Search Results: 4,847 vacancies
...Description:
Executes batch record review
Performs a wide variety of activities to ensure compliance with applicable regulatory requirements.
Participates in developing Standard Operating Procedures to ensure quality objectives are met.
Maintains programs...
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...personal engagement in their care.
We are outpatient specialists for mental health services for older adults and youth, substance... ...Under general direction, supervises Clinical Review Specialists in Alameda County Behavioral Health; coordinates day...
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...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in San Leandro, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 12 weeks
~36 hours per week...
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...Description: Job Summary:
Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge planning process.
Essential Responsibilities:
Conducts utilization review for in-house patients and/or members...
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...Job Description
Job Description Vivo HealthStaff is searching for a Utilization Review RN for a hybrid position for a health plan in San Francisco. It is a hybrid position with 1-2 days per week on-site required.
Collaborates with the physician, nurse case manager...
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2 days per week
1 day per week
...SUMMARY This position is responsible for taking in all plan review submittals from multiple clients and keeping them informed of... ...a 300+ network of experts: community planners, environmental specialists, civil and structural engineers, building and safety experts,...
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...The Utilization Review (UR) Nurse works collaboratively with the county or customer utilization and the treatment team to ensure that the care provided is appropriate and medically necessary. The UR Nurse also ensures that medical record documentatio RN, Behavioral Health...
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...Job Summary:
Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge planning process.
Essential Responsibilities:
Conducts utilization review for in-house patients and/or members who have been...
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Hourly pay
$28.12 - $43.23 per hour
...effectiveness of the program.
Kaiser Permanente conducts compensation reviews of positions on a routine basis. At any time, Kaiser... ..., Registration
~ Basic Life Support
~ Child Life Specialist Certificate within 12 months of hire
Additional Requirements...
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...opportunity employer, promoting diversity, inclusion, and equal opportunities for all qualified applicants.
Job Title: RN Utilization Review
Location: Oakland, CA 94602
Job Type: Contract
Job Duration: 13 Weeks
Pay Range: $70-75
Hours per Week: 36...
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...Development Corporation (EBALDC) is seeking a regular part time Payroll Specialist located in Oakland, CA.
Summary: As a Payroll Specialist,... ...changes, are entered correctly and made on a timely basis; review changes for proper authorization and adherence to policy...
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...oriented collections department.
" Provide customer service regarding collection issues, process customer refunds, process, and review account adjustments, resolve client discrepancies and short payments.
" Responsible for monitoring and maintaining...
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3 days per week
...The Finance Team at Zoox is currently looking for a Payroll Specialist. In this role, you would manage end-to-end payroll processes for... ...verification and garnishment orders.
Conduct benefit audits, review and validate leave of absence payments, and coordinate with 3rd...
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Relocation bonus
3 days per week
...Administrative (Staff & Non-Clinical Faculty) Job Title: Contract Specialist
Duties: Contract Specialist (CS) works independently... ...to ensure all contracts are in compliance. The CS will review, monitor compliance, policies and procedures. In addition, this...
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Monday to Friday
...emergency situations.
Dispense medications to students according to physician instructions; maintain medication logs and records; review student medical forms to verify completeness and identify student health care needs; implement services to assure health care needs...
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...we keep Roblox safe, civil, and inclusive, and we foster positive relationships between people around the world.
Why Moderation Review Tools?
This is an opportunity to join as Senior Front End Engineer on the Moderation Review Team. You will help build the tools used...
Permanent employment
Full time
Work experience placement
Local area
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Shift work
Monday to Friday
...City, California (onsite position)
Senior Regulatory Affairs Specialist, Redwood City, CA - Develop strategies for global approvals to... ...marketed products as necessary to ensure ongoing compliance. Review Engineering, manufacturing, marketing, labeling and clinical documents...
Relief
Worldwide
...attributes among our team.
Position Summary:
The QA Sr. Specialist will execute quality assurance related activities to ensure compliance... ...an individual's abilities to perform training, batch records review, data review to implement sound Quality System improvements,...
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...UM Peer, UM Chiefs/Directors, Quality, TPMG, other departments and contracted/planned providers. Manages projects related to chart reviews.
Conducts utilization data analysis (avoidable days, readmissions, UMAB, PRS reports, one-day stays, DRGs, LOS, PDRs, etc.) for...
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Full time
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...improve overall revenue by recovering denied and underpaid claims from both commercial and government payers. Our retrospective claims review is contingency based with no upfront costs to our clients and utilizes our proprietary system, staff, and resources to recover...
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