Search Results: 12,279 vacancies
...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 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
...Case Mgt Utilization Review RN - REMOTEClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/10/2023The Care... ...status or placement in observation. Communicates with the physicians and clinicians. Assures clinical information is sent to the...
Suggested
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
...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
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
$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
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...
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Remote job
Hourly pay
Contract work
Shift work
Weekend work
Sunday
Saturday
...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.,...
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Hourly pay
Holiday work
Full time
Work experience placement
Immediate start
Remote job
Home office
Weekend work
Afternoon shift
Description
Gaggle is seeking Independent Contractors for temporary, non-renewing contract positions monitoring online student activity. This contract work allows you the flexibility to work within the constraints of your own schedule. The choice is yours, work...
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Hourly pay
Contract work
Temporary work
For contractors
...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...
Suggested
For contractors
Work experience placement
Remote job
Hmong Chinese Language Document Reviewer
Employment Type: Full Time, Mid-Level
Department: Legal
As a CGS Hmong Chinese Document... ...;
- Produces a variety of written documents and materials utilizing a wide range of office software applications;
- Establishes...
Suggested
Holiday work
Full time
Flexible hours
...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/...
Suggested
Minimum wage
Full time
Local area
Remote job
Flexible hours
The Nothing Bundt Cakes Dishwasher sets the stage and makes the magic in our
bakery possible. You'll keep the bakery team's equipment clean and ready to make
cakes that bring joy to thousands of people every day.
But there's so much more to a career here
Enjoy...
Suggested
Hourly pay
Casual work
Local area
Flexible hours
Afternoon shift
...Yard House - 5100 Belt Line Rd [Busser / Porter / Cleaning] As a Dishwasher/Utility at Yard House, you'll: Play an important part of the daily operations; Ensure the dishes, silverware, glassware, utensils, pots, pans, etc are always clean and stocked for both the Front...
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Immediate start
...Description
Position at SBM Management
SBM Management is searching for a Utility Technician ! Responsible for supporting all departments including Cork & White, Lock & Key, the Furniture Warehouse, the Signage Department, and Conference Center Services as...
Hourly pay
Contract work
Relocation
Flexible hours
Shift work
...Medical Director to conduct chart and peer reviews from your home office.
where... ...necessity of services that do not meet utilization review criteria. Review appeals for denied... .... Work collaboratively with over 500+ Physician Peers to help ensure patients receive proper...
Remote job
Holiday work
Full time
Part time
Work from home
Home office
Weekend work
Monday to Friday
...Job Description
POSITION SUMMARY
Our Utility Cleaners play an important role in support of a number of vital hotel functions. At our hotels these associates may work across departments (e.g., kitchen, food and beverage, laundry) to support cleaning needs. Whether...
Work experience placement
Worldwide
...Are you an accomplished Board Certified physician in one of the below specialties?... ...SUMMARY:
Relying on clinical background, reviews health claims providing medical interpretation... ...files and provides recommendations for utilization review, chart reviews, medical necessity...
Contract work
Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
...been categorized correctly Determine and confirm member eligibility and benefits Obtain additional documentation required for case review Place relevant documents into image repository Initiate outbound contact to members or prov Appeals, Clinical, Microsoft, Remote, Health...
Remote job