Average salary: $70,224 /yearly
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...time. The training schedule will be M-F 9AM-5PM EST.
Daily responsibilities will include the following: Candidates will be reviewing medical patient records against standard medical criteria.
Candidates MUST have 3 years of clinical nursing experience along with 1...
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...Anticipated End Date:
2024-05-31
Position Title:
Nurse Reviewer I
Job Description:
Nurse Reviewer I
Location: Within... ...Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues...
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...Description
Title: Utilization Review Assistant
Location: Long Beach
Department: Utilization Management MCH... ...Care stands for excellence in Healthcare.Across our family of medical centers, we support each one of our bright, talented employees...
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Full time
Immediate start
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...Anticipated End Date:
2024-05-17
Position Title:
Reviewer - Therapy Services
Job Description:
Reviewer - Therapy Services... ...Reviewer -Therapy Services is responsible for the review of medical records to determine if requests for therapy services (physical...
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...Job Description
Job Description
Opportunity for a licensed LVN/LPN within the US to join our Medical Claims Reviewing Team. The position is open for applicants across the US, but your work schedule, Monday - Friday, will be 8 AM - 5 PM PST time. There is the possibility...
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Monday to Friday
...Nature and Scope
The position is responsible for reviewing Quality Control Laboratory data which may include raw material, in-process, and finished product release, instrument qualification protocol/report, stability program results and summaries, raw data related to...
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...compels us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of... ...appropriate to provide guidance for processing of referrals to Medical Director staff and to UM staff. Physician Reviewers may approve...
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Flexible hours
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...various lines of business including, but not limited to, Medicare, MediCal, USDOL, State Workers Compensation, Third Party Lien, Self-pay,... ...based on AMAs CPT, ICD-9-CM, HCPCS II, and OMFS guidelines.Reviews claim fields in accordance with the Gold Standards set forth by...
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Full time
Shift work
JOB SUMMARY:
Manages the Warranty Review Center's daily activities, including all warranty claim authorization and statistical activities.
PRINCIPAL DUTIES & RESPONSIBILITIES:
# Manages day-to-day operations of the Warranty Review Center. Supervises staff, including...
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...health care system in the United States, and the #19 ranked company in the country.
Job Summary
The Manager Utilization Review/MediCal Specialist will develop and maintain a full Medi-Cal case management program, and oversee services related to the management of...
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Full time
...comprehensive, competitive and generous providing room for potential growth and position/compensation advancement.
Responsibilities:
· Review search data provided by customers/abstractors for completeness and accuracy.
· Type and/or review all products offered within...
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..., competitive and generous providing room for potential growth and position/compensation advancement.
SUMMARY:
Capable of reviewing moderate to difficult title documentation and preparing title
products.
ESSENTIAL FUNCTIONS:
Review and organize search...
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...patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness... ...evidence based clinical guidelines.
Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and...
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...Description: The Clinical Trials (CT) Quality Assurance Reviewer position(s) is located at the Kaiser Permanente Southern California Department... ...techniques (including criteria development and trending); medical care delivery in hospital and outpatient settings; quality...
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...County, will be operational by Summer of 2024.
Utilization Review Coordinator Position Overview
Pay: $25 - $30 / Hour... ...evaluating the necessity, appropriateness, and efficiency of the use of medical services, including inpatient psychiatric care. UR Coordinator...
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CAREGIVER AND MEDICATION TECHNICIAN IN STANTON, CA: FOR CAREGIVER: Do the job duties of a caregiver; F/T; HS or eqvt; 2 yrs exp as Caregiver; FOR MEDICATION TECHNICIAN: Do the job duties of a medication technician; F/T; HS or equivalent; 2 yrs exp as Medication Technician...
...opportunity employer fostering a workforce that embraces and reflects
the rich diversity of Los Angeles County
School Site Reviewer - Instructional Materials $25 Hourly
OPPORTUNITY FOR TEMPORARY EMPLOYMENT
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...TRB and Associates is seeking an experienced and motivated plan review engineer with current registration as a civil, structural, mechanical, or architect (State of California preferred) and a minimum of two years of experience in plan review and/or design on commercial...
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$42.92 - $50.31 per hour
...Job Summary:
The Medical Social Worker III provides assessments, coordination, and implementation/ evaluation of professional... ...of clinical services is indicated by QM findings, documentation review, case presentations, staff and patient feedback and supervisory...
Full time
Internship
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...seeking a (RN) Registered Nurse who resides in and is licensed in the state of Nebraska. This position supports our Inpatient Medical review process with our Nebraska Medicaid Health Plan. Strong experience with appeals reviews and/or utilization management working on...
Weekend work
Monday to Friday
