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...patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review... ...need to be attended
Experience
* 3 years of RN experience in a healthcare setting
Preferred Qualifications...
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...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Albany, Georgia.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 17 weeks
~36 hours per week
~ Shift:...
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...Provides accurate and complete clinical information to payors based on synthesized documentation in the medical record.
Conducts utilization review on all assigned cases and ensures authorizations are completed timely with all dates of service reviewed.
Completes...
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...Responsibilities
Coastal Harbor Health is currently seeking a Utilization Review Coordinator ( Fulltime ) To coordinate and direct Utilization Review functions, monitoring the utilization and continuum of services to optimize reimbursement.
Coastal Harbor...
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...Best Place to Work and Healthiest Employer", seeks an UCR Review Nurse. The Medicaid Utilization and Compliance Review (UCR) Nurse, as a member of a... ...the position are below:
Required:
~ Registered Nurse (RN) with current Georgia license and three to five years of...
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...Mesa Springs we are dedicated to Changing People’s 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-...
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...are seeking passionate and skilled RNs to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information... ..., URAC and CMS guidelines.
Promote effective and efficient utilization of company resources.
Participate in various educational and...
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Job Details
Job Location
Remote - Atlanta, GA
Position Type
Contractor
Education Level
None
Salary Range
$1.00 - $12.00 Salary
Travel Percentage
None
Description
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Qualifications
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...determination of the Cost, Income, and Sales Comparison Approaches to value.
Performs other duties, up to and including, final review and valuation of complex commercial/ industrial properties.
Communicates professionally and successfully with the public to share...
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...to improve our company's discount position and strategic cost and utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare for monthly presentations, and manage...
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...online giving you full credibility and recognition for what you do, with your own page within the website.
Were recruiting a Head of Reviews Team Leader to lead a team of dedicated reviewers and take the station to the next level, delivering quality leadership and...
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...purpose of this classification is to perform complex technical review of building construction plans for compliance with applicable federal... ...processing, spreadsheet, database, and other system software utilized within the department.
Represents the department in various...
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Sysco Corporation - JobID: R132111 [Production Operator / Assembly Line Worker] As a Production Associate at Sysco, you'll: Assure that produce of the highest quality is made ready and available for the day’s runs at an acceptable productivity level; Prepare, cut and repack...
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Immediate start
...Job Title: Physician Reviewer
Location: 100% Remote
Duration: 2-year contract
Remote in our five states in NM, TX, IL, OK, MT
Schedule:
Must be available M-F for full-time training to start.
This position prefers a 2 week full...
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...our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- Oncology -REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review of service requests that do not initially...
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspec Clinical, Clinician...
Pratt Industries - 300 Robins International Blvd [Factory Worker / Utility Worker / Sanitation] As an Utility Worker at Pratt Industries, you'll: Perform a variety of tasks in the assigned department; Learn and comply with Pratt Industries quality procedures and policies...
Immediate start
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Afternoon shift
...Job Description
ESG Operations, an Inframark Company, is currently hiring a Utility Technician team in Winder, GA. As part of our collections & distribution team responsible for the operations and maintenance of municipal water and sewer infrastructure, you would be...
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Rockin' Kitchen, team oriented, turn 'n burn, thousands of covers a weekCan you handle this? Sundays and Mondays off, closed all major holidays.
Up to $1000 sign-on bonus! ($500 PT / $1000 FT)
We are recipients of the Best of Cobb Overall Local Restaurant...
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...and Classification Standards
The purpose of this job is to review construction plans to ensure compliance with regulatory codes,... ...the mathematical calculations required by the job. Ability to utilize and understand computer applications and techniques required by...
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