Average salary: $57,301 /yearly
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- At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators...SuggestedRemote jobPermanent employmentWork experience placementReliefLocal area
- Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing members with the right care at the right place at the right...SuggestedRemote work
$90k - $99k
...Sign-on bonuses are available for highly qualified candidates. 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 homeRelocation packageFlexible 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
- ...contracted independent practices. Annual revenues last year exceeded $2 billion. This exceptional position will oversee the group's Utilization management program either from the group's Headquarters in San Antonio, Texas or it may be managed from the home city of the...SuggestedRemote 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
- ...Spanish. Essential Functions: Provide support, guidance, and reviewing other members of teaching staff. Training and coaching to... ...equipment needed to assist in the provision of instruction. Utilize the LSF adopted curriculum to ensure compliance with National...SuggestedFull timeTemporary workFlexible hours
Lutheran Services Florida
Florida5 days ago - ...entrants in the targeted service area. Essential Functions: Reviews and complete intake forms with demographic information.... ...direct activities to write goals and objectives. Ability to utilize agency resources and technology to appropriately answer questions...SuggestedFull timeWork at officeLocal areaFlexible hours
Lutheran Services Florida
Florida24 days ago - ...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
Florida21 hours ago - About the job Utilization Review Specialist Join Our Team: As a Utilization Review Specialist, you will play a pivotal role in managing and performing various processes related to medical records requests, retrospective review requests, and chart appeals. If you are organized...Suggested
$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- ...Perform modification, testing, and debugging of vendor-supplied utilities and packages to ensure fit with current operating environment... ...functionality based on business requirements Participate in design reviews, code reviews, test plan reviews, and documentation reviews...SuggestedFull timeContract workCasual workLocal areaNight shiftWeekend work
MILVETS Systems Technology, Inc.
Florida4 days ago - Case Manager RN - Utilization Review page is loaded## Case Manager RN - Utilization Reviewremote type: Remotelocations: Miami, FLtime type: Full timeposted on: Posted Todayjob requisition id: R100093085**Current Employees:**If you are a current Staff, Faculty or Temporary...SuggestedFull timeTemporary workWork at officeWorldwide
- Work Location: UHealth Tower Core Job Functions Adhere and perform timely prospective reviews for services requiring prior authorization. Follows the authorization process using established criteria as set forth by the payer or clinical guidelines. Accurate review of...SuggestedFull timeWork at officeWorldwide
$29.05 - $67.97 per hour
A healthcare provider in Miami is seeking an experienced clinical professional to support medical claims and appeals reviews. Candidates must have a minimum of 2 years of clinical nursing experience and an active RN license. Responsibilities include facilitating medical...Hourly pay- A leading educational institution in Miami is seeking a Case Manager RN for Utilization Review. The role involves conducting medical necessity chart reviews and coordinating with the healthcare team to ensure optimal patient outcomes. The ideal candidate will have a Bachelor...Remote jobFull time
$86k - $138k
...the development of robust and compliant acquisition packages. Utilize IT Management experience in the conduct of duties Utilize... ...frameworks (FAR/DFARS/SOFARS requirements matrix); vendor proposal review checklists for technical/cost compliance; market research...Full timeContract workShift work- ...outpatient care centers as assigned. Demonstrates competency in evaluation and treatment, utilizing value-based care and and evidenced based practices. Receives clinical review by the Rehab Regional Manager. Shift: Dayshift Limited - 20 hours per week QUALIFICATIONS...Shift workDay shift
- ...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
- ...and our ideal customer outreach. Multi-Discipline Artistry Utilize diverse creative talents to create and word smith compelling... ...link. Resumes sent via unofficial channels may be delayed or not reviewed. All applicants receive confirmation upon submission. Due to...Full timeTemporary workLocal areaImmediate startRemote work
- ...thorough documentation in compliance with LSF policies and Utilize trauma focused interventions as a framework for intensive case... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.Full timeTemporary workWork at office
Lutheran Services Florida
Florida24 days ago - ...Time RN for Miami, requiring a Bachelor's degree in nursing and Florida RN license. The role involves performing prior authorization reviews, providing patient education, and maintaining communication with healthcare teams. Candidates should have at least 2 years of...Full time
$124.95k - $169.05k
...storage technologies and solutions. Generate reports on storage utilization, performance, and capacity to provide insights into system... ...accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive...Full timeTemporary workPart timeImmediate startRemote workWorldwideFlexible hours$129.81k - $172.5k
...with the client's mission objectives. The cloud architect will utilize their expertise in cloud technologies such as virtual networks,... ...and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are...Full timeTemporary workPart timeImmediate startRemote workWork from homeWorldwideFlexible hours- ...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...Full timeShift workWeekend work
- ...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...Full timeShift workWeekend work
- ...functionality of the Commercial Loan Originating software. Reviewing all information regarding software upgrades and enhancements... ...ability to put together a concise presentation both in person and utilizing the Teams environment. Education and Experience: High...Full timeWork at officeRemote workFlexible hours
$16 - $21 per hour
...Provides expertise in product demonstrations and consultations utilizing tools such as the Skin Hydrometer and tablet. Leads and delivers... ...of products and by modeling exceptional customer care. Reviews beauty business on a regular basis to understand performance within...Hourly payLocal areaFlexible hoursAfternoon shift$93.5k - $126.5k
...support all phases of the Software Development Lifecycle (SDLC). Utilize tools like Confluence, Jira, and Slack to manage tasks,... ...TypeScript and develop front-end applications using React.js . Review project designs to ensure they deliver robust, scalable...Full timeTemporary workPart timeWork experience placementImmediate startRemote workWorldwideFlexible hours
