Average salary: $110,495 /yearly
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Registered Nurse RN Utilization Management Care Reviewer Remote Location Remote in Phoenix, AZ : Primary City/State: Arizona, Arizona Department Name:
Utilization Mgmt Work Shift:
Day Job Category:
Clinical Care Find your path in health care. At Banner Health...
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Full time
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Shift work
Monday to Friday
...level of care prior to hospitalization utilizing medical necessity criteria and third party... ...of care management, utilization review changes, authorization changes, contract... ...for currently employed UR's)
2-3 years nursing experience with 1 year in Utilization Management...
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...Are you interested in a remote (work from home) opportunity to provide your expertise in Oncology by conducting reviews in the Utilization Management/Peer Review process, just a few hours a week?
Medical Review Institute of America, LLC (MRIoA) is a national Independent...
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...Job Title: Clinical Review Nurse
Location: Remote in Arizona (AZ) State Only
Duration: 3 months (Possible Extension)
Pay... ...providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical...
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Shift work
Monday to Friday
...Desktop Application Reviewer/Auditor
About Us
AdNet/AccountNet, Inc. is an 8(a), WOSB, LGBTE and WBE owned management consulting... ...wide range of energy efficiency programs. Our clients include utilities, recognizable Fortune 500 global corporations, as well as a...
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Full time
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Flexible hours
Job Description:
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims... ...manual. Interprets the descriptive or medical information utilizing the CPT and HCPCS manuals. Keeps up-to-date on coding rules and...
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Immediate start
...safety surveillance activities for assigned studies including review of labs, vital signs, cardiac, medications, medical history, and... ...identification, and adherence to regulatory guidance and protocols utilizing critical thinking skills.
• Monitoring of safety-related...
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Pharmacy Accreditation Reviewer
Department:
Pharmacy Services (120)
Location:
Remote... ...~Communicates with applicants utilizing positive customer relation skills
~Serves... ...practice experience,
~OR a registered Nurse with a bachelor’s degree in a health-related...
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...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
Accreditation Reviewer and Educator
Department:
Care Management Services (130)
Location... ...for the position.)
~Registered Nurse with a Bachelor’s degree in a health-related... ...to include one of the following: utilization management, case management, discharge planning...
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...Job Description:
Content Quality Reviews:
Participate in first-level reviews of the produced content and ensure appropriateness of subject matter, language, writing style and other content elements
Provide constructive feedback so as to improve the quality...
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...and property policies.
Strong skills in contract analysis and review are crucial. Candidates should be able to assess insurance... ...mitigate those risks. Experience in drafting contract language or utilizing contract review tools and templates to streamline the process is...
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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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$24 - $30 per hour
...Are you ready to take charge of coordinating essential services from the comfort of your own home? As a Remote Utility Coordinator at Utility Consulting Partners in Santa Barbara, CA, you'll play a crucial role in ensuring the smooth operation of our facilities. We offer...
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Full time
Remote job
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Flexible hours
Monday to Friday
$25.44 - $45.76 per hour
Health Care Fraud Review RN & CPC Location Remote in Woodland Hills, CA : You could be the... ...Purpose: The Health Care Fraud Review Nurse-CA Only is responsible for performing and... ...reviews entire patient records against codes utilized by providers on all types of claim forms....
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Holiday work
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Work experience placement
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Day shift
Monday to Friday
...Medical Claims Review Nurse
Position is fully remote
Schedule: M-F 9AM-5PM local time. The training schedule will be M-F 9AM-5PM EST... ...3 years of clinical appeals experience along with 1 year of utilization review experience. Candidates with DRG experience on the resume...
Local area
Remote job
...Target PR Range: 42-56/hr
*Depending one experience
Job responsibilities and requirements:
1. Botox CM reviews, inclusive of ad promo, medical education materials, training materials
2. Participate in weekly collab meetings (Wednesdays 12pm-2pm PST, Thursday...
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...shaping our future together. Radial, the leader in omnichannel commerce technologies and operations has an exciting opening for a Fraud Review Analyst. Radial’s omnichannel solutions use cutting-edge technology and analytics to optimize the e-commerce end to end processes...
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Full time
...analytical candidate with good time management and reasoning skills who can work ad hoc as we have estate plan drafts that need to be reviewed and finalized for attorneys in our drafting program. The primary task for this position is reviewing, editing, and finalizing...
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Flexible hours
Weekday work
...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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Contract work
Flexible hours
Early shift
