Average salary: $55,494 /yearly
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...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...
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...Job Description
Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/...
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...Current RN Compact license required
Summary:
The RN Utilization Review II is responsible for determining the clinical appropriateness... ...certification for services.
The RN Utilization Review Nurse collaborates as necessary with other members of the health care...
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...Job Description
Job Description POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive review of the submitted documentation to ensure that all services billed are supported by the medical records. The Nurse Auditor will...
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...Job Description
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 05/27/2024
~ Duration: 12 weeks
~40...
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Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The choice is yours, work...
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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness... ...approved certification for services. The RN Utilization Review Nurse collaborates as necessary with other members of the health care...
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...Working from instructions and pre-established guidelines, under general supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered based on state/URAC guidelines in accordance with Concentra policies,...
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$80k - $90k
...esteemed surgical center in the one and only, Dallas, TX!
This Nurse should have a minimum of 5 years INPATIENT clinical nursing experience... ...hospital setting and minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2 years experience working...
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...Job DescriptionJob Description
PROJECT MANAGER DESIGN REVIEW
Experience level can be from 4to 30 years of experience. Preferably someone with a P.E., E.I.T. or CCM.
Qualifications:
Education, Experience, Licenses and Certifications
Certification as an Engineer...
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...utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare for monthly presentations, and manage both long and short-term projects, working collaboratively with...
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Korean Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Korean
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions, Conceptual...
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...Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews. Hours are flexible within certain time parameters.
There are part time and full time contract positions. Compensation is on a 1...
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Job Summary:
As a Professional Review Nurse, you'll play a crucial role in ensuring the accuracy and appropriateness of medical services provided. Your primary responsibilities will include analyzing medical services to verify billing accuracy, reviewing medical reports...
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Directs the Clinical Resource Management department to include the Utilization Management (UM) plan and associated programs to impact resource management and compliance of all state, federal and accreditation requirements. Minimum Specifications Educ Management, Director...
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...JOB SUMMARY:
Under general supervision, performs all title review functions in support clearing titles for AL, GA, MS, and TX. This person will perform tasks that require knowledge/skill to identify curative issues. The position requires substantial coordination with...
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...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and...
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...behavioral health clinical treatment team.
Conducts clinical reviews in accordance with certification requirements of insurance... ...experience in the field(s) of: Social Work, Psychology, Psychiatric Nursing, Marriage and Family and Child Counseling, Chemical Dependency...
Full time
Flexible hours
...Mandarin Language Document Reviewer
Employment Type: Full Time, Mid-Level
Department: Legal
As a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's litigation portfolio including eDiscovery activities, workflow...
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...opportunity for work/life balance needs yet want to stay clinically active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to make a difference in the lives of patients by improving the quality of...
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