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...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Falls Church, Virginia.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours per week
~...
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Weekly pay
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...Responsibilities
Job Summary:
This role is responsible for the review of medical records for appropriate admission status and... ...second level physician reviewer and the Care Coordination staff utilizing evidence-based guidelines and critical thinking. Collaborates...
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Relief
...empower them.
Providence Health Plan is calling an Associate Utilization Review Specialist who will:
Be responsible for all core functions... ..., research briefs, provider resolutions)
We welcome 100% remote work for residents who reside in the following state:...
Remote job
Full time
Local area
Shift work
...Oversee utilization management and review of patients care delivery while in the hospital and provide clinical reviews and denial appeals where appropriate either during admission or post discharge.
Providence caregivers are not simply valued – they’re invaluable....
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Part time
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...The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining...
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Full time
Local area
Shift work
...our passion and drives every decision we make.
Job Posting Title
Physician Clinical Reviewer, MRx - Oncology - REMOTE
Job Description Summary
Key member of the utilization management team, and provides timely medical review of service requests that do not...
Remote job
Work experience placement
Internship
Local area
...Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Falls Church, Virginia.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40...
Suggested
Weekly pay
Holiday work
Shift work
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...Overview:
We are seeking a dedicated and experienced Medical Review Manager to join our team. The ideal candidate will blend their... ...fostering a collaborative and supportive work environment.
Utilize extensive knowledge of Medicare regulations to inform decision-...
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Full time
...projects . We're seeking motivated individuals who are looking to utilize their editorial skills and build a long-standing relationship... ...include Education, Health, Money, Travel, Cars, News and 360 Reviews.
We reach more than 40 million people monthly during moments...
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...View a high volume of litigation documents with high productivity and accuracy
Code for priv
Identify and assess the impact of review guidelines on documents
Qualifications :
Must have an active law license
Second Request Experience -
Excellent...
Remote job
About the Role:
We are currently seeking a skilled Deal Review Consultant to join our dynamic Worldwide Sales and Operations Organization... ...acquisition and retention!
Please note: This position is remote-friendly.
Employment Type: Full-Time
Salary: $ 40,000.00 1...
Remote job
Full time
Worldwide
...create results for the government. We are currently seeking Merit Reviewers with 10+ years of experience to join our team and fully... ...Thrive
Location:
You will work as part of a dynamic team remotely.
Required Experience/Skills:
+ Bachelors Degree
+ 10+ years...
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Afternoon shift
...Job Summary:
The Utilization Review RN is responsible for utilization review, discharge planning and transitions in care, in collaboration with MAPMG rounder in acute or alternative settings of care.
Essential Responsibilities:
Utilization Review. According...
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Full time
Local area
Relocation bonus
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...consulting firm, is seeking qualified and available Associate Reviewer to support a Federal client in Washington, DC. The position is... ...Insurance
Life Insurance Plans
10 Paid Federal Holidays
Jury Duty and Bereavement Leave
Paid vacation time
remote work
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Full time
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...Executive Director, Report Review Committee
About the Company
Prominent organization advancing science, engineering & medicine in local communities
Industry
Education Management
Type
Non Profit
Founded
1863
Employees
1001-5000
Categories...
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We are seeking a highly qualified Lead Medical Review Specialist to join our team. The ideal candidate will bring a combination of experience and qualifications to ensure the highest standards of quality and production.
Qualifications:
Education and Licensure:...
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...Serco is seeking a motivated Policy Specialist for Medical Claims Review to join our talented and fast-paced Public Sector Solutions team... ...processes and information management.
Hybrid or full-time remote work. This is position is contingent on contract award.
In...
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...Hendall is seeking an experienced Medical Review Specialist to perform Medicare claims... ...and HCPCS Level II coding principles, and utilize Medicare policy knowledge and clinical experience... .... Please note this is a full-time, remote position.
The Medical Review...
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Full time
...Hendall is seeking an experienced Medical Review Manager with experience and subject... ...necessary. Please note this is a full-time, remote position.
The MR Manager shall... ...experience in the health insurance industry, a utilization review firm, or another health care...
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For contractors
...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Falls Church, Virginia.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours per week
~...
Weekly pay
Holiday work
Shift work