Average salary: $77,500 /yearly
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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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For contractors
...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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Hourly pay
Holiday work
Full time
Work experience placement
Immediate start
Remote job
Home office
Weekend work
Afternoon shift
$110k - $160k
...behavior
Engage in peer/physician/staff relationship building
Oversight of Performance Improvement Facilitation
Creation, review, revision, of policies and procedures
Regulatory readiness preparations
Review, analyze, justify financial performance....
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Full time
Temporary work
Part time
Relief
...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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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
$65k - $85k
...JOB SUMMARY
Assesses, plans, implements and evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare, Medicaid, HMO or private insurance to cover their stay at various units. Discharge planning is coordinated...
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Full time
Relief
Flexible hours
...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
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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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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Hourly pay
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Shift work
Weekend work
Sunday
Saturday
...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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Hourly pay
Minimum wage
Full time
Local area
Flexible hours
...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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...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC
What You'll be Doing
Do you have...
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...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...
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Full time
Contract work
Part time
Interim role
Remote job
Flexible hours
...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...
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Temporary work
...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...
Remote job
Holiday work
Full time
Part time
Work from home
Home office
Weekend work
Monday to Friday
...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...
Full time
Relocation
Night shift
...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...
...required to work onsite for quarterly meetings.
~3, 12 hour shifts. Saturday, Sunday, Monday.
JOB SUMMARY
The Utilization Review Registered Nurse (RN) provides a clinical review of cases using medical necessity criteria to resolve the medical appropriateness...
Immediate start
Remote job
Shift work
Weekend work
Sunday
Saturday
...to protect and advocate for the rights of people with disabilities. The primary role of the Social Security Representative Payee Reviewer is conducting site reviews of Organizations and Individuals that serve as a representative payee for Social Security beneficiaries...
Full time
For contractors
Remote job
Flexible hours
...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...
Remote job
Hourly pay
Full time
Flexible hours
...Dallas, TX 75231
Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate...
Hourly pay
Minimum wage
Full time
Local area
Remote job
Flexible hours
...Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) Validate that cases/requests for services require additional research Identify and utilize appropriate resources to conduct non-clinical res RN, Nurse, Oncology...
Remote job
ezURS.com Inc., has an ongoing need for Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation, and auto liability
Opportunity to work...
Part time
Immediate start
Remote job
Flexible hours
...permitted by law, conducting analytics, and ensuring compliance with applicable legal requirements and Company policies. For additional information on how we collect and use personal information in connection with your job application, review our Candidate Privacy Policy-CA
Worldwide
Flexible hours
Shift work
Weekend work
Sunday
Saturday
$80k - $90k
...minimum of 5 years INPATIENT clinical nursing experience in an acute care hospital setting and minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2 years experience working with InterQual or Milliman in an acute care setting, and Bilingual...
For contractors
Flexible hours
...re factual, quick, and professional.
Does this sound like you? Then you’re in the right place. You’ll love it here.
As a review manager, you will be responsible for much more than simply managing review projects. You will lead teams of five to 50 project-based...
Remote job
Part time
Job Summary:
As a Professional Review Nurse, you'll play a crucial role in ensuring the accuracy and appropriateness of medical services provided. Your primary responsibilities will include analyzing medical services to verify billing accuracy, reviewing medical reports...
Full time
Remote job
Flexible hours
...collecting, analyzing, and summarizing information and trends.
Maintains technical knowledge by attending educational workshops; reviewing technical publications; establishing personal networks.
Maintains continuity among work teams by documenting and communicating...
Flexible hours
Monday to Friday