Search Results: 378,793 vacancies

 ...RN-Utilization Review Details * Sign-on bonus: $3,500 * Department: Case Management * Schedule: Monday-Friday, standard business hours. 2 holidays per year required and weekend rotation * Hospital: Ascension St. Agnes * Location: Baltimore, MD Seeking experienced... 
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Saint Agnes Hospital

Baltimore, MD
13 hours ago
 ...Utilization Review Nurse Per Diem 1648 Huntingdon Pike Nursing RN/LPN Day SUMMARY OF JOB: To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide... 
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Holy Redeemer Hospital and Medical Center

Meadowbrook, PA
3 days ago
 ...Registered Nurse - Utilization Review Details * Department: Utilization Management * Schedule: Part Time, Every Saturday and Sunday, 7am - 7pm * Hospital: Ascension St. Vincent's Riverside * Location: Jacksonville, FL Benefits Paid time off (PTO) Various health insurance... 
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Saint Vincent's Medical Center Riverside

Jacksonville, FL
3 days ago
 ...UTILIZATION REVIEW NURSE ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE MANAGEMENT ~Part-time - Weekends - Day shift - 8:00am-4:30pm ~RN Other ~81893 ~Posted: February 19, 2024 Apply Now // Setting the Saved Jobs link function setsavedjobs... 
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LifeBridge Health

Randallstown, MD
3 days ago
 ...and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Utilization Review Nurse will be responsible for substantiating medical necessity and clinical appropriateness of services in order to achieve quality... 
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St. Luke's University Health Network

Bethlehem, PA
15 days ago
 ...Job Title : RN - Chart Review Location – Bronx, NY 10451 Job Duration : 3 + month s : High possibility of extension Pay Range: $ 72 - $80/hr. on W2 Fully Onsite Note: We do have other positions available Schedule Notes: Day shift - 9:0... 
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Integrated Resources, Inc

New York, NY
1 day ago
 ...Job Title: Care Review Clinician I Job Location: Remote Duration: 6 Months+ Pay range: $40- $40.95/hr. on W2. Job Description: · All UM standard/ expedited Inpatient, Outpatient and Custodial Care clinical reviews for MLTC members. · Must Have... 
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Integrated Resources, Inc

Atlanta, GA
2 days ago
 ...Description We are seeking Medical Analysts with experience in preparing Medicare Set Asides and Medical Cost Projections. This includes reviewing records, preparing the narrative and an appropriate allocation for medical treatment and prescription medications. Candidates will... 
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Claims Solutions

Bradenton, FL
8 days ago
 ...Job Title: Reviewer II, Medical Job Location: Columbia, SC Zip Code: 29229 Top 3/5 Skills: 2 years clinical experience. Working knowledge of word processing software. Required Training: Active RN licensure in state hired, OR, active compact multistate... 
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Mindlance

Columbia, SC
3 days ago
 ...please visit us at  Follow @abbvie on Twitter, Facebook, Instagram, YouTube and LinkedIn.  Job Description The Batch Record Reviewer II audits Manufacturing and/or Packaging batch records, performs transactions in inventory systems to release batches for further... 
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AbbVie

North Chicago, IL
2 days ago
 ...offering a candidate-centric model to assist job seekers in finding their next career opportunity. We are looking for a Foreclosure Title Review responsible for assisting the attorneys with high-volume caseloads and will work often in our vendor-related software.
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Workway, Inc.

Winter Park, FL
8 hours ago
 ...Americas, Europe and the Middle East. Constellis is headquartered just outside of Washington, D.C. in Reston, VA. POSITION: Case Reviewer Job Duties: Provide advice and guidance to investigators on investigative and formatting requirements; Monitor pending cases... 
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Constellis

Atlanta, GA
8 hours ago
 ...healthcare at economical prices to make this a healthier world to live in. Job Overview This position is responsible for the technical review of raw data, qualification protocols, Certificate of Analyses and other technical documents for the release of raw materials,... 
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Aurobindo Pharma USA, Inc.

Durham, NC
7 days ago
 ...thinking, exceptional leadership, teamwork, and communication skills. ESSENTIAL DUTIES The primary responsibility of the Utilization Review Specialist is to review medical records and prepare clinical appeals (when appropriate) on medical necessity, level of care, length... 
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Bakersfield Behavioral Healthcare Hospital

Bakersfield, CA
4 days ago
 ...locations in the United States on a hybrid schedule, but if over 1 hour away from an office, fully remote.  PRIMARY PURPOSE: The Clinical Review Pharmacist has the responsibility of reviewing the medical necessity, appropriateness, and quality in the appropriate setting for... 
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AmTrust Financial Services, Inc.

Dallas, TX
16 days ago
Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance... 
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Huntsville Memorial Hospital

Huntsville, TX
12 days ago
Overview: This position reviews services to patients of all ages to ensure appropriate status of admission, length of stay and utilization of criteria based Severity of Illness/Intensity of Service. Utilizes clinical and nursing knowledge of documentation requirements... 
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Memorial Health

Decatur, IL
15 days ago
 ...of America) 32 hpw; 8-hr shifts (7a-3:30p flex); rotating weekends and holidays Job Description: Duties/Responsibilities: Reviews admission data to establish the appropriate level of care using Interqual criteria. Integrates clinical knowledge with billing... 
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Beth Israel Deaconess Hospital Plymouth

Plymouth, MA
3 days ago
 ...Company name: Philadelphia Corporation for Aging Title of position: Desk Reviewer - Long Term Care Assessment Position type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience. Location: This position may be hybrid (combination of in the... 
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Philadelphia Corporation for Aging

Philadelphia, PA
13 hours ago
 ...Description Job Description - *NOT A CODING OR DATA SCIENCE POSITION* Eurofins BPT-Columbia is looking for a Associate Scientist, Data Review tojoin our Quality Assurance team located in Columbia, Missouri. The Quality Assurance Associate position is an entry-level... 
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Eurofins USA BioPharma Services

Columbia, MO
4 days ago