Average salary: $61,474 /yearly
More statsSearch Results: 9,980 vacancies
...Utilization Management (UM), Prior Authorization (PA), Claims, Medical Review, Case Management, and/or Medical Appeals and Grievances (MAG)... ...~ Associate's Degree in a healthcare field of study or Nursing Diploma (Applies to All Levels)
Required Licenses
~ Active...
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...workplace flexibility.
Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse.... .../Experience: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience....
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...team member seeks to understand customer needs, identify problems, improve processes, and measure results.
Administrator, Penalty Review
Job Location:
Address: 1600 W. Monroe Street, Phoenix, AZ. 85007
Posting Details:
Salary: $66,400
Grade: 22
Closing...
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...Job Description
Role: Purchase Reviewer (Resource)
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
The purpose of this position is to provide support to constituents, including education administrators and staff, community...
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Snell & Wilmer is one of the largest and most prestigious law firms in the Western United States is currently seeking a Client Review Counsel to work in the Office of General Counsel in the Phoenix office .
If you have a strong knowledge of outside counsel guidelines...
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Our client is looking for Tax Review Associate for an onsite role in the downtown Phoenix, AZ area. If you are a detail-oriented candidate, looking for a new role this could be a great opportunity for you! Candidates MUST be located in the Phoenix, AZ area, as you will...
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...Job Description
Role: Penalty Review Specialist-1350
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
Primary Duties:
•Analyze data and evidence from applicants seeking abatement.
•Request and evaluate additional information...
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...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site... ...accredited college or university in social work, mental health, nursing, or related field, preferred.
Successful completion of BLS &...
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Relief
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...Manages and evaluates direct reports of UM Prior Authorization Nurses, Inpatient Care Managers, Clinical Coordinators, and other team... ...integrated care team
+ Conducts routine audits on UM clinical reviews and NCQA regulations/guidelines
+ Develops, implements,...
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...with less structured and more complex issues.
The Preservice Review/Prior Authorization RN will manage the full array of health... ...Preferred Qualifications:
~ Bachelor of Science degree in Nursing or a Master of Science degree in Nursing
~ Compact RN License...
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InboxDollars is the fun rewards club that pays you real cash for the everyday things you do online. Its free and easy to join. Simply sign up and start earning right away! Agents can work from anywhere with an internet connection and on any device to start earning immediately...
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American Physical Society
ID: 1376
Location: Remote
Department: Editorial
Chief Editor, Physical Review X
The American Physical Society is a nonprofit membership organization working to advance physics by fostering a vibrant, inclusive, and global community dedicated...
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...Job Description
Job Description What's the role?
Peer Reviewers execute peer reviews of CPA firms to monitor a CPA firm's accounting and auditing practice to promote quality in the accounting and auditing services provided by the firms. Both System Reviews that focus...
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...Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
As a Vascular Surgery, Physician Clinical Reviewer you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients’ lives...
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Job Description
General Purpose
To review and bill Loss Control Inspections and ensure they meet Afirm/Davies quality control standards, customer specific requirements, and industry standards.
Essential Duties and Responsibilities:
~ Reviews...
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...being a great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
SVP Bill Review- Careworks
PRIMARY PURPOSE OF THE ROLE : To plan, direct, control and oversee functions within Bill Review-Careworks; and...
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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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Full time
Flexible hours
Description & Requirements
This is a test requisition.
Essential Duties and Responsibilities:
- Handles customer service inquiries and problems via the telephone, recording consistent problem areas. May respond to e-mail inquiries.
- Customer service is the primary...
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...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 based on claims procedures, contract provisions...
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...Caring. Connecting. Growing together.
The Clinical Coverage Review Medical Director is a key member of the Optum Enterprise... ...Clinical Coverage Review staff.
+ Provide support for CCR nurses, pharmacists, and non-clinical staff in multiple sites in a manner...
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