Search Results: 14,414 vacancies
Title: RN Utilization Review II
Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of... ...and comprehensiveness of documentation and collaborates with physician and treatment team to obtain documentation needed to support...
Suggested
Permanent employment
Immediate start
...unrestricted and active TX license to practice medicine. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical diagnosis.)
Candidate...
Suggested
Permanent employment
For contractors
Remote job
Shift work
Weekday work
...Resource Management department to include the Utilization Management (UM) plan and associated... ...of leadership experience in Utilization Review or Care Management.
Equivalent... ...the medical staff, Chief Medical Officer, Physician Advisors, and Care Coordination to appropriately...
Suggested
Temporary work
ezURS.com Inc., has an ongoing need for Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation, and auto liability
Opportunity to work remotely...
Suggested
Full time
Immediate start
Remote job
Flexible hours
Physician medical reviewer needed for REMOTE weekend work, minimum of two weekends per month.
The pay rate is $105 per hour under a 12-month contract.
Eligible to work from any state.
This position requires an initial time commitment to undergo and complete training...
Suggested
Remote job
Hourly pay
Contract work
Shift work
Weekend work
Sunday
Saturday
...clinical treatment team.
Conducts clinical reviews in accordance with certification... ...treatment provider and the managed care physician.
Assists the Assessment Department with... ...pay attention to detail, problem solve, utilize critical thinking skills, prioritize, and...
Suggested
Full time
Flexible hours
ezURS.com Inc., has an ongoing need for Pain Management Physician Consultants to perform a wide variety of world-class utilization review, disability, peer reviews products in multiple lines of business including health, workers compensation, and auto liability cases....
Suggested
Part time
Remote job
Flexible hours
...maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a... ...a NM, TX, MN, and/or NC License.
Physician Specialties: Radiation Oncology,... ...Hematology/Oncology
JOB SUMMARY
Utilizes clinical expertise and reviews insurance...
Suggested
For contractors
Remote job
...shifts. Saturday, Sunday, Monday.
JOB SUMMARY
The Utilization Review Registered Nurse (RN) provides a clinical review of cases using... ...Alerts and partners with appropriate Utilization Review, Physician leadership and/or Provider Team personnel concerning patients...
Suggested
Immediate start
Remote job
Shift work
Weekend work
Sunday
Saturday
...technologies, making this a great experience to add to your resume. Come join their winning team!
This Contract role as a Remote Physician Reviewer will be responsible for evaluating clinical service requests made by an organization's members and providers, uses clinical...
Suggested
Remote job
Contract work
$80k - $90k
...We are seeking an experienced Utilization Management RN to join our esteemed surgical center... ...minimum of 2 years Utilization Management/Review in an acute care setting, Minimum of 2... ...Attends these meetings, times vary based on physicians schedule- Once per quarter
Benefits--...
Suggested
For contractors
Flexible hours
...supervision, assigns medical necessity requests to a qualified reviewer and follows-up to ensure timely determination is delivered... ...The Details
Communicates directly with customer and physician advisor and tracks cases to ensure case is completed and returned...
Suggested
Full time
...Radiation Oncology Preservice Review Nurse RN - Remote
Optum is a global organization that delivers care, aided by technology to... ...requests for services require additional research
* Identify and utilize appropriate resources to conduct non-clinical research (e.g.,...
Suggested
Hourly pay
Holiday work
Full time
Work experience placement
Immediate start
Remote job
Home office
Weekend work
Afternoon shift
...Job Description
Job Description Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
Responsible for auditing medical bills to ensure that they are appropriate and...
Suggested
Hourly pay
Minimum wage
Full time
Local area
Flexible hours
...Description
We are seeking a highly skilled and experienced Utility Engineer. As a Utility Engineer, you will play a crucial role in... ...ensuring that all activities align with project timelines
- Review utility design submissions from consultants and contractors to...
Suggested
For contractors
Local area
Relocation
Night shift
...maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case basis as a... ...notaries.
JOB SUMMARY
Our Physician Reviewers need to have strong experience... ...each question posed by the client utilizing client-specific criteria or other nationally...
For contractors
Work experience placement
Remote job
...Description
Job Description The Professional Review Nurse provides analysis of medical... ...Clinical and/or technical expertise is utilized to address the provision of medical care... ...with the claims adjusters, attorneys, physicians and their representatives, and advisors/...
Minimum wage
Full time
Local area
Remote job
Flexible hours
Portuguese Document Reviewer
Contact Review - Washington, DC
Location: Remote
Start Date: Negotiable
EXPERIENCE & QUALIFICATIONS:
Fluency in Portuguese
Familiarity with document review workflows
Examples: Privilege/Responsiveness Review, Redactions...
Remote job
...Utilities Operations Manager
Why UT Southwestern?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is... ...mechanical, refrigeration, air-conditioning, and heating equipment.
Reviews spreadsheets for equipment and associated useful life; compares...
Full time
For contractors
Work experience placement
Work from home
Shift work
Day shift
Monday to Friday
...Mandarin Language Document Reviewer
Employment Type: Full Time, Mid-Level
Department: Legal
As a CGS Mandarin Document... ...;
Produces a variety of written documents and materials utilizing a wide range of office software applications;
Establishes...
Holiday work
Full time
Relief
Flexible hours
