Search Results: 36,271 vacancies
...Work Shift:
Day (United States of America)
Responsible for Utilization Management, Quality Screening and Delay Management for assigned... ...on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts...
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Permanent employment
Shift work
Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.
The Utilization Review Physician is the lead clinician for the health plan. Responsible for the administration...
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Candidate criteria:
Willing to work weekends (expectation is they work a minimum of at least 4 weekend shifts in a 6 week period. These weekends can be all Saturdays, all Sundays, back to back Saturday/Sunday. We try to have them off together but they also have to understand...
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...Job Description
Job Description RN- Utilization Review Nurse
LTSS/DME
*Full Time 100% Remote Opportunity*
COME WORK FOR THE LEADING, LOCAL MANAGED CARE COMPANY - VILLAGECARE!
VillageCare is looking for a self-motivated and passionate RN as Utilization Review...
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Holiday work
Full time
Local area
Remote job
...Job Description
Job Description Job Title: Utilization Management RN
Requirements:
~ UM background in MLTC and UAS
OR
~ MLTC case management with UAS
Start date: ASAP, looking to get all RNs started together
Pay: 48-51/hr
Experience...
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Immediate start
Remote job
...documentation, recommends and assigns appropriate level of care. The Reviewer is responsible for obtaining the order for appropriate level... ...and treatment concepts, one year of which has been served in Utilization Review/Quality Assurance; or,
2. Certification as an...
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Holiday work
Immediate start
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Overview
The Senior Utilization Review Physician Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and HackensackUMC. These include but are not limited...
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...Surround yourself with people who care about making a difference – come join us!
We have an exciting opportunity for a Utilization Review Nurse to work in Ramapo Ridge Behavioral Health (RRBH). The Utilization Review Nurse promotes effective utilization and monitoring...
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Holiday work
Full time
Monday to Friday
...regulatory/payor requirements. The role integrates and coordinates utilization management, care coordination, discharge planning functions... ...Center.
c. Ensures that staff have MCG training modules to review as needed.
Growth Uses MCG Guidelines as a coaching tool to...
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Full time
Job Description
Job Description
Job Title: Porter
Reports To: Sous Chef
Direct Reports: None
Roberta’s is looking for porter to join our team.
We are now actively expanding and are looking for talented people to join the family and grow with us!
Pace...
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Immediate start
...PURPOSE:
Under the direction of the Senior Director of Clinical Review, the Clinical Review Nurse is responsible for complying with... ...and coordinates with the Provider/IDT for appropriate utilization of services
* Documents case reviews, associated communications...
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Flexible hours
...Castle County and northern Maryland.
Visit us online:
Rockford Center is searching for a talented and patient centric Utilization Review Specialist!
Key Responsibilities include:
Completes pre-certs and concurrent reviews as assigned, on appropriate day and...
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Relief
Immediate start
...Raul Martinez
HR Rep: Heather Stoveken
SUMMARY
The Utility position is an hourly position, and reports to the Production Shift... ...person authorized to give instructions or assignments.
A review of this position has excluded the marginal functions of the position...
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Hourly pay
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Shift work
Night shift
All shifts
...Job Description
Wage/Salary: $20 to $24 per hour
Position Summary:
The Quality Reviewer provides free, quality tax return review for eligible taxpayers. Using IRS approved software (Tax slayer), along with the information provided by the client, and by asking...
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Hourly pay
Local area
Flexible hours
...pollution. DEP is the largest combined municipal water and wastewater utility in the country, with nearly 6,000 employees. DEP's water supply... ...under-construction best management practices (BMP) projects, reviewing, and managing designs, modeling, and designing new Bluebelt...
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Internship
Summer internship
Rotational program
...Job Description:
Job Title Rheumatology Review Group (RRG) Eligibility Liaison
Division R&D / Global Drug Development
Functional Area Description: The RRG Eligibility Liaison (REL) employs scientific and technical expertise to track, coordinate and enforce the...
Permanent employment
Remote job
Flexible hours
Shift work
...Enter Job Description...
Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS, QARR and Star specifications
Distribute requests for records and schedules appointments with provider offices to ensure timely completion...
...developing medical and mental health policies, programs, and
initiatives that support best case practice agency wide.
The Medical Review Authorization and Monitoring Unit (MRAM) reviews foster care medical
records and ensures compliance with the established health standards...
Description
POSTING NO.
4001
JOB TITLE:
Senior Engineer Power Utility Design
DEPT/DIV:
Power
WORK LOCATION:
420 Lexington... ...Operations with design related support.
Responsibilities
Review consultant design drawings and specifications for compliance...
Full time
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Part time
For contractors
...Health plans and auditors trust the Alaffia platform to rapidly execute post-payment claims audits.
We are looking for a Medical Bill reviewer to join our team! Do you have experience reviewing claim forms and auditing provider documentation? Then this position is for you!...
Work from home
Flexible hours
