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- ...Job Description Description Summary: The Utilization Review Nurse is responsible for determining the clinical appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This nurse is responsible for performing...SuggestedFull time
CHRISTUS Health
Irving, TX23 days ago - Utilization Review Pharmacist Shape the drug benefit landscape—analyze and optimize medication use. Key Responsibilities: Review prescribing trends and propose cost-saving alternatives. Maintain evidence-based formularies across multiple payers. Conduct retrospective...Suggested
$41 per hour
...medical necessity and appropriateness of the treatment plan. This position is responsible for performing accurate and timely medical review of claims suspended for medical necessity, contract interpretation, pricing; and to initiate and/or respond to correspondence from...SuggestedRemote jobContract work- Hematology/Oncology Physician - Utilization Review Remote - Flexible Independent Contractor (1099) Opportunity Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology‑driven utilization management...SuggestedFor contractorsRemote workWork from homeFlexible hours
- Overview 1099 Utilization Review work for Radiation Oncologists Flexible Independent Contractor (1099) opportunity with Medical Review Institute of America (MRIoA). About MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized independent...SuggestedFull timeFor contractorsRemote workWork from homeFlexible hours
$1,099 per month
Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review Institute of America . Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology...SuggestedRemote jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours- Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment utilizing clinical expertise and evidence-based treatment guidelines...Suggested
- Overview Cardiologist Needed for Remote 1099 Utilization Review Work at Medical Review Institute of America (MRIoA). What You’ll Do Provide expert utilization reviews as a Board-Certified Cardiologist. Flexible, remote opportunity requiring about 1-2 hours per week. Contribute...SuggestedRemote jobFor contractorsWork from homeFlexible hours
- ...Description Description Summary: The RN Navigator Home Health Review monitors home health patients to ensure patients continue to... ...Home Health recertification or discharge from service. Utilizes MCG Guidelines for Home Care to optimize the type, frequency, and...SuggestedFull timeWork at office
CHRISTUS Health
Irving, TX7 days ago $269.5k - $425.5k
...member of a team of medical directors, for the overall quality, effectiveness and coordination of the medical review services. Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and...SuggestedRemote jobMinimum wageFull timeWork experience placementLocal areaWeekend work$1,099 per month
Join to apply for the ENT - Utilization Review - Remote- 1099 Contractor role at Medical Review Institute of America . 1 day ago Be among the first 25 applicants. The Opportunity MRIoA is a national Independent Review Organization that facilitates the review of medical...SuggestedRemote jobFull timeContract workFor contractorsWork at officeWork from homeFlexible hours$16 - $25 per hour
...reporting adverse reaction events per public health requirements + Reviewing and collecting patient information; tracking and documenting... ...communication to interact with patients and colleagues + Utilize active listening by giving full attention to what others are saying...SuggestedHourly payFull timePart timeLocal areaWork from homeFlexible hoursShift workNight shift$18 - $19.75 per hour
...reporting adverse reaction events per public health requirements Reviewing and collecting patient information; tracking and documenting... ...communication to interact with patients and colleagues Utilize active listening by giving full attention to what others are saying...SuggestedWork experience placementInternshipLocal areaWork from homeFlexible hoursShift workNight shift- ...environmental program compliance in their assigned store/multiple stores. They utilize tools to minimize loss to the Company, including but not limited to identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the store's physical security,...SuggestedFull time
- ...solutions and recommendations to clients while providing technical review, mentorship, and training to specialists, engineers, and... ...communicate schedule internally and externally. Ensure personal utilization and direct report consistently meets established goals....SuggestedFor subcontractorLocal areaFlexible hoursShift work
- ...pharmacy, in accordance with state, federal, and company policy. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct. +... ...Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information,...Hourly payPart timeApprenticeshipWork experience placementWork at officeLocal areaImmediate startFlexible hoursShift workAfternoon shift
$21.16 - $31.71 per hour
...Job Summary Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement... ...for the coordination of benefits (COB) team. Phones or utilizes other insurance company portals to validate state, vendor, and...Hourly payWork experience placementWork at office$85k - $150k
Overview Join Ethos Risk Services as a Bill Review Director to lead a remote, high-impact team that drives accuracy, efficiency, and... .... You will collaborate closely with Sales, Case Management, Utilization Review, IME, and Accounting to achieve organizational goals and...Remote work$60 - $75 per hour
Overview Hmong Chinese Language Document Reviewer — Employment Type: Full Time, Mid-Level — Department: Legal. As a CGS Hmong Chinese... ...terminology; Produces a variety of written documents and materials utilizing a wide range of office software applications; Establishes and...Full timeWork at officeFlexible hours$55 per hour
Description Your main role will be utilizing your clinical skills to complete utilization management reviews (Prior authorizations, Coverage Exceptions, Quantity Limit exceptions, and more). You will complete these reviews independently amongst a team of your peers and...Contract workTemporary workRemote work- ...enhance lives, and preserve the planet." What do our Innovation/Utility specialists do? The primary purpose of this role is to perform... ...individuals with disabilities. California residents click here to review your privacy rights. It is unlawful in Massachusetts to require...Full timePart timeLocal areaImmediate startMonday to Friday
- ...personally thriving! Join Bridge Senior Living – a certified Great Place to Work (2025-2026)! Now Hiring!! What you can expect as a Utility Worker with us: ~$1,000 Employee Referral Bonus ~ Tuition Reimbursement eligibility after three months of full-time...Full timeWork experience placementLocal areaImmediate start
$16 per hour
...your recruiter for details. Airport Location: Dallas Love Field Airport F&B Advertised Compensation: $16.00 to $16.00 Summary: The Utility associate is responsible for various services to include but not limited to cleaning equipment, floors, workstations, utensils, pots...Flexible hours- ...dynamic, culturally diverse group of employees, working in more than 100 countries, in a variety of challenging roles. The Plan Review Consultant I is a position for office engineering activities related to plan review of standard construction, equipment, occupancy,...For contractorsWork at officeFlexible hours
- **Employee Type:** Full time **Location:** TX Carrollton **Job Type:** Production Operations **Job Posting Title:** Utility **About Us:** TreeHouse Foods (NYSE: THS) is a leading manufacturer of private label packaged foods and beverages, operating a network of over 20...Permanent employmentFull timeShift workDay shift
$25 - $40 per week
...survey and engineering firm specializing in renewable energy and land development. We are seeking a highly skilled and motivated Utility Location Field Technician to work in a hybrid remote setting, with a 50/50 split between travel and in-office work . This contract...Contract workWork at officeRemote work- SUMMARY The Commercial Loan Review Officer III role at First United Bank focuses on assessing credit risk within the commercial and commercial... ...and other related forums. The right candidate will also utilize their experience and skills set to work cross departmentally on...Work experience placementWork at office
- Join to apply for the Credit Review Manager role at Capital One The Consumer Credit Review Manager is responsible for executing independent, risk-based assurance reviews within Capital One’s Consumer credit portfolios (card and auto). This includes assessment of credit...Full timePart timeWork at officeLocal area
- ...Appraisal Inspector & Reviewer Partner Valuation Advisors (PVA) is actively hiring professionals to meet the increasing demands of its client base. Founded by nationally respected industry veterans, we are blazing a new trail in the valuation industry with the commitment...Local area
- ...professionalism, and a rewarding career! Job Summary The CDI Quality Review Nurse (QRN) will work under the direction of the Clinical... ...with Coding Team to review and address opportunity, as applicable Utilize methodology-specific risk calculators and guidance documents to...Full timeRemote workShift work
