Average salary: $97,726 /yearly
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...treatments and/or procedures.
Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare and... ...Adheres to UM policies and procedures.
Occasional travel to other Molina offices or hospitals as requested, may be required...
Travel
...Description
Title: LVN Utilization Review
Location: Fountain Valley
Department: Outpatient Utilization Management
Status... ...n g u age a n d o v e r t u rn ra te s.
17.May be required to travel during shift for meetings and staff oversite.
18.May be...
Travel
Remote job
Shift work
...Anticipated End Date:
2024-05-06
Position Title:
Nurse Reviewer I
Job Description:
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday - Friday, from 9:30 am - 6 pm
The Nurse Reviewer I is responsible for conducting preauthorization...
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...Nature and Scope
The position is responsible for reviewing Quality Control Laboratory data which may include raw material, in-process, and finished product release, instrument qualification protocol/report, stability program results and summaries, raw data related to...
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...transparency, reliability, and sustainability - creating a better way to go solar.
Q CELLS Home Energy Solutions seeks an Contract Review Specialist to to manage and control projects through administrative and specialized expertise with the Home Energy System division....
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...Job Description
JOB TITLE: CARE REVIEW CLINICIAN INPATIENT REVIEW : REGISTERED NURSE
For this position we are seeking a (RN) Registered... ....
Adheres to UM policies and procedures.
Occasional travel to other Molina offices or hospitals as requested, may be...
Travel
Holiday work
Immediate start
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Home office
Flexible hours
...integrated Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place...
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...Job Description
Job Description Job Posting: Document Review Paralegal - Mesothelioma Cases
Location : Huntington Beach, CA
Schedule : Full-time, Monday to Friday, 8:00 AM to 5:00 PM
Salary : $30-$35 per hour
Type : Long-term Temporary with potential...
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...looking for passionate, driven individuals to join our team focused on Delivering Solutions and Improving Lives .
Senior Project Reviewer role includes reviewing ALTA surveys to industry and ALTA standards; and corresponding with surveyors and clients to make...
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...after three months.
~80 hours of vacation time after six months.
~$400 referral bonus
Position Overview:
As a Utilization Review Representative, you will be a key member of the Utilization Review Team as the face to our clients and the client’s liaison to the...
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...local time. The training schedule will be M-F 9AM-5PM EST.
Daily responsibilities will include the following: Candidates will be reviewing medical patient records against standard medical criteria.
Candidates MUST have 3 years of clinical nursing experience along...
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...information, visit Follow Allergan Aesthetics on LinkedIn.
Job Description
Position Summary
The Director of Skincare Medical Review leads and executes the development and implementation of the global medical operations strategy (Pharmacovigilance, Medical...
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...TRB and Associates is seeking an experienced and motivated plan review engineer with current registration as a civil, structural, mechanical, or architect (State of California preferred) and a minimum of two years of experience in plan review and/or design on commercial...
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...rapidly, and we anticipate that our Colton Location in San Bernadino County, will be operational by Summer of 2024.
Utilization Review Coordinator Position Overview
Pay: $25 - $30 / Hour
Ocean View Utilization Review Coordinator in our psychiatric health...
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Summer work
...Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Conducts inpatient reviews to determine financial responsibility for Molina Healthcare and its members. May also perform prior authorization reviews and/or related...
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...Kelly Science & Clinical is excited to connect you and this Senior Quality Assurance Data Reviewer Position at a Global Leader Pharmaceutical Company in the Irvine, CA Area.
~65k-75K/Salary
~ Full time
~ Direct Hire
RESPONSIBILITIES:
Review all QC HPLC...
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...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
...Job Description
Job Description Jr Documentation Review Specialist (Pharma, Biotech, Medical Device)
Irvine, CA 92618 (Local candidates only. Onsite)
$27hr (Weekly pay + Benefits)
9 months contract (Excellent potential for permanent)
Full- time: M-F 7am-3:30...
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Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right...
Remote job
Salary Range: $47.7200 - $73.3700 /hour. Actual compensation may vary based on geographic location, work experience, skill level, and education.
Case Manager – RN
Do you thrive on supporting the professional face of a hospital dedicated to serving the community...
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