Average salary: $94,929 /yearly
More stats ...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...
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...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...
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...balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the... ...independent contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions...
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Loan Review Officer Oklahoma City, OK Onsite PositionBancFirst Tower, Downtown Oklahoma City100 N. Broadway Avenue, Oklahoma City, OK 73102Full Time
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Rea...
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...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday - Friday from 9:30 am - 6... ...Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues...
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$18 - $20 per hour
...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...
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...RN-Utilization Review (Weekends)
Details
* Sign-on bonus: $3,500
* Department: Case Management
* Schedule: Saturday - Monday, 3X... ...within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria....
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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....
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...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...
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Shift work
...Job Description
Job Description We are seeking a detail-oriented and organized Medical Records Reviewer to join our team. As a Medical Records Reviewer, you will be responsible for ensuring the accuracy and integrity of medical records and documentation.
Skills...
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...procedure to determine the viability of the claim for further review in a production environment.
Primary Responsibilities:... ...Perform clinical review of professional (or facility) claims vs. medical records to determine if the claim is supported or unsupported...
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Monday to Friday
$18 - $19 per hour
...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...
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Full time
...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...
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...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...
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...information, visit Follow Allergan Aesthetics on LinkedIn.
Job Description
Position Summary
The Director of Skincare Medical Review leads and executes the development and implementation of the global medical operations strategy (Pharmacovigilance, Medical...
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...Registered Nurse RN - Utilization Review
Details
* Department: Utilization Mgt
* Schedule: M-F 8 hr days, ONSITE, exempt
* Hospital... ...assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria....
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...Description Description: Soleo Health is seeking a Clinical Review Coordinator to support our Home Infusion Specialty Pharmacy Operations... ...Based Increases
~ No Weekends or Holidays
~ Affordable Medical, Dental, & Vision Insurance Plans
~ Company Paid Disability &...
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Monday to Friday
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...
Permanent employment
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...Job Description
Job Description Hiring full-time Utilization Review Specialists that are experienced in SA, MH and Eating disorder UR. The position is hybrid or in office. Competitive salary and benefits offered. Must be familiar and functional with google and multiple...
Full time
Overview:
As a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical... ...based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute...
Permanent employment
Overview:
Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for services reimbursement. Ensures the patient care team is aware of...
Permanent employment
Overview:
Dignity Health Mercy San Juan Medical Center is a 370-bed not-for-profit Level 2 Trauma Center located in Carmichael California... ...Hip- and Knee- Replacement.
Responsibilities:
Utilization Review RN - remote position
Position Summary:
The incumbent is...
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Flexible hours
New York State RN License required.
Epic Chart review Joint Commission triennial Survey experience Medical terminology required.
...Utilization Team!
Behavioral Health Experience Needed!
Description:
JOB DESCRIPTION:
The Utilization Review Nurse (UR RN) is responsible for:
Conducting medical necessity reviews by utilizing Millman and Interqual Guidelines in conjunction with a review of the...
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Outdoor
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...clinical trial data and participates in applicable safety surveillance activities for assigned studies including review of labs, vital signs, cardiac, medications, medical history, and can communicate with Study Lead any findings.
• Provide review of safety-related data...
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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...
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Part time
For contractors
Night shift
...CVPH) in Plattsburgh, NY.
GENERAL SUMMARY:
The Utilization Review RN monitors, collects and analyzes data and evaluates variances... ...Utilization Review RN in utilizing these skills assists the Medical Center in providing optimal care in a cost effective manner and...
Job Description
Position Summary: The Quality Control Technician I, with direct supervision, is responsible for ensuring that data reported to both internal and external customers is accurate and reflects the work performed.
Permanent employment
...**Average hourly rate is $22.60 (including wage, incentives, bonuses, overtime, shift differential, etc.)****
Utilization Reviewer
Pathway Family Services, LLC. provides resources for youth and families through their Independent Living Program, TRAIL (Teens...
Hourly pay
Local area
Flexible hours
Shift work
...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...
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