Average salary: $74,154 /yearly
More stats ...a part of the #1 full truckload carrier in the nation. Be a part of Swift Transportation.
Job Responsibilities: What you will do
Review violations, log and follow up to ensure compliance.
Are to include but are not limited to the following, other duties may be assigned...
Suggested
Local area
...Job Description
Role: Purchase Reviewer-1153
Estimated Duration: 6+ months
Location: Phoenix, AZ
Position Description
The purpose of this position is to provide support to constituents, including education administrators and staff, community members, education...
Suggested
Holiday work
Full time
Casual work
Local area
Shift work
Monday to Friday
...Job Description
Role: Purchase Reviewer (Resource)
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
The purpose of this position is to provide support to constituents, including education administrators and staff, community...
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Local area
...Manager, Retrospective UM. Supervises staff who conduct retrospective review of medical claims for appropriate DRG or non-DR coding and... ...Availability to work any shift
•Works remotely, with up to 10% travel
•Ability to meet mandatory contract compliance timelines
•...
Travel
Remote job
Contract work
Temporary work
Local area
Shift work
...certificate required; associates degree preferred.
Two (2) years relevant credentialing experience preferred.
Two (2) years contract reviewing experience preferred.
Knowledge and understanding of the medical credentialing process, DEA certification, and CAQH and NHSC...
Suggested
Holiday work
Contract work
For contractors
Local area
...Generally, work is self-directed and not prescribed; is able to work with less structured and more complex issues.
The Preservice Review/Prior Authorization RN will manage the full array of health care services, spanning both outpatient and Inpatient settings and with...
Suggested
Remote job
Hourly pay
Minimum wage
Work experience placement
Local area
Weekend work
...Behavioral Health RN - Medical Claim Review - FULLY REMOTE POSITION
MUST HAVE ARIZONA OR COMPACT RN LICENSE
Medix Healthcare... ...with Company Match
For your Wealth...
Paid Time Off
Travel Assistance Program
Full Job Description
Are you looking...
Travel
Hourly pay
Full time
Contract work
Temporary work
Work experience placement
Remote job
Currently hiring
Monday to Friday
...owned community bank and one of Prairie Business Magazine's 50 best places to work for 10 years running. We are looking for a Credit Review Associate who can clearly identify borrower risk and translate the risk factors into terms others can understand within a narrative...
Suggested
Holiday work
Full time
...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.
This is a Part Time 25 hours a week position
No Call, evening or weekend work...
Suggested
Remote job
Holiday work
Full time
Part time
Work from home
Home office
Weekend work
Monday to Friday
...passionate about cybersecurity and enhancing the security posture of clients product development lifecycle. You will apply your code review experience and contribute to a variety of services our team offers clients, particularly where we perform penetration testing...
Suggested
Work experience placement
Local area
...Role: Penalty Review Specialist-1276
Estimated Duration: 6+ months
Location: Phoenix, AZ (hybrid)
Position Description
Primary Duties:
Analyze applicant data for abatement consideration.
Request additional information when needed....
Suggested
Contract work
...Description & Requirements
Maximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determination reports, creates individualized outcome reports, showing strengths...
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Permanent employment
Contract work
For contractors
Remote job
Home office
...well. We do not lose sight of that. It fuels our passion and drives every decision we make.
Job Posting Title
Clinical Review Pharmacist
The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests...
Suggested
Holiday work
Local area
Visa sponsorship
Work visa
Weekend work
...locations to ensure better access to our unique model of care.
Phoenix Medical Psychiatric Hospital is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health...
Suggested
Full time
...Custard Insurance Adjusters, Inc.
Property Claims Reviewer/QA
Phoenix, AZ
We are growing our company and looking for highly skilled... ...Must be able to operate a computer and smart phone. Occasional travel by airplane is required.
Contact with others.
Inside...
Travel
Full time
Remote job
Work from home
Flexible hours
Monday to Friday
...appropriate medical team to promote quality and cost effectiveness of medical care.
+ Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria
+...
Holiday work
Remote job
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
...Health Medical Center
Department: Care Management
Schedule: Regular FT 40 Hours Per Week
Shifts: Mid
As a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. As a Utilization Review RN...
Hourly pay
Shift work
...according to protocol and that all documentation is timely and meets all Federal and State requirements.
+ Ensure second-level reviews have been performed and documented and may confer with medical directors, Health Plan Manager(s), Inpatient Care Coordinators (ICC’...
Hourly pay
Full time
Work experience placement
Remote job
Shift work
Weekend work
Monday to Friday
...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
Summary
Key member of the utilization management team, and provides timely medical review of service...
Work experience placement
Internship
Local area
Remote job
...Job Description
Job Description
General Purpose
To review and bill Loss Control Inspections and ensure they meet Afirm/Davies quality control standards, customer specific requirements, and industry standards.
Essential Duties and Responsibilities:
~ Reviews...
For contractors
Remote job
...required
Bachelor’s degree in nursing preferred
Minimum three (3) years of clinical nursing and/or Care Management experience is required
Orthopedic experience required.
Clinical review, utilization review, or quality assurance review experience preferred...
Part time
...Become a part of our caring community and help us put health first
The Claims Review Representative 2 makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative...
Weekly pay
Holiday work
Full time
Contract work
Temporary work
Apprenticeship
Remote job
Work from home
Home office
...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
Remote job
Flexible hours
...statutes, rules, and compliance with policies and procedures.
The primary duties for this position include the following:
Review account expenses and complete account closures
Conduct audits on randomly selected accounts to assess program compliance...
Holiday work
Full time
Casual work
Local area
Immediate start
Shift work
Monday to Friday
...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site and cannot be done remotely.
For nearly 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction...
Relief
Local area
Remote job
...integral role in optimizing patients’ recovery journeys. The SICC travels to the skilled nursing facility to complete weekly functional... ...to SNF and periodically through the patient stays
+ Review targets for Length of Stay ( LOS ), target outcomes, and discharge...
Travel
Contract work
Local area
Home office
Registered Nurse RN Utilization Management Care Reviewer Remote Location Remote in Phoenix, AZ : Primary City/State: Arizona, Arizona Department Name:
Utilization Mgmt Work Shift:
Day Job Category:
Clinical Care Find your path in health care. At Banner Health...
Full time
Remote job
Shift work
Monday to Friday
$20 - $35 per hour
...We are searching for an experienced Seasonal Tax Reviewer to join our team on a 100% remote basis. The successful candidate will have the opportunity to work remote and work 20-25 hours per week.
Top Reasons to Work with Us
This is a great opportunity to work remotely...
Hourly pay
Full time
Seasonal work
Local area
Remote job
...Travel Nurses, Inc. is seeking a travel Ultrasound Technologist for a travel job in Phoenix, Arizona.
Job Description & Requirements... ...they begin a contract; one crucial item is an Engagement Letter review completed with your recruiter before every contract.
Benefits...
Travel
Weekly pay
Full time
Contract work
Immediate start
Flexible hours
Shift work
Night shift