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- ...Description Description: Job Summary: Accountable to perform utilization management services for designated patient case load,... ...prospective, concurrent, retrospective, and denial management reviews by applying clinical protocols and review medical necessity criteria...SuggestedCasual workSeasonal workRemote work
- Job Title RN - Utilization Reviewer - Coordinated Care Job Summary Accountable to perform utilization management services for a designated patient case load, including prospective, concurrent, retrospective, and denial management reviews by applying clinical protocols...SuggestedHourly payPart timeCasual workRemote work
$28.9 - $35.45 per hour
...Certifications Tuition Reimbursement This position pays between $28.90- $35.45/hr based on experience We are seeking Virtual Utilization Review Specialists to join our team. Full-time and PRN jobs are available. Essential job function include: Utilizes proactive triggers...SuggestedRemote jobFull timeReliefWork at officeWork from home- ...accounts per day as instructed by leadership. Complete initial reviews as assigned. Draft appeals and letters to insurance... ...proper notations in system on all accounts. Understand and utilize payer contracts and provider manuals when disputing denials....SuggestedWork experience placementWork at office
$1,900 per week
...reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-... ...environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of...SuggestedFull timeContract workLocal areaVisa sponsorshipAll shiftsFlexible hoursNight shift$28.54k - $31.4k
...encouraging hope, promoting safety, and supporting recovery while utilizing resources effectively. Call Human Resources for more... ...patients admitted to state hospitals or juvenile training schools. Review medical record charts to determine compliance with standards established...SuggestedFull timeShift work$62k - $63k
...discuss progress and related issues, assuring deadlines are met and consistency of practices exists. Conducts quarterly and annual reviews utilizing the Security Compliance System. Maintains Corrective Actions and Recommendations. Conducts annual site vulnerability...SuggestedFull timeLocal areaShift work- ...others who may participate in conducting the funeral service. Utilizes systems to record merchandise selections, enter contracts, and... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-1...SuggestedFull timePart timeApprenticeshipWork at officeLocal areaNight shift
- ...requests. Quickly evaluate and prioritize the urgency of calls. Must utilize their training and maintain communications with caller while... ...residents, and other reasons as instructed by field personnel. Review call histories at incident locations to improve officer safety...SuggestedImmediate startFlexible hoursShift workWeekend work
- ...reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-... ...environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of...SuggestedFlexible hoursNight shift
- ...environmental program compliance in their assigned store/multiple stores. They utilize tools to minimize loss to the Company, including but not limited to identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the store's physical security,...SuggestedFull time
- ...primary leader for the construction project and is charged with utilizing their experience and knowledge to make expeditious decisions,... ...scopes of work for each subcontractor Performing constructability reviews Arranging and leading preconstruction meetings with all...SuggestedContract workWork experience placementFor subcontractorLocal area
- ...findings accurately, reporting changes in condition to the care team. Utilizes knowledge of human growth and development to provide age-... ...a clean, safe environment. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice...SuggestedPart timeRelief
- ...Description Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers... ...experience preferred) licensed in Mississippi to perform Utilization Reviews . This is a non-clinical, fully remote role designed to...SuggestedRemote jobPrice workExtra incomeFor contractors
- ...outstanding service & satisfied guests Train & coach the team Utilize GPS Hospitality Systems to run a great restaurant every shift,... ...welcoming and supportive team, along with… Regular performance reviews Health & Life Benefits HSA program Anniversary Vacation Bonus Employee...SuggestedFull timePart timeLocal areaShift workNight shift
$20k
...thorough patient assessments and document findings accurately. Utilize knowledge of human growth and development to provide age-appropriate... ...a clean, safe environment. Participate in audits, chart reviews, and compliance checks. Demonstrate responsible decision-making...Full timeFlexible hoursNight shift- ...reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-... ...environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of...Night shiftWeekend work
- ...Order to ensure the meeting or exceeding of in-stock targets; review ordering plan, seasonal direction and inventory management issues... ...merchandise is presented according to established practices; utilize merchandise fixtures properly including presentation, product pricing...Work experience placementSeasonal workWork at office
- ...own business, and earn what you are willing to work for. Review our requirements and set up an interview via our link: Benefits... ...Benefits Available Meet With Clients over the internet utilizing ZOOM, Facetime, etc.: All leads are provided, no cold calling...Remote jobFull timePart timeFlexible hours
$25 per hour
...are valued and respected. We have an ongoing need for Document Reviewers. Document Reviewers will review documents for complex... ...or Android OS version 16 or later is required. Proficiency in utilizing modern technology, especially computers and related remote work...Hourly payTemporary workRemote workWork from homeHome officeMonday to ThursdayFlexible hours$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...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hours$71.1k - $97.8k
...part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support... ...experience Experience in utilization management or related activities reviewing criteria to ensure appropriateness of care preferred Previous...Bi-weekly payTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$18 per hour
...brand are highly recognized and respected for our strong commitment to quality and safety. We are America's leader in underground utility damage prevention and advanced infrastructure services, performing more than 84 million locates each year for the more than 1,400...Hourly payExtra incomeFull timeFor contractorsShift workNight shift$40 per hour
...function Research, Analyst, and Information Technology Industries Software Development #MEDICINE Get notified about new Clinical Reviewer jobs in Mississippi, United States . We’re unlocking community knowledge in a new way. Experts add insights directly into each...Hourly payFull timeContract workPart timeRemote work- ...performing wastewater team, we want to talk to you. As a Senior Utility Engineer at AKS, you’ll lead vital infrastructure projects that... ..., build trust, and deliver successful outcomes. Manage and review work prepared in AutoCAD Civil 3D, SewerCAD, and related software...
$110k
...maintaining accurate system records, outlining support procedures, reviewing contract details, and managing critical dates. Define and... ...understanding of the healthcare industry. Experience with Utilization Management for Durable Medical Equipment (DME) is required. Experience...Contract workTemporary workLocal areaRemote work- Director, Utility Services Remote - Flexible (10‑20% Travel Required) Celerity & Clear Path Utility Solutions • Utility Services • Reports To: Vice President, Utility Services • Classification: Full‑Time, Exempt Position Summary The Director of Utility Services is a senior...Full timeFor contractorsRemote workWork visaFlexible hours
$65k - $88.6k
**Become a part of our caring community and help us put health first** The Supervisor, Claims Review makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. The Supervisor, Claims Review works...Full timeContract workTemporary workApprenticeshipWork at officeRemote work$90.61k
...position in our established and growing business with electric utility clients across the United States. This Project Manager will bring... ...a team of multi-discipline engineers. Performing guidance and review at the project level while assuring discipline and quality...Full timeH1b$40k - $52.3k
...UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator 2 performs... ...CenterWell and Onehome. Responsibilities Manages NLP\'s for chart reviews for the nursing team Builds and pends authorizations for review...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeMonday to Friday