Average salary: $46,531 /yearly
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...minimum of 5 years INPATIENT clinical nursing experience in an acute care hospital setting and minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2 years experience working with InterQual or Milliman in an acute care setting, and Bilingual...
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...in a 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...
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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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...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 professionals...
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...Job DescriptionJob Description
PROJECT MANAGER DESIGN REVIEW
Experience level can be from 4 to 30 years of experience. Preferably someone with a P.E., E.I.T. or CCM.
Qualifications:
Education, Experience, Licenses and Certifications
Certification as...
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...passionate about cybersecurity and enhancing the security posture of clients product development lifecycle. You will apply your code review experience and contribute to a variety of services our team offers clients, particularly where we perform penetration testing...
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...Case Mgt Utilization Review RNClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/31/2023The Care Manager assumes primary responsibility for documentation of appropriate medical necessity for the inpatient status or placement in observation...
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...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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...ourselves to high standards. We are empathetic, results-oriented, respectful, and committed to delivering exceptional service.
As a Review Manager, your responsibilities extend beyond overseeing document review projects. You will lead teams of five to fifty project-...
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...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that...
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ezURs is a URAC accredited Independent Review Organization. ezURs affords our clients true nationwide physician reviewer coverage. Our credentialed, board certified physicians are versed in evidenced-based practices and are actively practicing medicine, keeping up on all...
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...re factual, quick, and professional.
Does this sound like you? Then you’re in the right place. You’ll love it here.
As a review manager, you will be responsible for much more than simply managing review projects. You will lead teams of five to 50 project-based...
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...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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...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC
What You'll be Doing
Do you have...
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...provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.
Preferred candidates will hold a NM, TX, MN, and/or NC...
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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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...right place. You’ll love it here.
As a team lead, you will assist in managing teams of five to 50-plus project-based attorney reviewers. You will provide a positive work experience. You will ensure the quality of those teams’ work product, including confirming time...
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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 CMS regulatory guidelines, optimize reimbursement, contribute to overall quality improvement efforts, and manage visit utilization.
ESSENTIAL...
...abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive...
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ezURS.com Inc., has an ongoing need for Pain Management Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation, and auto liability cases....
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