Search Results: 16,478 vacancies
...Job Description
Job Description The Utilization Management Nurse Specialist LVN... ...to emergent/urgent and continued stay reviews. Complete medical necessity and level of... ...review, and collaborates with onsite staff, physicians, providers, member/family interaction to...
Suggested
Holiday work
Immediate start
...progressing rapidly, and we anticipate that our Colton Location in San Bernadino County, will be operational by Summer of 2024.
Utilization Review Coordinator Position Overview
Pay: $25 - $30 / Hour
Ocean View Utilization Review Coordinator in our psychiatric...
Suggested
Summer work
...achievement of quality, clinical and cost effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service and severity of illness.
Qualifications:
EDUCATION, EXPERIENCE...
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Full time
Part time
Work experience placement
...Responsibilities
Utilization Review (UR) Coordinator Opportunity.
Position: PRN (as needed)
This position is on-site and cannot... ...and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S....
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Relief
Local area
Remote job
...Job Description
Pyramid Consulting is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Los Angeles, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Start Date: ASAP...
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Hourly pay
Contract work
Local area
Immediate start
Shift work
$46.88 - $72.92 per hour
...technologies. In addition to providing technical support to critical Utilities areas, you may also perform the following responsibilities:... ...Utilities, and to be known as SME for related areas.
Review process and support equipment and systems design drawings and documents...
Suggested
Minimum wage
Holiday work
Full time
Temporary work
For contractors
Local area
Shift work
...of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines... ...benefits and contract.
Develops relationships with physicians, healthcare service providers, and internal and external...
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Daily paid
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Full time
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Flexible hours
$47.31 - $88 per hour
...The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float Case Manager and Utilization Review Nurse is assigned to function in the role of either a RN Case Manager or RN Utilization Review...
Suggested
Full time
...passion and driven by purpose.
Position Overview
As a Utilization Clinical Reviewer, you'll harness your expertise to meticulously evaluate... ....
+ Determine approval or initiate referrals to the physician consultant, processing decisions and providing detailed denials...
Suggested
Remote job
Full time
Local area
...solutions in the public sector.
Position Overview
As a Utilization Clinical Reviewer, you'll harness your expertise to meticulously evaluate... ....
Determine approval or initiate referrals to the physician consultant, processing decisions and providing detailed denials...
Suggested
Remote job
Full time
Local area
...Job Summary:
Manages the day-to-day operations of the Utilization Management Program in the Service Area or a Medical Center. Ensures... ....
Provides direction to staff regarding utilization review, care coordination, discharge planning, and other services across...
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Local area
...valued and respected. This is a unique opportunity for accomplished attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality control on high volumes of complex litigation documents. This is a...
Suggested
Remote job
Flexible hours
...The City of La Habra is recruiting to fill the position of Utilities Supervisor in the Public Works Department. So if you have an interest... ...direction, plans, organizes, manages and supervises, and reviews the work of water and sewer technicians in the Water and Sewer...
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Price work
Holiday work
Full time
Contract work
For contractors
Local area
Gangs
...Join our team as a Utility Planner and play a pivotal role in shaping the future of sustainable energy delivery, where your expertise in strategic planning and data analysis will drive innovation and efficiency in our utility infrastructure.
This Jobot Job is hosted...
Suggested
Hourly pay
Temporary work
...Continued stays. Makes recommendations to the physicians for alternate levels of care when the... ...and appropriate community agencies.
Reviews, monitors, evaluates and coordinates... ...continuity of care, including Utilization management, Transfer coordination, Discharge...
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Local area
...Compensation, Third Party Lien, Self-pay, and DHMO.Utilizes expert knowledge of coding based on AMAs... ...ICD-9-CM, HCPCS II, and OMFS guidelines.Reviews claim fields in accordance with the Gold... ...Coding Specialist Certificate - Physician Based OR Professional Coder Certificate...
Full time
Shift work
...Job Description
Avata Partners is seeking a Document Review Attorney in The Los Angeles area.
What is a Document Review Attorney?
A document review attorney is responsible for reviewing all documents pertaining to a court case. Most of the work...
Full time
...people and brands have historically supported.
Key Responsibilities:
Tropicana Brands Group is looking for a highly qualified Utility Operator to support the Supply Chain team to ensure the company's goals and initiatives are met.
This role will be responsible...
Local area
Sizzler - 831 E Manchester - [Food Prep / Kitchen Staff / Dishwasher / Busser] Assist in food preparation. Clean and put away all plates; glassware; utensils; and kitchen equipment. Operate and maintain dish machine. Take out trash; mop restaurant floors and maintain general...
...direction of the Director, Medical Management this position is responsible for overseeing and managing the day-to-day operations of the Utilization Management Department, health plan delegated activities, and medical management initiatives. This position works closely with the...
Holiday work
Remote job
Flexible hours
