Average salary: $81,595 /yearly
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...Job Description
Job Description Nurse Case Manager/Utilization Review
Overview:
We are seeking a dedicated and compassionate Nurse Case Manager to join our team. As a Case Manager, you will be responsible for providing comprehensive care coordination and...
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Holiday work
...determinations for inpatient and outpatient services by applying utilization management (UM) criteria, clinical judgment, and internal... ...procedures. Regardless of the final determination, the Physician Reviewer is responsible for ensuring medically appropriate care is...
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Full time
...Job Title: RN Review Analyst
Job ID: BCR0002603
Location: remote
Local to Michigan State Only
Word Typing Test: .- 10... ...acute patient care, discharge planning, case management, and utilization review, etc.
# Demonstrated clinical knowledge and experience...
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Remote job
...Billing Solutions is an industry-leading revenue cycle management company for healthcare organizations. We are looking to add a Utilization Review (UR) Specialist to our growing team. The UR Specialist will utilize his or her knowledge and skills to review clinical...
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Flexible hours
...sense of service, high standards of professionalism and a responsibility to better the public good. We are currently seeking an Utilization Reviewer/Trainer who has a passion for providing the highest quality care in an institutional, secure setting. Come join a team that...
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Monday to Friday
...Contract Review Consultant (Remote, 6 Months)
Do you have a keen eye for detail and expertise in commercial insurance?
LHH Recruitment Solutions seeks a Contract Review Consultant to join our client's team as a full-time W2 contractor! In this fully remote role (pay...
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Full time
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For contractors
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Remote job
...valued and respected. This is a unique opportunity for accomplished attorneys to work on sophisticated matters primarily supervising Review Attorneys that are performing second-level review or quality control on high volumes of complex litigation documents. This is a...
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Flexible hours
...system will quickly have you in front of a live recruiter.
The Opportunity
Description
We're looking for a Physician Reviewer , working in Insurance industry in Chicago, Illinois, United States .
Evaluates clinical service requests made by an...
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...Responsibilities:
? ESSENTIAL FUNCTIONS:
? Monitor utilization of services and optimize reimbursement... ...oversees concurrent and retrospective review s for all patients .
? Act as a... ..., c urrent licensure as an LPN or RN within the state where the facility...
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Local area
...physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload... ...following areas: Alsip/South Chicago Area
JOB SUMMARY:
Utilizes clinical expertise, and reviews disability claims by providing...
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For contractors
Monday to Friday
...Responsibilities
JOB SUMMARY: Performs timely, daily clinical reviews with all payer types, to secure authorization for initial and... ...on payer’s criteria and in accordance with the hospital wide Utilization Management Plan. Serves as liaison to 3rd and 4th party...
Suggested
Full time
...Job Description
Job Description Hybrid F/T RN Utilization Management Specialist Needed in Park Ridge, IL
Our client, a growing Medicare... ...Performs prospective, initial, concurrent, and retrospective reviews for all requested services to include but not limited to the...
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Full time
Temporary work
Immediate start
Remote job
...independent contractor.
JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions... ...:
* Reviews medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of...
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Temporary work
For contractors
Remote job
Flexible hours
Monday to Friday
...on payer’s criteria and in accordance with the hospital wide Utilization Management Plan. Coordinates with the Business Office, Admissions... ...oral and written communication skills to support patient advocacy/negotiating skills to ensure quality reviews with payers....
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Full time
...Experienced Document Review Attorney Remote
Great opportunity for l icensed attorneys with document review experience interested in quality focused e-Discovery. We have some projects anticipated to start soon and others in the pipeline. Please apply to get on our...
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Hourly pay
Flexible hours
About the job Contract Review Consultant - Remote
Hoot-Recruit Agency, on behalf of our client, a professional services company that provides advice and solutions to clients in the areas of risk, strategy, and people, is hiring a Contract Review Consultant to...
Remote job
Contract work
Job Description
POSITION SUMMARY
Operate and maintain cleaning equipment and tools, including the dish washing machine, hand wash stations pot-scrubbing station, and trash compactor. Wash and disinfect kitchen and store room areas, tables, tools, knives, and equipment...
Work experience placement
...Title : Inpatient Chart Review Specialist
The Organization
We help society's foundational institutions-healthcare and higher education... ...The ideal candidate will possess:
~ Clinical credential RN or MD (open to LPN or Coders if they have the right level of experience...
Remote job
Home office
...passionate about cybersecurity and enhancing the security posture of clients product development lifecycle. You will apply your code review experience and contribute to a variety of services our team offers clients, particularly where we perform penetration testing...
Work experience placement
Local area
Job Title: Dishwasher
Status: Part Time
Customary Days: Sunday - Saturday
Customary Hours: Varies to include mornings, afternoons, holidays, and extended hours as business requires
Position Summary
The Dishwasher performs a number of kitchen activities...
Holiday work
Part time
Local area
Shift work
Sunday
Day shift
Saturday