Search Results: 73,380 vacancies
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Responsible for Utilization Management, Quality Screening and Delay Management for assigned... ....
• While performing utilization review identifies areas for clinical documentation...
Suggested
Permanent employment
Shift work
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the lead clinician for the health plan. Responsible for the administration...
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Candidate criteria:
Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but they also have to understand...
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Holiday work
Remote job
Shift work
Weekend work
Sunday
Day shift
Saturday
...assigns appropriate level of care. The Reviewer is responsible for obtaining the order for... ...and Appeal team.
11. Notifies the managed care companies of patients requiring transfer... ..., one year of which has been served in Utilization Review/Quality Assurance; or,
2....
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Holiday work
Immediate start
Shift work
...Job Description
Job Description RN- Utilization Review Nurse
LTSS/DME
*Full Time 100% Remote Opportunity*
COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE!
VillageCare is looking for a self-motivated and passionate RN as Utilization Review...
Suggested
Holiday work
Full time
Local area
Remote job
Overview
The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and HackensackUMC. These include but are not limited...
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Contract work
For contractors
...assigned staff to ensure that all case management processes are in order; including coordinating... .... The role integrates and coordinates utilization management, care coordination, discharge... ...that staff have MCG training modules to review as needed.
Growth Uses MCG Guidelines...
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Full time
Are you a problem solver with a passion for improving healthcare services? VillageCare is seeking a Full Time Utilization Management DME Manager to join our team. In this fully remote role, you will have the opportunity to make a significant impact on patient care by managing...
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Full time
Second job
Remote job
...solutions to satisfy the complex needs of the sectors we serve.
Boswell Engineering is seeking an experienced Project Manager in the electric utility industry.
Responsibilities:
Project managers will be assigned projects that range from replacing a breaker at a...
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Holiday work
Temporary work
Flexible hours
...medicine, health education, and disease management. Leveraging its vast network of physicians... ...:
The Director of Case Management & Utilization will be responsible for the strategic... ...patients. This position is empowered to review medical services with evidenced-based criteria...
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Holiday work
Full time
New year
Immediate start
Day shift
...innovative and experienced leader to join our team as the RN Utilization Management Nurse. Compensation will be commensurate with experience.... ...UM) determinations in accordance with Article 49-Utilization Review. •Ensure UM is completed by following all regulatory guidelines...
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..., you too can be part of our transformation across the enterprise.
DRG Reviewer
Full-Time
The DRG Reviewer reports to the Director of Coding, HIM (Health Information Management). The DRG Reviewer oversees DRG accuracy. The DRG Reviewer will ensure that accurate...
Suggested
Full time
Work experience placement
...living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program,... ...Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and...
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Full time
Contract work
...As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow... ...Associate within the Risk Management - Model Risk Governance and Review team, you will be part of a global team of modeling experts. Your...
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...Hiring Manager: Raul Martinez
HR Rep: Heather Stoveken
SUMMARY
The Utility position is an hourly position, and reports to the Production Shift Supervisor. The... ...authorized to give instructions or assignments.
A review of this position has excluded the marginal...
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Hourly pay
Contract work
Shift work
Night shift
All shifts
...are actively scaling our company.About the Role & What You'll Be DoingJoining our team as a Client Relationship Account Manager for our Bill Review Clients means being at the forefront of Alaffia's commitment to excellence in client service and satisfaction. You will play...
Contract work
Remote job
Flexible hours
...Peraton seeks a Red Team Cybersecurity Reviewer to provide information assurance expertise... ...while ensure scanning of all site-managed network spaces.
Perform technical Security... ...above using SRGs, STIGs, or best practices utilizing the most appropriate certified...
Local area
Remote job
Worldwide
...estate finance etc. You'll be responsible for providing front end risk analysis including examinations, transaction reviews, risk assessments and issue management. You'll be a subject matter expert interfacing with business heads and executive management, including...
Bank staff
Flexible hours
3 days per week
...Salary: $20 to $24 per hour
Position Summary:
The Quality Reviewer provides free, quality tax return review for eligible taxpayers... ...the completion of the client's return.
Work with the Site Manager to establish and administer a quality review process....
Hourly pay
Local area
Flexible hours
...program. ***
Transportation Planning and Management (TPM) is responsible for the safe,... ...Unit (TEP) is responsible for conducting, reviewing, and approving transportation... ...into transportation operations and safety utilizing new technologies, as well as assist and...
Full time
Remote job
Shift work
2 days per week
