Average salary: $92,368 /yearly
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- Role Snapshot The Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This role ensures that providers are billing and being paid appropriately for services provided...SuggestedFull timeContract workFor contractorsLocal areaImmediate startRemote work
$65k - $88.6k
...community Humana Healthy Horizons in Kentucky is looking for a Utilization Management Behavioral Health Professional 2 who uses... ...platforms Preferred Qualifications Experience with utilization review process. Experience with behavioral change, health promotion,...SuggestedWeekly payFull timeTemporary workApprenticeshipPrivate practiceWork at officeRemote workWork from homeHome officeMonday to Friday- ...Siemens Electrification & Automation is enabling a more reliable, resilient, and sustainable electric grid. By partnering with utilities and EPCs, our integrated, turnkey electrical systems support grid modernization, capacity expansion, and energy transition. We...SuggestedPermanent employmentLocal areaImmediate startRelocation package
$16 - $18 per hour
The Food Service Worker I is responsible for performing various food and beverage-related tasks. This position requires individuals with a high attention to detail, strong dedication to customer service along with a positive and friendly demeanor. This position will maintain...SuggestedFlexible hoursWeekend work$21.66 - $30.33 per hour
...an organization that values continuous improvement, teamwork, and excellence in every aspect of our business. Primary Purpose The Utility Technician will operate various Class A, B, and/or C vehicles (pumper truck, P&D truck, fence truck, container truck, etc.) in support...SuggestedFull timeTemporary workPart timeSecond jobLocal areaImmediate startFlexible hoursShift workUnited Site Services
Virginia10 hours ago- ...safe, individualized discharge and providing proficient timely utilization management services to ensure that maximum reimbursement is... ...varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management preferred. Applicant...SuggestedFull timeLocal area
$62.41k
...Clinical Coordinator - Utilization Review Annual Salary: $62,406 Work Schedule: Monday - Friday 8:30 am - 5:00 pm The Hampton - Newport News Community Services Board (CSB) is hiring a Clinical Coordinator - Utilization Review for the Region 5 Reinvestment Initiative...SuggestedFull timeMonday to FridayFlexible hours$28 - $50 per hour
...Utilization Review Specialist (Flexi) Job Category: Administrative Professional Requisition Number: UTILI003276 Part-Time On-site Chesapeake, VA 23320, USA Pay or shift range: $28 USD to $50 USD The estimated salary range is provided in accordance with Virginia Pay...SuggestedPart timeShift work- The Pavilion at Williamsburg Place is seeking a Utilization Assistant in Williamsburg, Virginia. This role involves providing support for utilization review activities and working with insurance providers to secure patient coverage. Responsibilities include assisting with...Suggested
$26 per hour
...Job Description Job Description We are seeking a detail-oriented and organized professional to support both utilization review operations and day-to-day office management. This role plays an important part in ensuring efficient administrative processes, coordinated...SuggestedHourly payWork at office- ...delivering quality care in a fast-paced environment. We are seeking a detail-oriented Clinical Authorization Specialist (Utilization Review) to join our healthcare team. The ideal candidate will have experience in prior authorizations, insurance verification, utilization...SuggestedMonday to Friday
$47k - $78k
...limited authority on assignments of moderate technical complexity. Utilizes underwriting policies and guidelines, rating manual rules and... ...of duties in accordance with departmental guidelines: Reviews applications and financial requirements for risks requiring moderate...SuggestedFull timeWork experience placementWork at officeRemote work$68k - $75k
...communication activities daily, including labor scheduling, space utilization, equipment and manpower. People management responsibilities... ...DUTIES AND RESPONSIBILITIES: Conducts staff meetings to review daily/weekly work activities, plan and assure continuous improvement...SuggestedFull timeTraineeshipWork at officeLocal areaFlexible hoursNight shift$110k - $140k
...terms, contracts, and promotional programs. * Conduct vendor reviews focused on performance, service levels, quality, innovation, and... ...and market opportunities to recommend sourcing decisions. * Utilize data and analytics to make informed purchasing and sourcing...SuggestedFull timeContract workLocal area$70.66k - $87k
...Manager. Escalate risk concerns leadership when applicable * Utilize artificial intelligence to identify potential gaps or risks between... ...completeness, and provide accurate data for color team reviews and leadership briefings WHAT YOU’LL NEED TO SUCCEED Bring...SuggestedFull timeContract workTemporary workFor subcontractorWork at officeImmediate startRemote workWorldwideFlexible hours$16 - $24 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...Hourly payFull timePart timeLocal areaWork from homeAll shiftsFlexible hoursShift workNight shift- ...staff. * Assist with special projects, including documentation reviews and audits. * Complete timely and accurate daily documentation... ...including Excel, Outlook, Word, and PowerPoint. * Ability to utilize department databases, web-based applications, and other...Hourly payFull timeWork at officeMonday to Friday
$35 - $45 per hour
...required corrective action * Troubleshoot equipment malfunctions utilizing standard and specialized test equipment * Repair or replace... ...@pavion.com . Kindly note that resumes submitted to this email address will not be reviewed. Thank you for your understanding.Full timeContract workLocal area$30.58 - $53.51 per hour
...lower-level Subcontract Administrators. May make assignments and review completed work. * Serves as liaison between subcontractor... ...excellent communication skills, and demonstrated proficiency in utilizing Cost Point Procurement systems is preferred * Experience managing...Full timeContract workFor subcontractorRemote workFlexible hours$67.2k - $100.8k
...disabilities is highly preferred. * Home health experience, utilization management and/or hospital discharge planning experience is preferred... ...employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida...Full timeWork experience placementWork at officeLocal areaDay shift1 day per week- ...integral part of the team responsible for: Solution design and review of all business process and system level changes as part of continual... ...and support to end-users, ensuring they can effectively utilize the Smartsheet application for their business needs. General...
- ...including exploring and creating customer needs and closing the sale. Utilize GameStop's Solution Selling Tablet to serve each customer's... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. GameStopImmediate startShift work
$750 per month
...modernization initiatives. Design and implement lake house architectures utilizing Azure Databricks, Delta Lake, Azure Data Lake Storage Gen2,... ..., and related technical resources. Conduct architecture reviews for data platforms, integrations, analytics solutions, AI initiatives...Work experience placementWork at officeRemote workFlexible hours- ...Common Ground System’s (DCGS) evolving concept of operations and utilization of Analysis and Exploitation Teams (AET). · Provide in-... ...and performance checks · Provide detailed Quality Assurance reviews of courseware content Required Qualifications: Worked with...Temporary workWork at officeRemote workFlexible hours
Geo Owl
Virginia20 days ago - ...activities to address security findings identified through ACAS, STIG reviews, vulnerability scans, and security assessments. Manage... ...Cloud Infrastructure, including AWS-based technologies. Utilize enterprise security tools such as ACAS, HBSS, Carbon Black, Tanium...Work experience placement
- ...for 2 days a week and 3 days remote. Basic Duties: Utilize the State of Michigan's Project Portfolio Management Tool (... ...project artifacts are updated accordingly. Responsible for reviewing and understanding vendor contracts to actively manage the vendor...Work at officeLocal areaRemote work2 days per week1 day per week
- ...Architect and enforce Identity Governance strategies, including structured access reviews, entitlement management, and lifecycle workflows. Design and manage just-in-time (JIT) elevated access utilizing Privileged Identity Management (PIM) for directory and Azure resources....
$100k - $150k
...Coordinate multidisciplinary design efforts and engineering reviews. Conduct traffic engineering studies and support roadway safety... .... Manage developer coordination, access permits, utility requests, and project change orders. Administer document control...Work at office- ...staff with less experience and identifies training needs. 8. Reviews and approves documentation and diagrams created by IT team... ...statistics to determine DB load. SQL and Python scripting include utilizing scripting solutions to automate monitoring activities....Work experience placementVisa sponsorship
$68 - $73 per hour
...Sprint Planning Quarterly/Program Planning Daily Stand-Ups Sprint Reviews and Demos Sprint Retrospectives Ensure adherence to Scrum... ...and delivery objectives. Track resource capacity, team utilization, and delivery forecasting. Delivery Management & Metrics...Hourly payWork at office
