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Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or...
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Immediate start
...Position Summary: Conducts concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides... ...field
~ Minimal degree requirement: Bachelor of Science in Nursing.
~ Must possess strong critical thinking skills, have an...
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Job Description
Reg or CII Exempt Staff
Qualifications
Reg or CII Exempt Staff
Job: Reg or CII Exempt Staff
Shift: Day Job
Organization: Division of Facilities Maintenance
Job Posting: May 21, 2024
Unposting Date: Ongoing
Suggested
Relocation bonus
Shift work
...reside within the Contiguous United States
Hours: M-F, 8:00 AM - 5:00 PM EST
Job Description:
As a Desktop Reviewer/Applications Processor our successful team members perform in a variety of exciting areas geared towards delivering an exceptional...
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...Strategic Plan through direction of the Clinical Medical Claims Review, Medical Underwriting, Medical Policy, Clinical Appeals and... ...**QUALIFICATIONS:**
**Education Level:** Bachelor's degree in nursing OR in lieu of a Bachelor's degree, an additional 4 years of relevant...
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Local area
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...As a Assessor Reviewer you will be responsible for face-to-face assessments of vulnerable populations for various clients. Persons being... ...completing level of need assessments preferred.
If a nurse, must have an active and unrestricted state license.
COMMITMENT...
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The staff writer provides dynamic content for all Catholic Review Media channels, including but not limited to The Catholic Review and CatholicReview.org. The staff writer will develop, report and write news and feature articles as well as in-depth centerspreads for the...
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...UTILIZATION REVIEW / CASE MANAGEMENT RN - Part Time, Weekends
Baltimore, MD
GRACE MEDICAL CENTER
CARE MANAGEMENT
Part-time... ...Requirements:
Minimal degree requirement: Bachelor of Science in Nursing.
Must possess strong critical thinking skills, have an...
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Permanent employment
Part time
Shift work
Weekend work
Day shift
...Job Description
Job Description On behalf of our client, we are looking for a Review Assistant to join our team of professionals. If the description below sounds like you, Apply Now!
*Candidates must live within driving distance of Columbia, MD and have a background...
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Monday to Friday
...Health Advocates Network-Nursing is seeking a travel nurse RN Utilization Review for a travel nursing job in Baltimore, Maryland.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/17/2024
~ Duration: 14 weeks...
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Local area
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...Elevance Health Medical Oncology Medical Director - Utilization Review Hanover , Maryland Apply Now
Utilization Management of Medical... ...:
Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care.
Perform...
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Remote job
Work from home
Relocation bonus
...Description
Job Description The Baltimore City State’s Attorney’s Office (SAO) is looking to fill a paralegal position in the Evidence Review Unit (ERU). The ERU paralegal will be responsible for identifying and obtaining case-specific evidence from various law enforcement...
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...The Patient Care Coordinator is responsible for utilization review, discharge planning and transitions in care, in collaboration with... ...secondary work state(s) are required post hire.
~ Registered Nurse License (Virginia) within 6 months of hire AND Registered Nurse...
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...Toker's Guide ( tokersguide.com ( is a DC-based start-up and cannabis review site that is rapidly growing. We are looking for cannabis connoisseurs who think they have what it takes to join our ranks as a reviewer of Maryland marijuana dispensary products and homegrows...
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...Project Reviewer - Architectural (Sign-On Bonus)-(240000TW )
University of Maryland, Baltimore (UMB) is seeking a Project Reviewer - Architectural to join Facilities Management - Architecture, Engineering, Construction Services.
BENEFITS (Exempt Regular):
UMB...
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...Registered Nurse RN
Overview
At FutureCare our Registered Nurses are our frontline heroes and are the heart of healthcare. Through... ...through assessment, planning, implementation, and evaluation
* Review resident medical records to ensure nursing practice provided is...
Full time
Relocation bonus
Flexible hours
Shift work
...Registered Nurse
Position Objective: Provide services as a Registered Nurse in support of the overall functions of the National... ...research staff and informs patient of processes and activities for review and follow up.
* Schedule patients and return patients and/or...
Contract work
Fixed term contract
Shift work
Night shift
Afternoon shift
...Fri 8:30am-5pm, Sat 8:30am-3/5pm
Position Summary:
With our continued growth and success, we are excited to hire a full-time Nurse Practitioner to join our dynamic treatment team in Baltimore (Owings Mills), MD. Our company is medically-based, so as the Nurse Practitioner...
Holiday work
Full time
Immediate start
Saturday
Afternoon shift
...Institutional Review Board Administrator -(240000EF )
The Human Research Protections Office (HRPO) is recruiting for a Institutional Review Board Administrator. The HRPO is the coordinating office for the Human Research Protections Program, and provides support for...
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Full time
Part time
Flexible hours
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...Registered Nurse - RN - Dialysis
Description
Inspire and inform each patient. Allow others to achieve their most important objectives... ...or transplant clinic when needed and appropriate.
* Reviews, transcribes, and enters physician lab orders accurately into Proton...
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