Search Results: 19,076 vacancies
...independent risk management oversight for capital management, planning and forecasting, recovery and resolution planning, capital interpretations... ...and reporting. More specifically, the Capital Planning Review Team (CPRT) leads the holistic independent review and challenge...
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...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to... ...of services that require notification, using applicable benefit plan documents, evidence-based medical policy and nationally recognized...
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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness... ...comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria in order to determine appropriate...
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Permanent employment
Immediate start
The Senior Lead Reviewer is responsible for independently managing all aspects of his or her assigned Review Entity in the Americas region... ...AnalystsEvaluation of the appropriateness of Corrective Action Plans resulting from Reviews or Business Monitoring, and subsequent...
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Full time
Work experience placement
...Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews... ...teamwork skills.
Demonstrated self-motivation with the ability to plan, organize, and complete tasks independently without close...
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...Job Description
Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of... ...regarding appropriateness of billing, delivery of care and treatment plans
Completely document work and final conclusions in designated...
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Minimum wage
Full time
Local area
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...Current RN Compact license required
Summary:
The RN Utilization Review II is responsible for determining the clinical appropriateness... ...comprehensive assessments of clinical information and treatment plans and apply medical necessity criteria to determine the...
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Description
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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...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: 06/03/2024
~ Duration: 12 weeks
~40 hours per week
~...
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...Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
* Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules,...
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Minimum wage
Full time
Local area
Flexible hours
...Job Description
Job Description JOB SUMMARY:
Under general supervision, performs all title review functions in support clearing titles for AL, GA, MS, and TX. This person will perform tasks that require knowledge/skill to identify curative issues. The position...
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...Working from instructions and pre-established guidelines, under general supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered based on state/URAC guidelines in accordance with Concentra policies,...
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...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup... ...Evaluation of the appropriateness of Corrective Action Plans resulting from Reviews or Business Monitoring, and subsequent validation...
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Full time
Work experience placement
...live, work, play and learn in Farmers Branch by ensuring that the plans that are submitted for both residential and commercial projects... ....
Essential Job Functions
Researches and reviews construction plans submitted to the City for compliance with adopted...
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Full time
For contractors
Local area
Flexible hours
Afternoon shift
Early shift
...Under the direction of the Director - Supply Chain, the Operations Planning Analyst will provide strong problem-solving skills, process... ...federal, state, and local legal requirements of the job.
To review a comprehensive list of benefits, please visit Michaels Benefits...
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Portuguese Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Portuguese
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions...
Remote job
...Description Essential Job Functions:
Evaluate residential, commercial and industrial plans for compliance with current codes, local ordinances and zoning requirements by review and analysis in comparison to construction guidelines.
Maintain knowledge of zoning, health...
Permanent employment
For contractors
Local area
...teams, and are passionate about process improvement, the Demand Planning Analyst position at Lala US is your perfect fit. The Demand... ...signaling.
Additional Responsibilities :
•Facilitates Demand Review (Future) and supplies data for the Monthly IBP Cycle.
Skills...
Temporary work
...Directs the Clinical Resource Management department to include the Utilization Management (UM) plan and associated programs to impact resource management and compliance of all state, federal and accreditation requirements. Minimum Specifications Educ Management, Director...
Overview:
Why Youll Love Being an RN Plan of Care Coordinator at AccentCare
Do you enjoy providing outstanding patient care? Bring your organizational skills and knowledge of at-home care and join the AccentCare team today in this RN Plan of Care Coordinator position...
Holiday work
Full time
Flexible hours
