Average salary: $104,869 /yearly
More stats$1,600 per week
...Job Description
We are seeking a Utilization Review Registered Nurse for an assignment in Remote Kansas City Kansas.
A Registered Nurse (RN) primarily cares for patients by monitoring them, administering medications, consulting with health care providers, updating...
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...Job Summary:
As a Utilization Management Nurse/Social Worker, you'll play a crucial role in our multidisciplinary team, ensuring that patients... ...appropriate admission statuses. Proficient in Utilization Review processes, you'll maintain effective procedures to meet regulatory...
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...Overview
Utilization Review RN is responsible for the review of medical records for appropriate admission status and continued hospitalization... ....
Qualifications
Graduate of an accredited school of nursing. RN license in the state(s) covered is required.
Minimum...
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Full time
...more at HonorHealth.com.
Responsibilities
Job Summary
The Utilization Review RN Specialist reviews and monitors utilization of health... ...assigned.
Qualifications
Education
Associate's Degree in Nursing from an accredited NLN/CCNE institution Required...
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...Spend only 1-2 hours a week and provide your expertise in Oncology by conducting Utilization Reviews in the Utilization Management/Peer Review process.
Medical Review Institute of America, LLC (MRIoA) is a national Independent Review Organization (IRO), who facilitates...
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...Remote
The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types... ...appropriateness of medical care. Clinical and/or technical expertise is utilized to address the provision of medical care and to identify...
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Minimum wage
Full time
Local area
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Flexible hours
...This position will be filled by a nurse to serve as a Nurse Clinical Care Reviewer for the Medical Benefits and Certifications Unit. The Nurse Clinical... ...requirements.
• Provides analytic support of cost and utilization reporting.
• Understands complex legislative,...
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Immediate start
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$67k - $76k
...lives.
Job Summary
The Concurrent Review Clinician is responsible for completing continued... ...and manager three to five times per week utilizes standardized tools including but not... ..., clinical psychologist, or registered nurse in the state in which the business...
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Home office
...making the home the center of patient care.
Clinical Reviewers are responsible for the Utilization Management and review o f clinical information for... ...)
You have an Associate's Degree or Diploma in Nursing/Practical Nursing (required)
You are a Registered Nurse...
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Shift work
...Position Title: Medical Claims Review Nurse
Type: Fully Remote
Schedule: Monday to Friday, 9:00 AM to 5:00 PM local time. Daily... ...Three years of clinical appeals experience.
One year of utilization review experience.
Candidates with DRG experience on their...
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Monday to Friday
...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 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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...Role: Video Reviewer Location: Remote (Work from Home)
Job Type: 1099 Contract, Casual hours (min 10 her per week required)
Travel: 0%
This role is extremely important by helping to identify motorists who illegally pass stopped school buses, endangering the...
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Work from home
...procedures, and facilities. This is done by reviewing evidence-based criteria and... ...:
Are familiar with MCG criteria and Utilization Management Platforms (e.g., Medecision-Aerial... ...Qualifications
~ Bachelor of Science Degree in Nursing
~1 or more years of related work...
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...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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...Job Title: Care Review Clinician
Location: Remote (USA)
Schedule: Monday - Friday... ...Licensure: USA but must have a New York Nursing License
Salary: $80,000-$100,000 +... ...Clinician, you will be an integral part of the Utilization Management team, focusing primarily on...
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Monday to Friday
...compensation. Join us in shaping stories of transformation, one life at a time.
The Medical Writers team is looking for a Document Review Specialist to review all documents coming into the medical writing department. This person would receive documents, review them,...
Hourly pay
Holiday work
Full time
Flexible hours
...Target PR Range: 75-100/hr
*Depending one experience
Provide Medical Review consultant to support the US Immunology Medical Affair teams. Services provided will be, but are not limited to:
• Provides medical oversight for scientific review and approval of promotional...
Remote job
Contract work
$24 - $30 per hour
...Are you organized and self-motivated? Do you thrive in a work from home environment? Utility Consulting Partners is seeking a full-time Utility Manager to join our remote team. With a competitive hourly pay rate of $24 - $30 , this position offers a rewarding opportunity...
Hourly pay
Full time
Remote job
Work from home
Flexible hours
....
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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Work from home
...ABOUT THE ROLE
As a Document Quality Review Specialist (Reporting Specialist), you will provide high-level operations support to... ...review time-sensitive and highly technical reports. The ability to utilize Microsoft Word at an expert level, to assemble and format the...
Remote job
Holiday work
Full time
...follow the trends. We set them.
Job Summary
As a Tech Review Adjuster , you will enjoy the flexibility of working from the... ...and complex situations.
The Problem Solver youll utilize multiple tools to get the job done in a fast-paced environment,...
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Full time
Contract work
Work from home
Home office
Work visa
Relocation bonus
...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
For contractors
Flexible hours
...helps our clients navigate the complex disability benefits journey to improve their life trajectory.
The remote Medical Records Review Specialist is a medical professional working to build medical evidence for the veteran from the veteran’s medical records. The Medical...
Holiday work
Full time
Remote job
Flexible hours
...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
...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...
Remote job
Full time
Medicare Advantage Claims Review Specialist Location Hybrid remote in Somerville, MA : Medicare Advantage Claims Review Specialist - (3271103) This is a hybrid role requiring an onsite presence in the office in Assembly Row, Somerville one day each quarter and when...
Full time
Remote job
Shift work
Day shift
Call Center Case Review Aide Location Remote : TITLE: Call Center Case Review Aide LOCATION: Nationwide TRAVEL: Minimal (up to 10%, as needed) About Us The Providencia Group is led by a purpose: to address global challenges and make an impact that matters through delivering...
Permanent employment
Full time
Part time
Local area
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Flexible hours
Night shift
...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
...BerryDunn is seeking a Per Diem Coding & OASIS Reviewer to join our Healthcare group. This position is responsible for accurate review of clinical documentation, assigning of ICD-10 codes based on coding guidelines, and review of OASIS assessment items for correct...
Hourly pay
Interim role
Remote job