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...safe family like setting?
Mainstream Nonprofit Solutions has the job for you!
We are looking for full-time Utilization Review Specialist to add to our team! A Bachelor’s degree is required with two to four years of experience in social services with children. We...
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..., non-clinical, and/or provider data for pre-certification via phone, fax, inter/intranet, Eldorado/Case Pac computer programs
* Review service requests and manage the requests as efficiently as possible involving the appropriate department as needed
* Perform data...
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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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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety...
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...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...
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...inclusion thrive? Submit your application for our Institutional Review Board (IRB) Coordinator opening with Medical City Plano today... .... As a part of the Medical City network of hospitals and specialists, patients are ensured access to leading medical experts and advanced...
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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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...GENERAL PURPOSE: Accurate and timely coding and review of home health OASIS assessments and plan of care to ensure compliance with... ....
QUALIFICATIONS:
• Certification as a Home Health Coding Specialist (HCS-D)
• Certification as OASIS Specialist (COS-C) or Homecare...
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...aspects of Legal e-Billing program.
Assists with manual processing of certain legal bill payments.
Communicates with Legal Bill Review vendor and claims organization with respect to inquiries regarding special billing instructions.
Verifies e-billing data...
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...HAVE Knowledge of CPT, ICD-9/10 and HCPCS codes along with commonly used concepts and practices in Workers Compensation medical bill review/auditing . Prepares and compiles medical provider bill data for Workers Compensation clients.
The successful candidate will be...
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Korean Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Korean
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions, Conceptual...
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Temp to Perm - Local Candidates only. Current RN Compact license required
Summary:
The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services....
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Local area
Area: HPUtilization Mgmt 7065 / 1346
Class: RN Utilization Review
Shift: 1
Start: 08:00:00
End: 17:00:00
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...Utilization Review Authorization Coordinator - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 1/8/2024Job Type: Full TimeSalary: $20.01-$25.00Department: 1301.40601 Centralized URThe Utilization Review Authorization Coordinator...
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...owned and part of Beacon Hill Staffing Group, LLC. Beacon Hill Legal seeks US barred attorneys in the Dallas market to join our remote review teams. We have a number of large reviews in the pipeline looking to kick off during April.
Please note -candidates applying for...
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...Job Description Description: Description
The Director position requires a self-driven individual who can complete high quality reviews while meeting strict deadlines. The individual must possess excellent written and verbal communication skills, outstanding...
...than 1,000 private bankers, investment professionals and product specialists across a network of 90 offices in 33 countries and over 128... ...applied. GWM Management use the results of the quality assurance reviews to assess the quality of the group's policies, procedures,...
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Interim role
Worldwide
...Job Description
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: 05/06/2024
~ Duration: 12 weeks
~40...
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...As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medical claims; analyzing and optimizing bill review procedures and systems...
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...Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care Manager assumes primary responsibility for documentation of appropriate medical necessity for the inpatient status or placement...
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