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...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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...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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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...
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...Job Description
Job Description Summary:
The Sr Vice President, Credit Review is charged with steering the strategic management, oversight and governance necessary to identify, evaluate and monitor the company’s loan review and credit and compliance risk related...
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...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
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...
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...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...
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Position : -Network security with a good understanding of Firewall and the rule review process (L3 level)
Location: - Plano TX, - Hybrid role:-3 days Onsite(Tue/Wed & Thur) and 2 days remote
Duration: Contract
Job Description:
Note:-Should have good understanding...
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ezURS.com Inc., has an ongoing need for Pain Management 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 cases....
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...integrated career centers, sector-focused centers and community, and partner sites.
Job Description
- Conduct case file and record reviews for compliance and identifying opportunities for improvement or corrective actions
- Ensuring contractual performance...
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...GENERAL PURPOSE: Accurate and timely coding and review of home health OASIS assessments and plan of care to ensure compliance with CMS regulatory guidelines, optimize reimbursement, contribute to overall quality improvement efforts, and manage visit utilization.
ESSENTIAL...
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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 and liability\
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Opportunity to...
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...IntroductionDo you have the career opportunities as a Transfer Center RN Coordinator you want with your current employer? We have an... ...apply for our Transfer Center RN Coordinator opening. We promptly review all applications. Highly qualified candidates will be contacted for...
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...experience is preferred, but not required.
We offer additional clinical training and opportunities to learn and grow.
Requirements:
• RN/LVN with a current valid license to practice as issued by the State Board of Nursing
• Current CPR certification
About Thrive...
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...RN PM 11am-9pm
Determined to Increase
your work/life balance and home time,
your ability to learn and advance,
and your impact... ...evaluations to ensure compliance with criteria for normal plasma donors
* Review medical histories and perform suitability examinations
* Maintain...
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...direct experience working with chemical dependency, dual diagnosis, psychiatric and geriatric patients preferred.
Experience in patient assessments, family motivations, treatment planning and communication with external review organizations or comparable entities....
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...AIM Palliative RN
Our Company
Empatia is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients...
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...eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable... ...state where responsibilities will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA)
Current Cardiopulmonary...
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...Hemodialysis RN
The Hemodialysis RN is responsible for:
* Providing direct patient care to inpatients in need of hemodialysis
* Supervising care, treatment and services of patient care provided by LPNs, RNTs/CNAs, and other staff on assigned unit and shift
* Assessing...
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...RN Case Manager
Do you have a heart for hospice?
Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We believe all patients and families entrusted in our...
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