Average salary: $108,844 /yearly
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$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$18 - $21 per hour
...seeking multiple **temporary** , **remote** Tax Documentation Reviewers to support our Validation Center efforts from **Mid January to... ...close to tax deadlines. #ZR **In this role you will be** : + Utilizing your keen attention to detail to provide quality control by reviewing...SuggestedHourly payTemporary workWork experience placementSeasonal workLocal areaRemote workMonday to Friday$26.41 - $51.49 per hour
...DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services... ...teams to promote the Molina care model. - Adheres to utilization management (UM) policies and procedures. Required Qualifications...SuggestedHourly payWork experience placementWork at officeRotating shift$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- ...AmeriHealth Caritas Long Term Services And Supports Reviewer Your career starts now. We are looking for the next generation of healthcare... ...date that the request was received, nature of the request, utilization determination (and events leading up to the determination)....SuggestedRemote workFlexible hours
AmeriHealth Caritas
Augusta, GA2 days ago $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$29.05 - $67.97 per hour
**Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities... ...to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues....SuggestedHourly payWork experience placementWork at officeRemote workMonday to Friday- Overview: Join our team as a Utility Worker , where you'll play a key role in maintaining the cleanliness, functionality, and welcoming atmosphere of our campus dining spaces. In this essential position, you’ll support both front- and back-of-house operations, helping...SuggestedPart timeLocal area
$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$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$100k - $230k
...media-based big data, and various secondary-source indices. Reviews the methods and means to provide data visualization and... ...planners, OIE analysts, and Data Engineers to ensure effective data utilization. Visualizes data insights through dashboards and reports for decision...SuggestedFull timeContract workApplied Memetics
Augusta, GA20 hours ago- ..., ensuring adherence to milestones and operational targets. Utilize control systems and reports to measure project progress, including... ...and administer warranty claims and special programs. Review invoices for accuracy, ensuring proper labor, materials, cost,...SuggestedContract workWork at office
- ...research and collect data to prepare reports and documents. Utilizes efficient sales strategy for the maximization of hotel revenue.... ...with others using clear and professional language. Prepare and review written documents accurately and completely. Working...SuggestedHourly payDaily paidFull timeWork at office
- ...directly with the Branch Service Representative (BSR) sales team utilizing sales techniques to uncover member needs while creating a... ...delegated limits as appropriate. Prepare loan documents for review and disbursement as necessary. Maintain knowledge of operations...SuggestedFull timeWork at officeLocal areaRemote workWorldwide
$54k - $60k
...research to support procurement planning and sourcing decisions. Review shipping documents, bills of lading, and purchase orders for... ...and database programs to manage and report supply data. Utilize systems such as GCSS-Army and DPAS to ensure accurate tracking...Full timeTemporary work$16 - $24 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$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- ...coordination of all key strategic and operational areas, preparation and review of proposal and budgets, while ensuring adherence to the... ...teams ensuring all information is included from all groups. + Utilize all internal tools and reports to appropriately amend client...Contract workWork experience placementRemote workWork from home
- ...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
$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- ...designated containers immediately after the patient's discharge. Utilize a mouth mirror for indirect vision and gentle retraction of the... ...to protect patients during imaging procedures. Processes, reviews, and uploads radiographs into the patient's electronic record system...Full timeTemporary workPart timeWork at officeLocal areaImmediate startShift workNight shift
$36 - $38.5 per hour
...professional standards of practice. Provides nursing services utilizing a comprehensive base of nursing theory and nursing process, and... ...Functions: Assess and evaluate health status of assigned clients Review plan of care to evaluate client response to interventions...Hourly payFull timePart timeFlexible hours$64.89k - $173.04k
...of all hardware, server resources, systems and key processes, reviewing system and application logs, and verifying completion of scheduled... ...on a regular basis and upgrade administrative tools and utilities. Configure / add new services as necessary. + Upgrade and configure...Hourly payFull timeTemporary workLocal areaFlexible hours- ...and their resolution in a timely manner + Lead the Steward Team utilizing the 1st Stewards to provide day to day guidance, direction and... ...sanitation and local waste management activities on the Island + Review and sign the required logs and checklists noting any issues or...Contract workLocal areaImmediate startFree visa
- ...and compliance. - Prepare and reconcile credit card statements, ensuring timely payments and proper documentation. - Monitor and review utility bills, maintaining consumption logs and preparing payments. - Support periodic account reconciliations and collaborate on...Permanent employmentContract workTemporary work
$92.3k
...optimizing the architectural strategy for **all clinical and utilization management applications** . Their expertise spans application,... ...and tools and ensures that they are applied effectively. Lead reviews of others' system design to ensure selection of appropriate technology...For contractorsWork at officeLocal area$70k - $80k
...customer set up that enables invoicing based off Customer SOW's, reviewing/analyzing RFP's for new project bids - finding costs that... ...meetings, etc. + Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard and monitor **\#LI-JE1** **Reasonable...Full timeFor subcontractorWork at officeLocal areaRemote workWorldwide- ...defining work scope, answering inquiries, and monitoring progress. Reviews and understands broader contract obligations as per the... ...doing great work every day. Our work powers the infrastructure and utilities that are essential to daily life and our projects are the scene...Full timeContract workFor contractorsFor subcontractorWork at office
- ...of all products within manufacturer requirements. Consistent review of Business Office related Accounts Receivable to ensure timely... ..., Internet and product information training meetings. Utilizes IDS Prospect Management screens on a daily basis, specifically...Full timeWork at officeLocal areaFlexible hours
