Average salary: $99,753 /yearly
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...placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party payer guidelines. (3... ...Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements...
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Registered Nurse RN Utilization Management Care Reviewer Remote Location Remote in Phoenix, AZ : Primary City/State: Arizona, Arizona Department Name:
Utilization Mgmt Work Shift:
Day Job Category:
Clinical Care Find your path in health care. At Banner Health...
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Full time
Remote job
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Monday to Friday
...Are you interested in a remote (work from home) opportunity to provide your expertise in Oncology by conducting reviews in the Utilization Management/Peer Review process, just a few hours a week?
Medical Review Institute of America, LLC (MRIoA) is a national Independent...
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...Desktop Application Reviewer/Auditor
About Us
AdNet/AccountNet, Inc. is an 8(a), WOSB, LGBTE and WBE owned management consulting... ...wide range of energy efficiency programs. Our clients include utilities, recognizable Fortune 500 global corporations, as well as a...
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...safety surveillance activities for assigned studies including review of labs, vital signs, cardiac, medications, medical history, and... ...identification, and adherence to regulatory guidance and protocols utilizing critical thinking skills.
• Monitoring of safety-related...
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...death of a loved one, depression/anxiety, and other traumatic events. This system flags about 1% of reflections for a thoughtful human review before sending out alerts to the concerned teachers, admins and counselors. We are looking to hire highly skilled, thoughtful and...
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Hourly pay
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$24 - $30 per hour
...Are you ready to take charge of coordinating essential services from the comfort of your own home? As a Remote Utility Coordinator at Utility Consulting Partners in Santa Barbara, CA, you'll play a crucial role in ensuring the smooth operation of our facilities. We offer...
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...Job Description:
Content Quality Reviews:
Participate in first-level reviews of the produced content and ensure appropriateness of subject matter, language, writing style and other content elements
Provide constructive feedback so as to improve the quality...
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Pharmacy Accreditation Reviewer
Department:
Pharmacy Services (120)
Location:
Remote, DC
Major purpose of this job: The... ...for assigned applications
~Communicates with applicants utilizing positive customer relation skills
~Serves as a technical expert...
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....
Licensing: US any bar in good standing acceptable.
Experience: A minimum of 6 months experience working on remote document reviews; experience with eDiscovery platform, relativity preferred. Experience with 1st level; (2nd level, Priv., QC preferred).
Please...
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Accreditation Reviewer and Educator
Department:
Care Management Services (130)
Location:
Remote, DC
Major purpose of this... ...of managed care experience to include one of the following: utilization management, case management, discharge planning, disease management...
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...and property policies.
Strong skills in contract analysis and review are crucial. Candidates should be able to assess insurance... ...mitigate those risks. Experience in drafting contract language or utilizing contract review tools and templates to streamline the process is...
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...Target PR Range: 42-56/hr
*Depending one experience
Job responsibilities and requirements:
1. Botox CM reviews, inclusive of ad promo, medical education materials, training materials
2. Participate in weekly collab meetings (Wednesdays 12pm-2pm PST, Thursday...
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...shaping our future together. Radial, the leader in omnichannel commerce technologies and operations has an exciting opening for a Fraud Review Analyst. Radial’s omnichannel solutions use cutting-edge technology and analytics to optimize the e-commerce end to end processes...
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Full time
...analytical candidate with good time management and reasoning skills who can work ad hoc as we have estate plan drafts that need to be reviewed and finalized for attorneys in our drafting program. The primary task for this position is reviewing, editing, and finalizing...
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Flexible hours
Weekday work
$25.44 - $45.76 per hour
Health Care Fraud Review RN & CPC Location Remote in Woodland Hills, CA : You could be the one who changes everything for our 28 million... ....This position reviews entire patient records against codes utilized by providers on all types of claim forms. (i.e. CPT, ICD-9,...
Hourly pay
Holiday work
Full time
Work experience placement
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Shift work
Day shift
Monday to Friday
...Job Title: Clinical Review Nurse
Location: Remote in Arizona (AZ) State Only
Duration: 3 months (Possible Extension)... ...providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care...
Remote job
Shift work
Monday to Friday
Solution Architect and Technology Review Lead Location Remote in Washington, DC : Location: Washington,DC,US Remote Work: Yes Job Number: R0186292 Solution Architect and Technology Review Lead Key Role:
Maintain responsibility for guiding the health account and organization...
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Part time
Local area
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...Target PR Range: 38-48/hr
*Depending one experience
Job Title: Sr. Manager, Medical Review
What hours and days will this person be working:
Flexible as long as all review activities are done on time; the team this person would support is split between US and...
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Contract work
Flexible hours
Early shift
...follow the trends. We set them.
Job Summary
As a Tech Review Adjuster , you will enjoy the flexibility of working from the... ...and complex situations.
The Problem Solver youll utilize multiple tools to get the job done in a fast-paced environment,...
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Full time
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Work from home
Home office
Work visa
Relocation bonus
