Average salary: $142,500 /yearly
More statsSearch Results: 15,397 vacancies
...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...
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Full time
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Flexible hours
...that are directly associated with the utilization management of medical services provided to Kaiser members. Works independently;... ...contracted/planned providers. Manages projects related to chart reviews.
Conducts utilization data analysis (avoidable days, readmissions...
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Full time
Contract work
Local area
Shift work
...attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality... ...offer a flexible portfolio of benefits and services, including medical, dental, and vision coverage, a 401(k) plan, additional benefits...
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...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Oakland, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours per week
~ Shift...
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Holiday work
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...Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It... ...patient outcomes. Performs concurrent, and retrospective medical record reviews based on approved screening criteria, knowledge...
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2 days per week
1 day per week
...and Lake Merced West.
Leading the Department’s Environmental Review and Compliance process, procedures, and coordination around... ...national origin, ancestry, physical disability, mental disability, medical condition (associated with cancer, a history of cancer, or...
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Permanent employment
Full time
Work experience placement
Second job
Local area
Immediate start
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Afternoon shift
...Description: Job Summary:
Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists... ...On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser...
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Hourly pay
Shift work
...the Opportunity
As the Product Manager for the Veza Access Reviews product, you'll work with various internal stakeholders and customers... ...care, dependent care, and commuter benefits (FSA)
~ Flexible medical, dental, and vision benefits
~ Parental leave
~ Flexible...
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...member of the Population Health and Quality department, the Quality Review Nurse (QRN) will support key clinical quality initiatives at... ...works closely with the Grievance and Appeals team and the SFHP Medical Director to ensure that clinical quality concerns are addressed...
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Holiday work
...services through Housing and Homelessness Services, Emergency Medical Services Agency, HealthPAC, and Healthy Schools and Communities... ...POSITION
Under general direction, supervises Clinical Review Specialists in Alameda County Behavioral Health; coordinates day...
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Full time
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Local area
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...opportunity for accomplished attorneys to work in a remote, hourly capacity on sophisticated matters, primarily performing second-level review and quality control on high volumes of complex litigation documents to ensure all work product and client deliverables are accurate...
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Full time
Temporary work
Remote job
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...Must live in Northern California
Job Summary:
The EIO Medical Documentation Auditor ensures accurate and complete documentation... ...Permanente regulations. Using independent judgment and sensitivity, reviews with individual physicians their audit findings, making...
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Local area
Flexible hours
...Description We are opening a unique employment opportunity for a Medical Records Clerk in the healthcare industry! The role is based in... ....
• Familiarity with medical records, including analysis, review, and management within a medical records department.
• Proven...
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Contract work
...opportunities for all qualified applicants.
Job Title: RN Utilization Review
Location: Oakland, CA 94602
Job Type: Contract... ...Nurse is accountable for processing authorizations, applying medical criteria, benefits verification, pre-registration,...
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...Document Review Attorneys: WORK FROM HOME!
If you are a licensed attorney and want to provide REMOTE document review services to a leading U.S. trial firm for several upcoming projects, this opportunity is for you.
Attorney applicants must have a strong...
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...Job Description: Note : Medical assistants who has training in both front and back office but will primarily be in the front. As always, the position does require working at least one Saturday a month. EPIC experience and peds experience preferred.
The Medical Assistant...
Saturday
...What is a Hospital Corpsman?
As Sailors, we rely on exceptional medical personnel to keep our servicemen and women healthy. As a Hospital Corpsman, you fulfill that critical role by assisting in a wide range of departments and procedures, from dispensing vaccines...
Part time
Work experience placement
Worldwide
Overseas
Weekend work
...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,...
...management services in an appropriate, cost effective manner. Provides medical case management service which is consistent with URAC standards... ...you during your interview process.
Responsibilities:
Reviews case records and reports, collects and analyzes data, evaluates...
Local area
...the opportunity to learn to perform these duties and receive training to help you grow in this position.
* Performs closed case reviews involving very large amounts of tax in dispute and the most complex and difficult factual and/or legal issues, using Appeals Quality...
Full time
Temporary work
Part time
Work experience placement
Remote job
Relocation
Day shift
Monday to Friday
