Average salary: $64,229 /yearly
More statsSearch Results: 14,163 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: 05/27/2024
~ Duration: 12 weeks
~40...
Travel
Remote job
Shift work
Description
Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The choice is yours, work...
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Hourly pay
Contract work
Temporary work
For contractors
Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness... ...May be asked to work overtime or take call
May be asked to travel to other facilities to assist as needed.
Other duties as assigned...
Travel
Permanent employment
Immediate start
...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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For contractors
Flexible hours
...Job Description
Job Description JOB SUMMARY:
Under general supervision, performs all title review functions in support clearing titles for AL, GA, MS, and TX. This person will perform tasks that require knowledge/skill to identify curative issues. The position...
Suggested
Work experience placement
Remote job
Temp to Perm - Local Candidates only. Current RN Compact license required
Summary:
The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services....
Suggested
Permanent employment
Temporary work
Local area
...thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
**Job Description:**
**Bill Review Services Associate IV**
Conduent Business Services REMOTE
Schedule **Monday- Friday** 8 hours shift- Flexible schedule.
Pay...
Suggested
Holiday work
Full time
Remote job
Flexible hours
Shift work
Monday to Friday
...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and...
Suggested
Hourly pay
Minimum wage
Full time
Local area
Flexible hours
Korean Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Korean
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions, Conceptual...
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Remote job
...Job Description
Job Description POSITION SUMMARY
The Demand Review Nurse Auditor is responsible for conducting a comprehensive review of the submitted documentation to ensure that all services billed are supported by the medical records. The Nurse Auditor will...
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Local area
...opportunity for work/life balance needs yet want to stay clinically active?
Join us as an Medical Director to conduct chart and peer reviews from your home office.
where you'll be empowered to make a difference in the lives of patients by improving the quality of...
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Remote job
Holiday work
Full time
Part time
Work from home
Home office
Weekend work
Monday to Friday
...Job Description Description: Description
The Director position requires a self-driven individual who can complete high quality reviews while meeting strict deadlines. The individual must possess excellent written and verbal communication skills, outstanding...
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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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For contractors
Remote job
Alacrity Solutions
Quality Reviewer
Alacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair... ...Specifics:
A remote position
Full-Time (M-F, 8am-5pm)
Travel Required:
~ N/A
Why Choose Alacrity:
~ Benefits...
Travel
Holiday work
Full time
Temporary work
For contractors
Remote job
...Job Description
Job Description Description: Soleo Health is seeking a Clinical Review Coordinator to support our Home Infusion Specialty Pharmacy Operations Remotely (USA - Eastern Time Zone). Join us in Simplifying Complex Care! RN or LPN license required....
Suggested
Holiday work
Full time
Remote job
Flexible hours
Monday to Friday
...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...
Remote job
Area: HPUtilization Mgmt 7065 / 1346
Class: RN Utilization Review
Shift: 1
Start: 08:00:00
End: 17:00:00
Shift work
...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,...
...Dallas, TX 75231
Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and adhere to the...
Hourly pay
Minimum wage
Full time
Local area
Flexible hours
This position is fully remote, however, you must reside in the State of Texas
The position is a contract for about 6 months.
RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness...
Remote job
Contract work