Search Results: 3,587 vacancies
...rapidly, and we anticipate that our Colton Location in San Bernadino County, will be operational by Summer of 2024.
Utilization Review Coordinator Position Overview
Pay: $25 - $30 / Hour
Ocean View Utilization Review Coordinator in our psychiatric health...
Suggested
Summer work
...organization has over 100 employees in Washington DC and Los Angeles/Inglewood, CA.
ROLE SUMMARY
The role will perform independent loan reviews of the credits held in the Bank's Commercial Lending portfolio including lines of credit, loans to churches, loans secured by...
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Bank staff
Job DescriptionJOB DESCRIPTIONCare Review Clinician, Inpatient Review- Behavioral HealthFor this position we are seeking a LPC or LCSW who lives in and must be licensed for the state they reside. Strong inpatient medical and analytical experience is needed. Excellent computer...
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Remote job
Home office
Weekend work
Monday to Friday
**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 Interqual / MCG guidelines. COMPACT RN LICENSURE IS PREFERABLE to support multiple states....
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Flexible hours
...long-term services to chronically ill or disabled people who are eligible for Medicaid and Medicare. We are looking for a RN Care Review Clinician with Prior Authorization experience. Experience with Utilization Management (UM) is highly preferred. Additional...
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Remote job
Monday to Friday
...Title: RN, Coordinator Quality Peer Review
Location: Long Beach
Department: Q uality Assurance
Status: Full-time
Shift: Day
Pay Range* : $53.97/hr - $78.24/hr
MemorialCare is a nonprofit integrated...
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Full time
Work experience placement
Shift work
...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.
EDUCATION, EXPERIENCE, TRAINING...
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Part time
Work experience placement
Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right...
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...the opportunity to learn to perform these duties and receive training to help you grow in this position.
* Performs closed case reviews using Appeals Quality Standards and Attributes (AQSA). Decides nature and extent of review necessary. Interprets and applies AQSA using...
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Temporary work
Part time
Work experience placement
Remote job
Relocation
Night shift
Monday to Friday
We're on the lookout for a passionate Registered Nurse (RN) with a background in Acute Care, Concurrent Review, Utilization Review, and Utilization Management. You should also be well-versed in Interqual/MCG guidelines. Please note that California licensure is an immediate...
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Full time
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Immediate start
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...in the workplace, and all recommended control measures for each task assigned.
# Draft reports will be presented to the COR for review and changes before they are considered complete. All reports and memorandums for record shall be completed within 14 calendar days....
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For contractors
Local area
Relocation
...Management.
•Ability to read and understand and clearly identify risks quickly in voluminous specification documents.
•Review and comprehend construction proposal requests including but not limited to drawings, specifications, existing site conditions, pre-...
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For subcontractor
Local area
Work alone
...TWIC)
Physical Capabilities Required: Able to safely execute duties stated above.
Background Checks
Drug Testing
Driving Record Review
The above information on this description has been designed to indicate the general nature and level of work performed by employees...
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Local area
...communication and Organizational Skills.
Ability to work alone and as a team member.
Participation in Staff meetings, and In-Service Reviews.
Requirements:
Active RN License in the state of CA.
Dependable Transportation, Current Driver's License and auto...
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Full time
Part time
Work alone
...an Equal Opportunity Employer. We are here for all Team Members and all Makers to create, innovate and be better together.**
**To review a comprehensive list of benefits, please visit**
**CT and CO only -To review pay ranges for the position you are applying for, please...
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...billing and claim notices
Work with employees in various departments and outside companies to obtain relevant case information
Review and process vendor invoices using an electronic billing system
Organize documents and coordinate document productions...
Holiday work
Full time
Flexible hours
...hospitals.
Conduct 14-day Chronic Care Clinic (CCC) assessment and conduct the CCC’s to ensure compliance with AAAHC, ACA, and Program Review guidelines.
Works collaboratively with the staff physician(s), consulting physician(s) in planning, instituting, evaluating, and...
Hourly pay
Holiday work
For contractors
Local area
Monday to Friday
...as for clients in other industries.
Develop benefit comparisons and projections with high level of accuracy.
Provide final review and approval of monthly loss ratio and utilization reports. Peer review renewal calculations and utilization reports.
Negotiate...
Holiday work
...Beach, CA 90813
You will receive a confirmation email stating your application has been submitted. Once your application has been reviewed, you should receive an update on your status via email. **Please keep an eye on your spam and junk mail**
Please no phone calls...
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...appropriateness of equipment proposed for use at the hospital. Setup and maintain master keying progression for all lock hardware. Review A&E construction documents to ensure hardware specifications are compatible with the hospital's existing systems. Maintain combination...
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Full time
Weekend work
