Average salary: $206,877 /yearly
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$72.8k - $130k
...a $10,000 sign on bonus for external candidates! The Clinical Review QAPI RN plays a critical role in supporting healthcare quality... ...completeness and compliance with federal and state regulations * Utilizes OASIS variation or alert reports when reviewing OASIS data * Ensures...SuggestedMinimum wagePermanent employmentFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package$35 - $63 per hour
...and discover how rewarding medicine can be while Caring. Connecting. Growing together. Daily operational responsibilities include utilization management, discharge planning, referral facilitation and/or collaboration with hospital- based case managers/physicians to move...SuggestedHourly payMinimum wageFull timeWork experience placementLocal areaWork from homeRelocation package- ...Job Description Job Description Utilization Review RN - Per Diem* *IMPORTANT NOTE: In lieu of benefits due to "per diem" status, 15% will be added to the hourly rate. Per diem employees are offered work on an "as-needed" basis. POSITION SUMMARY: Performs clinically...Suggested
CARSON VALLEY HEALTH
Gardnerville, NV7 days ago - Fusion HCR is hiring! Direct Hire - Utilization Review Nurse, this is an onsite position, working with our client in Acute Care. Overview Seeking an experienced Utilization Review Nurse (RN) to review patient admissions for medical necessity, appropriate level of care...Suggested
- We are looking for a detailed-oriented Utilization Review (UR) Specialist to help us maximize patient care quality and ensure seamless insurance operations. The UR Specialist evaluates patient medical records to ensure treatments meet clinical necessity and regulatory...SuggestedTemporary workMonday to Friday
- ...WITHOUT NOTICE ONCE A SUFFICIENT NUMBER OF QUALIFIED APPLICATIONS ARE RECEIVED. Position Summary: Reviews patient admissions for appropriateness, efficiency of resource utilization and compliance with third party payer requirements. Duties include analyzing medical charts,...SuggestedDaily paidWork at officeShift workWeekend work
- ...Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale. Key...SuggestedRemote jobWork from home
- ...Job Description Job Description Job Description – Utilization Review Nurse Position Summary The Utilization Review Nurse is responsible for reviewing patient admissions and ongoing hospital stays to ensure the delivery of medically necessary, appropriate, and...SuggestedFull timeCasual workWork at officeShift work
Lancesoft INC
Las Vegas, NVmore than 2 months ago - ...requirements for base facilities, infrastructure, and associated utility distribution systems. This role monitors and controls major... ...segments of difficult and complex project plans and specifications; reviewing plans prior to contract advertisement to determine feasibility...SuggestedContract workFor contractorsWork at officeLong distance
Rivet Operations Company
Nevada19 days ago - ...supervisor and other health team members regarding patient progress, problem and plans.• Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed.• Participate in in-services training program for other staff in the...SuggestedLocal area
- ...supervisor and other health team members regarding patient progress, problem and plans. Participate in Patient Care Conferences, Utilization Review meetings and Rehabilitation Conferences as needed. Participate in in-services training program for other staff in the...SuggestedFull timeWork at office
- ...Responsibilities Coordinates and completes the clinical reviews for all patient medical records while working closely with CMO... ...status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently...SuggestedFull timeLocal areaShift work
$129.3k - $172.3k
...division on major programs. Leads, oversees and mentors team in utilizing best practices in business analysis all through product or... ...supportParticipates in hiring process, writes and conducts performance reviews, manages disciplinary actions, and other HR activities for the...SuggestedFull timeWork at officeLocal areaRemote work- ...featuring contemporary programming and digital acumen. The company utilizes industry-leading revenue management tools that efficiently... ...remaining in the Lobby area when not on property walks. Maintain and review daily activity log. Maintain confidentiality with respect to...SuggestedHourly payLocal areaWorldwideFlexible hoursShift workNight shift
- ...quality control and ensure compliance with safety regulations. Utilize modern, efficient PACS, dictation, and AI tools to enhance... ...weeks per year 4-6 Tele Rad shifts RVU Threshold - 13,000 reviewed quarterly Position 2: Late Shift (3 PM - 11 PM) onsite and...SuggestedFull timePart timeLocumRemote workFlexible hoursShift workNight shiftDay shiftAfternoon shift
- ...other appropriate parties. Follow up using various methods (e.g., reviewing financial reports for purchases, conducting re-inspections,... ...flows as needed; facilitate plan status updates. Maintain and utilize asset management systems, tools, and financial models to forecast...Full timeWork at office
- ...planning, implementation, and operational activities. The role reviews APDs, provides detailed feedback, drafts CMS submittal letters,... ...excellent team-building skills. | Required | 5 Years Experience utilizing time management capabilities in high-stress writing...Contract workFor contractorsRemote work
- ...term potential and is located in Holtwood, PA (Onsite). Please review the job description below and contact me ASAP if you are interested... ...meets the minimum qualifications Our client is a leading Utility Industry and we are currently interviewing to fill this and...Contract workWork at officeLocal areaImmediate startMonday to FridayWeekend workAfternoon shift
$15k
...Job Description Job Description The Utilization Review Nurse plays a critical role in assessing patient admissions to ensure appropriate care, resource efficiency, and adherence to third-party payer requirements. This position involves detailed analysis of medical...Relocation packageLancesoft INC
Las Vegas, NVmore than 2 months ago$63 per hour
...Job Description Job Description Title: Utilization Review Nurse (RN) Department: Case Management Job Type: Full-Time Facility Details Academic Medical Center Nevada’s: Level I Trauma Center Verified Burn Center Transplant Center First...Hourly payFull timeLancesoft INC
Las Vegas, NVmore than 2 months ago$135k - $202.56k
...coordination model, staffing mix, FTE allocation, information technology utilization, onboarding, and staff competencies. The Director ensures... ...management capabilities, and the ability to independently review data and develop action plans in a complex, high‑volume...Full timeRelocation packageShift work- ...Job Description Job Description We are hiring!! Position: Utilization Review Nurse Location: Las Vegas, NV **This position is on-site in Las Vegas, NV, 89102. A relocation bonus would be given to candidates that are willing to relocate to Las Vegas. ** Full...Full timeRelocationRelocation package
- ...design and implementation of modern data lakehouse architectures utilizing Delta Lake , Unity Catalog , and Databricks best practices.... ...technical solutions. Guide development teams and perform design/code reviews. Troubleshoot complex technical challenges and provide solution...
- ...and best practices. Conduct architecture and technical design reviews. Partner with Application, QA, Security, Architecture, and Delivery... ...infrastructure activities. Improved cloud infrastructure utilization and cost optimization. AI-driven reduction in DevOps operational...Permanent employmentPart time
- ...point of contact for IAM-related audits, assessments, regulatory reviews, evidence collection, issue remediation, control testing, and... ...system access data with SailPoint and governance records. Utilize advanced Excel functions for validation, reporting, and analysis...Immediate startRemote work
- ...modeling, and application onboarding programs. Conduct code reviews, threat modeling, vulnerability analysis, root cause analysis,... ...Talent Management Notice to Candidates OpenKyber utilizes artificial intelligence (AI) tools to assist our recruiting team...Hourly payLocal areaRemote work2 days per week
- ...variance root-cause analysis, and automated scenario modeling. Automated Architecture Assessments: Utilize Snowflake CoCo skills to execute automated Well-Architected reviews, health checks, and continuous code quality audits across Snowflake environments. 3. Data...
- ...transformation objectives Drive architecture governance, design reviews, and compliance adherence across programs 2. Cloud Migration &... ...Bedrock, OpenAI APIs) Experience in industry domains such as Energy, Utilities, Finance, Retail, or Healthcare Exposure to AI-driven SDLC...Contract workRemote work
- ...Linux, VMware, and third-party application environments. Utilize Microsoft Intune and Microsoft Endpoint Configuration Manager (... ...compliance and remediation metrics. Support audits and compliance reviews by providing documentation and evidence of patch management...Contract work
- ...program governance forums, executive steering committees, and status review meetings. Deliver concise and actionable updates to senior... ..., automation, or agentic operating models. Energy, utilities, retail energy, or customer-focused industry experience preferred...
