Average salary: $106,063 /yearly
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$28.37 - $39.19 per hour
...and Responsibilities: Acentra Health is looking for a Clinical Reviewer - Arkansas Behavioral Health License - Full-time (Remote within... ...team. Job Summary: The purpose of this position is to utilize clinical expertise to review medical records against appropriate...SuggestedFull timeContract workWork at officeLocal areaRemote workFlexible hoursWeekday work$28.37 - $39.19 per hour
...and Responsibilities: Acentra Health is looking for a Clinical Reviewer - Arkansas Behavioral Health License - Full-time (Hybrid... ...adhering to quality benchmarks and contractual specifications, utilizing electronic utilization management system. ** This is a Hybrid...SuggestedFull timeWork at officeLocal areaMonday to FridayWeekday work$72k - $90k
...Job Summary and Responsibilities: Acentra Health is seeking a Utilization Management, Supervisor - PT, OT or SLP (Remote within Arkansas... .... Provide day-to-day oversight to manage the utilization review program. Responsible for utilization reviews as defined by...SuggestedFull timeContract workWork at officeLocal areaRemote work$23.08 - $37.02 per hour
...leading healthcare provider in Little Rock, Arkansas, is seeking an Initial Review Pharmacy Technician. The role involves key responsibilities in medical and pharmacy management, focusing on utilization management and medication reimbursement. Candidates should have at...Suggested- ...appeals and hearings as needed. Prepares and maintains appropriate records and/or documents and submits reports as required. Reviews and certifies patient stays and need for any length of stay extensions in accordance with commercial insurance and governmental agency...SuggestedHourly payWork experience placementWork at office
- A healthcare services firm is seeking a Physician Clinical Reviewer—Nephrology, to perform remote utilization management. You will review cases in depth, discuss determinations with healthcare providers, and ensure compliance with policies. The ideal candidate has 5+ years...SuggestedRemote job
$90.87 - $154.33 per hour
A leading healthcare company is seeking a Physician Clinical Reviewer - Cardiology to engage in medical reviews of service requests remotely. The role requires a Doctoral education and 5+ years of clinical experience. Responsibilities include discussing clinical determinations...SuggestedRemote job$90.87 - $154.33 per hour
A leading healthcare management company is seeking a Physician Clinical Reviewer specialized in Dermatology. This remote position involves reviewing cases and collaborating with physicians to ensure compliance with medical necessity guidelines. Candidates should possess...SuggestedRemote job- ...Responsibilities Utilization Review Coordinator The Carolina Center for Behavioral Health is currently hiring utilization review coordinators to join our team of dedicated professionals. Who We Are The Carolina Center for Behavioral Health is a 156-bed...SuggestedReliefCurrently hiringLocal area
$60 - $70 per hour
...across internal and external stakeholders, including: AHJs and utility providers Civil, structural, architectural, and MEP engineering... ...using enterprise collaboration tools. Drive constructability reviews, design clarifications, and value engineering initiatives....SuggestedContract workRemote workRelocationWork visa- ...Risk Director expertise Are you seeking a career that not only utilizes your skills but also aligns with your personal values,... ...Scope of Services, Leadership, Information Management, Utilization Review, Infection Control, and Patient Safety plans. Oversee risk management...SuggestedFull timePart timeLocal areaRelocation packageFlexible hours
- ...alignment on business priorities. Conduct regular business reviews highlighting performance, opportunities, and recommendations.... ...strategic communication, and negotiations Solid experience utilizing retail analytics and supplier tools including Retail Link, Nova...SuggestedFull time
- ...Job Description If you’re interested in a maintenance career, join the Army National Guard as a Utilities Equipment Repairer and help keep operations running smoothly on and off the battlefield. Your primary responsibility will be to maintain and repair utilities...SuggestedPart timeSelf employmentWeekend work
- ...tasks and relevant SOX control requirements (if applicable). Utilize industry accepted project management principles, methodologies,... ...and between subledger and General Ledger. ~ Able to review and understand programming logic constructs used in Workflow, Apex...SuggestedFull timeContract workLocal area
- ...Observation/Surgical Shift: Night Working Hours: 1830-0700 Summary: A registered nurse at Baptist Health is accountable for utilizing the nursing process and the training provided by Baptist Health to provide safe, therapeutic, and compassionate patient care. The...SuggestedShift workNight shift
- Audit Reviewer The Audit Reviewer works with claims representatives by reviewing and appealing claims when appropriate to overturn clinical validation and coding denials from Medicare, Medicaid, and other third-party payers. What’s Attractive to the Right Candidate?...Temporary workRemote workWork from home
- ...Claims Review Specialist The Claims Review Specialist will function as the Licensing Specialist. The Licensing Specialist is an entry-level position responsible for processing applications for licenses, certifications, and permits within a state government agency....Work at officeRemote work
$23.08 - $37.02 per hour
...build the future of pharmacy with us. Job Posting Title Initial Review Pharmacy Technician Job Description Plays a key role in... ...revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers,...Work at officeLocal areaVisa sponsorshipWork visa- ...career! Job Description We are aggressively seeking RN Concurrent Review Nurses and RN Case Managers for a Fortune 500 Healthcare... ...planning team electronically, telephonically Educate providers on utilization and medical management processes Qualifications Requirements...Private practiceImmediate startFlexible hours
- ...your interest. We hope you will be joining us soon! After reviewing the Job Duties and Qualifications listed below, click the Apply... ...include classroom instruction, assessment of student learning, utilization of the learning management system (i.e., Blackboard Ultra),...Remote jobFixed term contractWork at officeVisa sponsorshipShift workAfternoon shift
$30.29k - $55.49k
...stocking and receiving, paperwork, and store needs. This position is utilized to foster interactive development of an external candidate for... ...and employees. Operate store in store manager's absence. Review operating statements to identify business trends (including...Full timeWork experience placementSeasonal workNight shift- Description General Utility Pinecrest Lumber Division, Plumerville, AR 72127, USA On-site Full-Time Requisition #: GENER002508 Green Bay... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-1...Full timeCurrently hiring
- ...opportunities Referral program - refer a friend and earn a bonus *Benefits may vary by position so ask your recruiter for details. Utility A 410000 Summary: The Utility associate is responsible for various services to include but not limited to cleaning equipment, floors...Local areaFlexible hours
$90.87 - $154.33 per hour
...purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Nephrology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially...Remote jobWork at officeLocal areaVisa sponsorshipWork visa$90.87 - $154.33 per hour
...purpose-driven healthcare firm is seeking a Physician Clinical Reviewer specializing in Pediatric Rheumatology to provide clinical... ...experience. Responsibilities include ensuring compliance with utilization management guidelines and documenting communications. The salary...Remote job$90.87 - $154.33 per hour
...a purpose-driven career? Come build the future of pharmacy with us. Job Title Physician Clinical Reviewer - Psychiatry- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially meet...Remote jobWork at officeLocal areaVisa sponsorshipWork visa$21 - $25 per hour
Overview As a Review Committee Process Lead (RCPL), you will manage the end-to-end flow of materials through the Review Committee (RC) process, ensuring accuracy, compliance, and timely progression of work. Responsibilities Facilitate routing of all jobs through the...Hourly payTemporary workWork at officeRemote workMonday to Friday- ...Conduct scheduled Process Compliance Surveillance inspections, write/review CAPA reports, and perform rootcause analysis. - Execute... ...must have a minimum three years of experience working on aircraft utilizing NDI equipment, standards, probes, etc. in performance of NDI...Hourly payFull timeInterim roleWork at officeLocal areaRemote workRelocationMonday to FridayFlexible hoursShift work
- Brookshire Grocery Company At Brookshire Grocery Company (BGC), we're not just about businesswe're about building a community where you can thrive. Based in Tyler, Texas, BGC is home to five unique bannersBrookshire's Grocery Company, Super 1 Foods, Spring Market, Fresh...Immediate startFlexible hoursNight shift
$196k - $221k
...are seeking a visionary and results-driven Director of Resource Utilization who will lead efforts to ensure generation, demand response,... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-...Local area


