Search Results: 6,452 vacancies
...rotating weekend
Position Summary
The Utilization Management (UM) Principal Nurse is responsible for concurrent... ...Principal facilitates Utilization Review (UR) compliance, and optimal... ...PhD, DNP, ARNP) preferred
* Current Registered Nurse license in Washington State...
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Flexible hours
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...level of care prior to hospitalization utilizing medical necessity criteria and third party... ...of care management, utilization review changes, authorization changes, contract... ...for currently employed UR's)
2-3 years nursing experience with 1 year in Utilization Management...
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...Are you interested in a remote (work from home) opportunity to provide your expertise in Oncology by conducting reviews in the Utilization Management/Peer Review process, just a few hours a week?
Medical Review Institute of America, LLC (MRIoA) is a national Independent...
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...PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional... ...the descriptive or medical information utilizing the CPT and HCPCS manuals. Keeps up-to-... ...Licenses/Certifications
RN - Registered Nurse - State Licensure And/or Compact...
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...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
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Accreditation Reviewer and Educator
Department:
Care Management Services (130)... ...minimum requirements for the position.)
~Registered Nurse with a Bachelor’s degree in a health-related... ...to include one of the following: utilization management, case management, discharge...
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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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...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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...Job Description:
Content Quality Reviews:
Participate in first-level reviews of the produced content and ensure appropriateness of subject matter, language, writing style and other content elements
Provide constructive feedback so as to improve the quality...
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...Medical Claims Review Nurse
Position is fully remote
Schedule: M-F 9AM-5PM local time.... ...appeals experience along with 1 year of utilization review experience. Candidates with DRG... ...ASSOCIATION:
Active, unrestricted State Registered Nursing (RN) license in good standing....
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Utility Rebate Coordinator Location Remote : Posted 05-Jan-2024 Service line GWS Segment Role type Full-time Areas of Interest Customer... ...Contracts, Work Authorizations, Purchase Orders). Prepares and reviews invoices and pay applications for processing in accordance with...
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$24 - $30 per hour
...Are you ready to take charge of coordinating essential services from the comfort of your own home? As a Remote Utility Coordinator at Utility Consulting Partners in Santa Barbara, CA, you'll play a crucial role in ensuring the smooth operation of our facilities. We offer...
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Monday to Friday
...and property policies.
Strong skills in contract analysis and review are crucial. Candidates should be able to assess insurance... ...mitigate those risks. Experience in drafting contract language or utilizing contract review tools and templates to streamline the process is...
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...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...
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Full time
...paralegals and college graduates for a remote data breach/ cyber breach review project
Responsibilities include:
Identifying... ...information per client instructions
Input PII/PHI into database
Utilize software for efficient review of documents
Qualifications...
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...analytical candidate with good time management and reasoning skills who can work ad hoc as we have estate plan drafts that need to be reviewed and finalized for attorneys in our drafting program. The primary task for this position is reviewing, editing, and finalizing...
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Weekday work
...Target PR Range: 42-56/hr
*Depending one experience
Job responsibilities and requirements:
1. Botox CM reviews, inclusive of ad promo, medical education materials, training materials
2. Participate in weekly collab meetings (Wednesdays 12pm-2pm PST, Thursday...
Remote job
Contract work
...Remote Location ,
Professional Area: Nursing Non Patient Care
Department: 4750 NRS-Enterprise Utilization Mgmt-Nursing Institute
Job Code: T241... ....
As a Utilization Management (UM) Registered Nurse (RN) Reviewer NE PRN, you will play a vital role in assisting...
Hourly pay
Full time
Work experience placement
Relief
Remote job
Flexible hours
Shift work
...Target PR Range: 38-48/hr
*Depending one experience
Job Title: Sr. Manager, Medical Review
What hours and days will this person be working:
Flexible as long as all review activities are done on time; the team this person would support is split between US and...
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Flexible hours
Early shift
...Job Title: Account Manager (Utility Industry)
Location: San Ramon, CA (Hybrid)
Position Type: Full Time /Permanent
Salary... ...plans, technology strategy and the competitive landscape. Review public information (e.g., new executive appointments, earnings...
Permanent employment
Full time
