Average salary: $76,529 /yearly
More statsSearch Results: 6,981 vacancies
...this is more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national...
Suggested
Holiday work
Flexible hours
...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...
Suggested
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Day shift
Monday to Friday
...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...
Suggested
...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...
Suggested
...opportunity employer fostering a workforce that embraces and reflects
the rich diversity of Los Angeles County
School Site Reviewer - Instructional Materials $25 Hourly
OPPORTUNITY FOR TEMPORARY EMPLOYMENT
Online applications
must be submitted by:
7...
Suggested
Hourly pay
Permanent employment
Contract work
Temporary work
Part time
...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...
Suggested
Permanent employment
Temporary work
Local area
Remote job
...coding based on AMAs CPT, ICD-9-CM, HCPCS II, and OMFS guidelines.Reviews claim fields in accordance with the Gold Standards set forth by... ...in a different location or state than the location posted. Travel: No At Kaiser Permanente, equity, inclusion and diversity are inextricably...
Travel
Full time
Shift work
...achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications:
EDUCATION, EXPERIENCE...
Suggested
Full time
Part time
Work experience placement
...Description: The Clinical Trials (CT) Quality Assurance Reviewer position(s) is located at the Kaiser Permanente Southern California Department... ...working relationships with peers.Requires extensive travel in the KPSC region.Must have own reliable transportation for travel...
Travel
Full time
Local area
Shift work
...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
Remote job
Home office
Flexible hours
...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...
Suggested
Remote job
...state of Nebraska. This position supports our Inpatient Medical review process with our Nebraska Medicaid Health Plan. Strong experience... ....
Adheres to UM policies and procedures.
Occasional travel to other Molina offices or hospitals as requested, may be required...
Travel
Weekend work
Monday to Friday
...Job Description
JOB DESCRIPTION
Job Summary
Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations...
Suggested
Remote job
Monday to Friday
...America, you help to empower hundreds of individuals every day in their journeys of recovery.
We are actively seeking a utilization review specialist to work in our corporate office in Pasadena, CA. Growth Centers of America understands that an attractive benefits...
Suggested
Holiday work
...Medicaid and Medicare. We are looking for a LPN or LVN Care Review Clinician with Prior Authorization experience. Experience with Utilization... ...- Friday 8:30AM- 5:00PM EST
Remote position with light travel- 10-15% for in person meeting at the Bronx office location....
Travel
Remote job
Monday to Friday
...comprehensive, competitive and generous providing room for potential growth and position/compensation advancement.
Responsibilities:
· Review search data provided by customers/abstractors for completeness and accuracy.
· Type and/or review all products offered within...
..., competitive and generous providing room for potential growth and position/compensation advancement.
SUMMARY:
Capable of reviewing moderate to difficult title documentation and preparing title
products.
ESSENTIAL FUNCTIONS:
Review and organize search...
...provide needed information on an account.
Special Projects as needed.
Required Education and Experience:
Previous experience working in a psychiatric or chemical dependency setting, with two years of utilization review experience preferred.
Registered Nurse...
...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...
Holiday work
Full time
Temporary work
Part time
Remote job
Flexible hours
...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...
Summer work
