Search Results: 34,354 vacancies
...Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday -...
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...Job Description Position Purpose : Works in partnership with physicians, nurse case managers, and other disciplines to ensure the... ...Transition of Care, Discharge Planning, and Case Management.
Reviews the appropriateness of Severity Index/Intensity of Service for...
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...Registered Nurse RN - Utilization Review
Details
* Department: Utilization Mgt
* Schedule: M-F 8 hr days, ONSITE, exempt
* Hospital: Ascension Sacred Heart Pensacola
* Location: Pensacola, Florida
Benefits
Paid time off (PTO)
Various health insurance options & wellness...
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UR Nurse Registered Nurse
A Case Manager facilities a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication...
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Job Description Hiring full-time Utilization Review Specialists that are experienced in SA, MH and Eating disorder UR. The position is hybrid or in office. Competitive salary and benefits offered. Must be familiar and functional with google and multiple...
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...00 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital you can be a part of an... ...psychological and discharge needs in collaboration with the attending physician and interdisciplinary team.
* You will assess the mental &...
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Position Title: Surgical Case Nurse Reviewer
Company: ACT1 Federal
Location: Eglin, AFB, Florida
About ACT1 Federal: Delivering mission-critical solutions and industry-leading talent to advance the missions of the partners, organizations, and communities we serve...
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...week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor... ...insurance appeals, prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical...
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...services and interfaces with managed care organization, external reviewers, and other payers.
Directly supervises a minimum of 5 staff... ...and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states...
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...Description
Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that... ...patient care by effectively communicating with management teams, physicians, and the Medical Director.
Requirements
Proficient in...
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...Perform clinical/coding medical claim review to ensure compliance with coding practices through a comprehensive review and analysis of medical claims, medical records, claims history, state regulations, contractual obligations, corporate policies and Medical, Medical...
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...efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities....
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QUALIFICATIONS
Qualified candidates must have one to three years prior office or relevant experience.
Ability to work on various assignments simultaneously and to communicate tactfully, verbally and in writing with department heads, managers...
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...Clinical Review RN
5297 W Copans Rd, Margate, FL 33063, USA
Req #460
Monday, April 1, 2024
Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general...
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About the job Utilization Review Specialist
About Us
Congress Billing is a sophisticated Billing Management Company that strongly believes in the best interest of their clients. Our mission is to ensure that all Congress Billing's clients have a proven low-...
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...compensation (457) plans; and more.
Nature Of Work
This posting includes a range of classifications including Professional Plans Reviewer I, Professional Plans Reviewer II, Professional Plans Reviewer III & Professional Plans Reviewer IV. Applicants will complete the...
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...Physician Assistant
Summary
PLEASE READ THE COMPLETE ANNOUNCEMENT TO ENSURE YOU UNDERSTAND THE QUALIFICATION REQUIREMENTS AND SUBMIT... ...$78,811 - $149,387 per year
The Professional Standards Board reviews the selected candidate's education and experience and recommends...
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...Phoenix Pro Connect is representing a global security organization in search of a talented Application Security Tester and Source Code Review professional. This role will be on site, working under a secured facility. The ideal candidate must be comfortable going on site...
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...helps our clients navigate the complex disability benefits journey to improve their life trajectory.
The remote Medical Records Review Specialist is a medical professional working to build medical evidence for the veteran from the veterans medical records. The Medical...
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...Physician Assistant
Summary
PLEASE READ THE COMPLETE ANNOUNCEMENT TO ENSURE YOU UNDERSTAND THE QUALIFICATION REQUIREMENTS AND SUBMIT... ...$78,811 - $149,387 per year
The Professional Standards Board reviews the selected candidate's education and experience and recommends...
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