Average salary: $83,540 /yearly
More statsSearch Results: 1,960 vacancies
...Nature and Scope
The position is responsible for reviewing Quality Control Laboratory data which may include raw material, in-process, and finished product release, instrument qualification protocol/report, stability program results and summaries, raw data related to...
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Responsibilities:
The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. This...
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Remote job
...Job Description
Job Description The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate...
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Hourly pay
Minimum wage
Full time
Local area
Remote job
Work from home
Flexible hours
...Position
Quality Review Nurse, RN
Description
MUST live in California and be able to wrok a hybrid position.
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for:
- Receive and research all PQI...
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Work experience placement
Remote job
...schedule and be compensated on a per case basis as a 1099 independent contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare...
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Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
...Software Verification Engineer (Code Reviewer)
Aversan Inc. ( is a reputable Engineering Company that provides expertise in the Aerospace and Defense industries. We are currently seeking a "Remote Software Verification Engineer" to help develop and test low-level...
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Full time
Contract work
Remote job
...pivot from a “job” opportunity to an authentic experience!
Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and...
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Holiday work
Full time
Temporary work
Flexible hours
...Responsibilities
Canyon Ridge Hospital is currently seeking a compassionate and talented Utilization Review Specialist to join our team.
At Canyon Ridge Hospital we understand that not all wounds are visible. Depression, anxiety, trauma, PTSD, addiction, and...
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Local area
...ranked health care system in the United States, and the #19 ranked company in the country.
Job Summary
The Manager Utilization Review/MediCal Specialist will develop and maintain a full Medi-Cal case management program, and oversee services related to the...
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Full time
...Ensures documentation meets quality assurance, compliance, scope of practice and billing requirements independent of supervisory review.
Keeps abreast of all legal and ethical standards.
Provides a high level of collaboration and customer service both within the...
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Internship
...and implement effective recruitment strategies to attract top talent
Source candidates through job boards and other channels
Review resumes and applications to identify qualified candidates
Conduct phone screens and interviews to assess candidate qualifications...
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Hourly pay
Full time
Relocation
Monday to Friday
...teams in reaching consensus with respect to process improvements, material dispositions, production delays, etc.
Developing and reviewing Standard Operating Procedures (SOP’s). Developing and organizing training material to transfer appropriate process/production and...
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Temporary work
Shift work
...recruiting job fairs
Maintain personnel records, in compliance with HR regulations
Compile reports from personnel databases
Review and update HR information system records
Enforce company policies, rules and regulations
Communicate all relevant information...
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...timeliness of financial reports and statements.
3. Assisting with the monthly, quarterly, and year-end financial close process.
4. Reviewing and reconciling account balances and bank statements, maintaining general ledger, and preparing month-end close procedures.
5....
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Local area
Flexible hours
...This position is full time, scheduling appointments or calling our contacts for new clients needing new insurance quotes or coverage reviews. Part time employment opportunities are also available for sales representatives looking to improve their selling techniques and...
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Hourly pay
Full time
Part time
Flexible hours
Afternoon shift
...launch or impede the success of new products, communicate to leadership and present recommendations to resolve
Own post-launch reviews, metrics and customer feedback; incorporate learnings into future product enhancements and future launch plans
Build and manage...
...Description Position Summary:
Under the direction of the Manager, Pharmacy Program, the Clinical Pharmacist is responsible to review prior authorizations, provide clinical recommendations to Providers, and provide clinical education and guidance to the pharmacy...
Remote job
...teams, and working with vendors and contractors.
6. Performing engineering calculations to support design work.
7. Creating and reviewing technical drawings, plans, and specifications using AutoCAD.
8. Using computer-aided design (CAD) software to create prototypes....
For contractors
...professionalism in treating such individuals in an OTP in comparison to treatment in a residential facility or other treatment modalities.
Review and ask about other practitioners' involvement in the treatment of these high-risk conditions. Recommend immediate referral to such...
Permanent employment
Full time
Temporary work
Local area
Immediate start
...uniform and appearance standards, establish and communicate performance expectations and conduct timely and effective performance reviews. Document performance issues and take appropriate disciplinary action, up to and including termination. Effectively coach and develop...
Local area
