Average salary: $119,922 /yearly
More statsSearch Results: 14,441 vacancies
...Job Description
Job Description Title: Nurse Reviewer D epartment: Govt Services
Bargaining Unit: NBU Grade: N/A
Position Type: Non-Exempt Hours per Week: 40
Position Summary:
Performs chart review of medical exams to determine medical necessity...
Suggested
Local area
...Saint Thomas Midtown
+ **Location:** Nashville, TN
We are looking for a detail-oriented Metabolic and Bariatric Surgery Clinical Reviewer. This individual will maintain timely and accurate data entry to the Metabolic and Bariatric Surgical Accreditation and Quality...
Suggested
Full time
Temporary work
Relief
Local area
Day shift
Monday to Friday
...through an interdisciplinary process, which provides a clinical and psychosocial approach through the continuum of care Through case management, patients will be assessed to determine appropriateness Case Manager, Travel Nurse, Manager, RN, Travel, Nurse, Healthcare...
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...Clinical Review Manager
Remote
6 Months+
Job Description Summary:
Perform comprehensive clinical review of requested services... ...for Digital positions.
Job Qualifications
Registered Nurse (RN) with active license in the state of Tennessee or hold a license...
Suggested
Contract work
Remote job
...Job Description
Job Description Utilization Review Nurse Case Manager (Oncology)
Full-time, Remote
Role Summary:
The Utilization Review RN Case Manager shall work in a collaborative fashion to promote the provision of quality care and cost-effective outcomes...
Suggested
Holiday work
Full time
Remote job
Shift work
Monday to Friday
...from payor, if required and communication with commercial payers is completed in a timely manner and is available to the Utilization Review Clinical Specialist for administrative, payor related tasks.
Essential Duties and Responsibilities:
* Submits initial...
Suggested
Remote job
...and contract conflicts. Performs other duties as assigned.
Responsibilities
+ Communicates with Insurance companies daily
+ Reviews Payment Variance and Work Queues daily
+ Maintains credit balance reports
+ Processes Work Queues daily.
+ Reviews accounts for...
Suggested
Full time
Contract work
Temporary work
...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 Master's degree in social work...
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For contractors
...Detail Tax Reviewer: "Path to Partner Program"!!
This Jobot Job is hosted by: Tony Callahan
Are you a fit? Easy Apply now by clicking the "Apply Now" button
and sending us your resume.
Salary: $60,000 - $80,000 per year
A bit about us:
A Memphis based, locally...
Suggested
Full time
Relocation bonus
Flexible hours
...licensed behavioral health professionals for new PASSR Clinical Reviewer positions.
Flexible part-time and traditional full-time... ...primary responsibilities will include:
* Travelling to hospitals, nursing homes, and long-term care facilities, and other locations in...
Suggested
Holiday work
Full time
Part time
Immediate start
Flexible hours
...setting is preferred. Prior experience in the utilization and review function is highly preferred. Previous management experience in... ...in good standing , issued by the Tennessee Board of Registered Nursing.
Additional Requirements: Ability to work with child and...
Suggested
Full time
Work experience placement
Local area
Currently hiring
...More: Free counseling services, consumer discounts, and preferred banking partnerships.
What Will You Do? As a Coding Quality Review (CQR) Specialist, you'll work remotely, ensuring compliance with coding guidelines and policies. Your responsibilities will include...
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Hourly pay
Full time
Remote job
Shift work
Monday to Friday
...Job Description
Position Type:Inspector, Assembly and Material Review
Location: Nashville, TN
Hourly rate: $28.00
Inspector, Assembly and Material Review
Occupation Summary
This occupation requires the inspection of assemblies and subassemblies...
Suggested
Hourly pay
Day shift
Afternoon shift
...families for over 30 years.
We are looking for Utilization Review Director to join our team of dedicated professionals. Come... ...of Counseling, Psychology, or Social Services related field or Nursing BSN or RN. Masters level preferred .
EXPERIENCE
Minimum...
Suggested
Local area
Work alone
...Summary
Reviews clinical cases and abstracts data for inclusion in nationally recognized quality benchmarking databases (Society of... ...Preferences and Experience
Education
Preferred: BSN
Minimum: Nursing Degree or Associate Degree or higher in Cardiovascular...
Suggested
Full time
Temporary work
...organ donation and we want professionals on our team that will embrace this important work!! DCI Donor Services is seeking a Quality Review Coordinator to join our team. The Quality Review Coordinator performs ocular and tissue donor record quality assurance review in...
Temporary work
Local area
...Job Description
Job Description Position Summary
The Utilization Review Specialist applies expertise of payer behavior and clinical guidelines to optimize utilization review (UR) outcomes.
Primary Duties & Responsibilities
Reviews medical records for quality...
...and we want professionals on our team that will embrace this important work!! We are currently searching for a high caliber Clinical Review Coordinator to help facilitate the organ donation process by conducting a thorough quality review of medical records. If you have...
Temporary work
Local area
Remote job
..., serving as our trusted private equity sponsor.
What do we need?
We are seeking a compassionate and proficient Clinical Review Nurse to join our growing team of professionals. The Clinical/Utilization Review Nurse advocates for reimbursement for services provided...
...Job Description
Registered Nurses are encouraged to consider an exciting career opportunity with Liberty Healthcare Corporation.... ...Healthcare seeks qualified candidates for a potential new Quality Reviewer position.
This is a key role with a statewide program which...
Holiday work
Full time
Immediate start
