Search Results: 9,048 vacancies
...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
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Afternoon shift
...unrestricted and active TX license to practice medicine. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical diagnosis.)
Candidate...
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For contractors
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...Determine that the case is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) Validate that cases/requests... ...and utilize appropriate resources to conduct non-clinical res RN, Nurse, Oncology, Radiation, Clinical Research, Remote, Healthcare...
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Remote job
...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
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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Remote job
...program to include five years of leadership experience in Utilization Review or Care Management.
Equivalent Education and/or Experience
*... .../Registration/Licensure
* RNs Only: Must have current, valid RN license or temporary RN license from the Texas Board of Nursing;...
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Temporary work
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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Sunday
Saturday
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...making this a great experience to add to your resume. Come join their winning team!
This Contract role as a Remote Physician Reviewer will be responsible for evaluating clinical service requests made by an organization's members and providers, uses clinical judgment...
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Contract work
...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
...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
$65 - $85 per hour
...homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to complete) Each review is meant to evaluate the quality of the finished construction.
Driving...
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Part time
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...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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Remote job
...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
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Flexible hours
...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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For contractors
Remote job
...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,...
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Full time
Support and provide coding and compliance training to clinical personnel, billing, and/or other client staff. Establish effective communication with clinical staff, and/or hospital staff to address documentation, coding, and reimbursement issues. Use Coder, Analyst, Healthcare...
Remote job
...Mandarin Language Document Reviewer
Employment Type: Full Time, Mid-Level
Department: Legal
As a CGS Mandarin Document Reviewer you will play a key role in supporting various aspects of the company's litigation portfolio including eDiscovery activities...
Holiday work
Full time
Relief
Flexible hours
ezURs is a URAC accredited Independent Review Organization. ezURs affords our clients true nationwide physician reviewer coverage. Our credentialed, board certified physicians are versed in evidenced-based practices and are actively practicing medicine, keeping up on all...
Full time
Immediate start
Remote job
Flexible hours
...as a liaison between managed care organizations and the facility’s behavioral health clinical treatment team.
Conducts clinical reviews in accordance with certification requirements of insurance plans or other managed care organizations.
Monitors patient length of...
Full time
Flexible hours
...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...
