Average salary: $99,480 /yearly
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We are seeking a highly motivated and detail-oriented individual to join our team as a Credit Review Analyst II. The successful candidate will be responsible for conducting thorough analyses of financial statements and assessments for accuracy in loan presentations. The...
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Under the direction of the Nurse Director of the BWPO's South Shore Endoscopy Center (SSEC), the Registered Nurse GI Case Reviewer will work as a critical member of the procedural care team to support the quality, efficiency and satisfaction of care taking place at the...
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Monday to Friday
...to Us
Position Summary:
Reporting to the VP Quality Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP). Additionally...
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Remote job
Immediate start
...responsible for independently performing in-depth quality control (QC) reviews on moderately complex clinical and regulatory documents across... ...and track deliverables for complex CSR Appendices
* Travels to corporate headquarters in Boston up to 1 week per quarter...
Travel
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Work experience placement
Summer work
...We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer, MRx - Oncology - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely...
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Internship
Local area
...payer validation of medical necessity recommendations, as requested
Policy Setting Responsibilities
Responsible for utilization review and medical necessity recommendations, as requested
Decision-Making Authority:
Responsible for collaborating with the...
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Part time
Shift work
Position Overview At Zelis, the Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation...
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Local area
...Job Description
Job Description The Utilization Management (UM) Review RN is responsible for day-to-day timely clinical and service authorization review for medical necessity and decision-making. The Utilization Management Review Nurse has a key role in ensuring CCA...
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Holiday work
Full time
Local area
Monday to Friday
...Job Description
Job Description Statement of Duties This position is responsible for administration and review of projects under the Somerville Zoning Ordinance. Work duties include professional and technical work in planning, including project review, plan review...
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Contract work
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Local area
Outdoor
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Afternoon shift
...developmental disabilities, or substance use disorders. For many individuals, our programs literally save lives.
The Utilization Reviewer in the Behavioral Health department is responsible for obtaining initial and concurrent insurance authorizations for all...
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Hourly pay
Shift work
Monday to Friday
**Overview**
Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.
Established in 1946, with headquarters in Arlington, Virginia, AIR is...
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Immediate start
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Responsible for obtaining initial insurance authorizations for all applicable coverage and for appropriate level of clinical care. Must demonstrate McLean values of integrity, compassion and respect, diversity and teamwork, excellence and innovation consistently in their...
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...thousands of families for free through their corporate sponsored benefit.
One important aspect of this benefit is the expert review of college application essays. Our Essay Reviewers provide detailed evaluation and constructive feedback to prospective students,...
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Part time
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Home office
...Responsibilities
Utilization Review Coordinator Opportunity -
HRI Hospital is seeking a Full-time Utilization Review Coordinator to join our skilled and dedicated team of psychiatric professionals, who provide service excellence to our patients in a range of inpatient...
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Full time
Local area
...com to see how we empower creators to own their own destiny.
We're seeking a highly motivated Senior Manager of Security Risk & Reviews who will help us continue to evolve our Risk function by using engineering principles and data-driven strategies to precisely...
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Remote job
Hourly pay
Holiday work
Gangs
Flexible hours
...Experienced Document Review Attorney – Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on...
Remote job
Hourly pay
Full time
Flexible hours
...The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally recognized good documentation practices as well as to the study protocol...
For contractors
...Job Type:
Regular
Scheduled Hours:
40
Work Shift:
Day (United States of America)
Joint role of Case Manager and Utilization Review Nurse
Hospital at Home Full Time Days 8:00am-4:30pm
weekend and holiday rotations required
Job Description:
The Inpatient Registered...
Holiday work
Full time
Temporary work
Shift work
Weekend work
Sunday
Saturday
Skills:
Thorougness Individuals need to review scanned document for clarity and orientation.
RATE: $14.23 - $17.21 Per Hour On W2
Required / Desired Skills
thorougness: Required
Hourly pay
Contract work
Commercial Credit Risk Review Senior Associate
Boston, United States of America
The primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and participate in assessments of credit risk and credit...
Contract work
Work experience placement
