Search Results: 328,857 vacancies
Loan Review Officer Oklahoma City, OK Onsite PositionBancFirst Tower, Downtown Oklahoma City100 N. Broadway Avenue, Oklahoma City, OK 73102Full Time
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Rea...
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...RN-Utilization Review
Details
* Sign-on bonus: $3,500
* Department: Case Management
* Schedule: Monday-Friday, standard business hours. 2 holidays per year required and weekend rotation
* Hospital: Ascension St. Agnes
* Location: Baltimore, MD
We offer free parking...
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Holiday work
Temporary work
Relief
Local area
Relocation bonus
Weekend work
Monday to Friday
...A client of ours is searching for temporary document review attorneys for a 4 month project. This role will require 2 days on-site in Roseland, NJ. If you meet the below qualifications, please submit your resume for consideration.
Responsibilities:
View a high volume...
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Hourly pay
Holiday work
Temporary work
For contractors
Local area
...and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Utilization Review Assistant is responsible for taking the data provided to their department and using it to communicate necessary information to both...
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...and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating medical necessity and clinical appropriateness of services in order to achieve quality...
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...Nurse Reviewer I
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, out of network and appropriateness of treatment reviews for...
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Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday
...physicians and scientists responsible for a compound/product safety, including project-specific training and coaching of team members and review of team output cross-functionally.
- Effectively represent the CSPV on the Global Product Team or specific sub-teams such as...
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Flood Review is responsible for ensuring sufficient flood insurance coverage and regulatory timing requirements on all loans closed or purchased where the property is in a flood zone. This is a regulatory requirement. The team handles complex and time sensitive flood issues...
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...Albany, NY 12208
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51.61 per hour
Responsible for Utilization Management, Quality Screening and Delay Management...
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Hourly pay
Shift work
...appropriateness of admissions and continued stays, and documents findings based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department.
• Identifies at-risk populations using...
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Shift work
...Job Description
Job Description Hiring full-time Utilization Review Specialists that are experienced in SA, MH and Eating disorder UR. The position is hybrid or in office. Competitive salary and benefits offered. Must be familiar and functional with google and multiple...
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Full time
...Job Description
Job Description Description: Soleo Health is seeking a Clinical Review Coordinator to support our Home Infusion Specialty Pharmacy Operations Remotely (USA - Eastern Time Zone). Join us in Simplifying Complex Care! RN or LPN license required....
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Holiday work
Full time
Remote job
Flexible hours
Monday to Friday
Overview:
Performs admission and continued stay utilization reviews and discharge screening to assure the medical necessity of hospital admission, appropriate level of care, continued stay and supportive services, and to examine delays in the provision of services. Coordinates...
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Permanent employment
Immediate start
...**Average hourly rate is $22.60 (including wage, incentives, bonuses, overtime, shift differential, etc.)****
Utilization Reviewer
Pathway Family Services, LLC. provides resources for youth and families through their Independent Living Program, TRAIL (Teens...
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Hourly pay
Local area
Flexible hours
Shift work
Job Description
Position Summary: The Quality Control Technician I, with direct supervision, is responsible for ensuring that data reported to both internal and external customers is accurate and reflects the work performed.
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Permanent employment
Overview:
Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for services reimbursement. Ensures the patient care team is aware...
Permanent employment
...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,...
Permanent employment
Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance...
Permanent employment
Temporary work
...at Emory Healthcare's Utilization Team!
Behavioral Health Experience Needed!
Description:
JOB DESCRIPTION:
The Utilization Review Nurse (UR RN) is responsible for:
Conducting medical necessity reviews by utilizing Millman and Interqual Guidelines in conjunction...
Permanent employment
Temporary work
Outdoor
Shift work
Overview:
As a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement, this role will be responsible for providing clinically based concurrent and retrospective review of inpatient...
Permanent employment
