Average salary: $139,250 /yearly
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- ...Drug Utilization Review Pharmacist – Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal...SuggestedRemote work
$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$34 - $37 per hour
...Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Job Description As a Clinical Reviewer, Nurse, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical...SuggestedWork at officeImmediate start$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- ...Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Estimate Review Consultant **PRIMARY PURPOSE:** To review all estimates and supporting documentation submitted by contractors/adjusters using...SuggestedContract workTemporary workFor contractorsWork at officeLocal area
$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$238k - $357.5k
...expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools... ...primarily focus on the application of clinical knowledge in various utilization management activities with a focus on post-service benefit and...SuggestedMinimum wageFull timeWork experience placementLocal 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- ...\n• EPIC charting system \n• BSN not required \n• Profile review and manager interview required \n• 7-7 rotation will not occur... ...respiratory therapists, and remote telemetry monitoring. The facility utilizes modern technology and evidence-based practices to deliver high-...SuggestedContract workRemote workAll shiftsShift workNight shiftWeekend work
ADEX Healthcare Staffing LLC
Bismarck, ND18 days ago - ...consideration for block scheduling if unit needs are met \n• Profile review and manager interview required \n\n Facility: \n This... ...therapy, and remote telemetry monitoring. The facility utilizes modern technology and maintains high standards for patient care...SuggestedRemote workShift workNight shiftWeekend work
ADEX Healthcare Staffing LLC
Bismarck, ND13 days ago $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...SuggestedFull timeFor subcontractorWork at officeLocal areaRemote workWorldwide- ...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...SuggestedContract workLocal areaImmediate startFree visa
- ...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...SuggestedContract workWork experience placementRemote workWork from home
$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
$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- ...+ Complete corrective work orders efficiently and effectively, utilizing a Computerized Maintenance Management System. + Maintain accurate... ...of hazardous materials. Maintain a clean and safe workplace. + Review inspections to building systems including fire alarms, HVAC,...Full timeWork at officeLocal areaVisa sponsorshipShift 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$65k - $80k
...success metrics with strategic business outcomes. + Lead Outcome Reviews (QBRs) to demonstrate ROI, value realization, and alignment... ...evolving customer goals. + Perform Adoption Audits to assess product utilization, identify areas for optimization, and recommend best practices...Ongoing contractTemporary workNight shift$23 per hour
...compliance verification, enrollment, product, and processes. + Utilize documents, websites, and local networks to research and resolve... ...Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving...Bi-weekly payHourly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayFlexible hoursShift workWeekend work$38.55 - $59.49 per hour
...established benchmarks, prepares information and participates in annual review process for physician compensation compliance and provides... ...and may lead the Annual Rate Update and Financial Plan. Utilizes market data to assist with the annual review of physician compensation...Hourly payContract workWork at officeFlexible hours$79.1k - $158.2k
...clinical subject matter expertise focusing on customer success in utilizing Oracle's solutions. Using Oracle's implementation approach and... ...for improvement, guide customers through workflow reviews and is responsible for achieving the project's targeted outcomes...Temporary workWork experience placementLocal areaRemote workFlexible hours$40 per hour
...Operations Manager, you will focus on the preparation, analyzation, and review of the federal and state compliance for our domestic and... ...to research, understand, and document tax technical positions utilizing available research software \(i\.e\. RIA,CCH, BNA\) **WHY YOU'...Temporary workWork experience placementWork at officeRemote workFlexible hoursNight shift- ...seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office... .... Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis...Full timeWork experience placementWork at officeRemote work
$18.5 - $42.35 per hour
...leave policies in accordance with federal and state regulations + Utilize the myLeave system for leave of absence to ensure tasks and cases are completed according to federal and state regulations + Review and analyze leave of absence requests that are not eligible for...Hourly payFull timeTemporary workLocal areaFlexible hours- ...potential cases for abstraction into suspense file in Registry system. Utilizes a variety of resources to perform follow up functions and... ...Manager to ensure operational needs of the facilities are met. Reviews data for accuracy; assembles and disseminates registry data....Immediate start
$125k - $140k
...act as a trusted advisor. - Conduct onsite executive business reviews in all assigned accounts, coordinated by the Enterprise Account... ...internally and externally. Advanced Sales Strategy Execution - Utilize your extensive sales expertise to craft and implement sophisticated...Local area- ...you'll** **do:** + Be responsible to order and maintain inventory in your department, while utilizing inventory control procedures to ensure product freshness and quality. + Review and validate received orders for amount, quality, count or weight, condition, and ensure...Full timeImmediate startVisa sponsorshipWork visa
