Search Results: 37,917 vacancies
...Peer Review Coordinator RN
Overview
CHI St. Joseph Health - College Station/Bryan TX Since 1936 CHI St. Joseph Health has been caring for the communities in Bryan College Station Brenham Hearne Navasota Caldwell Madisonville and Bellville. With the area's only Level...
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...Overview
Join our team as a PRN, day shift, Utilization Review Registered Nurse in Tyler, TX.
Fulfilling your purpose begins here:... ...an Associates, Bachelor's or Master's Degree required.
Current RN license in the state of Texas required and Case Management certification...
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Relief
Day shift
...Job Description Description: Soleo Health is seeking a Clinical Review Coordinator to support our Home Infusion Specialty Pharmacy... ...USA - Eastern Time Zone). Join us in Simplifying Complex Care! RN or LPN license required.
Soleo Health Perks:
~ Competitive...
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Holiday work
Full time
Remote job
Flexible hours
Monday to Friday
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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Full time
Immediate start
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in El Paso, Texas.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~36 hours per week
~ Shift: 8...
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Holiday work
Contract work
Shift work
...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: 05/06/2024
~ 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
...in a safe family like setting?
Mainstream Nonprofit Solutions has the job for you!
We are looking for full-time Utilization Review Specialist to add to our team! A Bachelor’s degree is required with two to four years of experience in social services with...
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Hourly pay
Holiday work
Full time
Remote job
Flexible hours
Shift work
....
Website:
Position Summary
The Director of Utilization Review is responsible for directing and overseeing the Utilization Review... ...organizations or comparable entities.
Licensure: LMSW, LPC, RN or LVN required.
EEO Statement
All UHS subsidiaries are committed...
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Local area
...Job Description
Job Description 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...
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Minimum wage
Full time
Local area
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
Flexible hours
...We are seeking an experienced Utilization Management RN to join our esteemed surgical center in the one and only, Dallas, TX!
This... ...care hospital setting and minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2 years experience working...
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For contractors
Flexible hours
Description
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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Hourly pay
Contract work
Temporary work
For contractors
...health care industry forward. As a Telephonic Oncology Preservice Review Nurse you will be performing pre-service clinical coverage review... ...in.
Required Qualifications:
~ Current, unrestricted RN license in your state of residence
~ Ability to obtain licensure...
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Remote job
Hourly pay
Temporary work
Work experience placement
Local area
Immediate start
Home office
Shift work
Day shift
Afternoon shift
Monday to Friday
...HAVE Knowledge of CPT, ICD-9/10 and HCPCS codes along with commonly used concepts and practices in Workers Compensation medical bill review/auditing . Prepares and compiles medical provider bill data for Workers Compensation clients.
The successful candidate will be...
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Full time
Remote job
..., non-clinical, and/or provider data for pre-certification via phone, fax, inter/intranet, Eldorado/Case Pac computer programs
* Review service requests and manage the requests as efficiently as possible involving the appropriate department as needed
* Perform data...
Remote job
Flexible hours
...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,...
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...
Minimum wage
Full time
Local area
Flexible hours
...Utilization Review Authorization Coordinator - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date:... ...URThe Utilization Review Authorization Coordinator will work with RN Case Managers and other facility staff to coordinate the appropriate...
Remote job
...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....
Local area
