Search Results: 8,420 vacancies
...As a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. As a Utilization Review RN Coordinator, you work under the direction of the Manager of Care Management as part of the inpatient Care...
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...Phoenix Medical Psychiatric Hospital is looking for a Utilization Review Coordinator to coordinate patients services across the continuum... ...undergraduate or graduate degree in behavioral health or a Registered Nurse (RN)
Licensure: QMA, CMA, CCM, ACM or MA (preferred)
Skills: Must...
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...healthcare. About our Opportunity:
As the Clinical and Bill Review Advisor at Valenz Health, you will play a pivotal role in guiding... ...focus on clinical reviews, auditing, or compliance.
~ Current RN license or a similar healthcare certification.
~ In-depth understanding...
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...coding staff to ensure contractual compliance. Reports to the Manager, Retrospective UM. Supervises staff who conduct retrospective review of medical claims for appropriate DRG or non-DR coding and processing. Performs independent research and in-depth evaluation of...
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...Job Description
Job Description Hi, we're Oscar. We're hiring a Utilization Review Appeals RN to join our Utilization Review team.
About the role The appeals & claims UR nurse is responsible for the investigation and review of clinical appeals and post-claim cases...
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Holiday work
Full time
Remote job
...owned community bank and one of Prairie Business Magazine's 50 best places to work for 10 years running. We are looking for a Credit Review Associate who can clearly identify borrower risk and translate the risk factors into terms others can understand within a narrative...
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Holiday work
Full time
...Job Title:
Sr. Credit Risk Review Officer
Location:
Scottsdale
What you'll do:
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...
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...a part of the #1 full truckload carrier in the nation. Be a part of Swift Transportation.
Job Responsibilities: What you will do
Review violations, log and follow up to ensure compliance.
Are to include but are not limited to the following, other duties may be assigned...
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Local area
...creating a strong path to vehicle ownership for our customers.
That’s Nice, But What’s the Job?
In short, as the Funding (Loan Review) Agent, you will be responsible to review customer income documentation and communicate with our Retail stores.
In long, you...
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Saturday
...Role: Penalty Review Specialist-1276
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
Primary Duties:
Analyze applicant data for abatement consideration.
Request additional information when needed....
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...core to our business.
Join Evolent for the mission. Stay for the culture.
**What You'll Be Doing:**
As a Physician Clinical Reviewer, Hematology and Medical Oncology you will be a key member of the utilization management team. We can offer you a meaningful way to...
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...well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Clinical Review Pharmacist
The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests...
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Local area
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...of medical care.
+ Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of... ...Licensure required
+ Acute care experience preferred
+ RN license preferred
+ Prior Authorization OR Utilization Management...
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...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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Relief
Local area
Remote job
...Role: Purchase Reviewer-1153
Estimated Duration: 6+ months
Location: Phoenix, AZ
Position Description
The purpose of this position is to provide support to constituents, including education administrators and staff, community members, education partners...
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Monday to Friday
...Job Description
Job Description Our Social Media Review Responder opening is an entry-level, full-time opportunity , onsite at our Old Town Scottsdale office. You will be working in a fun and energetic environment with a lot of exciting team activities...
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Worldwide
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...duties as assigned
EXPERIENCE
Licensed Registered Nurse (RN) required
Bachelor’s degree in nursing preferred
Minimum three... ...is required
Orthopedic experience required.
Clinical review, utilization review, or quality assurance review experience preferred...
Part time
...Responsibilities
Utilization Review Coordinator
Via Linda Behavioral Hospital is a brand-new behavioral health provider serving Scottsdale and the great Phoenix region. We opened in February 2022 and now offer a full continuum of inpatient and outpatient...
Full time
Local area
...do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Physician Clinical Reviewer- GI – REMOTE
Summary
Key member of the utilization management team, and provides timely medical review of service requests...
Work experience placement
Internship
Local area
Remote job
...patients using clinical skills and utilizing CMS criteria upon admission to SNF and periodically through the patient stays
+ Review targets for Length of Stay ( LOS ), target outcomes, and discharge plans with providers and families
+ Complete all SNF...
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