Average salary: $64,229 /yearly
More statsSearch Results: 9,812 vacancies
...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...
Travel
Remote job
Shift work
...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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Holiday work
Full time
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...policies, procedures, and activities. Quality Program Nurse, RN enforce DHCS regulatory requirements as pertaining to Facility Site Review (FSR) and Medical Record Review (MRR) criteria.
Additional Benefits
Perks
IEHP is not only committed to healing and...
Travel
Temporary work
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Flexible hours
$80k - $90k
...minimum of 5 years INPATIENT clinical nursing experience in an acute care hospital setting and minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2 years experience working with InterQual or Milliman in an acute care setting, and Bilingual...
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...ourselves to high standards. We are empathetic, results-oriented, respectful, and committed to delivering exceptional service.
As a Review Manager, your responsibilities extend beyond overseeing document review projects. You will lead teams of five to fifty project-...
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Full time
Immediate start
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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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Permanent employment
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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Full time
Immediate start
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...re factual, quick, and professional.
Does this sound like you? Then you’re in the right place. You’ll love it here.
As a review manager, you will be responsible for much more than simply managing review projects. You will lead teams of five to 50 project-based...
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Part time
...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...
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Full time
Flexible hours
...Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to business. #experienceTTEC
What You'll be Doing
Do you have...
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...schedule and be compensated on a per case basis as a 1099 independent contractor.
JOB SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals...
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Monday to Friday
...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that...
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Minimum wage
Full time
Local area
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...provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.
Preferred candidates will hold a NM, TX, MN, and/or NC...
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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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...aspects of Legal e-Billing program.
Assists with manual processing of certain legal bill payments.
Communicates with Legal Bill Review vendor and claims organization with respect to inquiries regarding special billing instructions.
Verifies e-billing data...
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Full time
Flexible hours
...right place. You’ll love it here.
As a team lead, you will assist in managing teams of five to 50-plus project-based attorney reviewers. You will provide a positive work experience. You will ensure the quality of those teams’ work product, including confirming time...
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Part time
Work experience placement
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....
Part time
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Flexible hours
...abuse in government programs. Results are achieved through data analytics, technology solutions, audit, investigation, and medical review.
At IntegrityM, we offer a culture of opportunity, recognition, collaboration, compassion and supporting our community. We thrive...
Full time
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Flexible hours
...provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a 1099 independent contractor.
Candidates must be an Orthopedic Surgeon in the Dallas...
For contractors
Work experience placement
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...Dallas, TX 75231
Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate...
Hourly pay
Minimum wage
Full time
Local area
Remote job
Flexible hours
