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...determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal... ...and procedures. Regardless of the final determination, the Physician Reviewer is responsible for ensuring medically appropriate care is...
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Full time
...system will quickly have you in front of a live recruiter.
The Opportunity
Description
We're looking for a Physician Reviewer , working in Insurance industry in Chicago, Illinois, United States .
Evaluates clinical service requests made by an...
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...searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your... ...areas: Alsip/South Chicago Area
JOB SUMMARY:
Utilizes clinical expertise, and reviews disability...
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For contractors
Monday to Friday
...Job Description
Job Description Nurse Case Manager/Utilization Review
Overview:
We are seeking a dedicated and compassionate Nurse Case Manager to join our team. As a Case Manager, you will be responsible for providing comprehensive care coordination and...
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Holiday work
...Are you an accomplished Board Certified physician in one of the below specialties? Preferred... ...: Relying on clinical background, reviews health claims providing medical interpretation... ...files and provides recommendations for utilization review, chart reviews, medical necessity...
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Flexible hours
Monday to Friday
...Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR Specialist will utilize his or her knowledge and skills to review clinical...
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Remote job
Flexible hours
...sense of service, high standards of professionalism and a responsibility to better the public good. We are currently seeking an Utilization Reviewer/Trainer who has a passion for providing the highest quality care in an institutional, secure setting. Come join a team that...
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Monday to Friday
...Job Title: RN Review Analyst
Job ID: BCR0002603
Location: remote
Local to Michigan State Only
Word Typing Test: .-... ...acute patient care, discharge planning, case management, and utilization review, etc.
# Demonstrated clinical knowledge and experience...
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Remote job
...:
? ESSENTIAL FUNCTIONS:
? Monitor utilization of services and optimize reimbursement... ...oversees concurrent and retrospective review s for all patients .
? Act as a liaison... ...process .
? Collaborates with physicians, therapist and nursing staff to provide...
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Local area
...SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure... ...and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd... ...for the overall operation. Facilitates physician reviews with payers as required. Maintains...
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Full time
...Experienced Document Review Attorney Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on our...
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Hourly pay
Flexible hours
About the job Contract Review Consultant - Remote
Hoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, strategy, and people, is hiring a Contract Review Consultant to...
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Contract work
Job Description
POSITION SUMMARY
Operate and maintain cleaning equipment and tools, including the dish washing machine, hand wash stations pot-scrubbing station, and trash compactor. Wash and disinfect kitchen and store room areas, tables, tools, knives, and equipment...
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Work experience placement
...on payer’s criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions... ...oral and written communication skills to support patient advocacy/negotiating skills to ensure quality reviews with payers....
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Full time
...passionate about cybersecurity and enhancing the security posture of clients product development lifecycle. You will apply your code review experience and contribute to a variety of services our team offers clients, particularly where we perform penetration testing...
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Local area
Job Title: Dishwasher
Status: Part Time
Customary Days: Sunday - Saturday
Customary Hours: Varies to include mornings, afternoons, holidays, and extended hours as business requires
Position Summary
The Dishwasher performs a number of kitchen activities...
Holiday work
Part time
Local area
Shift work
Sunday
Day shift
Saturday
...of thousands of patients. Our team of dedicated physicians and staff work together to deliver exceptional care, utilizing the latest technology and cutting-edge... ...designated UVVC clinic business.
Continuously reviews, analyzes, evaluates, and reports on various information...
Holiday work
Permanent employment
Local area
...Title : Inpatient Chart Review Specialist
The Organization
We help society's foundational institutions-healthcare and higher education-to achieve their full potential in service to others.
We are our clients' trusted partners in ever-changing times. For more...
Remote job
Home office
...THIS POSITION IS A 1099/INDEPENDENT CONTRACTOR POSITION
The Physician shall provide personal services as a Fee Basis Providers (FBP)... ...shall perform medical histories, physical examinations, as well as review of required medical tests and documents pertaining to...
Permanent employment
For contractors
...Job Description
Job Description The Loan Review Officer conducts independent reviews and risk assessments of the Bank’s loans, ensuring adherence to Bank credit policies and procedures. The Loan Review Officer will provide management and the board with objective and...
