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Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This RN is responsible for performing a variety...
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Permanent employment
Immediate start
...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 of inpatient...
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Immediate start
Remote job
Shift work
Weekend work
Sunday
Saturday
...Job Description
TRS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Irving, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: 06/03/2024
~ Duration: 12 weeks
~40...
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Remote job
Shift work
The Itemization Review Manager is responsible for the overall aspects of the medical review team including personnel hiring, quality assurance... ...Suite
EDUCATION & EXPERIENCE:
•Associate degree and current RN license required.
•Bachelor's or master's degree in nursing or...
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Full time
Flexible hours
Night shift
The Itemization Review Team Lead will provide support for the Itemization Review Supervisor while working with IBR team and CERIS internal departments.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Maintain Q&A support for the IBR Team
Effectively works with coordinator...
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Minimum wage
Full time
Local area
Flexible hours
...Springs we are dedicated to Changing Peoples Lives.
Mesa Springs is looking for a licensed Counselor to join our Utilization Review department at our Arlington location! This full-time position has a set schedule of Monday to Friday from 8AM to 5PM. Full-time...
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Holiday work
Full time
Flexible hours
Monday to Friday
...Job Description
Job Description JOB SUMMARY:
Under general supervision, performs all title review functions in support clearing titles for AL, GA, MS, and TX. This person will perform tasks that require knowledge/skill to identify curative issues. The position...
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Work experience placement
Remote job
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Job Title: Registered Nurse Utilization Review
Location: Irving, TX, 75038
Duration: 13 Weeks
Shift: Monday - Friday 8 am - 5 pm
Pay... ...- $35/hr.
Notes: Temp to Perm - Local Candidates only. Current RN Compact license required
Summary:
The RN Utilization Review...
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Permanent employment
Full time
Temporary work
Local area
Shift work
Monday to Friday
...Description
Job Description POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive review... ...Bachelor's Degree preferred.
Current licensed RN or LPN unencumbered.
Current Certified Coder Certification....
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Local area
...Global Risk Review (GRR) provides independent, objective, reliable, valued and timely assurance to the Boards, the Committees, the Citigroup Chief Risk Officer, the Citigroup Chief Credit Officer, senior management and regulators over the effectiveness of credit, capital...
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Holiday work
Full time
Work experience placement
...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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Remote job
...Fort Worth, TX 76109
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/or technical...
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Minimum wage
Full time
Local area
Flexible hours
...Fort Worth, TX 76109
The Itemization Review Supervisor will maintain a positive team building approach with emphasis on reporting, leadership and professional communication with all CERIS departments.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Maintain all data...
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Minimum wage
Full time
Local area
Flexible hours
...you are a person with a disability and need a reasonable accommodation to use our search tools and/or apply for a career opportunity review Accessibility at Citi .
View the " EEO is the Law " poster. View the EEO is the Law Supplement .
View the EEO Policy...
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Holiday work
Permanent employment
Full time
Local area
...indicators for tracking covenant compliant obligors, industry and subsegment research and consolidation of KPI/KRI for the Risk Directed Reviews and implement Tableau visualization. While working on these priorities the analysts is expected to use SAS, Python, Advanced Excel,...
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Holiday work
Full time
...established standards and processes are followed and consistently applied. GWM Management use the results of the quality assurance reviews to assess the quality of the group's policies, procedures, programs, and practices as relates to end-to-end risk analysis. The results...
Full time
Interim role
Worldwide
...abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive...
Full time
Remote job
Flexible hours
Act as a top subject matter expert and advisor to executive leadership to develop and implement strategies, programs, and policies with a direct and significant impact on examination processes and programs. Provide vision and set direction for multip Risk, Director, Commercial...
...Admissions RN
The Admissions RN is a registered nurse and an Interdisciplinary Team member whose primary responsibility is to present... ...patients for hospice appropriateness, e.g. medical records review as requested.
* Obtain agreement for admission of referred patients...
...provided for Branches Outpatient. Responsible for conducting external reviews and maintaining documentation of such. Has active participation... ...# Education : Nursing degree from accredited college and state RN licensure.
# Experience: A minimum of two (2) experience in...
Local area
Relocation bonus
