Average salary: $73,246 /yearly
More stats ...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people...
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Full time
Work experience placement
Immediate start
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Home office
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Afternoon shift
Description
Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The choice is yours, work...
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Hmong Chinese Language Document Reviewer
Employment Type: Full Time, Mid-Level
Department: Legal
As a CGS Hmong Chinese Document Reviewer you will play a key role in supporting various aspects of the company's litigation portfolio including eDiscovery activities...
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Holiday work
Full time
Flexible hours
...been categorized correctly Determine and confirm member eligibility and benefits Obtain additional documentation required for case review Place relevant documents into image repository Initiate outbound contact to members or prov Appeals, Clinical, Microsoft, Remote, Health...
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Remote job
...supervisor
* Administers medications and treatments as prescribed, as well as, monitors and documents effectiveness of intervention
* Reviews plan of care and program protocols and identifies areas for healthcare teaching/education, care coordination, goal setting and...
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Weekly pay
Contract work
Night shift
...supervisor
* Administers medications and treatments as prescribed, as well as, monitors and documents effectiveness of intervention
* Reviews plan of care and program protocols and identifies areas for healthcare teaching/education, care coordination, goal setting and...
Suggested
Weekly pay
Contract work
...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital...
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Full time
Work experience placement
...Job Description
Job Description The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/...
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Minimum wage
Full time
Local area
Remote job
Flexible hours
Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety...
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Full time
Immediate start
Portuguese Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Portuguese
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions...
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Remote job
...Principles, which emphasise integrity, commitment to excellence, innovation and teamwork.
BUSINESS UNIT OVERVIEW
Credit Review complements the Firms independent risk-management infrastructure through the independent review and ongoing monitoring of the quality...
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Worldwide
...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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Physician medical reviewer needed for REMOTE weekend work, minimum of two weekends per month.
The pay rate is $105 per hour under a 12-month contract.
Eligible to work from any state.
This position requires an initial time commitment to undergo and complete training...
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Sunday
Saturday
...Opening Announcements (JOAs) on USAJOBS , the federal government’s official employment site, to complete your application. Be certain to review ALL details of the job opening announcement and follow all instructions in the application process. THIS IS A DIRECT HIRE PUBLIC...
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Full time
Relocation
Night shift
...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and...
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Minimum wage
Full time
Local area
Flexible hours
...with standards of care.
* Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
* Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination...
Holiday work
Full time
Temporary work
Apprenticeship
Local area
Flexible hours
...This position is responsible for planning and executing quarterly continuous credit file examination of assigned reviewable units or risk segments. The Senior Credit Risk Review Officer will perform and lead activities that evaluate commercial loan t Risk, Officer, Credit...
...opportunity for work/life balance needs yet want to stay clinically active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to make a difference in the lives of patients by improving the quality of...
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Holiday work
Full time
Part time
Work from home
Home office
Weekend work
Monday to Friday
...to complete tasks without continual supervision.
• Maintains personal knowledge of area of expertise through industry contacts, review of pertinent literature (manuals) and utilization of available educational resources.
• Maintains ethical, courteous and professional...
Immediate start
...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital...
Holiday work
Full time
Work experience placement
.../SKILLS/ABILITIES
Provides telephone, clerical, and data entry support for the Case Management team.
Responsible for initial review of assigned case levels to assist in Case Management assignment.
Reviews data to identify principal member needs and works under...
Hourly pay
Work experience placement
...Responsible for clinical teams (including operational teams, where integrated) performing one or more of the following activities: care review/utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care,...
Work experience placement
...progressively responsible experience in a hospital or health program to include five years of leadership experience in Utilization Review or Care Management.
Equivalent Education and/or Experience
* None
Certification/Registration/Licensure
* RNs Only: Must have...
Temporary work
...Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews. Hours are flexible within certain time parameters.
There are part time and full time contract positions. Compensation is on a 1...
Full time
Contract work
Part time
Interim role
Remote job
Flexible hours
...established standards and processes are followed and consistently applied. GWM Management use the results of the quality assurance reviews to assess the quality of the group's policies, procedures, programs, and practices as relates to end-to-end risk analysis. The results...
Full time
Interim role
Worldwide
...Arlington, Virginia and is an SBA 8(a) Certified Small Disadvantaged Business with proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing, and eligibility reviews.
Capitol Bridge LLC is currently...
Holiday work
Full time
Contract work
For contractors
Remote job
Monday to Friday
...coordination and support for outside suppliers, and presentations at IPT meetings, PDRs, CDRs, DARs, and other internal and external customer reviews.
Qualifications and Education Requirements:
Basic REQUIRED Qualifications:
Bachelors degree from an accredited college in...
Hourly pay
Temporary work
For contractors
Local area
Remote job
Flexible hours
...Job Description Description: Description
The Director position requires a self-driven individual who can complete high quality reviews while meeting strict deadlines. The individual must possess excellent written and verbal communication skills, outstanding...
...would love to tell you about our opportunities!
Job Description
The Accounting Specialist owns the accounts payable function by reviewing, processing, and analyzing the company's operating expense structure and applying that financial insight and analysis to the...
Casual work
...needed to effectively execute project schedule within budget.
End-to-end concrete design and management, including specification review, quality control, operational support, and post-project analysis.
Manage subcontractors by ensuring performance aligns with...
Holiday work
For subcontractor
Flexible hours