LifeBridge Health Careers

Randallstown, MD
16 days ago
 ...Resources. Know Your Rights: Responsibilities: The Utilization Review Coordinator is responsible for the assisting with the...  ...management of the utilization review program for the employee medical benefit program for Prime Healthcare. This position will provide... 

Prime Healthcare Management Inc

Ontario, CA
4 days ago
The Itemization Review Manager is responsible for the overall aspects of the medical review team including personnel hiring, quality assurance of product, workflow, maintaining the tracking of and accountability of staff regarding production standards and turn-around expectations... 
Full time
Flexible hours
Night shift

CERiS

Fort Worth, TX
2 days ago
 ...Petersburg, FL #CB Responsibilities: The Collateral Review Technician is responsible for the post-closing review of loan files...  ...and applicable plan terms, including: ~ Health Insurance - Medical, Dental & Vision ~ Vacation up to 3 weeks of vacation per... 
Holiday work
Full time

Lennar Homes

Saint Petersburg, FL
1 day ago
 ...Are you a meticulous individual with an eye for detail and a passion for ensuring accuracy? We're seeking a talented Revisador to review, refine, and perfect our content to the highest standards. Responsibilities: ??? Verificaci??n de mercanc??as contra gu??a de... 
Permanent employment
Temporary work
Work experience placement
Shift work

Spherion

Laredo, TX
4 days ago