Search Results: 7,800 vacancies
...UTILIZATION REVIEW NURSE (RN)
~Randallstown, MD
~NORTHWEST HOSPITAL
~NW CARE MANAGEMENT
~Full-time - Day shift - 8:00am-4:30pm
~RN Other
~81988
~Posted:
March 21, 2024
Apply Now
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Full time
Day shift
...UTILIZATION REVIEW NURSE - PRN
~Baltimore, MD
~SINAI HOSPITAL
~UTILIZATION REVIEW
~PRN - Weekends - Day shift - 8:00am-4:30pm
~RN Other
~83284
~Posted:
May 20, 2024
Apply Now
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Relief
Weekend work
Day shift
Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or...
Suggested
Permanent employment
Immediate start
...Summary:
The Loan Reviewer is responsible for reviewing, auditing and completing the data entry on loans submitted to Freedom Mortgage for whole loan purchase.
Essential Job Functions may include:
Review documents per the Freedom Checklist Requirements.
Audit...
Suggested
Local area
...UTILIZATION REVIEW NURSE (RN) - PRN
Baltimore, MD
SINAI HOSPITAL
UTILIZATION REVIEW
PRN - As Needed - 8:00am-4:30pm
RN Other
82413
Posted:
March 21, 2024
Summary
Position Summary: Conducts concurrent and retrospective chart review for clinical, financial...
Suggested
Permanent employment
Relief
...Employee and Dependent Tuition assistance benefits.
Health and wellness programs and MORE!
Who you are:
As an Outpatient Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed care, utilization review,...
Suggested
Holiday work
Full time
Local area
Remote job
Monday to Friday
...Provisioning, etc.
Should have good knowledge of JAVA /J2EE, JavaScript and other scripting languages and XML
Strong knowledge of Access Reviews and certifications in SailPoint.
Excellent oral & written communication skills and ability to work with global counterparts...
Suggested
...Qualifications**
**PURPOSE:**
Ensures alignment with the overall Corporate Strategic Plan through direction of the Clinical Medical Claims Review, Medical Underwriting, Medical Policy, Clinical Appeals and Analysis programs and Quality of Care Complaint Unit. May lead our...
Suggested
Work experience placement
Local area
Immediate start
...With over 40 years of experience in Real Estate Law, McCabe, Weisberg & Conway, LLC has an immediate opening for a full time a Title Reviewer in our Laurel, MD office. We are a fast- paced, mid-sized law firm representing mortgage lenders, banks and financial institutions...
Suggested
Full time
Immediate start
The staff writer provides dynamic content for all Catholic Review Media channels, including but not limited to The Catholic Review and CatholicReview.org. The staff writer will develop, report and write news and feature articles as well as in-depth centerspreads for the...
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Work experience placement
Flexible hours
...Job Description
Job Description On behalf of our client, we are looking for a Review Assistant to join our team of professionals. If the description below sounds like you, Apply Now!
*Candidates must live within driving distance of Columbia, MD and have a background...
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Remote job
Shift work
Monday to Friday
Senior Consultant/Field Review Team Lead
Full-time
Headquartered in Bethesda, Maryland, ISN Corporation is a nationwide provider of specialized professional services to Federal government agencies. ISN's portfolio includes work with over 100 Federal agencies.
ISN Corporation...
Suggested
Full time
Temporary work
For contractors
Flexible hours
...extra cash!
Required Qualifications
1. Minimum of 5 years of Acute Care Nursing experience and at least 2 years Utilization review experience 2. InterQual and/or Milliman proficiency
Preferred Qualifications
Managed care experience in utilization review...
Suggested
Temporary work
Second job
...where all of our employees feel respected, valued and have an opportunity to contribute to the company’s success. As a Credit Risk Review Advisor within PNC's Credit Risk Review organization, this position is primarily based in a location within PNC's footprint. Preferred...
Suggested
Holiday work
Full time
Temporary work
Part time
Work experience placement
Remote job
...general supervision, with moderate latitude for the use of initiative and independent judgment.
Essential Responsibilities:
Reviews medical records/case file, writes a reconsideration decision that is clear, concise, and impartial and supports the determination...
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Full time
Contract work
Part time
For contractors
Local area
Remote job
...including current City employees , selected from this position will be on probation for 6 months.
CLASS DEFINITION
A Police Report Reviewer reviews, classifies and codes police reports. Work of this class involves no supervisory duties or responsibilities.
Incumbents...
Trial period
Shift work
Night shift
...As a Assessor Reviewer you will be responsible for face-to-face assessments of vulnerable populations for various clients. Persons being assessed reside in the community or in facilities. The incumbent may also complete review decisions regarding services needed for the...
...We are seeking a Sr. Grants & Contracts Analyst, Post Award. This position will coordinate all post-award activities related to sponsored... ...Sponsored Projects - Post-Awards
Responsible for reviewing all sponsored awards set up by the Office of Sponsored Projects...
Full time
Monday to Friday
...Division of Rheumatology is seeking a Sr. Grants & Contracts Analyst to provide dedicated professional-level sponsored funds management... ...budgetary staff to improve award phrasing or presentation.
Review budget justification for appropriateness and completeness of...
Full time
Contract work
New year
Remote job
...We are seeking a Sr. Grants & Contracts Analyst will provide dedicated professional level sponsored funds management for more than... ...policies for pre-award grant process and sponsor guidelines.
Review all sponsored project proposals for assigned faculty prior to...
Full time
Contract work
Monday to Friday
