Average salary: $57,301 /yearly
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$90k - $99k
...-life balance, continuous learning, and career development. Summary We are seeking a talented individual for a DRG Nurse Reviewer Appeals and Hearings to coordinate and perform all appeal related duties including analyzing and responding appropriately to appeals...SuggestedFull timeRemote workWork from homeFlexible hours- ...We’re looking for an organized and dependable Utilization Management Assistant to join New Paradigm Staffing, helping clinical and insurance teams manage medical necessity reviews. This role is perfect for someone who wants exposure to the clinical-review side of...SuggestedFull timeRemote work
- ...We’re looking for a detail-oriented and motivated Remote Utilization Management Support Clerk to join New Paradigm Staffing, a growing... ...someone who enjoys organization, documentation, and supporting care review processes. What You’ll Do Gather clinical documents...SuggestedFull timeRemote work
- ...We’re looking for a detail-focused Entry-Level Documentation Quality Reviewer to join New Paradigm Staffing , ensuring healthcare documents meet quality and compliance standards. This role is perfect for someone who enjoys reviewing text and identifying errors....SuggestedFull timeRemote work
- ...Software Engineer III are pivotal to the success of projects, utilizing software development tools under limited supervision and adhering... ...and enforcing coding best practices, performing code reviews, and ensuring quality delivery and procedural compliance....SuggestedFull time
Vets Hired
Florida22 hours ago $211.2k - $277.2k
...Job Description Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members....SuggestedFull timeLocal areaRemote workWork from homeHome officeWeekend workOscar Health
Tampa, FL12 days ago- ...medication management, case management, and counseling. Job Summary Mental Health Resource Center is looking for a Utilization Management Reviewer to monitor the utilization of clinical services provided at Mental Health Resource Center (MHRC), using predetermined...SuggestedFull timeMonday to FridayFlexible hours
Mental Health Resource Center
Jacksonville, FL29 days ago - ...vision insurance. PRIMARY RESPONSIBILITIES Conduct thorough reviews of clinical documentation to determine the medical necessity... ...in the development of clinical guidelines and protocols for utilization management. Maintain up-to-date knowledge of medical terminology...SuggestedHourly payFull timePart time
North Shore Medical Center
Miami, FL10 days ago - ...Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL About Exact Billing Solutions Exact Billing Solutions is a unique team of medical billing professionals specializing in the substance use disorder, mental health, and autism...SuggestedFull timeWork at officeFlexible hours
$200k - $230k
...Vice President of Utilization Review – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - In Office - No Remote Salary Range: $200K - $230K This is a full-time, on-site role requiring daily presence at our Lauderdale Lakes, FL location. Who We Are...SuggestedFull timeWork at officeRemote workFlexible hours- ...Ur Specialist Opportunity At Park Royal Hospital Do you have great attention to detail? Have experience in Utilization Review? Want to work in a positive, respectful environment where you will be challenged to be the very best? If you said "yes", then we are interested...SuggestedFull timeWork at office
- ...OASIS & Utilization Review Nurse – Home Health (Florida) We are seeking an experienced and certified OASIS & Utilization Review Nurse to join our dynamic review team. This role is critical to ensuring the accuracy, compliance, and integrity of OASIS assessments and...SuggestedReliefLive inRemote work
- ...appropriateness, medical necessity, level of care, and resource utilization. This role coordinates activities that promote quality... ...systems across the continuum. Perform utilization management reviews and communicate crucial information to third-party payors, acting...SuggestedShift workWeekend work
Cooperidge Consulting Firm
Florida10 days ago - ...monitors, and treats patients with complex and acute conditions, utilizing critical thinking to modify treatment plans and collaborating... ...dynamic patient care plans. Administer medications as ordered, review diagnostic tests, and modify patient treatment plans based on...SuggestedShift workWeekend work
Cooperidge Consulting Firm
Florida11 days ago - ...sales, in conjunction with the General Manager/Owner-Operator by utilizing the Client Relationship Manager (CRM) system (AXLE).... ...intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These...SuggestedShift workDay shiftAfternoon shift
JETSET Pilates
Florida3 days ago $45 per hour
...Managers to develop project plans for large projects. · Creates and reviews technical design specifications and possesses knowledge of... ...Server Management Studio · Knowledge of electric and/or gas utility operations and controls. · Experience with relational...Full timeContract workWork at officeRemote work$109.75k - $124.26k
...maintenance of the District's budgets and program cost reporting. Review and analyze financial reports and online data as necessary to... ...downward and forward by bending the leg and spine. Dexterity Utilize hands and fingers to operate a computer keyboard, mouse, hand...Full timeLocal areaLong distance$18 - $20 per hour
...cycle, and day Appropriate treatment frequency and timing Review provider orders, treatment plans, scheduling instructions and... ...to scheduling or treatment Coordinate treatment chair utilization based on regimen complexity and anticipated chair time Treatment...Full time- ...with modified specifications made due to design intent changes, review comments, and construction, eventually resulting in as-built... ...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 timeWork at office
- ...consistent regulatory compliance with all state specific regulations Review, communicate and ensure compliance with all company SOPs and... ..., scanner, printer, etc.), comprehend safety procedures, and utilize telecommunication devices Ability to interact with customers...Work at officeLocal areaRemote workFlexible hoursShift workWeekend workAfternoon shift
- ...patient’s unique needs. Perform thorough physical assessments and review medical history to establish baseline health status. *... ...interdisciplinary care team. * Technology Skills: Comfortable utilizing EMR systems (experience with Kinnser/WellSky preferred) and able...Contract workTemporary workPart timeImmediate start
- ...consistent regulatory compliance with all state specific regulations Review, communicate and ensure compliance with all company SOPs and... ..., scanner, printer, etc.), comprehend safety procedures, and utilize telecommunication devices Proven ability to analyze data and...Work at officeLocal areaRemote workFlexible hoursWeekend workAfternoon shift
- ...contributes to our team: Responsibilities Assists with reviewing work orders and shop drawings to ensure the necessary... ...great work every day. Our work powers the infrastructure and utilities that are essential to daily life and our projects are the scene...Full timeInternshipWork at office
$17 per hour
...commitment to team-oriented results. SUMMARY The Final Reviewer I enhances the effectiveness of the forensic department by providing... ...work. Required to sit or stand for extended periods of time, utilizing a computer keyboard and mouse. Occasional light lifting, not...Hourly payFull timePart timeWork at officeGrindley Williams Engineering
Lakeland, FL17 days ago- ...community volunteer opportunities. Responsibilities Review and perform quantity survey assignment with lead estimator... ...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 timeFor subcontractorInternship
- ...requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with... ...obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. QUALITY/SAFETY ESSENTIAL...Remote jobFull timeApprenticeshipWork at office
- ...feedback in a timely manner. Completes annual performance reviews along with monthly coaching conversations with all Team Members... ...Ensures accurate completion of all sales transactions, and utilization of all sales strategies and resources Travel between both locations...Minimum wageFull timeLocal areaImmediate start
$70k - $90k
...successful in this role? Experienced in external facing contract review and negotiations Efficient and concise communication skills... ...contracts and fees with providers while being cognizant of utilization and cost. ~ Be able to identify and problem solve all issues...Contract workWork experience placementWork at officeImmediate startRemote workWork from homeFlexible hours- ...offer technology professionals a wide range of opportunities to utilize and further develop their skills while helping people live... ...Strong corporate work ethics. Strong Documentation and Review Skills to ensure "We say what we do and do what we say " Have...Contract workWork experience placementRemote work
- ...* Update and revise documentation as projects evolve. * Utilize documentation tools and software to create and manage documents... ...to understand project requirements and technical details. * Review and edit documentation created by other team members. * Ensure...Permanent employmentWork experience placementWork at office
