Average salary: $76,852 /yearly
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$18 per hour
...brand are highly recognized and respected for our strong commitment to quality and safety. We are America’s leader in underground utility damage prevention and advanced infrastructure services, performing more than 84 million locates each year for the more than 1,400 telecommunications...SuggestedHourly payExtra incomeFull timeFor contractorsShift workNight shift$80k - $99.2k
...development. Summary We are seeking a talented individual for a Nurse Reviewer Appeals and Hearings role to coordinate and perform all appeal... ...of medical record coding experience required. 3+ years of utilization review experience or claims auditing required. Working...SuggestedFull timeRemote workFlexible hours$44.92 per hour
...servicemembers and their families, across the United States. Job Summary: The Registered Nurse - Utilization Manager must have the ability to sit or stand for extended periods while reviewing medical records and working on a computer, with frequent use of standard office...SuggestedHourly payFull timeFor contractorsWork at officeLocal areaMonday to FridayShift workDay shift$105.1k - $192.6k
...career wherever you want it to go. Join EY and help to build a better working world. Tax - Indirect Tax - Sales & Use Lookback Review COE - Manager Will you shape the future or will the future shape you? The opportunity Our Sales and Use Tax Lookback Review...SuggestedFull timeSummer holidayFlexible hours- ...Job Description Job Description Job Title: General Laborer (Utility Team Member) Department : Operations Reports To: Facilities Supervisor Position Overview: At Lakeside, our work changes with the seasons—and we need team members who can adapt. The...SuggestedFull timeSummer workSeasonal workImmediate startFlexible hoursShift workAfternoon shiftEarly shift
Lakeside
Ohio3 days ago $62.7k - $100.4k
Job Summary: The Program Integrity Medical Coding Reviewer III generates comprehensive and concise in-depth reporting and analysis to track performance related to the Pre-Pay and Post-Paid Processes. Essential Functions: Provide Provider Pre Pay production and progress...SuggestedHourly payFull timeWork experience placementWork at office- ...Utilization Review Nurse/Case Management Part-Time On-site St. Marys, OH 45885, USA Description Hours of Job: ~ Part Time - 40 hours/5 days per pay period ~7:30 AM-4:00 PM ~ Every third weekend rotation off-site; less than 3 hours per scheduled weekend...SuggestedPart timeLocal area
Grand Lake Health System
Ohio4 days ago - ...working area. # Communicating with others. i.e. operators, utility personnel, supervisors # Pre-Wrap Product Inspection: Requires... ...probationary period, with weekly performance and attendance reviews. # As part of the hiring process, a pre-employment background...SuggestedSummer workImmediate startShift work
Klosterman Baking
Ohio3 days ago - ...procedures (not applicable for remote radiologists). 3. Thoroughly review medical records and communicate effectively with referring... ...ultrasound. 5. Review and transmit images and information utilizing picture archiving and communications systems. 6. Communicate...SuggestedFlexible hours
Bayhealth
Ohio6 days ago - ...retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy,... ...in acute clinical care Experience with medical record review/utilization review/utilization management Additional Information Are you...SuggestedContract workPrivate practiceMonday to Friday
- Job Description The Manager, Utilization Review-RN oversees hospital utilization review functions. This role is responsible for the planning, operations, and daily oversight of the department to facilitate the highest quality, cost-effective care and appropriate case status...Suggested
- ...cost projections and schedules, as well as to ensure the Project Review Forms are completed accurately and timely Ensure project... ...time off, holidays and a separate bank of sick time! Chesapeake Utilities Corporation is an equal opportunity employer committed to...SuggestedWork at officeFlexible hours
Chesapeake Utilities Corporation
Ohio5 days ago - ...Utilization Review (UR) Specialist Position Title: Utilization Review Specialist Department: Clinical / Billing Operations Reports To: Executive Director & Clinical Director FLSA Status: Full-Time, Salaried Location: Dove / Robin Recovery Facilities...SuggestedFull timeRemote work
- ...about this position, we encourage you to apply - even if your experience doesn’t match every requirement. About the role The Utilization Review Nurse is responsible for reviewing and processing medical services requests for members of Quantum Health’s employer groups...SuggestedWork at office
$93.12k - $167.62k
Elevance Health is looking for a Psychologist Reviewer to work in a hybrid capacity in Cincinnati, Ohio. This role requires collaboration with providers and Medical Directors for outpatient care decisions, with pre-certifications and appeals involved. The ideal candidate...Suggested$27.86 - $43.46 per hour
...we know that to inspire and retain the best people, we must empower them. Providence Health Plan is calling an Associate Utilization Review Specialist who will: Be responsible for all core functions in one or more of the following clinical teams: Prior-authorization...Full timeWork at officeLocal areaRemote workShift work- A healthcare navigation organization is seeking a Utilization Review Nurse in Dublin, OH. The role involves reviewing inpatient medical service requests, assessing clinical criteria, and facilitating discharge planning for patients. Candidates should have a current RN...Work at office
- A national healthcare staffing firm is seeking a dedicated Registered Nurse to manage utilization review processes. This RN will ensure quality and cost-effective healthcare by assessing medical necessity, coordinating care, and managing appeals for denied services. Candidates...
- A leading healthcare solutions company seeks an LPN Case Manager to join its Utilization Management team in Columbus, OH. This role involves performing utilization review activities and conducting member visits to ensure they receive appropriate care while adhering to regulations...
- A healthcare navigation organization in Dublin, OH is seeking a Utilization Review Nurse responsible for reviewing medical services requests for members. The role involves assessing inpatient service requests, communicating effectively with providers, and facilitating...
$93.12k - $167.62k
Elevance Health seeks a Psychologist Reviewer - ABA responsible for collaborating with providers to ensure proper level of care. The role requires a Ph.D. or Psy.D and an active unrestricted license as a Clinical/Counseling Psychologist. Preferred qualifications include...- ...Oversee all Financial Aspects (Cost & Capital Projects) and setup & review all allocations and methodologies. Advise on all... ...equipment to design and production Lean Manufacturing Manpower utilization Ceramic slurries and processes Microsoft office JDE...Work at office
Vesuvius USA
Ohio28 days ago - ...and paper, rubber, petroleum, pharmaceutical, glass, metals, and utilities industries. We also deliver equipment for use worldwide. Our... ...maintenance of ISO 9001 Quality Management System Interpret and review electrical drawings, schematics, and specifications to ensure...Worldwide
Panelmatic
Ohio22 days ago $15 per hour
...investment and pay-back times, environmental benefits, etc. Prepare reports and written analyses for review by the Lakeside administration. # Tree Canopy: # Learn and utilize TreePlotter software and continue to inventory trees in designated areas of Lakeside as directed...Summer workInternshipLakeside
Ohio13 days ago- ...and paper, rubber, petroleum, pharmaceutical, glass, metals, and utilities industries. We also deliver equipment for use worldwide. Our... ...purchase commitment are completed with proper required approvals. Reviews requisitions for accuracy and completeness, prepares and...Worldwide
Panelmatic
Ohio2 days ago - Thechristcollege is seeking a Manager, Utilization Review-RN to oversee hospital utilization review functions in Cincinnati, Ohio. This role involves planning, operations, and oversight to ensure high-quality, cost-effective care while maintaining compliance with payer...
$85k - $90k
...and outbound volume, customer communication activities, space utilization & management, and equipment management. People management responsibilities... ...that affect the operations Plans the daily work schedule by reviewing existing work orders, arrival notices, and instructions from...Full timeContract workTemporary workTraineeshipWork at officeLocal areaFlexible hoursNight shift$16.5 - $25 per hour
...reporting adverse reaction events per public health requirements Reviewing and collecting patient information; tracking and documenting... ...written communication to interact with patients and colleagues Utilize active listening by giving full attention to what others are saying...Hourly payFull timeWork experience placementLocal areaWork from homeFlexible hoursShift workNight shift$19 - $35 per hour
...appearance for our customers Assist sales and management personnel in reviewing accounts and up-grading them as appropriate for the level of... ..., possibly including Workday, Loop, and HireVue. These systems utilize text messages to communicate with you throughout the...Hourly payFull timePart timeSeasonal workCurrently hiringWork at officeLocal areaImmediate startAll shiftsFlexible hoursNight shift$24 - $35 per hour
...sustainability with no disruption to patient care 120 days in advance * Reviewing and validating shift and productivity data for appropriate... ...limited direction * Resourcefulness: Proactive willingness to utilize available information and tools to figure things out...Hourly payFull timeLocumWork at officeLocal areaImmediate startRemote workFlexible hoursShift work
