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- SUMMARY We are currently seeking a Utilization Review Manager to join our Transitional Care Team. This is a full‑time role and will be required to work onsite. Purpose of this position: Manages the design, development, implementation, and monitoring of utilization review...SuggestedFull timeWork at office
- .... # Training at least 3 days per week. Prefer 4-5 days. # Orientation is 6 weeks fulltime. What you will do: The Utilization Review (UR) Nurse performs UR and Payor management activities, which include prospective and/or retrospective chart and clinical systems...SuggestedRemote jobFull timeCasual workRelief3 days per week
- Job DescriptionStaff Nurse - Utilization Review (251531)**SUMMARY:**This position is a **0.6 FTE (6 shifts/ pay period), 8-hour shifts, Days, with up to Every Other Weekend rotation. Note:** ****Note:**** *C**urrent weekend assignment is typically every 2-3 weeks however...SuggestedTemporary workShift workWeekend work
$118k
...health care experiences and partner closely with providers to ensure members are genuinely cared for. About the role Medica's Utilization Review Nurses are responsible for reviewing and documenting prior authorization requests, analyzing member case history, and...SuggestedRemote work- ...growing BILH team, you're not just taking a job, you're making a difference in people's lives.** Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth Israel Deaconess Hospital-Plymouth** , our patients...SuggestedFull timeContract work
$36.41 - $74.59 per hour
...holidays **Job Description:** **Duties/Responsibilities:** + Reviews admission data to establish the appropriate level of care using... ...clinical experience in the hospital setting + Experience with utilization management within the last 3 years required + An understanding...SuggestedHourly payFlexible hoursShift work$269.5k - $425.5k
...a team of medical directors, responsible for the overall quality, effectiveness and coordination of the medical review services. Also performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and participates in...SuggestedRemote jobMinimum wageFull timeWork experience placementLocal areaWeekend work- ...electronic payments, with precision. Manage unapplied payments by reviewing and resolving discrepancies efficiently. Perform offsets,... ...to identify partially posted or unapplied transactions. Utilize SAP software for accurate financial operations and records management...SuggestedLong term contract
$19.23 - $38.47 per hour
...tools, technology, and processes to improve overall workflow. Utilize data and reporting to identify service improvement... ...what are you waiting for? Click that apply button. We will review applications for this role on an ongoing basis and encourage all...SuggestedTemporary workWork at officeRemote workWorldwideFlexible hours1 day per week- ...defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. Maintains professional client relationships. Qualifications: Performs other duties as assigned. Supports the...SuggestedContract workWork at office
$56.21k - $76.65k
...& registration within new markets Help to Compile, prepare, review and submit regulatory submission to authorities Provide regulatory... ...documentation Review and assess regulatory submissions Utilize electronic submission techniques Critical thinking and...SuggestedTemporary workWork at officeWorldwide$70k - $95k
...projects assigned. Advise managers on the annual performance review process and ensure proper documentation is uploaded into the... ...Capability of exercising independent judgment and discretion while utilizing company policies and practices to determine appropriate action....SuggestedWork experience placementWork at officeLocal areaFlexible hours$22.95 - $26.92 per hour
...personalized service in attempting to exceed consumer expectations. Utilizes management as a problem-solving resource. Sets up a... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....SuggestedHourly payTemporary workWork experience placementWorldwide$14 - $35 per hour
...environment Excellence: Strategic planner creates short term and long-term strategies for restaurant success Delivers profit by utilizing and interpreting the P&L in order to make the appropriate financial adjustments Sourcing, hiring, and developing excellent...SuggestedHourly payTemporary workPart timeLocal areaFlexible hoursShift workNight shiftWeekend workAfternoon shiftEarly shiftBorder Foods LLC
Circle Pines, MN18 days ago$100k
...environment Excellence: Strategic planner creates short term and long-term strategies for restaurant success Delivers profit by utilizing and interpreting the P&L in order to make the appropriate financial adjustments Sourcing, hiring, and developing excellent Team...SuggestedTemporary workPart timeLocal areaShift workNight shiftWeekend workAfternoon shiftEarly shiftBorder Foods LLC
Circle Pines, MN19 days ago$100k - $130k
...Number: 00006CX1 Pay Rate: 100000.00 Job Description Tax Manager/Reviewer - Direct-hire Opportunity! THE RIGHT STAFF is seeking... ...professional staff • Understand client service relationships and how to utilize firm resources to provide unmatched client service to existing...Permanent employmentFull timeContract workWork at officeLocal areaImmediate startMonday to Friday$51.81k - $83.55k
1 day ago Be among the first 25 applicants The Bill Review Manager is responsible for the overall operation of a designated bill review... ...laws and ensures mandated regulatory reporting requirements Utilizes Jurisdictional Expertise and knowledge of regulatory rules,...Minimum wageFull timeContract workLocal areaFlexible hoursNight shift$40 per hour
We are looking for medical experts to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. Advanced Practice Clinicians Physicians Physician Assistants Nurse...Hourly payFull timeContract workPart timeRemote work- ...Job Title: Document Review Specialist About Us: We are a leading provider of financial technology solutions, specializing in remote deposit capture, image capture SDKs, fraud prevention, and compliance tools. Our mission is to help banks and financial institutions...Full timeWork at officeRemote work
- ...As Physician Reviewer/Advisor for Independent Medical Exams (IME), you will utilize clinical expertise and reviews insurance appeals, and prospective and retrospective claims. The Physician Reviewer will provide an interpretation of the medical necessity of services provided...Extra income
$43 - $57 per hour
Meyer Contracting Inc., is seeking qualified applicants for a Utility Foreman opening to join our team. Team Meyer is a Highway/Heavy... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-1...Hourly payTemporary workFor contractorsFor subcontractorLocal area- ...new cultural perspectives to assist in creating a more equitable healthcare organization. SUMMARY We are currently seeking a Utilization Review Manager to join our Transitional Care Team. This is a full-time role and will be required to work onsite. Purpose of this...Full time
$65k - $75k
1650 W 82nd Street Ste 1500, Bloomington, MN 55431 Job Description As a Loan Review Associate Consultant at United Bankers' Bank, you will utilize your attention to detail and technical expertise in reviewing loan documents to ensure client banks maintain acceptable credit...Remote workWork from homeFlexible hoursNight shift- ...Chief Medical Officer, Clinical Assessment Review Expert About the Company Successful healthcare services provider Industry... ...and operational management, particularly in the area of Utilization Management. Responsibilities include managing a team that monitors...
$21 per hour
Join to apply for the Utility role at CATALLIA MEXICAN FOODS, LLC Pay Range Base pay: $21.00/hr - $21.00/hr. Shift differential of $2.00 for 3rd shift. Mandatory overtime on certain Saturdays. Schedule Monday - Friday 1st Shift 6:00 am - 2:30 pm 2nd Shift 2:00 pm -...Work experience placementMonday to FridayShift workNight shiftDay shiftAfternoon shift$15 per hour
Benefits Employee discounts Opportunity for advancement Training & development Duties and Responsibilities Primary duties and responsibilities include, but are not limited to, the following: Assist all levels of highly personalized, technical, warm, fun, efficent service...Hourly pay- ...Supervisor, Claims Review 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...Contract workWork at officeRemote work
$20.16 per hour
Our Food Service Packaging facility in Plymouth, IN is seeking a Utility. The Utility person is responsible for: Creates starch batches, executes all material handling and fills in for other department employees by performing the following key responsibilities. Smurfit...Temporary workWork at officeImmediate startRelocationShift workNight shift$30 - $35 per hour
...days) to receive an alert: Lake Superior Consulting is seeking a Utility Locate Supervisor to join our growing team! Location: St Paul,... ...and champion a culture of health, safety, and quality. Review project data, safety documentation, and quality reports from initiation...Hourly payExtra incomeTemporary workWork at officeFlexible hoursWeekend work- ...result, we have a full‑time position available for a mechanical/utilities engineer. Responsibilities include conducting job‑site surveys... ...position is Wednesday, May 5, 2021 . Interviews are awarded on our review of your ability to meet the qualifications in the paragraphs...Full timeFor subcontractorH1bVisa sponsorship
