Search Results: 8,514 vacancies
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide...
Suggested
...Position Title: Medical Claims Review Nurse
Type: Fully Remote
Schedule: Monday to Friday, 9:00 AM to 5:00 PM local time. Daily Responsibilities:
~ Reviewing medical patient records against standard medical criteria.
Minimum Qualifications:
Three years...
Suggested
Remote job
Local area
Monday to Friday
...supervision, the Utilization Coordinator provides utilization review, Amkai chart surveillance and denials management for the inpatient... ...Educational requirements:
~ Bachelors of Nursing Degree or equivalent required
Licensure:
Active...
Suggested
Part time
Worldwide
...Description
Job Summary:
Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and...
Suggested
Work experience placement
...development of coding policies and procedures. Coordinates and conducts reviews of targeted cases to assure timely billing process and correct... ...; ten Magnet®-designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (...
Suggested
...predictability, and sustainability.
Job Description
•This is not a work from home position and would work normal business hours
•Review and approve all batch records prior to production to ensure that they conform to requirements of cGMP and SOP requirements.
•...
Suggested
Full time
Contract work
Worldwide
Flexible hours
Shift work
GDIT - Senior Full Stack - Code Review / Security Specialist
How the Senior Full Stack - Code Review / Security Specialist will make an impact:
Architecting, designing, coding, testing, implementing and troubleshooting Windows and web based software solutions in T-...
Suggested
Holiday work
Permanent employment
Immediate start
Remote job
Worldwide
...in a Hospital setting (Required)
2 Years experience working as a Case Manager (Preferred)
License/Certifications
RN-LIC - PA Registered Nurse License (Required)
CCM - Certified Case Manager (Preferred) or OCN - OCN - Oncology Cert Nurse (Preferred)
_ '258209...
Suggested
...The essential functions, duties, and responsibilities include, but are not limited to the following:
Data entry, annotation and review of documentation submitted for various administered projects.
Recognize discrepancies or lack of information within claim documentation...
Suggested
Full time
Contract work
Immediate start
Remote job
Flexible hours
...Job Description
Job Description Document review project currently in progress.
This is remote work for a Philadelphia area law firm. Must be located within Pennsylvania.
Must have an active attorney license in any state
Must have a PC/Mac
Business hours...
Suggested
Remote job
Shift work
$68k - $80k
...Utilization Review Nurse /Workers Comp
Location - King of Prussia, PA
Job Purpose:
Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment utilizing clinical expertise and...
Suggested
Immediate start
...Hospital setting (Required)
2 Years experience working as a Case Manager (Preferred)
License/Certifications
RN-LIC - PA Registered Nurse License (Required)
CCM - Certified Case Manager (Preferred) or OCN - OCN - Oncology Cert Nurse (Preferred)
Your Tomorrow is Here...
Suggested
...a leader in digital communications.
Web: | Facebook: | Twitter:
Job Description
The Senior Associate, Regulatory Review must follow the protocol established by our pharmaceutical clients when submitting marketing materials for regulatory review. This...
Suggested
Full time
Flexible hours
Shift work
3 days per week
...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...
Suggested
Remote job
Hourly pay
Full time
Flexible hours
...American Physical Society
ID: 1376
Location: Remote
Department: Editorial
Chief Editor, Physical Review X
The American Physical Society (APS) is a nonprofit membership organization devoted to advancing and diffusing the knowledge of physics through...
Suggested
Holiday work
Contract work
Remote job
Relocation package
Flexible hours
...communications.
Web: | Facebook: | Twitter:
Job Description
Within Digitas Health, the Vice President, Director, Regulatory Review will provide advice to creative, strategy, planning, marketing, and other capabilities on the latest updates from FDA and other...
Full time
Flexible hours
Shift work
3 days per week
...group, and a leader in digital communications.
Web: | Facebook: | Twitter:
Job Description
The Manager, Regulatory Review manages a team of Associates and Senior Associates to ensure marketing materials for a client (or group of clients) follow the...
Full time
Flexible hours
Shift work
3 days per week
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. This function requires...
...Registered Nurse
Are you a compassionate Registered Nurse (RN) looking for an opportunity to make a difference in the lives of individuals... ...team, actively participating in staff meetings and monthly reviews with the QIDP.
* Complete quarterly assessments in a timely...
Daily paid
Flexible hours
...Respite Nurse Manager
PHMC is proud to be a leader in public health. PHMC requires all employees to be fully vaccinated for COVID... ...healthcare entities.
* Convene and facilitate weekly team meetings to review patient progress and for discharge planning.
* Work in...
Immediate start
