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...Monday-Friday 8:00 am - 4:30 pm.
Deliverables/Principal Results Expected:
• Perform admission, continued stay and discharge reviews on all managed care clients.
• Maintain positive relationships with referral sources and insurance companies.
• Track...
Remote job
Local area
Work from home
Flexible hours
Shift work
Monday to Friday
...Job Description
Job Description Document review project currently in progress.
This is remote work for a Philadelphia area law firm. Must be located within Pennsylvania.
Must have an active attorney license in any state
Must have a PC/Mac
Business hours...
Remote job
Shift work
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide...
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...lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer, MRx - Oncology - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review of...
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Work experience placement
Internship
Local area
...Network ** **Job Description :****
**GENERAL OVERVIEW:**
This position is responsible for covering vast roles within the Utilization Review management team that include managing bill processing, downgrades, entry into the system including reg, insurance verification,...
Remote job
Local area
...Availability: 8:00 AM - 5:00 PM
Responsibilities:
Assess and review reportable incidents and service plans for participants... ...incidents effectively.
Requirements:
Licensed Registered Nurse
Proficiency in Microsoft Office Suite, including Outlook, Word...
Remote job
Hourly pay
Permanent employment
Full time
Contract work
We are seeking a dedicated Hybrid Auditor Review Registered Nurse to join our team. This position offers a hybrid work model, combining remote work with on-site training and occasional office attendance. The role involves assessing and reviewing reportable incidents and...
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Hourly pay
Permanent employment
Full time
Contract work
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...lives of individuals receiving home and community-based services? We're seeking a skilled and compassionate Hybrid Auditor Review Registered Nurse to join our team.
Highlights:
This is a contract assignment with the potential for permanent placement, contingent upon...
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Hourly pay
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...Experienced Document Review Attorney – Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on...
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Hourly pay
Full time
Flexible hours
...A-Line Staffing is now hiring in Hybrid Auditor Review Registered Nurse in Harrisburg, PA 17105. If you are interested in this Hybrid Auditor Review Registered Nurse position, please contact Alexis at ****@*****.*** or (***) ***-**** Registered Nurse,...
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...Description A-Line Staffing is now hiring in Hybrid Auditor Review Registered Nurse in Harrisburg, PA 17105. If you are interested in this... ...Alexis at ****@*****.*** or (***) ***-****
Remote, must work from office for 8 weeks for training and then...
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Immediate start
...excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in... ...of a patient's ability to pay for health care.
The Surgical Review Specialist prospectively reviews, validates, and audits procedure...
Remote job
Full time
...providing essential support in our commitment to excellent patient care.
Key Responsibilities:
Conduct thorough retrospective reviews to ensure compliance with state and federal regulations, utilizing your expertise to analyze and apply relevant policies and...
Remote job
Hourly pay
Full time
...analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity,... ...Requirements
Minimum three (3) years’ experience practicing nursing as a licensed Registered Nurse
Minimum of three (3) years’...
Remote job
Full time
Flexible hours
...Job Description
Job Description Job Title: Remote Dental Hygienist (Utilization Review/Prior Auths)
Location: 5-8 weeks training onsite in Harrisburg, PA then remote!
Shift: MON-FRI 8am-4pm
Pay: $34.00/hr.
Scheduled Pay: Bi-Weekly
Benefits: Health,...
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Weekly pay
Temporary work
Work from home
Shift work
...excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in... ...a patient's ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating medical necessity and...
...Description
Job Description This is a remote position.
We are currently seeking a... ...individual to join our team as a Clinical Review Manager. In this role, you will provide leadership... ...all tasks of the Review and Evaluation nurse as needed.
• Evaluate and implement...
Remote job
...Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine & Rehabilitation physician to process utilization reviews . Worker's Compensation experience is preferred but, not required. This telework opportunity provides the ability to customize...
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For contractors
Monday to Friday
Overview Utilization Review Nurse
Berkshire Hathaway GUARD Insurance Companies, an A+ Superior rated Insurance company is seeking a Utilization Review Nurse who is interested in joining a company with a unique culture dedicated to technology and customer service...
Holiday work
Night shift
Weekend work
...Job Description
Job Description This is a remote position.
The Clinical Review Specialist will be responsible for performing prospective, concurrent... ...performance, and must maintain an active Pennsylvania Nursing License.
Key Responsibilities:
Perform...
Remote job
Contract work
