Average salary: $70,280 /yearly
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Genex Service LLC Utilization Reviewer 2 US--Remote Job ID: 24-16859 Type: Regular Full-Time # of Openings: 1 Category: Insurance & Administration Mitchell International, Inc. Overview
The Enlyte Family of Businesses
Mitchell | Genex | Coventry
Enlyte is the parent...
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Holiday work
Full time
Second job
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Work from home
Flexible hours
...introducing you to our mission and celebrated service orientation. Together, let's drive excellence in healthcare.
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...
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Full time
...sight.
Description
Primary Function:
Under CNO supervision, the Utilization Coordinator provides utilization review, Amkai chart surveillance and denials management for the inpatient case load. This role utilizes the nationally recognized Milliman...
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Part time
Worldwide
Utilization Review Nurse /Workers Comp
Location - King of Prussia, PA
Job Purpose:
Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment utilizing clinical expertise and evidence...
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Immediate start
...and a leader in digital communications.
Web: | Facebook: | Twitter:
Job Description
The Senior Associate, Regulatory Review must follow the protocol established by our pharmaceutical clients when submitting marketing materials for regulatory review. This...
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Flexible hours
Shift work
3 days per week
...meaningful way - we warmly invite you to join our growing family!
What You'll Do
Evaluate clinical and discharge paperwork: Review documentation from partner hospitals to ensure accuracy and facilitate smooth patient transitions.
Assess high-acuity cases: Diligently...
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Full time
Temporary work
Flexible hours
...communications.
Web: | Facebook: | Twitter:
Job Description
Within Digitas Health, the Vice President, Director, Regulatory Review will provide advice to creative, strategy, planning, marketing, and other capabilities on the latest updates from FDA and other...
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Flexible hours
Shift work
3 days per week
...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...
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...in order to be considered, there is no flexibility around this requirement.
BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices by...
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Full time
Local area
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Monday to Friday
...tools as a resource to assist in the determination process regarding level of service and medical necessity. Performs utilization review in accordance with all state mandated regulations.
Consults with Physician Advisor to discuss medical necessity, length of stay...
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Relief
...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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Remote job
Hourly pay
Full time
Flexible hours
...American Physical Society
ID: 1376
Location: Remote
Department: Editorial
Chief Editor, Physical Review X
The American Physical Society is a nonprofit membership organization working to advance physics by fostering a vibrant, inclusive, and global...
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Relocation package
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...Job Description
Job Description We are actively recruiting for Medical Review Nurse / Case Managers to join our Medical Review Team! The primary responsibility of the Nurse/Case Manager is to manage the Medical Review process in conjunction with GeoBlue’s Supervisors...
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...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...
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Part time
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Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. This function requires...
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...employees feel respected, valued and have an opportunity to contribute to the company’s success. We are looking to hire a Credit Risk Review Advisor Senior in Credit Risk Review within PNC's Independent Risk Management organization.
This position is primarily based in...
Holiday work
Full time
Temporary work
Part time
Work experience placement
Rotational program
Remote job
...If you need special accommodation for the application process, please contact Human Resources. Know Your Rights:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives....
Full time
Work experience placement
...passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Acentra is looking for a Clinical Reviewer to join our growing team.
Job Summary:
As a Registered Nurse Clinical Reviewer within our team, you will harness your...
Remote job
Hourly pay
Contract work
Relief
Local area
...experience
US Citizenship Required:
Yes
Job Description:
Software Developer Advisor
GDIT - Full Stack Developer - Code Review / Security Specialist
How the Full Stack Developer will make an impact:
Architecting, designing, coding, testing,...
Holiday work
Full time
Part time
Work experience placement
Immediate start
Remote job
Worldwide
...the accuracy and compliance of loan information in accordance with Agency/Investor guidelines.
As a Mortgage Auditor, you will review multiple loan files, identifying discrepancies, and collaborating with various lenders to ensure loans are ready for purchase by the...
Hourly pay
Full time
Temporary work
Remote job
Work from home
Shift work
Monday to Friday
