Search Results: 13,709 vacancies
ESSENTIAL FUNCTIONS:
•Act as liaison between managed care organizations and the facility professional clinical staff.
•Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow...
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For contractors
...explore the job opportunities we have to offer.
General Description and Classification Standards
The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances, and laws. Duties include but are not limited to...
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Temporary work
For contractors
...explore the job opportunities we have to offer.
General Description and Classification Standards
The purpose of this job is to review construction plans to ensure compliance with regulatory codes, ordinances, and laws. Duties include but are not limited to...
Suggested
Temporary work
For contractors
Overview:
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond....
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...We do not lose sight of that. It fuels our passion and drives every decision we make.
**Job Posting Title**
Physician Clinical Reviewer- GI - REMOTE
**Job Description Summary**
Key member of the utilization management team, and provides timely medical review of...
Suggested
Remote job
Work experience placement
Internship
Local area
Overview:
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond....
Suggested
...multidisciplinary team in completing pre-screening assessments of prospective patients. Ensures completion of appropriate clinical review of all applicable patients as stated in system utilization management plan. Oversees Clinical Review Specialist as indicated. Maintains...
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Relief
Remote job
Shift work
2 days per week
3 days per week
Monday to Friday
...Land Plan Reviewer I
Hours: Full-Time
Service Area: Urban Planning
Reports to: Deputy Southeast Officer Director and Principals in Support of City of Atlanta staff
Supervises: Not Applicable
Location: Atlanta
The...
Suggested
Full time
Contract work
Local area
Afternoon shift
...Solutions, a "2023 Best Place to Work and Healthiest Employer", seeks a Review Nurse, PA/UM. The Review Nurse to conducts prior approval and... ...at 30-50 WMP and data entry skills required.
Ability to travel by car or plane to Company locations, customer meetings or other...
Travel
Contract work
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...
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...Services Sourcing Manager will manage the execution of the line review process and award of business to install Service Providers. This... ...Reports to Sr Manager
This position has no direct reports
Travel Requirements:
~ Typically requires overnight travel less than...
Travel
Hourly pay
Work experience placement
Local area
Immediate start
Night shift
...level management position that is responsible for providing strategic direction, leadership, and coordination of CAS's Credit Risk Review cyclical risk-based audit plans. As an Independent Risk Review function, Credit Risk Review provides independent assessment and effective...
Suggested
Holiday work
Temporary work
...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...
Suggested
Remote job
Hourly pay
Full time
Flexible hours
...Responsible for carrying out precertification and medical necessity reviews on all designated referrals as well as targeted outpatient... ...reside in a different location or state than the location posted. Travel: No At Kaiser Permanente, equity, inclusion and diversity are...
Travel
Permanent employment
Full time
Contract work
Local area
Shift work
...reinvent it. Come, transform with us.
Are you the one we are looking for?
We are inviting applications for the role of Desk Reviewer
This position manages an inventory of managed repair program claim assignments. Communicates with contractors regarding...
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Full time
For contractors
Well established Health and Wellness practice in Atlanta, continues to experience growth. The group is now in need of a BE/BC physician.Part time - 2 days a weekGreat CompensationSupervise mid-level providersThis is a remote positionFor more information please contact David...
Permanent employment
Part time
Remote job
..."2023 Best Place to Work and Healthiest Employer", seeks an UCR Review Nurse. The Medicaid Utilization and Compliance Review (UCR) Nurse... ...ability to handle difficult calls/callers.
Ability to travel as needed by driving a car and/or flying on an airplane to customer...
Travel
Remote job
Night shift
...Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME Specialty Care services. The... ...reside in a different location or state than the location posted. Travel: No At Kaiser Permanente, equity, inclusion and diversity are...
Travel
Full time
Contract work
Local area
Immediate start
Shift work
Weekend work
Internal Revenue Agent (SR Employee Plans/Exempt Org. Reviewer)(12 mos Rost) NTE 1-yr, MBE (Amended)
...help you grow in this position.
Independently analyzes and reviews the most difficult completed Employee Plans determination and examination... ...and use a Government-issued charge card for business-related travel.
Qualifications
Federal experience is not required. The...
Travel
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Remote job
Relocation
Day shift
Monday to Friday
...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...
Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
