Search Results: 4,273 vacancies
...Anticipated End Date:
2024-05-31
Position Title:
Nurse Reviewer I
Job Description:
Nurse Reviewer I
Location: Within 50 miles of a pulse point in the following states:
California
Washington
Nevada
Shift : An 8-hour shift from 9:30 am - 6...
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...Description
Title: Utilization Review Assistant
Location: Long Beach
Department: Utilization Management MCH OP
Status: Full-time
Shift: Days, Weekends
Pay Range*: $22.41/hour - $32.50/hour
At MemorialCare...
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Full time
Immediate start
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...Anticipated End Date:
2024-05-17
Position Title:
Reviewer - Therapy Services
Job Description:
Reviewer - Therapy Services
Location: Within 50 miles of pulse point location
Hours: Monday - Friday from 9:30 am - 6:00 pm PST
The Reviewer -Therapy...
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...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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...this is more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national...
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Flexible hours
...local time. The training schedule will be M-F 9AM-5PM EST.
Daily responsibilities will include the following: Candidates will be reviewing medical patient records against standard medical criteria.
Candidates MUST have 3 years of clinical nursing experience along...
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...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.
Qualifications:
EDUCATION, EXPERIENCE...
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JOB SUMMARY:
Manages the Warranty Review Center's daily activities, including all warranty claim authorization and statistical activities.
PRINCIPAL DUTIES & RESPONSIBILITIES:
# Manages day-to-day operations of the Warranty Review Center. Supervises staff, including...
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...Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related...
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...opportunity employer fostering a workforce that embraces and reflects
the rich diversity of Los Angeles County
School Site Reviewer - Instructional Materials $25 Hourly
OPPORTUNITY FOR TEMPORARY EMPLOYMENT
Online applications
must be submitted by:
7...
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...TRB and Associates is seeking an experienced and motivated plan review engineer with current registration as a civil, structural, mechanical, or architect (State of California preferred) and a minimum of two years of experience in plan review and/or design on commercial...
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...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...
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Summer work
...seeking a (RN) Registered Nurse who resides in and is licensed in the state of Nebraska. This position supports our Inpatient Medical review process with our Nebraska Medicaid Health Plan. Strong experience with appeals reviews and/or utilization management working on the...
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Monday to Friday
...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site and cannot be done remotely.
For nearly 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction...
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...cost-effective based on the severity of illness and the site of service.
We are seeking a Registered Nurse with UM and Inpatient Review experience. The Care Review Clinician must be able to work independently in a high-volume environment. Further details to be...
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...services to chronically ill or disabled people who are eligible for Medicaid and Medicare. We are looking for a LPN or LVN Care Review Clinician with Prior Authorization experience. Experience with Utilization Management (UM) is highly preferred. Additional experience...
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Monday to Friday
...Job Description
Job Description
Opportunity for a licensed LVN/LPN within the US to join our Medical Claims Reviewing Team. The position is open for applicants across the US, but your work schedule, Monday - Friday, will be 8 AM - 5 PM PST time. There is the possibility...
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Monday to Friday
Job Description
Job Description Minimum 1+ years school psychologist experience required.
We care about our educators and want to give you the tools to excel in the classroom. Sunbelt is seeking a dedicated and compassionate School Psychologist for a contracted...
Weekly pay
Immediate start
Flexible hours
...integrated Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place...
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Monday to Friday
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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