Search Results: 6,426 vacancies
...supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered... ...The Details
Communicates directly with customer and physician advisor and tracks cases to ensure case is completed and returned...
Suggested
Full time
...pediatric and adolescent population, is seeking a Utilization Review Coordinator (RN)
ESSENTIAL FUNCTIONS:
1. Responsible for coordinating... ...in treatment team meetingsto report said legitimacy to physicians and team members.
QUALIFICATIONS:
•Threeto five years...
Suggested
...behavioral health clinical treatment team.
Conducts clinical reviews in accordance with certification requirements of insurance... ...reviews between the facility treatment provider and the managed care physician.
Assists the Assessment Department with completion of the...
Suggested
Flexible hours
ezURS.com Inc., has an ongoing need for Pain Management Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation, and auto liability cases....
Suggested
Part time
Remote job
Flexible hours
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...
Suggested
Immediate start
...innovators to join our fast-paced, forward-thinking team.
Careington International Corporation is looking to add a Compliance Review Specialist to our current Compliance team. This position will require you to work onsite three days per week at our Frisco, TX, corporate...
Suggested
For contractors
3 days per week
This position is contingent on a contract award.
Conducts reviews of clinical interactions and clinical documentation including reviews of case management records and provider treatment records. Collects data following established procedures and analyzes findings for...
Suggested
Contract work
Temporary work
Work experience placement
...Position Overview:
The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay... ...supplied by the provider in the form of medical records such as physician notes, lab tests, images (x-rays etc.), and with due...
Suggested
Local area
Remote job
ezURS.com Inc., has an ongoing need for Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation,and auto and liability\
\
Opportunity to...
Suggested
Contract work
For contractors
Remote job
Flexible hours
...TalentBurst, Inc is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/17/2024
~ Duration: 11 weeks
~36 hours per week...
Suggested
Shift work
Monday to Friday
ezURS.com Inc., has an ongoing need for Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation, and auto liability
Opportunity to work remotely...
Suggested
Full time
Immediate start
Remote job
Flexible hours
Position - RN Utilization Review
Shift - Monday-Friday 8 hours
Hours - 40 hours/week
Location - Irving TX 75039
JOB SUMMARY
The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper...
Suggested
Permanent employment
Shift work
Monday to Friday
...TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 07/08/2024
~ Duration: 12 weeks
~40 hours per week
~...
Suggested
Remote job
Shift work
...TalentBurst, Inc is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/24/2024
~ Duration: 12 weeks
~40...
Suggested
Hourly pay
Contract work
Local area
Shift work
The Senior Lead Reviewer is responsible for independently managing all aspects of his or her assigned Review Entity in the Americas region. Responsibilities include execution of Business Monitoring and Reviews in accordance with the Banking & International Credit Review...
Suggested
Holiday work
Full time
Work experience placement
...Vice President, Wholesale Credit Review
About the Company
Diverse financial services firm & investment bank
Industry
Financial Services
Type
Public Company
Founded
2000
Employees
10,001+
Categories
Financial Services
Finance
Banking...
Flexible hours
...GENERAL PURPOSE: Accurate and timely coding and review of home health OASIS assessments and plan of care to ensure compliance with... ...with interdisciplinary teams including nurses, therapists, and physicians to resolve discrepancies and ensure comprehensive documentation...
...responsibilities each day will include extensive communication with physician partners and Consilium Account Managers to ensure that all our... ...accuracy of timesheet documentation
Facilitate detailed review of Provider pay documentation
Facilitate detailed review of...
Full time
Locum
...established standards and processes are followed and consistently applied. GWM Management use the results of the quality assurance reviews to assess the quality of the group's policies, procedures, programs, and practices as relates to end-to-end risk analysis. The results...
Full time
Interim role
Worldwide
JOB SUMMARY
This job is responsible for ensuring that all appropriate billing charges for complex service lines are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards...
Remote job
Hourly pay
Holiday work
Work experience placement
Local area
Relocation bonus
Flexible hours
