Average salary: $60,828 /yearly
More statsSearch Results: 33,817 vacancies
Position Title: Surgical Case Nurse Reviewer
Company: ACT1 Federal
Location: Eglin, AFB, Florida
About ACT1 Federal: Delivering mission-critical solutions and industry-leading talent to advance the missions of the partners, organizations, and communities we serve...
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...Job Description
Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to...
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...admissions, case management, discharge planning and utilization review.
+ Review admissions and service requests within assigned unit... ...Licensure / Certification / Registration:
+ Licensed Registered Nurse credentialed from the Florida Board of Nursing obtained prior to...
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...GCP is seeking Remote CMS Medical Review RNs
RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for... ...have a valid and current license and a minimum of two years of nursing experience, preferably a BSN at minimum of ASN.
RN should...
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...Clinical Review RN
5297 W Copans Rd, Margate, FL 33063, USA
Req #460
Monday, April 29, 2024
Centers Plan for Healthy Living... ...Qualifications
+ Graduate from an accredited School of Nursing.
+ 3-5 years of home care experience
+ Strong knowledge of...
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...organizations and the facility professional clinical staff.
Conduct reviews, in accordance with certification requirements, of insurance... .../EXPERIENCE/SKILL REQUIREMENTS:
Associate's degree in nursing (LPN or RN) required. Bachelor's or Masters degree in social work...
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...responsibility and clinical excellence.
Utilization Physician Reviewer position details:
Facility: St. Joseph's Hospital... ...fashion with appropriate documentation allowing Utilization Review Nurses to efficiently execute Secondary Review Outcomes and Payor-requested...
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...Responsibilities
Utilization Review Manager Opportunity
Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and adults at our 86-bed facility in Panama City, FL and outpatient services to adolescents and adults at our...
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...efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities....
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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...
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QUALIFICATIONS
Qualified candidates must have one to three years prior office or relevant experience.
Ability to work on various assignments simultaneously and to communicate tactfully, verbally and in writing with department heads, managers...
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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 communication skills required in order to negotiate...
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Join our team as a Utilization Management Nurse Reviewer, where you'll play a pivotal role in healthcare delivery by ensuring the efficient and appropriate utilization of medical services. As part of our dedicated team, you will review medical records, treatment plans,...
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Full time
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...education, skill, experience level and internal equity.
General Description
JOIN OUR TEAM AS A BIOLOGIST I - SINGLE FAMILY REVIEWER!
Provides intermediate work for the Natural Resources Regulatory Program including review of site development and building permit...
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About the job Utilization Review Specialist
About Us
Congress Billing is a sophisticated Billing Management Company that... ...accredited college or university in social work, mental health, nursing, or related degree Required.
Knowledge of behavioral health...
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Financial Aid File Reviewer responsibilities include, but are not limited to:
1. Review and audit student loan packages before tasking and processing.
2. Track all packages that have been returned to campus
3. Pull ISIR batches daily
Qualifications:
•Associate...
...Requirements:
~ Write, Read, and speak English fluently
Job Overview:
Performs advanced, complex technical work in the preparation, review and examination of appraisals to determine the fair market value of real estate and other related interests for eminent domain...
Full time
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Part time
...Description
Job Description Salary:
ROI Homes Services, a real estate company based in Florida USA is looking for an experienced Review Appraiser.
Ideally responsible for:
List or update information on property records as needed
Analyze data and prepare...
Full time
Remote job
...and resolution planning, capital interpretations, and capital calculations and reporting. More specifically, the Capital Planning Review Team (CPRT) leads the holistic independent review and challenge of the capital management and planning process across the capital planning...
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Full time
...) (United States of America)
AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or Gainesville, Florida. This is a hybrid position, 2 days in office and 3 days remote.
Scope of position: The Provider...
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