Average salary: $123,386 /yearly
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- At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical necessity and level of care using nationally recognized acute care indicators...SuggestedRemote jobPermanent employmentFull timeWork experience placementLocal area
- ...The Commercial team is hiring a Clinical Review Manager to support the Commercial lines of business through BlueCross BlueShield... ...medical service requests using established criteria and supports utilization management activities such as pre‑certifications, appeals, and...SuggestedRemote jobContract workCasual workWork at officeMonday to Friday
- ...Contract Review Attorney - eDiscovery Our company handles a large number of e-Discovery cases and for a multitude of clients. We have the only privately run FBI certified e-forensics lab in the country. We host data as a Relativity licenser. Benefits of working...SuggestedRemote jobFull timeContract workFlexible hours
- ...: Job Summary: Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating medical services, treatments, and procedures. This role...SuggestedFull time
- ...ensure that when roles open, we already have top-tier talent ready for immediate consideration. If you’re an experienced U.S. Tax Reviewer interested in long‑term remote opportunities, we encourage you to apply and join our priority talent pool. About the Role...SuggestedRemote jobFull timeTraineeshipLocal areaImmediate startWork from home
$90k - $120k
A Remote Material Review Board Engineer job with Belcan Engineering Group is currently available. This job is a full-time direct position. To be considered for this role, you will need Bachelor's Degree in Engineering. In this job your primary responsibility will be reviewing...SuggestedFull timeLocal areaRemote work- ...Hmong Chinese Language Document Reviewer Employment Type: Full Time, Mid-Level Department: Legal As a CGS Hmong Chinese Document... ...; Produces a variety of written documents and materials utilizing a wide range of office software applications; Establishes...SuggestedRemote jobFull timeWork at officeFlexible hours
- ...with the potential to extend. Skills and Qualifications : ~5+ years of public accounting experience ~3+ years of experience reviewing tax returns ~ CPA, Enrolled Agent, or Master in Taxation preferred ~ Active PTIN ~ Technical tax competencies in preparing...SuggestedRemote jobFull timeContract workPart timeFreelanceWork at office
- ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters ~ Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter the...SuggestedRemote jobLive inWork from home
- ...BLEW is excited to announce an opening for a Sr. ESA Reviewer. In this role, you will be instrumental in managing projects that involve the assessment of environmental conditions for various projects across the United States. This is a fantastic opportunity in the commercial...SuggestedRemote jobTemporary work
- ...Job Responsibilities: ~ This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. Ensures accurate and complete documentation...SuggestedRemote job
- ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters ~ Locate and review ALL assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter the...SuggestedRemote job
- ...by providing services that help the government ensure the well being and support of U.S. citizens. Job Description Scientific Review Officer (Part Time On Call) GDIT assists federal, state and private grant-funding agencies helping them identify the most...SuggestedRemote jobPart timeWork experience placementImmediate startWork from homeFlexible hours
- ...Intelligence Federal is a fast-growing federal contracting company seeking early career Document Review & Decision Writing Attorneys to support a federal government agency. This is a full time, fully remote position. This is a seven (7) to twelve (12) month contract...SuggestedFull timeContract workFor contractorsRemote work
$65k - $89k
...Become a part of our caring community and help us put health first The Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit...SuggestedRemote jobBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...French Document Reviewer Contact Review - Washington, DC Location: Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Fluency in French Familiarity with document review workflows Examples: Privilege/Responsiveness Review, Redactions, Conceptual...Remote job
- ...costs, we're developing more personalized solutions for tomorrow, utilizing machine learning, intelligent care paths, and predictive... ...recruiting team. We are looking to hire an experienced OASIS Review Coding Specialist. This is a remote position that provides flexibility...Remote jobReliefWork at officeImmediate start
$145k - $165k
...Sense is seeking a proven and dynamic Strategic Account Executive to contribute to our sales efforts to utilities across North America. The ideal candidate for this role is a self-motivated, driven, relationship builder who can manage all aspects of growing Software-as...Remote jobFull timeWork at officeFlexible hours- ...board-certified physicians to join our team as External Medical Reviewers. In this role, you will provide independent, evidence-based... ...Preferred Qualifications: Experience with Medicaid, utilization review, prior authorization, peer review, or external medical...Full timeContract workRemote workFlexible hours
- ...in people with the ongoing demands of the workplace by providing high-quality staffing and executive search services. Medical Reviewer / Healthcare Provider – Reasonable Accommodation Evaluations Job Type: Contract Location: Remote (with occasional U.S. domestic...Remote jobContract work
- ...Dane Street wants you to join our dynamic team of expert reviewers! In this role, you will have the opportunity to utilize your medical expertise to conduct thorough reviews of clinical cases. This telework opportunity allows you to customize your schedule as a 1099...Contract workFor contractorsRemote workMonday to FridayShift work
- ...clinically appropriate and compliant genetic testing services. We are seeking physicians to support asynchronous medical necessity review following a completed genetic counseling session. Services rendered under this role will support claims submitted to federal payers...Remote jobContract workFlexible hours
- ...Certified Applicator (Texas) – Utility Infrastructure & Vegetation Management Position Overview Vantage Point Solutions is seeking a Texas Certified Applicator (RCA) to support vegetation management and utility infrastructure field services across Texas. This role...Remote jobFull time
$125k - $201k
...Job Summary: Clinical Care Reviewer II is responsible for processing medical necessity reviews for appropriateness of authorization... ...acute clinical care or home health experience preferred Utilization Management/Utilization Review experience preferred Medicaid...Remote jobHourly payWork at office$207k - $253k
...highest value to those who need it most. The Medical Director, Utilization Management, will be responsible for the evaluation of all... ...Determinations, Milliman Care Criteria, Clover Health’s medical policies reviews to determine medical necessity or if an alternate treatment...Remote jobWork experience placementWork at officeLocal areaFlexible hours$95 per hour
...Long-Term Care Registered Nurse (VA Reviewer) - Remote (#25278) Location: Remote Employment Type: Contract (Case-based) Hourly Rate: Per Case Compensation (See details below) About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a...Hourly payPrice workContract workPrivate practiceWork at officeRemote workFlexible hours- ...Location: Remote Salary: Base + commission About Us FlexEnergi is solving some of the toughest challenges facing today’s utilities. With rising data center demand, more renewables, and increasing extreme weather, utilities need reliable capacity that can be...Remote jobFull time
$50k - $58k
...better outcomes for those who need it most. _ This is a full-time, remote-first role based in the United States _ Legal Ops Reviewers help ensure that the demand letters (legal documents with accompanying exhibits that illustrate an injured party's economic and...Remote jobFull timeLocal areaHome officeFlexible hours- ...territory. Sales Director Position Overview UWorld Themis Bar Review is looking for new grads and experienced individuals to join... ...knowledge of Company products and services and how they can be utilized for multiple purposes and audiences _ Qualifications &...Remote jobWork from homeWorldwideHome office
$22 per hour
...culture, films, television, and the ever-evolving world of streaming media? We are seeking meticulous Entertainment Media Content Reviewers to join our team! In this role, you’ll conduct quality audits of contributor evaluations, ensuring accuracy, consistency, and alignment...Remote jobFreelance