...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point... ...outcomes, and to optimize member benefits. Works on reviews that are routine having... ...screens while on a call is preferred.
* Home healthcare experience preferred.
For candidates...
Suggested
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Shift work
Saturday
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment... ...all payers and all levels of care as required by the payer. Work with physician advisor to better manage denials and downgrades....
Suggested
...Department/Unit:Care Management/Social Work
Work Shift:
Day (United States of America)
Responsible for Utilization Management... ...based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and...
Suggested
Permanent employment
Full time
Shift work
...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that... ...millions of people live healthier lives. The work you do with our team will directly... ...path? Apply today!
This position is work at home. Work schedule is full time and offers some...
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Hourly pay
Holiday work
Full time
Work experience placement
Immediate start
Remote job
Home office
Weekend work
Afternoon shift
$30 - $40 per hour
...the option to participate remotely or in person. This provides a great opportunity for you to earn extra income while working from the comfort of your home.
Apply here Directly:
Job Requirements:
Show up at least 10 mins before the scheduled start time of the...
Work from home
Full time
Local area
Remote job
...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...
Work from home
Hourly pay
Contract work
Casual work
Remote job
Flexible hours
$65 - $85 per hour
...duties include :
Looking at newly built homes from a customer's perspective to identify... ..., consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to... ...quality reviews on the day it is scheduled. Work may be started anytime during the day between...
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Full time
Part time
For contractors
...an experienced Quality Analysis/Document Review Nurse. This is a remote position that provides... ...pursuing a rewarding career with a growing home health care company. The QA/DR Nurse... ...clinicians based on clinical documentation. Works with coding databases and confirms HHRG assignments...
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Part time
Remote job
$25 - $30 per hour
...provide critical support for our clients' legal cases. If you thrive from solving problems and working in a fast-paced environment, then a job as a full- or part-time Nurse Case Review Specialist could be perfect for you! Keep reading to see if you'd be a good fit for our...
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Monday to Friday
...Job Description:
Job Title: Senior Engineer - Development Review
Department: Public Works
Division: Engineering
Employment Status: Regular Full-Time
Pay Grade: 127: $6,685-$8,991/Mo. (current 2024 salary grid: Sep2022 - Jan2025 Salary Table WIP.xlsx...
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Full time
Contract work
For contractors
Local area
...at Elevance Health in WILMINGTON, Delaware, United States
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday... ...quality member outcomes, and to optimize member benefits. Works on reviews that are routine having limited or no previous medical...
Suggested
Work experience placement
Local area
Remote job
Shift work
Monday to Friday
...This Jernigan Agency is looking for individuals interested in working remotely as sales representatives. We are hiring coachable individuals... ...lead prospects to set up appointments.
Help each client to review their options and apply for that coverage.
See the...
Work from home
Temporary work
Remote job
$125.04k - $133.07k
...southeastern New York is now searching for an experienced Nurse Manager Utilization Review to join their award-winning healthcare team.
This acute care... ...services, maternity and pediatric care, wound and home care, and much more.
Reporting to the Director Case Management...
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$97.33k - $131.04k
...hospital located in central New York is currently searching for an experienced Nurse Manager Utilization Review to join their established healthcare system.
This regional leading medical center is home to over 500 inpatient beds and provides a wide variety of awarded acute...
Suggested
Local area
...compassion, and respect.
Statement of Purpose:
The Utilization Review Nurse is responsible for utilization management at MRMC. The UR... ...experience
Minimum of 1 year Utilization Review Nurse Experience including solid working knowledge with InterQual criteria...
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Holiday work
Weekend work
...sharp, but doing so from the comfort of home?
ExamWorks is seeking a self-motivated, high-performing Clinical Review and Coding Nurse ( LPN/LVN or RN ) to join our team. (Internally... ...required.
This is a fully remote, work-from-home opportunity! The schedule is...
Full time
Local area
Remote job
Monday to Friday
...seeking a Utilization Management Nurse 2 who utilizes clinical... ...Utilization Management Nurse 2 work assignments are varied and frequently... ...-whether you are working from home, from the field, from our... ...Your recorded screen will be reviewed, and you will subsequently be...
Holiday work
Full time
Temporary work
Apprenticeship
Home office
...Remote
The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types... ...billing, delivery of care and treatment plans
Completely document work and final conclusions in designated computer program
Adhere...
Minimum wage
Full time
Local area
Remote job
Flexible hours
...based on clinical documentation. Works with coding databases and... ...quality and safe delivery of home health care services.
* Establishes... ...and redlines, etc.
* Reviews all authorization for care, to... ...accredited school of professional nursing and BSN preferred. Two years of...
Full time
...This position will be filled by a nurse to serve as a Nurse Clinical Care Reviewer for the Medical Benefits and Certifications Unit. The Nurse Clinical Care... ...and a diverse set of federal and contract staff. The work requires excellent organizational, verbal and written...
Full time
Contract work
Temporary work
For contractors
Local area
Immediate start
Flexible hours
...Works with the Utilization Management team responsible for prior... ...medical necessity/utilization review and other utilization management... ...inpatient, facility and appropriate home health services.
Identifies... ....
Bachelor's Degree in nursing or health related field p...
Holiday work
Full time
Weekend work
Monday to Friday
...extraordinary journey with AO? Experience the power of 100% remote work, incredible growth opportunities, and unparalleled mentorship... ...contact information along with an updated copy of your resume for our review.
In line with our commitment to community wellness, all...
Work from home
Contract work
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$145.27k - $185.03k
A leading acute care hospital located in eastern Massachusetts is now searching for an experienced Nurse Director Utilization Review to join their award-winning healthcare team
This not-for-profit acute care hospital is a respected healthcare facility with a long-standing...
Local area
...seeking a Utilization Management Nurse 2 who utilizes clinical... ...Utilization Management Nurse 2 work assignments are varied and frequently... ...-whether you’re working from home, from the field, from our... ...or pre-recorded voice will be reviewed, and you will subsequently be...
Weekly pay
Holiday work
Full time
Temporary work
Home office
Monday to Friday
JOB TITLE (#25009): Maternal Nurse Reviewer / Contract - Metropolitan Area
Minimum of 4 years... ...preferred
✦Must have the ability to work independently, as well as in a team environment... ...to hospitals, clinics, nursing homes, multi-specialty groups, and private practices...
Hourly pay
Holiday work
Full time
Contract work
Private practice
Overview Utilization Review Nurse
Berkshire Hathaway GUARD Insurance Companies, an A+ Superior... ...and job openings.
Benefits:
~ Work life balance schedule- No Nights or... ...Three days in the office, two days from home (if near one of our office locations)
~...
Holiday work
Night shift
Weekend work
$35 - $45 per hour
...Rome Health is seeking a full-time Registered Nurse - Peer Review Coordinator.
The RN Peer Review Coordinator supports the medical staff and other clinical departments in investigating, evaluating, and improving patient care. They will also coordinate the medical...
Full time
...Summary:
The Claims Reviewer will provide technical in support to the FEMA Hermit's... ...fires. With 325,340 acres burned and 900 homes/structures destroyed, the role requires meticulous... ...project damage descriptions, scope of work, and supporting documentation.
Conduct...
Local area
...the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent... ...hold a TX License, with testimony/deposition/counter affidavit work experience. Candidates must also have access to a TX notary or...
For contractors
Work experience placement
Remote job
...Fort Worth, TX 76109
The Itemization Review Supervisor will maintain a positive team building... ...process of assigning files and assessing nurse's queues continually
Fully understands... ...Create a team by promoting a positive work environment
Additional duties/responsibilities...
Minimum wage
Full time
Local area
Flexible hours