Average salary: $82,769 /yearly
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- Role Snapshot The Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This role ensures that providers are billing and being paid appropriately for services provided...SuggestedFull timeContract workFor contractorsLocal areaImmediate startRemote work
$43 per hour
...: Job Title - Clinical Reviewer Job Location - Remote Duration - 3+ Months Pay Rate - $43/hr. on w2 with no benefits : The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with...SuggestedHourly payFull timeContract workRemote workMonday to FridayFlexible hoursShift workDay shift$65k - $88.6k
...community Humana Healthy Horizons in Kentucky is looking for a Utilization Management Behavioral Health Professional 2 who uses... ...platforms Preferred Qualifications Experience with utilization review process. Experience with behavioral change, health promotion,...SuggestedWeekly payFull timeTemporary workApprenticeshipPrivate practiceWork at officeRemote workWork from homeHome officeMonday to Friday- ...Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation... ...in preparing medical review reports, medical bill reviews and utilization reviews in injury cases preferred ~ Certification in any of...SuggestedFull timeRemote work
$44.64 - $71.24 per hour
...information on our Benefits & Perks, click here! Summary: Please note: This is a pool position. No guarantee of hours. Performs utilization review in accordance with all state mandated regulations. Maintains compliance with regulation changes affecting utilization...SuggestedHourly payFull timeContract workWork at officeRemote workShift work- Universal Hospital Services Inc. is seeking a UR Coordinator for the Midwest Center for Youth and Families in Kouts, Indiana. This position entails managing treatment activities, conducting clinical screenings, and coordinating with insurance companies. The ideal candidate...Suggested
- Community Health Network is seeking a Part-Time RN Case Manager in Anderson, Indiana. The role involves completing Utilization Reviews for Emergency Room admissions and ensuring quality outcomes across care transitions. Qualified candidates should be graduates from accredited...SuggestedPart time
- ...competitive compensation and benefits package, along with a 401k match and tuition reimbursement program. Summary: The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and...SuggestedMonday to Friday
$112.7k - $193.2k
...Clinical Review Dentist At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing... ...plan experience with specific exposure to claim review and utilization management or comparable experience. ~ Ability to pass a...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workWeekend work$76k - $84k
...substance abuse diagnosis Treatment planning Comfortable with utilizing technology at all points of the day, including telehealth... ...Here’s what to expect next: It’s important to our team that we review your application and get back to you with next steps quickly. To...SuggestedFull timeTemporary workRemote workWork from homeMonday to FridayShift work$76k - $84k
...substance abuse diagnosis Treatment planning Comfortable with utilizing technology at all points of the day, including telehealth... ...Here’s what to expect next: It’s important to our team that we review your application and get back to you with next steps quickly. To...SuggestedFull timeTemporary workRemote workMonday to FridayShift work- ...integral part of the team responsible for: Solution design and review of all business process and system level changes as part of continual... ...and support to end-users, ensuring they can effectively utilize the Smartsheet application for their business needs. General...Suggested
$350 per month
...guidelines and protocols. Provides oversight of the QI Plan. Reviews all quality of care issues and oversees the development and... ...Care collaboration with Level 2 reporting. Participates in Utilization Review inclusive of but not limited to ED visits,...SuggestedContract workTemporary workMonday to Friday$750 per month
...modernization initiatives. Design and implement lake house architectures utilizing Azure Databricks, Delta Lake, Azure Data Lake Storage Gen2,... ..., and related technical resources. Conduct architecture reviews for data platforms, integrations, analytics solutions, AI initiatives...SuggestedWork experience placementWork at officeRemote workFlexible hours$82.7k - $100k
...sector funding, intercompany accounting, and audit support. Assign, review, and oversee the work of accounting staff members. Consult with... .... Remain current and increase knowledge in related areas utilizing self-study and/or continuing education efforts. Perform...SuggestedFull timeWork experience placementWork at office- ...for 2 days a week and 3 days remote. Basic Duties: Utilize the State of Michigan's Project Portfolio Management Tool (... ...project artifacts are updated accordingly. Responsible for reviewing and understanding vendor contracts to actively manage the vendor...Work at officeLocal areaRemote work2 days per week1 day per week
$89.52k - $134.28k
...related to quality or logistics. Support supplier performance reviews and contribute to just-in-time (JIT) delivery initiatives.... ...enhancing process efficiency. Data Analysis & Reporting Utilize Microsoft Excel and other tools to analyze material consumption...Permanent employmentFull timeWork at office$120k - $140k
...Manager with a strong background in the substation and electric utility engineering industry to lead and manage the development of high... ...Project Managers, Department Leads, and company leadership to review contract terms and conditions and gather technical and commercial...Full timeContract workWork at officeRemote workMonday to FridayFlexible hoursShift work$17.24 - $27.59 per hour
...Kentucky, to post and process a high-volume of job requisitions utilizing the University's online employment system. This would include:... ...and federal employment laws. Some of these processes include: reviewing and approving submitted hiring proposals, conducting pay...Full timeWork at officeMonday to FridayShift work- ...Architect and enforce Identity Governance strategies, including structured access reviews, entitlement management, and lifecycle workflows. Design and manage just-in-time (JIT) elevated access utilizing Privileged Identity Management (PIM) for directory and Azure resources....
- ...includes major civil, mechanical, electrical, structural, underground utility, control systems, and commissioning works required to support... ...assigned. (Direct Hire) Schedules work to be performed and reviews work accomplished by each craft. (Direct Hire) Planning /...Full timeTemporary workWork experience placementFor subcontractorWork at officeLocal areaRemote workRelocation
$61.2k - $91.8k
...Contract Services representative to multiple WVUS departments, utilizing understanding of business needs and procurement best practices... ...regardless of faith. What Happens Next? Applications are reviewed weekly. We encourage you to submit a PDF resume and a cover letter...Full timeContract workWork experience placementWork at office- ...Explain compliance requirements to the customer to ensure they utilize the machine to their Insurance companies' standards Collects... ..., delivery instructions and telephone number for all orders Reviews documentation to make sure it is valid prior to processing an order...Full time
- ...of 1 day prior to date of service for all in scope services Review patient insurance and benefits to explain, quote and collect estimated... ...Medicare Secondary Payor Questionnaire as applicable Utilize appropriate escalation processes to the facilities Utilize provided...Full timeTemporary workPart timeFlexible hours
- ...include but are not limited to application development, peer code reviews, maintaining and updating programming standards for application... ...development (RESTful), adhering to architectural standards and utilizing .NET concepts such as Collections, Threading, Generics, and...Full timeBank staffWork at officeRemote work
$85.02k
...draft memorandums of law through an agency impact lens. You will review and analyze issues impacting child welfare law, Indiana Code,... ...May draft and review legislation and administrative rules. Utilizes legal resources, dockets, legal files, and official records relating...Full timeWork experience placementRemote work- ...inclusive of all functions) for their domain of responsibility utilizing in-depth knowledge and expert skills to advance domain strategies... ...quality; collaborate through implementation phase. Leads peer reviews and represent the architecture domain in briefings to the...Work experience placementInterim role
$81.9k - $139.2k
...independent judgment or judgment with appropriate level of peer/manager review to evaluate system-generated rate calculations for... ...~Develop and prepare federal and state reporting documents. ~Utilize applications to support the rating and underwriting process, including...Full timeWork experience placement- ...staff with less experience and identifies training needs. 8. Reviews and approves documentation and diagrams created by IT team... ...statistics to determine DB load. SQL and Python scripting include utilizing scripting solutions to automate monitoring activities....Work experience placementVisa sponsorship
$68 - $73 per hour
...Sprint Planning Quarterly/Program Planning Daily Stand-Ups Sprint Reviews and Demos Sprint Retrospectives Ensure adherence to Scrum... ...and delivery objectives. Track resource capacity, team utilization, and delivery forecasting. Delivery Management & Metrics...Hourly payWork at office