Average salary: $84,463 /yearly
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...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 of communication concerning...
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...Job Description
Utilization Review (UR) Coordinator- PRN
Haven Behavioral Hospital of Dayton is seeking caring and compassionate people to join our team of devoted healthcare professionals.
Shifts: PRN- Daytime Hours
Why Haven of Dayton?
Haven Behavioral...
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Relief
Shift work
...environment; area is well ventilated, lighted, and close to equipment and materials required for daily work functioning. Work requires travel to several different UTP department and practice site locations.
The above list of duties is intended to describe the general...
Travel
Contract work
...Job Description
Job Description Salary: $25-$35
Job Summary :
Responsible for reviewing medical records, preparing clinical appeals (when appropriate) on medical necessity, length of stay, and authorization denials for hospitalized patients. Utilization Review...
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...Description
Job Description The Principal is primarily responsible for approving and accepting submitted paperwork as well as reviewing and approving Pershing brokerage and direct business transactions. Principal will accept business risk on behalf of Valmark within...
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Full time
Contract work
Monday to Friday
...Job Description
Job Description Your impact
Our new Home Inspection Reviewer will review and report on inspections we receive for homes currently under contract. This position is a critical part of our closing success.
You'll own
Develop a methodical system...
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Holiday work
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Immediate start
Flexible hours
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...way up to small, multi-trade and permit-required projects. For additional information, visit
JOB DESCRIPTION:
The Contract Review Specialist will assist in reviewing legal and risk management issues in vendor contracts. Construction related background/...
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Job Description
Job Description Minimum 1+ years Behavior Specialist experience required.
We care about our educators and want to give you the tools to excel in the classroom. Sunbelt is seeking a highly motivated and compassionate Registered Behavior Technician...
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Immediate start
...program of Quality Assurance Performance Improvement (QAPI) activities by planning, implementing, and coordinating patient record reviews for quality issues and DRG appropriateness. Assists in all quality activities, providing reports to hospital and system quality committees...
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...valued and respected. This is a unique opportunity for accomplished attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality control on high volumes of complex litigation documents. This is a...
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Flexible hours
...be found wanting for entertainment and experiences to call your own in Columbus. Learn more at
About the job:
The Utilization Review Nurse ensures that authorization requests and provider or member inquiries are handled appropriately within established timeframes,...
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Full time
Relocation package
Flexible hours
Shift 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 medical...
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Work experience placement
Internship
Local area
...Responsibilities:
· Maintain updated state and county recording regulations and fees.
· Calculate and cut checks for all recording fees.
· Review and proofread documents and send for recording within time frame set by supervisor.
· Follow up with examiners, courthouses, and...
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$65 - $85 per hour
...homes from a customer's perspective to identify defects in workmanship, quality, completeness, consistency, and professionalism . (Reviews take on average 1 to 1.5 hours to complete) Each review is meant to evaluate the quality of the finished construction.
Driving...
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Full time
Part time
For contractors
...Community Hospital
Part-time (24 hours/week) to cover Weekends (Sat/Sun/Mon) Utilization Management
UTILIZATION MANAGEMENT NURSE REVIEWER
MAIN FUNCTION:
The Utilization Management Nurse Reviewer (RN) serves as the Subject Matter Expert for the organization for...
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Part time
Immediate start
Remote job
Shift work
...the BWC claim Allowed conditions. Determines if intervention is needed, collaborates with providers as part of the drug utilization review process, and educates injured workers.
ACCOUNTABILITIES
# Completes required reviews and interventions in the effort to meet...
Full time
Contract work
Part time
...Job Description Lexitas, a leader in legal contract staffing, is currently seeking experienced first and second level document review attorneys for several upcoming anticipated review projects. Candidates must be admitted and reside in Ohio, Illinois, Michigan, or...
Remote job
Contract work
Monday to Friday
...Elevate is searching for additional remote contract review staff to assist with commercial and residential claims quality file reviews. Hours are flexible within certain time parameters.
There are part time and full time contract positions. Compensation is on a 1...
Full time
Contract work
Part time
Interim role
Remote job
Flexible hours
...your career.
Fox Run: The Center for Children and Adolescents, a subsidiary of UHS, is recruiting for a full-time Utilization Review Coordinator , to coordinate Utilization Review functions, monitoring the utilization and continuum of services to optimize...
Full time
Local area
Monday to Friday
...reflection of our clients and the people they serve.
Onsite Reviewer (OH Department of Medicaid) in Ohio
(Location - Cleveland/... ...will operate on a solo basis, within a team environment, and travel daily to various provider locations across Ohio. Overnight stays...
Travel
Full time
Night shift
