Average salary: $66,264 /yearly
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Registered Nurse RN Utilization Management Care Reviewer Remote Location Remote in Phoenix, AZ : Primary City/State: Arizona, Arizona Department Name:
Utilization Mgmt Work Shift:
Day Job Category:
Clinical Care Find your path in health care. At Banner Health...
Remote job
Full time
Shift work
Monday to Friday
...Are you interested in a remote (work from home) opportunity to provide your expertise in Endocrinology by conducting reviews in the Utilization Management/Peer Review process, just a couple hours per week? A current Minnesota or Pennsylvania medical license is required...
Remote job
Permanent employment
For contractors
Freelance
Work from home
$24 - $30 per hour
...Are you ready to take charge of coordinating essential services from the comfort of your own home? As a Remote Utility Coordinator at Utility Consulting Partners in Santa Barbara, CA, you'll play a crucial role in ensuring the smooth operation of our facilities. We...
Remote job
Full time
Work from home
Flexible hours
Monday to Friday
...roll over onto other matters with the firm as needed
Location: Remote, work from home but must have accessibility to a computer and a... ...: A minimum of 6 months experience working on remote document reviews; experience with eDiscovery platform, relativity preferred....
Remote job
Work from home
...level of care prior to hospitalization utilizing medical necessity criteria and third party... ...of care management, utilization review changes, authorization changes, contract... ...for currently employed UR's)
2-3 years nursing experience with 1 year in Utilization Management...
Suggested
Full time
Contract work
Local area
Immediate start
...technologies and operations has an exciting opening for a Fraud Review Analyst. Radial’s omnichannel solutions use cutting-edge technology... ...as part of a team
Travel:
This position is remote.
Travel is not required
Radial is an equal opportunity...
Remote job
Full time
....
KNOWLEDGE/SKILLS/ABILITIES:
The Utilization Manager, Healthcare Services, oversees integrated... ...for clinical teams performing care review/utilization management, case management,... ...experience, or Bachelor's/Master’s in Nursing, Gerontology, Public Health, Social Work...
Remote job
...Medical Claims Review Nurse
Position is fully remote
Schedule: M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST.
Daily responsibilities... ...of clinical appeals experience along with 1 year of utilization review experience. Candidates with DRG experience on...
Remote job
Local area
...Hi,
Hope you are doing well !!
Please review the Job description below and let me know your interest. If interested, Please share... ....
Position Name : Quality Reviewer
Location : Remote
Mandatory Skills-
Execute test plans, scenarios, scripts...
Remote job
...needing your expertise across the country. These opportunities are remote, career-building projects that match interests, industries, and... ...of public accounting experience
~3+ years of experience reviewing tax returns
~ CPA, Enrolled Agent, or Master in Taxation preferred...
Remote job
Full time
Contract work
Part time
Freelance
...We are seeking a Utilization Review Nurse (LVN/RN) with strong clinical judgment to join our team at a Managed Care Organization in New York.... ...referral requests based on established guidelines.
This is remote position only for the New York Tri-State area...
Remote job
Contract work
...Research Analyst II, Systematic Reviews - International Consulting Associates, Inc. (Remote)
About ICA
International Consulting Associates, Inc. is a rapidly growing company, located in Arlington, VA/DC metro area. We were founded in 2009 to assist firms with evaluating...
Remote job
Holiday work
Full time
Local area
Work alone
Flexible hours
Shift work
...Job Title: Clinical Review Nurse
Location: Remote in Arizona (AZ) State Only
Duration: 3 months (Possible Extension)
Pay Rate: XX3... ...education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective...
Remote job
Shift work
Monday to Friday
...Summary:
The Program Integrity Clinical Reviewer II contributes to the investigative... ...ICD-10 codes. This position is full-time, remote.
Essential Functions:
Conduct claim... ...clinical and payment policies and the Utilization Management Committee
Collaborate with...
Remote job
Full time
For subcontractor
...Job Title: Director of Business Development
Location: Remote, Any US
What We’re Looking For:
We are seeking a seasoned... ...growth and expand our geographic footprint with gas and electric utilities and the contractors that serve them; An experienced salesperson...
Remote job
Holiday work
Contract work
For contractors
...Job Title: Care Review Clinician
Location: Remote (USA)
Schedule: Monday - Friday, 8 AM to 5 PM PST... ...you will be an integral part of the Utilization Management team, focusing primarily... ...Completion of an accredited Registered Nursing program (a combination of...
Remote job
Permanent employment
Temporary work
Monday to Friday
...Case Manager RN (Remote)
Bring your heart to CVS Health. Every... ...dual eligible populations by utilizing
best-in-class operating and clinical... ....
Fundamental Components
* Nurse Care Manager is responsible... ...clinical tools and information/data review to conduct an evaluation of...
Remote job
Hourly pay
Holiday work
Full time
Temporary work
Monday to Friday
...Quality Management, the Clinical Documentation Reviewer oversees the healthcare organization's... ...(RHIT) preferred.
Registered Nurse (RN) a plus.
Proficient in EMR software... ...s financial structure.
Leadership: Utilize organization's mission and vision for team...
Remote job
Immediate start
...Care Manager RN (Remote)
Bring your heart to CVS Health. Every... ...dual eligible populations by utilizing best-in-class operating and clinical... ....
Fundamental Components
* Nurse Care Manager is responsible... ...clinical tools and information/data review to conduct an evaluation of...
Remote job
Hourly pay
Holiday work
Full time
Temporary work
Monday to Friday
Pharmacy Accreditation Reviewer
Department:
Pharmacy Services (120)
Location:
Remote, DC
Major purpose of this job:... ...~Communicates with applicants utilizing positive customer relation skills... ...,
~OR a registered Nurse with a bachelor’s degree in a...
Remote job
