Average salary: $71,509 /yearly
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- Responsible for utilization review work for emergency admissions and continued stay reviews Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity using InterQual or MCG criteria Apply evidence...SuggestedFor contractorsReliefWork at officeRemote work
$30.38 - $37.98 per hour
...Responsibilities What You'll Do Provide professional assessment and review for the medical necessity of treatment requests and plans.... ...for all reviews in appropriate documentation software. Utilize guidelines in appropriate hierarchy. Guidelines include MCG guidelines...SuggestedHourly payTemporary workPart timeFlexible hours- Responsibilities Review and evaluate electronic medical records of emergency department admissions and screen for medical necessity... ...clinical guidelines and criteria to assess and ensure proper utilization of healthcare resources Participate in telephonic discussions...SuggestedFull timeFor contractorsWork at officeRemote workShift workWeekend workWeekday work
$26.5 - $47.59 per hour
...on workplace flexibility. Position Purpose Performs a clinical review and assesses care related to mental health and substance abuse... ...Analyzes BH member data to improve quality and appropriate utilization of services Provides education to providers, members and their...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hours$51.81k - $83.55k
Overview The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types... ...of billing, delivery of care and treatment plans Utilize clinical and/or technical expertise to address the provision of...SuggestedMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours$95k - $127k
...payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings achieved for Zelis clients... ...on inpatient DRG claims as they compare with medical records utilizing ICD-10 Official Coding Guidelines, AHA Coding Clinic evidence...SuggestedFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hours$79k - $105k
...achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Inpatient DRG Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry...SuggestedFull timeWork at officeLocal areaRemote workVisa sponsorshipFlexible hours$57.21k
...skills Recognized as a Best Company to Work For by U.S. News & World Report and a Top Workplace by USA Today Job Responsibilities Review property appraisals to ensure accuracy and compliance with lender guidelines Analyze quality reports to identify trends, issues,...SuggestedWork experience placementImmediate start- ...discover what’s possible with LPL Financial. Job Overview: LPL Financial is seeking an Assistant Vice President, Marketing Regulatory Review (MRR) to lead a high-performing team responsible for ensuring that marketing materials and communications distributed by Prudential...SuggestedHome office
- Overview Are you a certified clinical documentation professional looking for flexible PRN work? Join our team as a Coding & OASIS Reviewer where your expertise in ICD-10 coding and OASIS review will help drive accuracy, compliance, and quality in post-acute care documentation...SuggestedFor contractorsWork experience placementReliefRemote workFlexible hours
$93k
...environment What to Expect (Job Responsibilities): Coordinate interdepartmental efforts for monitoring and preparing submissions for Utilization Review state licenses Collaborate with legal and industry resources for regulatory research and compliance Support the development...SuggestedWork experience placementImmediate startRemote workFlexible hours$32 - $37 per hour
Overview BerryDunn is seeking a Per Diem Coding & OASIS Reviewer to join our Healthcare group. This position is responsible for accurate review of clinical documentation, assigning of ICD-10 codes based on coding guidelines, and review of OASIS assessment items for correct...SuggestedHourly payDaily paidInterim roleRemote work$110k - $150k
Overview We are seeking an experienced Review Surveyor to serve as the agency’s technical authority for right of way boundary control, survey review, and mapping analysis in support of federal land acquisition and infrastructure programs. This role will ensure all survey...SuggestedContract workLocal area- ...expression of interest, there may be a delay in hearing back from our recruiting team. We are looking to hire an experienced OASIS Review Coding Specialist. This is a remote position that provides flexibility and control over assigned workload. We are seeking a high...SuggestedReliefWork at officeRemote work
$280k - $350k
...Description A bit about this role: This position interacts with utilization management, clinical management, pharmacy, network management,... ...members commensurate with company values. Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer...SuggestedFull timeContract workInternshipRemote work$100k - $140k
Overview We are seeking an experienced Real Estate Review Appraiser to serve as the agency’s subject matter expert for appraisal reviews related to right-of-way acquisitions, easements, and partial takings . This position will ensure appraisal products comply with Federal...Contract workFor contractorsRelocation package- ...all. Business Title Director, Actuarial Analytics - Healthcare Utilization & Revenue Forecasting Role summary The Director of Actuarial... ...economics, renewals, and new business opportunities. Mentor and review work from actuarial and analytics staff, ensuring...Full timeContract workWork at office
- The Utilization Management (UM) Physician Reviewer at Cincinnati Children’s ensures that pediatric Medicaid members receive medically necessary, evidence-based, and cost-effective care. Working within an Accountable Care Organization (ACO) model, this role supports care...Full timeRemote workRelocation packageMonday to FridayShift workWeekend work
- ...NEorthEast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role The Coding Quality Reviewer II is responsible for performing quality analysis of coded medical records, documenting the analysis, summarizing the metrics and...Remote jobWork at officeLocal areaFlexible hoursShift workDay shift
$80 - $99 per hour
...SonderMind provides compassionate, licensed therapy services utilizing a flexible, AI-powered platform to enhance clinical care and reduce... .... Session Takeaways: Extend your care between sessions by reviewing and sending client-friendly summaries of key insights....Bi-weekly payHourly payWork at officeFlexible hours$91k - $131k
...of registered products. Toxicology Data Analysis & Literature Review : Perform rigorous toxicology gap analysis, literature data mining... ...to job applications with Zoetis via any other means and/or utilizing email addresses with any other domain should be disregarded. In...Full timeTemporary workLocal areaRemote work$170k
...implementation Provide support for software systems and debug code issues utilizing data analysis What is Required (Qualifications) Bachelors... ...best practices, including Agile methodology and code reviews Experience with modern testing frameworks for unit, integration...Remote work$77.3k - $128.7k
...reports and estimates to decision makers within the organization. Utilize math skills to analyze key financial data. Provide solutions to... ...entries, accruals and reporting Supports the quarter end review process to include tax reporting, flux analysis, company disclosure...For contractorsLocal areaWorldwideFlexible hours$55k - $75k
...Additionally, the ideal candidate will be responsible for the ongoing review of processes for efficiencies and changes that would impact and... ..., and other associated medical billing regulations Experience utilizing Microsoft Office products including Outlook, Excel, and Teams...Full timeTemporary workWork at officeLocal areaRemote work$10k - $50k
...conversion Partner with enablement on campaign follow‑up, objection handling, and content utilization Create transparency between Sales & Marketing through weekly pipeline reviews Systems & Measurement Overhaul attribution and funnel visibility across Salesforce,...Local areaRemote work$80k - $100k
...applies company policies and procedures to resolve various issues, utilizing standard principles, theories, and techniques to address... ...occasional external interactions on routine matters. Work is reviewed for accuracy, and contributions are vital to project and organizational...Contract workTemporary workFor contractorsLocal areaWork from home- ...project lifecycle and participating in cost estimate stage gate reviews. Support the early property development planning effort by... ...the firm's personnel management system. Assess resource / fee utilization against forecasts for each commission and keep track of the ongoing...Full timeContract workFor contractorsFlexible hours
$53.3k - $76.2k
...ensuring accuracy and timeliness. Conduct month‑end tracking, review, and reconciliation of expense accruals; perform basic reconciliations... ...the highest standards of integrity in all interactions. Utilize Microsoft Excel and other software to design models that...Temporary workWork at officeRemote workFlexible hoursShift workAfternoon shift- ...natural environment and streamline the land use and regulatory review process. This position will manage outside consultants, review... ...Sophisticated understanding of the environmental, land use, and utility regulatory environment. Effective analytical and problem‑solving...Contract workFor contractorsLocal area
£63k per year
...determine credit exposure risk on new and existing merchants Utilize business credit reports, financial documents, and investigative... ...particularly Sales and Business Development teams Proficient in reviewing financial documents, business credit reports, and payment...Immediate startRemote workFlexible hours