Average salary: $105,143 /yearly
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...Position Purpose: The Clinical Reviewer will be responsible for conducting clinical reviews of medical records during the course of fraud investigations, special investigations, claims reviews and / or other program integrity initiatives such as requests for information...
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...staff ensuring timely and consistent medical decisions to members and providers.
Job Summary:
Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care.
Perform physician-level case review, following...
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...the patients using the functions of Utilization Resource Management, Transition of Care, Discharge Planning, and Case Management.
Reviews the appropriateness of Severity Index/Intensity of Service for all acute care admissions utilizing evidence-based criteria...
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Loan Review Officer Location Miami, FL : Overview: The Loan Review Officer, effectively provides on-going evaluation of loan portfolio quality and composition. Ensures Lending Policies are adhered to. Identifies problem loans as soon as possible. Exercises discretion,...
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...Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The Clinical Documentation Integrity (CDI) Second Level Reviewer performs high-level, complex, secondary case...
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Department: Jackson Memorial Hospital- Case Management, Utilization Review
Address: 1611 NW 12 Ave, Miami, FL 33136
Shift details: Per Diem, Day Shift, 8:00 am-4:30 pm (Local remote, available to work during the week, 4 shifts per month)
Why Jackson Memorial Hospital...
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Department: Jackson Memorial Hospital - Utilization Review Case Management (two openings)
Address: 1611 NW 12 Ave, Miami, FL 33136
Shift Details: 8:00 am - 4:30 pm, Monday-Friday with weekends occasionally (primarily remote)
Why Jackson Memorial Hospital: Jackson...
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...architects, other engineering disciplines, building officials, and contractors.
~Perform construction administration tasks, including reviewing shop drawings and interpreting construction documents.
~Conduct plan examinations for compliance with the Florida Building Code...
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...This position conducts concurrent retrospective reviews for clinical, financial, resource utilization. Coordinates with Healthcare team to achieve optimal efficient outcomes, decreasing length of stay (LOS) and avoiding delays/denied days. Helps drive change by identifying...
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$20 - $20.97 per hour
...FL-Various Counties-FDEA-CARES-Community and Social Service Specialists - Desk reviews
** MUST INCLUDE SIGNED DEA ATTESTATION FORM WITH SUBMISSION - ATTACHED ON REFERENCE TAB **
*** LIST OF AVAILABLE WORK LOCATIONS ARE LISTED BELOW ***
***Vendor/Candidate must pay...
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...The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical financial resource utilization. Coordinates with healthcare team for optimal/efficient patient outcomes, while decreasing length of stay (LOS) and avoid delays and...
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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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...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...
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...listed within this announcement.
The following are the duties of this position at the full working level:
* Performs closed case reviews using Appeals Quality Standards and Attributes (AQSA). Decides nature and extent of review necessary. Interprets and applies AQSA...
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...Job Description
Job Description Bilingual Intellectual/Developmental Disabilities Quality Assurance Reviewer
Must reside in the Miami, FL area
@Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create...
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...education and form completion aspects of the admissions process
* Evaluate patients for hospice appropriateness, e.g. medical records review as requested.
* Obtain agreement for admission of referred patients and families who meet admission criteria.
* Analyze data...
...is essential. This job is not a good fit for people who experience claustrophobia.
Visit the Navy SWCC PST Calculator to review the current minimum Navy Physical Screening Test (PST) requirements for Navy Challenge Programs.
General qualifications may...
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...Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet .
The University of Miami Health System at Doral has an exciting opportunity for a full-time Bookkeeper with...
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...Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet .
UHealth Financial Operations Hospitals is currently seeking a full time Director of Finance to work in...
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...Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet .
The UHealth System at the University of Miami has an exciting opportunity for a Full Time Research...
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