Search Results: 9,475 vacancies
...Job Summary:
Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the... ...based on established treatment criteria.
Collaborates with physicians on clinical reviews, keeps them appraised of Kaiser clinical criteria...
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...contribute to Sedgwick being a great place to work.
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Bill Review Trainer - Hearing Specialist
**PRIMARY PURPOSE** : To develop and conduct technical training for all new and existing...
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...Job Description
Job Description As a member of the Population Health and Quality department, the Quality Review Nurse (QRN) will support key clinical quality initiatives at San Francisco Health Plan (SFHP). The QRN is part of SFHP Health Services department which...
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...management staff ensuring timely and consistent medical decisions to members and providers.
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Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care.
Perform physician-level case review...
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...Description: Job Summary:
Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists... ...based on established treatment criteria.
Collaborates with physicians on clinical reviews, keeps them appraised of Kaiser clinical...
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Hourly pay
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...valued and respected. This is a unique opportunity for accomplished attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality control on high volumes of complex litigation documents. This is a...
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...Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It... ...1-2 days per week on-site required.
Collaborates with the physician, nurse case manager, social worker, and other members of the health...
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...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Leandro, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 12 weeks
~36 hours per week...
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...information about the Behavioral Health Department, please visit
THE POSITION
Under general direction, supervises Clinical Review Specialists in Alameda County Behavioral Health; coordinates day-to-day functions, ensures appropriate staff coverage; and performs...
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...compliance for existing projects including India Basin, Portsmouth Square and Lake Merced West.
Leading the Department’s Environmental Review and Compliance process, procedures, and coordination around these topics, both internal and external, and serving as the authority...
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About the Opportunity
As the Product Manager for the Veza Access Reviews product, you'll work with various internal stakeholders and customers to define, refine and execute the product vision for Veza's...
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**Overview**
Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.
Established in 1946, with headquarters in Arlington, Virginia, AIR is...
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...Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Leandro, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 12 weeks
~3...
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...clinical tools to reduce variation in clinical practice and to optimize clinical outcomes.
Educates physicians and staff regarding regional projects or regulatory reviews, i.e. the interpretation of regulatory requirements and the methods of compliance when preparing...
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...opportunity for accomplished attorneys to work in a remote, hourly capacity on sophisticated matters, primarily performing second-level review and quality control on high volumes of complex litigation documents to ensure all work product and client deliverables are accurate...
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...Document Review Attorneys: WORK FROM HOME!
If you are a licensed attorney and want to provide REMOTE document review services to a leading U.S. trial firm for several upcoming projects, this opportunity is for you.
Attorney applicants must have a strong...
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...opportunity employer, promoting diversity, inclusion, and equal opportunities for all qualified applicants.
Job Title: RN Utilization Review
Location: Oakland, CA 94602
Job Type: Contract
Job Duration: 13 Weeks
Pay Range: $70-75
Hours per Week: 36...
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...contracted/planned providers. Manages projects related to chart reviews.
Conducts utilization data analysis (avoidable days,... ...management work plan to meet or exceed medical center targets: Physicians, managers across the continuum, and TPMG/KFH service leaders...
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...About the Opportunity
We are seeking a passionate and experienced Product Manager to join our team, focusing on the Veza Access Reviews product. In this role, you'll collaborate closely with internal stakeholders and customers to shape and execute the product vision...
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...improve overall revenue by recovering denied and underpaid claims from both commercial and government payers. Our retrospective claims review is contingency based with no upfront costs to our clients and utilizes our proprietary system, staff, and resources to recover...
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