Average salary: $70,280 /yearly
More statsSearch Results: 10,229 vacancies
...flexibility
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\n \nMultistate Licensure: Quantum Health nurses must be willing and able to obtain and maintain nursing licensure... ...doesn’t match every requirement.
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\n \nThe Utilization Review Nurse reviews and processes medical service requests for members...
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Description
Summary:
The Credit Review Team Leader Sr. will report directly to the Credit Review Group Manager. This role involves leading a team in various credit risk review engagements and continuous monitoring activities associated with a strong independent credit...
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...way up to small, multi-trade and permit-required projects. For additional information, visit
JOB DESCRIPTION:
The Contract Review Specialist will assist in reviewing legal and risk management issues in vendor contracts. Construction related background/...
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...Humana Healthy Horizons is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the coordination... ...screen to take about 15 to 30 minutes. Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving...
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...Job Description Lexitas, a leader in legal contract staffing, is currently seeking experienced first and second level document review attorneys for several upcoming anticipated review projects. Candidates must be admitted and reside in Ohio, Illinois, Michigan, or...
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...Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the... ...recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward...
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...at Elevance Health in WILMINGTON, Delaware, United States
Reviewer – Therapy Services
Location : 50 miles of a Pulse Point
Hours: Monday – Friday, 8:00 am – 5:00 pm, with the possibility of occasional weekend coverage.
How you will make an impact:
+ Follows...
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...are dedicated to Changing People’s Lives® .
The Utilization Review department plays an essential role in helping fulfill our... ...Monitor hospital LOS, report appropriately.
Work with Director of Nursing to ensure documentation requirements are met
Interface with...
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...Experienced Document Review Attorney – Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on...
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...the culture.
What You’ll Be Doing:
As an Initial Clinical Reviewer, you will be a key member of the utilization management team.... ...Preferred:
+ Current, unrestricted state licensure as a Registered Nurse- Required
+ Associate or Bachelors in Nursing (Must be a...
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...at Humana in Dover, Delaware, United States
Become a part of our caring community and help us put health first
The Claims Review Representative 3 adjudicates claims in Humana’s legacy systems and Pareo upon making appropriate claim decisions. Decisions are made...
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...at City National Bank in Newark, Delaware, United States
KYC REVIEW ANALYST - OPS
WHAT IS THE OPPORTUNITY ?
Conduct Enhanced Due Diligence background investigations for commercial loan borrowers in adherence with credit policy and compliance with BSA and...
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...-depth evaluation of variable factors.
Humana MarketPoint is seeking a Senior Compliance Professional with a focus on Marketing Review who will work within the business to develop and maintain key relationships with internal and external business partners to evaluate...
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...Center is searching for a talented and patient centric Utilization Review Specialist!
Key Responsibilities include:
Completes pre-... ...: Master’s prepared Social Worker or Licensed Registered Nurse.
~ Experience: Previous experience in Behavioral Health preferred...
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Immediate start
...ensuring timely and consistent medical decisions to members and providers.
Job Summary:
+ Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care.
+ Perform physician-level case review, following initial...
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...at Bank of America in Wilmington, Delaware, United States
Credit Review Senior Manager – Chief Operating Office
Charlotte, North Carolina;East Hartford, Connecticut; Dallas, Texas; Wilmington, Delaware; New York, New York
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At Bank of America, we are guided...
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...at Citigroup in Wilmington, Delaware, United States
The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Branded Cards. Excellent...
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Full time
...Utilization Review Specialist Job Description
Unique opportunity to join Maryhaven, Central Ohio’s largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join...
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Full time
...+ Apply judgment within defined parameters
+ Receive general guidance and additional detailed instruction on new projects
+ Review work for sound reasoning and accuracy
+ Occasional travel to the office for training/meetings as needed
Responsibilities
+ Execute...
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...\n We need you at Oakleaf Village as an Assistant Director of Nursing! Come be a part of the Wallick team where we are making a difference... ...\n
Manage supervisory and nursing support personnel. \n
Reviews staff performance and ensures state standards of quality care...
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