Average salary: $110,399 /yearly
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...achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications
EDUCATION, EXPERIENCE...
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...victims and created a one-of-a-kind health clinic for victims the Human Trafficking Medical Home.
Responsibilities:
Utilization Review RN - remote position
Position Summary:
The incumbent is responsible for the review of medical records for appropriate...
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Remote job
Flexible hours
..., exceptional leadership, teamwork, and communication skills.
ESSENTIAL DUTIES
The primary responsibility of the Utilization Review Specialist is to review medical records and prepare clinical appeals (when appropriate) on medical necessity, level of care, length...
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...Translation Documentation Reviewer
Our client in Rocklin, CA is looking for hardworking, motivated talent to join their team. 12+ month contract. Don’t wait… apply today!
What's in it for you?
~28 - 30 pay rate W2
~ Onsite - Hybrid
~ Contract 12+ months
~...
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...Description: Job Summary:Manages and plans high quality and accuracy Health Information Management Department related reviews such as, concurrent and retrospective pre-bill coding audits. Performs analysis, and develops training and education related to all facets of the...
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Traineeship
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...Reporting to the Director, Medical Staff Services, Medical Staff, this position is responsible for assisting in physician peer review activities and directly supporting the areas of clinical quality and patient safety. The position will collaborate with the Chief Medical...
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...DEFINITION:
Exercises, under medical direction, administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest public hospitals in the country with 600-beds....
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...Position Summary:
The Research Review Committee (RRC) Program Coordinator position will report directly to the Program Supervisor of the Research and Health Promotion Department. This position supports the application, coordination, and occasional implementation of...
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Afternoon shift
...this is more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national...
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...Work/Life Balance
Benefits such as paid holidays and vacation help you keep a healthy work-life balance
Compensation
Competitive salaries
FSH RN Discharge/Utilization Review Nurse
Job ID: 55027-147 Date posted: 04/03/2024 Location: Fresno, California...
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...Anticipated End Date:
2024-05-06
Position Title:
Nurse Reviewer I
Job Description:
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday - Friday, from 9:30 am - 6 pm
The Nurse Reviewer I is responsible for conducting preauthorization...
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Monday to Friday
...vary based on geographic location, work experience, skill level, and education.
Primary Duties and Responsibilities
The Quality Review Nurse is a professional, licensed vocational nurse responsible for analyzing data integrity and consistency of OASIS documentation...
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...Work as member of multi-disciplinary treatment team reviewing patient care and treatment options for both inpatient and outpatient services. Proactively monitor and optimize reimbursement for external reviewers/third party payers.
*Pay Range: $32/hr. to $60/hr.
Responsibilities...
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...Job Description
JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE
For this position we are seeking a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of...
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Immediate start
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...people and their families each and every day.
Empowering Lives. Restoring Families .
Responsibilities:
The Utilization Review Specialist is responsible for managing an active caseload of clients at the following Levels of Care: Detox, Residential, Partial Hospitalization...
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Local area
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Loan Review is an internal control which serves to aid management and the Board of Directors in monitoring quality and risk within the Bank's loan portfolio and processes.The Loan Review process will focus on assessing overall and loan-by-loan credit quality.
The Sr...
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...Position
Quality Review Nurse, RN
Description
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for:
- Receive and research all PQI and QR cases as assigned, provide a summary and recommendations to...
Work experience placement
Remote job
...transparency, reliability, and sustainability - creating a better way to go solar.
Q CELLS Home Energy Solutions seeks an Contract Review Specialist to to manage and control projects through administrative and specialized expertise with the Home Energy System division....
Holiday work
Contract work
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...Description
Title: LVN Utilization Review
Location: Fountain Valley
Department: Outpatient Utilization Management
Status: Per-diem
Shift: Days
Pay Range*: $40.00/hour
At MemorialCare Health System, we believe in providing extraordinary healthcare...
Remote job
Shift work
...Job Description
Job Description We're looking for experienced Utilization Review Specialist that has worked in substance abuse industry/mental health for years. Almost 90% of our authorizations are for in network policies so we prefer someone that has experience in...
Full time
Immediate start
Remote job
Work from home
Flexible hours
