Search Results: 76,457 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...
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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
...Job Description
Job Description Job Title: Utilization Management RN
Requirements:
~ UM background in MLTC and UAS
OR
~ MLTC case management with UAS
Start date: ASAP, looking to get all RNs started together
Pay: 48-51/hr
Experience...
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Immediate start
Remote job
...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
...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
...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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Responsibilities:
The Director Utilization and Case Management will be responsible for the strategic direction setting, management, continuous improvement... ...of care for patients. This position is empowered to review medical services with evidenced-based criteria that will...
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...getting better - advancing our mission to transform healthcare and serve as a leader of positive change.
The Case Management Care Coordinator, Utilization Management is a member of the healthcare team and is responsible for coordinating, communicating, and facilitating...
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...excellence across product lines.As a Product Portfolio Operations Manager in Operations Product & Strategy, you are a foundational member... ...Experience with and understanding Digital Products Familiarity with CCB and/or Utilities products Comfort with technical concepts...
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Shift work
...FTI Consulting's Acuity team which includes supporting, coordinating, managing and participating in document reviews at the direction of FTI clients. As part of their role, this position will utilize various platforms including Relativity, Nuix Discovery and Reveal/Brainspace...
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Full time
Remote job
Flexible hours
...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
...direction of the Senior Director of Clinical Review, the Clinical Review Nurse is... ...coordinates with the Provider/IDT for appropriate utilization of services
* Documents case reviews,... ...quality of care concerns to Quality Management.
* Maintains confidentiality of all information...
Flexible hours
...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
...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...
Hourly pay
Contract work
Shift work
Night shift
All shifts
...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
...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
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