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- ...and supportive work environment Chance to utilize your clinical expertise in a meaningful way... ...What to Expect (Job Responsibilities) Review and analyze Medicare claims to make payment... ...Required (Qualifications) Registered Nurse (RN) with a Bachelor’s, Associate’s degree, or...SuggestedPart timeImmediate startFlexible hours
- ...Job Description Job Description Review clinical information for medical necessity determinations of provider service requests for the inpatient and outpatient services. Perform initial and ongoing reviews for inpatient admissions, level of care, observation,...SuggestedRemote job
- ...oversight of outsourced vendors, related to the management and best utilization of case processing activities in the Argus Safety Database,... .... Defining and applying a high standard of case quality review to ensure sound medical safety data documentation with the support...SuggestedRemote job
- ...healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the... ...forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only...SuggestedFull timeRemote workFlexible hoursShift work
- ...expression of interest, there may be a delay in hearing back from our recruiting team. We are looking to hire an experienced OASIS Review Coding Specialist. This is a remote position that provides flexibility and control over assigned workload. We are seeking a high...SuggestedReliefWork at officeRemote work
$500 - $695 per day
...guiding patients to better health. No two days are the same! Your daily responsibilities include: Performing physical exams and reviewing medical histories. Ordering and interpreting diagnostic tests (labs, imaging, etc.). Diagnosing and managing acute and...SuggestedPart timeReliefFlexible hours$500 - $695 per day
...guiding patients to better health. No two days are the same! Your daily responsibilities include: Performing physical exams and reviewing medical histories. Ordering and interpreting diagnostic tests (labs, imaging, etc.). Diagnosing and managing acute and...SuggestedPart timeReliefFlexible hours$27.72 - $46.2 per hour
...complexity range of acute care services at all Banner hospitals. Reviews diagnosis and diagnostic information and codes and abstracts... ...able to work effectively and efficiently in a remote setting, utilizing common office software and coding software and abstracting systems...SuggestedLive inWork at officeRemote workMonday to FridayFlexible hoursShift work$38 - $41.5 per hour
...Cambia’s dedicated team of Care Management RN's are living our mission to make health... ...bedside care and into a role that still utilizes your clinical expertise, but offers a fresh... ...management, auditing or retrospective review experience Equivalent combination of education...SuggestedImmediate startWork from home- ...discount program Job Description Summary Utilizes a collaborative process of assessment, planning... ...and manages individual member cases. Reviews transplant evaluation and authorizes in... ...regulations. Valid and active Registered nurse (RN) in Missouri and Kansas. Case Management...SuggestedFull time
$70.52 - $93.43 per hour
...practices, while completing project-related reviews and providing relevant feedback to peers,... ...experience preferred. Case management, utilization review and/or direct provider interaction... ...Document Spec. CCDS‑O or CDIP. Nursing/RN - Registered Nurse - State Licensure And/...SuggestedRemote jobHourly payTemporary workWork experience placement- ...the learning program. Evaluate content developed by the team. Review analysis and design documents to ensure the objectives target... ...facilitation by conducting sessions with trainers/ facilitators utilizing the materials and assets designed and developed for a particular...SuggestedWork experience placementWork at office
$120k - $125k
...via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you! #J-188...SuggestedRemote jobFull timeLocal areaWork from homeFlexible hours$35.49 - $63.79 per hour
...and/or waiver eligibility, as applicable Reviews member data to identify trends and improve... ...preferred License/Certification: RN - Registered Nurse - State Licensure and/... ...Licensure required For Superior: Resource Utilization Group (RUG) certification must be obtained...SuggestedHourly payFull timePart timeWork at officeRemote workMonday to FridayFlexible hours$25.18 - $37.77 per hour
...Supervisor DEPARTMENT: Health Information Management DATE LAST REVIEWED: May 2024 OUR VISION: Creating America’s healthiest community,... ...and CPT-4 procedures for professional fee charges by utilizing an encoder program, and following National and SCHS coding guidelines...SuggestedHourly payImmediate startRemote workRelocationShift work$80k - $100k
...Senior Manager of Nurse Navigation, Oncology. is a professional RN who provides personalized support, guidance, advocacy, and education... ...with Member/caregiver at defined cancer journey touchpoints to review treatment goals, expectations, and concerns. Create trusting relationships...Work at officeRemote workFlexible hours- ...Responsible for ensuring cases are accurately set up for our members, review clinical information for decisioning the request, performing... .... Clinical judgment and knowledge must be applied effectively, utilizing drug compendia resources, evolving work instructions, and CMS...Local areaRemote work
$125k
...practicing evidence-based medicine with exemplary bedside manner. Utilize telehealth technology to deliver patient care, while effectively... ...ability to be licensed in additional states as required. Active RN Compact license. Current and active board certification by a...Full timeWork at officeLocal areaRemote workHome officeMonday to FridayShift workAfternoon shiftWeekday work$254k - $349k
...additional indications. Serve as subject matter expert on the safety reviews of our transplant programs. Support regulatory filings,... ...Base salary offered is determined through an analytical approach utilizing a combination of factors including, but not limited to, relevant...Temporary workLocal areaRemote work$33 per hour
...individuals with serious mental illness What to Expect (Job Responsibilities): Perform prospective, retrospective, and concurrent coding reviews based on various healthcare documentation Support pre-visit planning by identifying individuals’ potential chronic conditions and...Hourly payFull timePart timeImmediate startRemote workFlexible hours- ...requirement of the organization. Experience/Skills Bachelor’s degree or RN, BSN, or BS Pharm/PharmD required. 2-4 years’ clinical... ...experience or education required Strong attention to detail when reviewing cases and doing quality assessments . Excellence in verbal and written...
- ...best course of action while working with progressive Paramedic protocols in a 911 system running about 17,000 requests per year. Utilize your Paramedic skills in a progressive medical system to the full scope of an Oregon Paramedic. Communicate with patients and...Full timePart timeWork experience placementLocal areaImmediate startRelocationRelocation packageFlexible hours
$86k
...successful completion of GCUs Nursing program and to pass the NCLEX-RN exam. This position is heavy in group and individual student... ...outcomes. Meet with students on a regular basis to monitor utilization of success strategies. Coach students in test taking skills...Full timeImmediate startRemote workMonday to FridayFlexible hours- ...supportive environment Engage in continuous learning and development in medical coding practices What to Expect (Job Responsibilities): Review medical records to ensure accuracy and specificity of diagnoses and procedures Apply ICD-9-CM and CPT-4 coding conventions to...Permanent employmentContract workWork at officeImmediate startRemote work
$37.19 - $48.71 per hour
...teams and leaders, and operate Excel documents. Customer Service: Utilize and promote excellent customer service skills in all... ...school of nursing CERTIFICATION & LICENSURE: Valid and unrestricted RN license in your state of residence. SCAH Intake Department: RN-Registered...Full timeWork at officeRemote workWork from homeFlexible hoursDay shiftWeekday work$131k - $175k
...base compensation range for this role is: $131,000.00-$175,000.00 Base salary offered is determined through an analytical approach utilizing a combination of factors including, but not limited to, relevant skills & experience, job location, and internal equity. Regular...Temporary workWork at officeLocal areaRemote work- ...risks in the clinical protocol/set-up and advising clinical team members on effective mitigation strategies Participates in regular review of risk areas in collaboration with Risk Owners, to evaluate progress of risk mitigations and risk reduction, and to identify...Contract workWork at officeRemote workFlexible hours
- ...documentation Attend all required meetings and in-services, including but not limited to family meetings, care plans, staffing, utilization review In conjunction with Director of Rehabilitation, develop programs appropriate to the needs of the facility residents through...Relief
$143k
Overview Employer Industry: Health Technology Why consider this job opportunity Salary range up to $143,000 based on location and experience Opportunity for career advancement and growth within the organization Comprehensive benefits package including generous PTO, ...Remote jobWork experience placementWork at office- Why Charlie Health? Millions of people across the country are navigating mental health conditions, substance use disorders, and eating disorders, but too often, they’re met with barriers to care. From limited local options and long wait times to treatment that lacks personalization...Full timeContract workPart timeLocal areaRemote workWork from homeAfternoon shift




