Average salary: $64,693 /yearly
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$34 - $55 per hour
...Job Description Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Essential Job Duties...SuggestedFull timeLuminis Health
Annapolis, MD11 days ago$71.1k - $97.8k
...seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against... ...+ Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours$44.9k - $60.2k
**Become a part of our caring community and help us put health first** The Claims Review Representative makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Claims Review Representative...SuggestedBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$32 - $37 per hour
...Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior... ...quality, cost-effective care delivery. + Perform pre-certification utilization reviews of **Oncology treatment requests** + Determines...SuggestedWork experience placementImmediate startRemote workWeekend work$70k - $130k
*COMML REVIEW APPRAISER SENIOR* WHAT IS THE OPPORTUNITY? The Commercial Real Estate Review Appraiser is responsible for the engagement of third-party vendors and review of appraisal reports for the Bank's real estate secured loans and related supporting functions. This...SuggestedWork at officeLocal areaRemote work$113.1k - $185.1k
**Job Description** Oracle is leading the digital revolution. We are empowering nearly half a million businesses across the globe to turn untapped potential into real business value. You will connect the biggest enterprises of today with the tools to challenge in the digital...SuggestedContract workTemporary workLocal areaFlexible hours$41.5 per hour
Job Title: Clinical Medical Review Nurse Location: Maryland, Virginia and D.C. Type: Contract Compensation: $41.50 Contractor Work Model: Hybrid The Clinical HEDIS Nurse (Medical Review Specialist) is responsible for supporting the organization's HEDIS and Quality...SuggestedFull timeContract workFor contractorsCasual workWork at officeLocal areaRemote work$18.81 - $27.45 per hour
...procedures and policies with an overall goal of account resolution. + Utilize resources to find payment documentation- Interpret payer... ...experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain...SuggestedHourly payWork at office$105.1k - $192.6k
...technical understanding of current sales and use tax rules. As a Sales and Use Tax Manager, assigned to EY’s Sales and Use Tax Lookback Review Center of Excellence (COE), we’ll look to you to build and apply your knowledge on a wide range of sales and use tax recovery...SuggestedSummer holidayFlexible hours$55k
...Utilization Reviewer Developmental Disabilities Services Human services professionals are encouraged to consider an outstanding career opportunity with Liberty Healthcare Corporation. In partnership with Maryland's Developmental Disabilities Administration, Liberty...SuggestedFull timeImmediate startRemote workWork from homeHome officeMonday to FridayLiberty Healthcare
Annapolis, MD2 days ago$19 - $23 per hour
...liability for hospital stay to patient. Performs expedite appeal with Health Plan medical directors. Conducts physician peer review for cases failing to meet Interqual criteria. Required Minimum Education: Graduate of an accredited school of medicine (Doctor...SuggestedFull timeLuminis Health
Annapolis, MD2 days ago$50 per hour
...Utilization Review Nurse RN - PRN ~ Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~PRN - Day shift - 8:00am-4:30pm ~RN Other ~92270 ~$50.00-$50.00 ~ Posted: September 30, 2025 Apply Now Save Job Saved Summary Who We Are:...SuggestedReliefLive inShift workDay shift$34 - $54 per hour
...culturally diverse patients and families. Demonstrates the ability to utilize all applicable laws, policies, standards, guidelines and... ...charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates...SuggestedFull timeWork at officeFlexible hoursLuminis Health
Annapolis, MD24 days ago$35 - $54 per hour
...culturally diverse patients and families Demonstrates the ability to utilize all applicable laws and regulations, policies, standards,... ...incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates...SuggestedFull timeLuminis Health
Annapolis, MD3 days ago$19 - $23 per hour
...and does what is needed to solve them Appropriately plans and utilizes required resources for various job duties Reports to work... ...charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates...SuggestedFull timeWork from homeLuminis Health
Annapolis, MD3 days ago$34 - $54 per hour
...culturally diverse patients and families. Demonstrates the ability to utilize all applicable laws, policies, standards, guidelines and... ...charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates...Full timeWork at officeFlexible hoursDay shiftLuminis Health
Annapolis, MD3 days ago$115.8k - $135.32k
...our website, please only use or . Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other... ...status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official...Full timeRelocation packageFlexible hoursLifeStance Health
Annapolis, MD4 days ago$50 per hour
...Utilization Review Nurse RN - PRN ~ Baltimore, MD ~SINAI HOSPITAL ~UTILIZATION REVIEW ~PRN - Day shift - 8:00am-4:30pm ~RN Other ~92270 ~$50.00-$50.00 ~ Posted: September 30, 2025 Apply Now Save Job Saved Summary Who We Are:...ReliefLive inShift workDay shift$70k - $85k
...entries, reconciling balance sheet accounts, and preparing and reviewing various financial reports for NEE and its subsidiaries.... ...range of clients, including commercial, industrial, municipal, and utility customers . But there’s more to us than just impressive numbers...Full timeWork at officeLocal areaVisa sponsorshipFlexible hours$60k - $75k
...control standards. Monitor project costs, labor, equipment utilization, subcontractor commitments, and material expenditures. Prepare... ...Update monthly billing information within the ERP system. Review and process subcontractor and vendor invoices, change orders,...Full timeContract workFor subcontractorMonday to Friday$110.8k - $138.24k
...our website, please only use or Additionally, our recruiters utilize email addresses with the @lifestance.com domain. Other websites... ...status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our...Full timePart timeRemote workRelocation packageFlexible hoursLifeStance Health
Annapolis, MD22 days ago$84.9k - $178.4k
...team. In this role, you will be responsible for the preparation, review, revision, and maintenance of a variety of technical documents... ..., user manuals, training manuals, and other documentation utilized by the end-user community of DoD electronic equipment and systems...Full timeContract workWork experience placementImmediate startFlexible hours$35.68 - $64.71 per hour
...solving and crisis intervention when performing patient care. Reviews electronic medical records and physician orders throughout work... ...all inclusive. Complies with all policies and standards. Utilized all organizational resources effectively and efficiently....Full timeShift work- ...development and monitoring. Works individually or as part of a team. Reviews and tests software components for adherence to the design... ...and documents test results. Resolves software problem reports. Utilizes software development and software design methodologies appropriate...Full timeFlexible hours
$17 - $27 per hour
...reporting adverse reaction events per public health requirements + Reviewing and collecting patient information; tracking and documenting... ...communication to interact with patients and colleagues + Utilize active listening by giving full attention to what others are saying...Hourly payFull timeLocal areaWork from homeFlexible hoursShift workNight shift$158.6k - $181k
...learning, distributed microservices, and full stack systems Utilize programming languages like Java, Scala, Python and Open Source... ...achieve financial empowerment Perform unit tests and conduct reviews with other team members to make sure your code is rigorously designed...Full timePart timeInternshipH1bLocal area$23.03 per hour
...Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days....For contractorsLocal area- ...and procedures. + Assists in coordinating compliance audits and reviews compliance criteria. + Responsible for Labor & Leave setup and... ...+ Advanced understanding of revenue recognition. + Experience utilizing Costpoint, Cognos, and Time & Expense. + Excellent attention to...Contract workWork at office
$193.4k - $220.7k
...learning, distributed microservices, and full stack systems** + **Utilize programming languages like Java, Scala, Python and Open Source... ...financial empowerment** + **Perform unit tests and conduct reviews with other team members to make sure your code is rigorously designed...Full timePart timeInternshipH1bLocal area$71.1k - $97.8k
...determination of the appropriate courses of action. The Appeals Nurse 2 reviews documentation and interprets data obtained from clinical... ...Word, Excel and Outlook **Preferred Qualifications** + Utilization Review/Quality Management experience + Experience working with...Bi-weekly payFull timeContract workTemporary workApprenticeshipInterim roleWork at officeRemote workWork from homeHome officeMonday to Friday
