Average salary: $70,016 /yearly
More statsSearch Results: 9,243 vacancies
...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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...of medical care.
+ Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness... ...Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related...
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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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...Job Description
Role: Purchase Reviewer-1153
Estimated Duration: 6+ months
Location: Phoenix, AZ
Position Description
The purpose of this position is to provide support to constituents, including education administrators and staff, community members, education...
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Monday to Friday
...certificate required; associates degree preferred.
Two (2) years relevant credentialing experience preferred.
Two (2) years contract reviewing experience preferred.
Knowledge and understanding of the medical credentialing process, DEA certification, and CAQH and NHSC...
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...other CIN duties as assigned
EXPERIENCE
Licensed Registered Nurse (RN) required
Bachelor’s degree in nursing preferred... ...experience is required
Orthopedic experience required.
Clinical review, utilization review, or quality assurance review experience...
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...Job Description
Job Description Summary:
The Registered Nurse will utilize standard criteria to review post-service and prepayment reviews of Outpatient Behavioral Health claims. The nurse will utilize HCPC Codes to ensure claims are being charted for correct processing...
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...coding staff to ensure contractual compliance. Reports to the Manager, Retrospective UM. Supervises staff who conduct retrospective review of medical claims for appropriate DRG or non-DR coding and processing. Performs independent research and in-depth evaluation of...
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...Job Description
Job Description Role: Penalty Review Specialist-1276
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
Primary Duties:
Analyze applicant data for abatement consideration.
Request additional information...
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...passionate about cybersecurity and enhancing the security posture of clients product development lifecycle. You will apply your code review experience and contribute to a variety of services our team offers clients, particularly where we perform penetration testing...
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...Job Title:
Sr. Credit Risk Review Officer
Location:
Scottsdale
What you'll do:
This position is responsible for planning and executing quarterly continuous credit file examination of assigned reviewable units or risk segments. The Senior Credit Risk Review...
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...Behavioral Health RN - Medical Claim Review - FULLY REMOTE POSITION
MUST HAVE ARIZONA OR COMPACT RN LICENSE
Medix Healthcare... ...currently hiring for a FULLY REMOTE Prior Authorization Registered Nurses to support a large healthcare organization in Phoenix. Apply to...
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...accounting systems, making use of current computer technology.
Use automated accounting systems and applications to retrieve and review data files, analyze information, and analyze financial records in conformance to reporting and procedural standards.
Detailed...
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...Responsibilities
Utilization Review Coordinator
Via Linda Behavioral Hospital is a brand-new behavioral health provider... ...Experience:
Bachelor’s Degree in Social Services, Human Development, Nursing, Business, or related field required. Master’s degree and...
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Local area
...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.
This is a Part Time 25 hours a week position
No Call, evening or weekend work...
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**MRB Team Member (Material Review Board)**
Tempe, AZ / Manufacturing - Production Team / Full-Time Non-Exempt
**Leading the future in luxury electric and mobility** At Lucid, we set out to introduce the most captivating, luxury electric vehicles that elevate the human...
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...well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Clinical Review Pharmacist
The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests...
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...Job Description
Job Description Our Social Media Review Responder opening is an entry-level, full-time opportunity , onsite at our Old Town Scottsdale office. You will be working in a fun and energetic environment with a lot of exciting team activities...
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...FT 40 Hours Per Week
Shifts: Mid
As a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing... ...Qualifications
Education:
~Prefer a bachelor's degree in Nursing.
Experience:
~Preferred to have at least three (3) years of...
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...meets all Federal and State requirements.
+ Ensure second-level reviews have been performed and documented and may confer with medical... ...+ Active, unrestricted registered clinical license – Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Therapist...
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Monday to Friday
