Search Results: 14,243 vacancies
...medical appropriateness of services by reviewing clinical information and applying evidence... ...based on evidence-based criteria while utilizing clinical acumen and knowledge of evidence... ...Surgery
Preferred:
~1+ years of managed care utilization review experience desirable...
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Flexible hours
...placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party payer... ...payers, etc. (30%)
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes,...
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Immediate start
...Are you interested in a remote (work from home) opportunity to provide your expertise in Endocrinology by conducting reviews in the Utilization Management/Peer Review process, just a couple hours per week? A current Minnesota or Pennsylvania medical license is required....
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...F, 8:00 AM - 5:00 PM EST
Job Description:
As a Desktop Reviewer/Applications Processor our successful team members perform in a... ...chat, and other types of back-office processing support for our utility clients and their customers.
The daily work for this...
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Full time
...Job Title: Account Manager (Utility Industry)
Location: San Ramon, CA (Hybrid)
Position Type: Full Time /Permanent
Salary:... ...growth plans, technology strategy and the competitive landscape. Review public information (e.g., new executive appointments,...
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Permanent employment
Full time
...Target PR Range: 38-48/hr
*Depending one experience
Job Title: Sr. Manager, Medical Review
What hours and days will this person be working:
Flexible as long as all review activities are done on time; the team this person would support is split between US and...
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Early shift
...Target PR Range: 29-39/hr
*Depending on experience
JOB SUMMARY:
1. Will electronically review promotional materials and other materials and will provide medical expertise and expert review as described above. Including discussing and collaborating with appropriate...
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...Non Patient Care
Department: 4750 NRS-Enterprise Utilization Mgmt-Nursing Institute
Job Code: T2417E... ...healthcare organizations in the world.
As a Utilization Management (UM) Registered Nurse (RN) Reviewer NE PRN, you will play a vital role in assisting with...
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Full time
Work experience placement
Relief
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Flexible hours
Shift work
...healthcare organization.
JOB SUMMARY:
Managed Care Facility Services (HCS)... ....
KNOWLEDGE/SKILLS/ABILITIES:
The Utilization Manager, Healthcare Services, oversees integrated... ...for clinical teams performing care review/utilization management, case management,...
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....
Licensing: US any bar in good standing acceptable.
Experience: A minimum of 6 months experience working on remote document reviews; experience with eDiscovery platform, relativity preferred. Experience with 1st level; (2nd level, Priv., QC preferred).
Please...
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...Desktop Application Reviewer/Auditor
About Us
AdNet/AccountNet, Inc. is an 8(a), WOSB, LGBTE and WBE owned management consulting firm founded in 1990. We blend the best in people... ...programs. Our clients include utilities, recognizable Fortune 500 global corporations...
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...and our other product brands, to meet the needs of our customers and consumers.
The Utilities Engineer, working as part of the Smithfield Engineering staff, will help our facilities manage and optimize their utility systems by specializing in and focusing on all aspects...
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Full time
Part time
Relief
Worldwide
Relocation package
...activities for assigned studies including review of labs, vital signs, cardiac,... ...adherence to regulatory guidance and protocols utilizing critical thinking skills.
• Monitoring... ...addenda writing, QA of data listings. May manage the activities of regional contract CRAs,...
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...We are seeking a Utilization Review Nurse (LVN/RN) with strong clinical judgment to join our team at a Managed Care Organization in New York. In this role, you will play a pivotal role in ensuring high-quality, cost-effective care for patients, facilitating their journey...
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$95k - $120k
...with you. If you believe you will be able to add value, skills, and hard work to ensure the culture remains a place of grow, this Tax Manager role is for you. Send you updated resume directly to ****@*****.***.
Top Reasons to Work with Us
1. Compensation...
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Full time
$110k - $155k
...th fastest growing firm in the country and are looking for Tax Managers to join our team.
What You Will Be Doing
Advise clients on... ...Kyle Conaboy
Applicants must be authorized to work in the U.S.
Preferred Skills
CPA
S-Corp
Tax Review...
Full time
Remote job
...Job Description:
Content Quality Reviews:
Participate in first-level reviews of the produced content and ensure appropriateness... ...for the creators and content vendors
Content Management:
Upload and organize learning content on the Learning Management...
...death of a loved one, depression/anxiety, and other traumatic events. This system flags about 1% of reflections for a thoughtful human review before sending out alerts to the concerned teachers, admins and counselors. We are looking to hire highly skilled, thoughtful and...
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Hourly pay
Internship
Flexible hours
Utility Rebate Coordinator Location Remote : Posted 05-Jan-2024 Service line GWS Segment... ...Areas of Interest Customer Service, Project Management Location(s) Remote - US - Remote - US -... ..., Purchase Orders). Prepares and reviews invoices and pay applications for processing...
Hourly pay
Full time
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Temporary work
Local area
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...Case Manager RN
Bring your heart to CVS Health. Every one of us at CVS Health shares... ...role doing both Case Management and Utilization Management.
The RN Case Manager is responsible... ...of clinical tools and information/data review, conducts an evaluation of member's...
Hourly pay
Holiday work
Full time
Temporary work
Remote job
Night shift
Monday to Friday
