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...active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to... ...~ Be a team player. Work collaboratively with over 500+ Physician Peers to help ensure patients receive proper care via evidence...
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...supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered... ...Responsibilities:
The Details
Communicates directly with customer and physician advisor and tracks cases to ensure case is completed and...
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...and ambulatory care access points, an insurance offering, a physician network and various related services located all over the... ...Puerto Rico and the United Kingdom.
Job Summary: The Chart Analyst will review each discharged patient's record for compliance with documentation...
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...outlook to a flourishing organization as a Chart Retrieval Specialist .
What will you... ...for retrospective and prospective reviews.
Experience hands-on fieldwork. Travel... ...medical billing and coding services for physicians, then pivoted to HCC coding for payers....
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Monday to Friday
...supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical... ...ongoing communication with the health plan, clinical providers (HMH Physicians/NPs) and care coordination departments regarding medical necessity...
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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness... ...and comprehensiveness of documentation and collaborates with physician and treatment team to obtain documentation needed to support level...
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Immediate start
...in a safe family like setting?
Mainstream Nonprofit Solutions has the job for you!
We are looking for full-time Utilization Review Specialist to add to our team! A Bachelor’s degree is required with two to four years of experience in social services with...
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...clinically active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you’ll be empowered to make... ...~ Be a team player. Work collaboratively with over 500+ Physician Peers to help ensure patients receive proper care via...
Suggested
Full time
Part time
Remote job
Work from home
Home office
Weekend work
Monday to Friday
...employed providers including primary care physicians specialists and advanced practice... ...services.
Responsibilities:
The Peer Review Coordinator RN investigates medical staff... ...Review Process: Retrieves and prepares charts for peer review, assisting physicians as...
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...Job Description
Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness... ...the ability to interface with the claims adjusters, attorneys, physicians and their representatives, and advisors/clients, and co-workers...
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Local area
Flexible hours
...to clinical information given by providers and internal criteria for medical necessity and appropriateness of care
+ Conduct peer reviews with psychologist and licensed therapist/certified Behavior Analyst for outpatient and/or psychological testing requests
+...
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Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The choice is yours, work...
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...Utilization Review Authorization Coordinator - REMOTEClick Here to Apply OnlineJob DescriptionLocation... ....Works competently with computer based charting and other clinical and non-clinical... ...and stability.As the country's largest physician-led, minority-owned, integrated health...
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Temp to Perm - Local Candidates only. Current RN Compact license required
Summary:
The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services....
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Local area
The Itemization Review Nurse will provide a Summary and analysis of items by reviewing all charges submitted on a UBIB provided by a medical facility to determine accuracy of charges billed.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Collect supporting data and analyze...
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Full time
Flexible hours
...Are you an accomplished Board Certified physician in one of the below specialties? Preferred... ...:
Relying on clinical background, reviews health claims providing medical interpretation... ...recommendations for utilization review, chart reviews, medical necessity,...
Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
Overview:
Mesa Springs
Utilization Review Specialist
Mesa Springs is a 72-bed behavioral hospital located in Fort Worth, TX. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families. At Mesa...
Flexible hours
...inclusion thrive? Submit your application for our Institutional Review Board (IRB) Coordinator opening with Medical City Plano today... ...care hospital. We have more than 2,000 employees and over 1,400 physicians on staff. Our main campus in Plano has a cancer treatment center...
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...Description
Responsible for facilitating internal contract review packages from quotes, packing lists, purchase orders, and document control. Performs daily data entries onto the pending report.
Essential Duties & Responsibilities:
~ Review and analyze documentation...
Holiday work
Permanent employment
Contract work
...Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation... ...in observation. Communicates with the physicians and clinicians. Assures clinical information... ...to work competently with computer-based charting and other clinical and non-clinical...
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