Search Results: 16,194 vacancies
...Renewal Health Group is currently looking for a UR Specialist for its Treatment Programs! The UR Specialist is responsible... ...of network and appropriateness of treatment setting reviews within scope of licensure by utilizing appropriate medical policies and clinical guidelines...
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...Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours per week
~ Shift...
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...Job Description
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.
Job Description & Requirements
~ Specialty: Utilization Review
~ Discipline: RN
~ Duration: 13 weeks
~40 hours...
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Weekly pay
Holiday work
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...passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Position Overview
As a Utilization Reviewer, you involves reviewing medical records against appropriate criteria and employing critical thinking and decision-making...
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Part time
Local area
$90k - $140k
...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...
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...passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Acentra seeks a Utilization Clinical Reviewer to join our growing team.
Job Summary
As a Utilization Clinical Reviewer, you'll harness your expertise to meticulously...
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Local area
...this and more at UCLA Health.
You will be responsible for data review, abstraction, and data entry of quality measures into our... ...Previous quality or patient safety experience
* Background in utilizing data to drive process improvement opportunities
* Strong critical...
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Monday to Friday
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Our company is looking for qualified candidates to participate in paid national and local focus groups, clinical trials, and also market research studies.
...
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$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...
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...office/clinic setting.2
Preferred qualifications:
~ Bachelor’s Degree in Healthcare related field.
~3 years' Experience in utilization management or case management.
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and...
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...Ad Review & Integrity Specialist page is loaded Ad Review & Integrity Specialist
Apply locations Los Angeles, California time type Full time posted on Posted 3 Days Ago job requisition id R0035196 Snap Inc. is a technology company. We believe the camera presents...
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...medical groups.
Key Responsibilities:
1. Supervise licensed and non-licensed denial unit staff, managing daily tasks, performance reviews, and disciplinary actions.
2. Collaborate effectively with physician reviewers, medical directors, and other departments.
3....
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We seek a marriage and licensed marriage and family therapist, registered nurse, or a clinical social worker to perform utilization reviews at our corporate office in Pasadena, California. We believe offering an attractive benefits package is crucial for attracting...
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Description Play a key
role within a world-class health system. Help ensure the delivery of safe, award-winning
care and positive patient outcomes. Make the most of your background and
abilities. You can do all this and more at UCLA Health.
In
this important...
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The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float... ...RN Utilization Review Nurse: The RN Utilization Management Specialist coordinates communication with admitting financial counselors...
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Night shift
...Description
Job Description Job Description: Manager of Clinical Utilization Management - Denial Compliance
Location: Burbank, CA... ...licensed denial unit staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.
2. Foster effective...
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...best outcomes and patient experiences. You will be responsible for data and event monitoring, peer review coordination, education, and facilitation of QI efforts utilizing Lean and other improvement methodologies. You will typically be focused vertically at the...
- 1-5+ years of utility inspection and/or compliance experience, pipeline or construction specific
- Ability to travel with a reliable form of transportation
- Ability to review work, ensure all material and inspection documentation processes have been properly followed...
...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... ..., Certification, Registration Coding Specialist Certificate - Physician Based OR...
Full time
Shift work
...The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and approve medically necessary referrals that meet established criteria... ...telephonic and/or on site admission and concurrent review, and collaborates with onsite staff, physicians, providers...
Full time
