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Remote Inpatient Review RN / LVN Nurse, Must have California Licensure (Long-Term Temp w/ Med Benefits) Alignment Healthcare Los Angeles, CA

Overview of the Role:Alignment Health is seeking a remote inpatient review nurse (must have California license) for a long-term temporary engagement (with medical benefits) to join the utilization man ... Read more

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Utilization Management Denial Review Nurse - LVN UCLA Health Los Angeles, CA

General InformationPress space or enter keys to toggle section visibilityWork Location: Los Angeles, USAOnsite or RemoteFlexible HybridWork ScheduleMonday - Friday, 8:00am - 5:00pm PSTPosted Date03/26 ... Read more

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Utilization Review RN *Per Diem/Day Shift* Providence Health & Services Mission Hills, CA

Providence nurses are not simply valued - they're invaluable. You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice ma ... Read more

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Coding Educator/Quality Reviewer - CPC or CCS Kaiser Permanente Pasadena, CA

Description: Job Summary:Accountable for conducting various revenue cycle audits including, but not limited to, professional bills, hospital or facility bills, automated charge trigger functions, manu ... Read more

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Claims Review Specialist Accounting/ Revenue Integrity Analyst Ampcus Incorporated Los Angeles, CA

REQUIRED EXPERIENCE: Take on a significant role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system. Take your professional expert ... Read more

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Travel Nurse RN - Case Manager, Utilization Review - $2,380 per week Medical Solutions Glendale, CA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: R ... Read more

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Claims Review Specialist - Accounting Compu-Vision Consulting Inc. Santa Monica, CA

Revenue Integrity Analyst /�Claims Review Specialist Location: 10920 Wilshire Blvd, Los Angeles, CA 90024 Duration: 24 week contract SHIFT: M-F 8-5 Note:�This will be 99% remote, only the orientati ... Read more

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Tax Return Reviewer, Global Mobility Services KPMG Los Angeles, CA

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more

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Internal Revenue Agent (Reviewer - Examiner) Temp NTE 1 Yr., MBE, MBMP 12 MONTH ROSTER (Amended) Department Of The Treasury Los Angeles, CA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more

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Quality Reviewer Tekfortune Los Angeles, CA

Tekfortune is a fast-growing consulting firm specialized in permanent, contract project-based staffing services for world's leading organizations in a broad range of industries. In this quickly chang ... Read more

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Remote Medical Benefit Review Services Associate II Conduent Los Angeles, CA

**About Conduent:**Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcome ... Read more

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CSMC 8750000 Utilization Management Utilization Review Case Manager FR 48010 Allen 429 1.00 Cedars-Sinai Los Angeles, CA

**Job Description****Job Summary: Key Job Responsibilities**The Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accep ... Read more

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Utilization Clinical Reviewer - (LCSW/LMFT/LPCC/LCPC) - Remote/Must Reside in CA Acentra Health Los Angeles, CA

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more

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Travel Nurse RN - Case Manager, Utilization Review - $2,441 per week Hiring Now Los Angeles, CA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California.Job Description RequirementsSpecialty: Utilization ReviewDiscipline ... Read more

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Medical Review Manager (Full-time, Remote) Integrity Management Services Inc. Los Angeles, CA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

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National Sales Account Executive - SMB Growth Marketing/Advertising/ Reviews Careerbuilder Los Angeles, CA

Job DescriptionThe role: National Account Executive (Sales) - SMB Growth Marketing ServicesCompany: Expertise ~ Growth Marketing Services, Advertising, and Business RatingsGeography: REMOTE role in US ... Read more

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Ad Review & Integrity Specialist (Arabic) Snapchat Los Angeles, CA

Snap Inc. is a technology company. We believe the camera presents the greatest opportunity to improve the way people live and communicate. Snap contributes to human progress by empowering people to ex ... Read more

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RN Case Manager/Utilization Review (Float) - Case Management - Full Time 8 Hour Days (Non-Exempt) (Union) University of Southern California Los Angeles, CA

The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float Case Manager and Utilization Review Nurse is assigned to fu ... Read more

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Movie Reviews Writer - New York Team mxdwn Entertainment Los Angeles, CA

Company Descriptionmxdwn is an online music and entertainment magazine with news, reviews and features about the latest and best in modern entertainment.Job DescriptionIf you live and breathe movies a ... Read more

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Spring 2024 - Tax Season Consultant - Experienced Reviewers and Preparers Liberty Staffing West Hollywood, CA

Job DescriptionWe are seeking accountants to prepare and/or review tax returns during our busy season (February through April 2024).TAX OR ACCOUNTING BACKGROUND IS REQUIRED!The responsibilities of a T ... Read more

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Utilization Clinical Reviewer - (LCSW/LMFT/LPCC/LCPC) - Remote/Must Reside in CA Kepro Los Angeles, CA

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de ... Read more

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Supervising Plan Review Engineer City of Beverly Hills, CA Beverly Hills, CA

Salary : $159,309.36 - $168,191.52 AnnuallyLocation : Beverly Hills City Hall, CAJob Type: Full-timeJob Number: 24-5010-01Department: Community DevelopmentOpening Date: 04/08/2024Closing Date: 5/5/202 ... Read more

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Utilization Review (UR) Specialist - Addiction Treatment Program Renewal Health Group Los Angeles, CA

Renewal Health Group is currently looking for a UR Specialist for its Treatment Programs!The UR Specialist is responsible for working with healthcare providers to help ensure appropriate and consisten ... Read more

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Utilization Management Review Nurse - Hybrid Astrana Health Monterey Park, CA

DescriptionJob Title: Utilization Management Review Nurse - HYBRID Department: Health Services About the Role: Astrana Health is looking for an LVN Utilization Review Nurse to assist our Health Servic ... Read more

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Senior Bill Review Analyst - Workers' Compensation Zenith Insurance Company Woodland Hills, CA

Under limited supervision, analyzes and audits medical bills from providers in order to determine appropriate reimbursement. Audits, analyzes, arranges and revises submitted information to determine r ... Read more

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UR Clinical Review Nurse (RN) - Parttime Children's Healthcare of Atlanta Atlanta, GA

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s ... Read more

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Privacy Engineer, Implementation Review Facebook Atlanta, GA

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more

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RN, Specialty Care Review Kaiser Permanente Atlanta, GA

Description: Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME Specialty Care services. The activities will include telephonic review for medical ne ... Read more

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Social Media Community Engagement Manager - App Reviews & Digital Products Jackson Spalding Atlanta, GA

Social Media Community Engagement Manager ? App Reviews Digital ProductsHybrid - Atlanta�Are you looking to join a hungry and humble team of thinkers, creators, a ... Read more

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Tax Return Reviewer, Global Mobility Services KPMG Atlanta, GA

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more

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Internal Revenue Agent (Reviewer - Examiner) Temp NTE 1 Yr., MBE, MBMP 12 MONTH ROSTER (Amended) Department Of The Treasury Atlanta, GA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more

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DRG Nurse Reviewer Zelis Atlanta, GA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more

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Medical Review Manager (Full-time, Remote) Integrity Management Services Inc. Atlanta, GA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

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Psychologist Reviewer - Georgia Elevance Health Atlanta, GA

DescriptionPosition specific details: The successful candidate must be a licensed psychologist in Georgia and will preferably live in the state.The Psychologist Reviewer - Georgia is responsible for c ... Read more

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Post Payment Review Analyst - Government Careerbuilder Atlanta, GA

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for ... Read more

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Appraisal Reviewer Lead Clayton Homes Atlanta, GA

Why Silverton Mortgage:?We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry?We believe in giving back and ... Read more

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Quality Review Manager ExamWorks Lawrenceville, GA

OverviewWe are seeking passionate and skilled RN's to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information has been provided and is accurate before sending back to ... Read more

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Building Inspector/Plan Reviewer City of College Park, GA Atlanta, GA

Salary : $42,002.43 - $53,553.09 AnnuallyLocation : College Park, GAJob Type: Full-TimeJob Number: 7200-002Department: InspectionsOpening Date: 02/23/2024FLSA: Non-ExemptSummary A successful candidate ... Read more

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Quality Review Coordinator Vascular LifeLink Norcross, GA

We Are LifeLink...Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donatio ... Read more

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Travel Nurse RN - Case Manager, Utilization Review - $2,441 per week Hiring Now Marietta, GA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: RNDu ... Read more

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Document Review Attorney Beacon Hill Atlanta, GA

To Apply for this Job Click Here Beacon Hill Legal is registering licensed attorneys with document review experience in anticipation of upcoming projects. All candidates must be licensed, and in good ... Read more

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Utilization Review Specialist Acadia Healthcare Riverdale, GA

ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans ... Read more

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Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc. Atlanta, GA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

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Credit Investigator Eastern Region AVA Consulting Alpharetta, GA

Job ID: TYA1305599 Job Title: Credit Investigator Eastern Region style="font- ... Read more

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Reviews Team Leader Midlands Metalheads Radio Limited, Registered Fayetteville, GA

This unpaid voluntary position comes with some great perks such as a fantastic opportunity to build up your own personal profile, add leadership and writing experience to your CV and steer your journa ... Read more

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Credit Specialist Republic National Distributing Company Atlanta, GA

Republic National Distributing Company (RNDC) is a family-owned business with roots extending before Prohibition that has evolved into one of the nation's largest wine and spirits wholesalers. Our suc ... Read more

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Research and Development (R&D) Tax Credit Associate Rdl & Partner Atlanta, GA

DescriptionWhat You Will Do:As a Research and Development Tax Credit Associate, you will provide clients with insights relating to cash saving, refund, and deduction opportunities resulting from RD-re ... Read more

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Schedule Review Lead AECOM Atlanta, GA

Company DescriptionWork with Us. Change the World.At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or transforming sky ... Read more

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HealthCare Credits Rep (Remote) Fresenius Medical Care Kennesaw, GA

PURPOSE AND SCOPE:Under general supervision, the Credits Representative identifies, analyzes and resolves credit balances within the assigned portfolio of accounts. The credit representative applies a ... Read more

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TransPerfect Staffing Document Review Starting 2/11 - ATL TransPerfect Atlanta, GA

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 90+ offices has its own individual identi ... Read more

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Physician Review Coordinator Concentra Addison, TX

OverviewFrom our Dallas corporate headquarters to our clinics, worksites, and mobile locations, Concentra colleagues remain focused on our driving purpose: to provide superb patient and employer exper ... Read more

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Outpatient Utilization Review (RN) - Lewisville Location - $5,000 Sign-on Bonus Universal Health Services Arlington, TX

ResponsibilitiesWho We Are:The Excel Center of Lewisville is an outpatient clinic serving ages 5 - 18. We are a specialized day treatment center meeting the emotional and behavioral needs of children ... Read more

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RN Utilization Review II Impresiv Health Irving, TX

Title: RN Utilization Review II Description: The RN Utilization Review II is responsible for determining the clinical appropriateness of care provided to patients and ... Read more

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Registered Nurse Utilization Review \ 1366 TalentBurst, Inc. Irving, TX

Job Title:�Registered Nurse Utilization Review Location:�Irving, TX, 75038 Duration: 13 Weeks Shift:�Monday - Friday 8 am - 5 pm Pay Rate: $30/hr. - $35/hr. Notes:�Temp to Perm - Local Candidates onl ... Read more

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Registered Nurse Utilization Review \ 1366 Softpath System LLC Irving, TX

Area: HPUtilization Mgmt 7065 / 1346 Class: RN Utilization Review Shift: 1 Start: 08:00:00 End: 17:00:00 ... Read more

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Case Mgt Utilization Review RN IASIS Healthcare Dallas, TX

Case Mgt Utilization Review RNClick Here to Apply OnlineJob DescriptionLocation: Steward Health CarePosted Date: 10/31/2023The Care Manager assumes primary responsibility for documentation of appropri ... Read more

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Tax Return Reviewer, Global Mobility Services KPMG Dallas, TX

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more

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Bill Review Analyst I CorVel Dallas, TX

Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business. This role will be remote.ESSENTIAL FUNCTIONS RESPONSIBILITIES:* Responsible for auditing me ... Read more

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Internal Revenue Agent (Reviewer - Examiner) Temp NTE 1 Yr., MBE, MBMP 12 MONTH ROSTER (Amended) Department Of The Treasury Dallas, TX

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more

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Risk Management - Asset Based Lending Credit - Associate JPMorgan Chase Dallas, TX

As part of Risk Management and Compliance, you are at the center of keeping JPMorgan Chase strong and resilient. You help the firm grow its business in a responsible way by anticipating new and emergi ... Read more

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Project Manager - Design/Review CM Services Foster CM Group, Inc Dallas, TX

Project Manager Design/Review Foster CM Group, a highly respected Construction Management Firm, offers a family-based culture where work-life balance is particularly important. We work as a team and ... Read more

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Senior Commercial Insurance Review Professional NEWMARK Dallas, TX

Job DescriptionJOB DESCRIPTION (Senior Commercial Insurance Review Professional):Newmark is seeing contract-based professionals to fulfill commercial insurance review roles.ResponsibilitiesESSENTIAL D ... Read more

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Network security with a good understanding of Firewall and the rule review process (L3 level) Applab Systems Inc Plano, TX

Position : -Network security with a good understanding of Firewall and the rule review process (L3 level) Location: - style="font-family:C ... Read more

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Director, Lease Review Cushman & Wakefield Dallas, TX

Job TitleDirector, Lease ReviewJob Description SummaryThis position will report to regional leadership and provide integral support to Cushman Wakefield's occupier brokerage professionals and corpora ... Read more

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Radiation Oncology Preservice Review Nurse RN - Remote UnitedHealth Group Dallas, TX

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connectin ... Read more

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Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology) Dane Street, LLC Dallas, TX

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b ... Read more

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Healthcare Administrative Assistant - Medical Review/Program Integrity Coordinator @Orchard Dallas, TX

DescriptionHealthcare Administrative Assistant - Medical Review/Program Integrity CoordinatorDallas, TX(Hybrid schedule with 2 days onsite)@Orchard LLC is retained by a not-for-profit corporation that ... Read more

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Bar Review Course Delivery Specialist Bar Review Operations Washington D.C., Dallas, TX Fully Remote Barbri, Inc Dallas, TX

Bar Review Operations Washington D.C., Dallas, TX Fully Remote **Bar Review Course Delivery Specialist****Come join our Bar Review Operations team!**We usually respond within **three days* ... Read more

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Product Security Code Review Engineer Accenture Dallas, TX

We AreAccenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diverse ... Read more

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Senior Commercial Insurance Review Professional Careerbuilder Dallas, TX

Job DescriptionJOB DESCRIPTION (Senior Commercial Insurance Review Professional):Newmark is seeing contract-based professionals to fulfill commercial insurance review roles.ResponsibilitiesESSENTIAL D ... Read more

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Medical Review Manager (Full-time, Remote) Integrity Management Services Inc. Dallas, TX

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

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Utilization Review RN TEXAS INSTITUTE FOR SURGERY Dallas, TX

Job DetailsJob LocationTexas Institute for Surgery LL SURG - Dallas, TXSalary Range$38.00 - $43.00 HourlyJob CategoryHealth CareDescriptionJob Summary:The Utilization Management Nurse will provide pre ... Read more

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Periop Svcs Office - Quality Review Data Analyst Children's Health Dallas, TX

Job Title Specialty Area: Quality Review Data Analyst - Emergency Room RNDepartment: Periop Svcs OfficeLocation: DallasShift: Monday - Friday 8am -4:30pmJob Type: On-SiteWhy Children's Health?At Chil ... Read more

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Physician Reviewer - (Radiation Oncology, Cardiology, Rheumatology) Dane Street Dallas, TX

This telework opportunity provides the ability to customize your schedule and caseload within the week while maintaining client-mandated turnaround times. Our reviewers are compensated on a per-case b ... Read more

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Physician Telecommute Medical Review Stream Select Medical Dallas, TX

Are you an accomplished Board Certified physician in one of the below specialties? Preferred candidates will have a TX license.General SurgeryNeurologistOrthopedic Surgery with hand or spine specialty ... Read more

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Remote Medical Review Registered Nurse GCP-Inc Miami, FL

GCP is seeking Remote CMS Medical Review RNs�RNs Staff will perform clinical reviews of Medicare Part A and Part B claims for Medical Review. ... Read more

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Product Security Code Review Engineer Accenture Miami, FL

We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver ... Read more

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Hospital Reviewer/Utilization Manager DOCTORS HEALTHCARE PLANS, INC. Miami, FL

Position Purpose: Works in partnership with physicians, nurse case managers, and other disciplines to ensure the appropriateness for the corresponding level of care utilizing evidence-based criteria. ... Read more

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Utilization Review Case Manager, Non-RN Careerbuilder Miami, FL

Utilization Review Case Manager, Non-RN page is loadedUtilization Review Case Manager, Non-RNApplylocationsMiami, FLtime typeFull timeposted onPosted 30+ Days Agojob requisition idR100072019Current Em ... Read more

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Medical Review Manager (Full-time, Remote) Integrity Management Services Inc. Miami, FL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

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Interior Designer Reviews | DLT Interiors Muamat Miami, FL

Interior Designer Reviews | DLT Interiors - Miami, USA - Free Classifieds - Muamat **Interior Designer Reviews | DLT Interiors - Miami****Post #**: A43614199 **Posted on**: 20 November **Repl ... Read more

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Quality Assurance Reviewer Qlarant Miami, FL

Job DescriptionQlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We ... Read more

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Utilization Review Case Manager, Non-RN The University of Miami Miami, FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more

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CREDIT SPECIALIST (FULL TIME) Compass Group Hollywood, FL

CREDIT SPECIALIST (FULL TIME)Click Here to Apply OnlineJob Description Canteen We are hiring immediately for a full time CREDIT SPECIALIST position.Location: Canteen - 1046 Southwest 113 Avenue, Pembr ... Read more

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Provider Contestment Reviewer Sentara Healthcare Miami, FL

City/StateDoral, FLOverviewWork ShiftFirst (Days) (United States of America)AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Provider Contestment Reviewer in Miami and/or G ... Read more

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Internal Revenue Agent (Reviewer - Examiner) Temp NTE 1 Yr., MBE, MBMP 12 MONTH ROSTER (Amended) Department Of The Treasury Miami, FL

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more

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Utilization Review Case Manager, Non-RN University of Miami Miami, FL

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Work ... Read more

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Clinical Documentation Specialist - Second Level Reviewer - Remote University of Miami Miller School of Medicine Hialeah, FL

Current Employees:If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to ... Read more

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CLAIMS AND CREDIT ASSOCIATE Best Candidates LLC Miami, FL

Best Candidates LLC - We are seeking a CLAIMS AND CREDIT, who As a Claims and Credit Associate, you will be responsible for assisting in the management of claims processing and credit control within o ... Read more

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Tax Manager Reviewer Arch Staffing & Consulting Miami, FL

Job Title: Tax Manager - ReviewerJob Location : Coral Gables - FloridaModel: Hybrid after 90 DaysSalary: $115000-$120000 per year? Our annual firm cruise!? Competitive salary + bonus program? New busi ... Read more

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Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc. Miami, FL

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

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Bilingual Document Review / Executive Support Analyst Lenmar Consulting Inc Miami, FL

Title: Document Review / Executive Support AnalystLocation: Coral Gables, FLRemote/Hybrid/Onsite: HybridPosition Type: ContractDuration: 8 Months +Rate: $33.00/hr-$35.00/hrResponsibilitiesAdministrati ... Read more

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Real Estate Credit Associate/VP Selby Jennings Miami, FL

Real Estate Credit AssociateMiami, FLCompany OverviewOur client is a rapidly growing real estate credit fund that invests in a wide variety of real estate products. With a proven track record acquirin ... Read more

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Hebrew Document Review Attorney Contact Government Services, LLC Hollywood, FL

Hebrew Document ReviewerContact Review - Washington, DCLocation: RemoteStart Date: NegotiableEXPERIENCE QUALIFICATIONS:Fluency in Hebrew Familiarity with document review workflows Examples: Privilege ... Read more

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Transfer Credit Specialist Ultimate Staffing Miami, FL

Ultimate Staffing is seeking a Transfer Credit Specialist for a reputable University, to evaluate and process transfer credits efficiently. This role involves evaluating course equivalencies, maintain ... Read more

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Registered Nurse Utilization Review, Case Management, Per Diem, 8A-4:30P Baptist Health South Florida Miami, FL

The purpose of this position is to conduct initial, concurrent, retrospective chart review for clinical, financial and resource utilization. Coordinates with healthcare Team for optimal efficient pati ... Read more

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Structural Engineer - Plan Review CSG Talent Miami, FL

Structural Engineer - TIC We are seeking an experienced and licensed Structural Engineer with a Florida P.E. license for immediate hire. The successful candidate will demonstrate technical proficiency ... Read more

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Director of Incident Response Review TransPerfect Miami, FL

TransPerfect Is More Than Just a Job?Our greatest asset is our people, and nothing is more important to us than ensuring that everyone knows that. Each of our 100+ offices has its own individual ident ... Read more

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Nurse Reviewer I Elevance Health Miami, FL

DescriptionNurse Reviewer ILocation: Within 50 miles of a pulse pointShift : Monday - Friday, from 9:30 am - 6 pmThe Nurse Reviewer I is responsible for conducting preauthorization, out of network and ... Read more

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Director of Specialty Bill Review Services - Remote Rising Medical Solutions Miami, FL

As our Director of Specialty Bill Review Services, you will maximize savings and client satisfaction by providing strategic direction for Rising's Specialty Services unit involving complex/large medic ... Read more

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PowerReviewsJobs In

Los Angeles,CA

Overview of the Role:Alignment Health is seeking a remote inpatient review nurse (must have California license) for a long-term temporary engagement (with medical benefits) to join the utilization man

Los Angeles,CA

General InformationPress space or enter keys to toggle section visibilityWork Location: Los Angeles, USAOnsite or RemoteFlexible HybridWork ScheduleMonday - Friday, 8:00am - 5:00pm PSTPosted Date03/26

Mission Hills,CA

Providence nurses are not simply valued - they're invaluable. You will thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice ma

Pasadena,CA

Description: Job Summary:Accountable for conducting various revenue cycle audits including, but not limited to, professional bills, hospital or facility bills, automated charge trigger functions, manu

Los Angeles,CA

REQUIRED EXPERIENCE: Take on a significant role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system. Take your professional expert

Glendale,CA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Glendale, California.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: R

Santa Monica,CA

Revenue Integrity Analyst /�Claims Review Specialist Location: 10920 Wilshire Blvd, Los Angeles, CA 90024 Duration: 24 week contract SHIFT: M-F 8-5 Note:�This will be 99% remote, only the orientati

Los Angeles,CA

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Los Angeles,CA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Los Angeles,CA

Tekfortune is a fast-growing consulting firm specialized in permanent, contract project-based staffing services for world's leading organizations in a broad range of industries. In this quickly chang

Los Angeles,CA

**About Conduent:**Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcome

Los Angeles,CA

**Job Description****Job Summary: Key Job Responsibilities**The Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accep

Los Angeles,CA

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Los Angeles,CA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Los Angeles, California.Job Description RequirementsSpecialty: Utilization ReviewDiscipline

Los Angeles,CA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Los Angeles,CA

Job DescriptionThe role: National Account Executive (Sales) - SMB Growth Marketing ServicesCompany: Expertise ~ Growth Marketing Services, Advertising, and Business RatingsGeography: REMOTE role in US

Los Angeles,CA

Snap Inc. is a technology company. We believe the camera presents the greatest opportunity to improve the way people live and communicate. Snap contributes to human progress by empowering people to ex

Los Angeles,CA

The RN Float Case Manager and Utilization Review Nurse provides coverage for an RN Case Manager or RN Utilization Review Nurse. The RN Float Case Manager and Utilization Review Nurse is assigned to fu

Los Angeles,CA

Company Descriptionmxdwn is an online music and entertainment magazine with news, reviews and features about the latest and best in modern entertainment.Job DescriptionIf you live and breathe movies a

West Hollywood,CA

Job DescriptionWe are seeking accountants to prepare and/or review tax returns during our busy season (February through April 2024).TAX OR ACCOUNTING BACKGROUND IS REQUIRED!The responsibilities of a T

Los Angeles,CA

CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that de

Beverly Hills,CA

Salary : $159,309.36 - $168,191.52 AnnuallyLocation : Beverly Hills City Hall, CAJob Type: Full-timeJob Number: 24-5010-01Department: Community DevelopmentOpening Date: 04/08/2024Closing Date: 5/5/202

Los Angeles,CA

Renewal Health Group is currently looking for a UR Specialist for its Treatment Programs!The UR Specialist is responsible for working with healthcare providers to help ensure appropriate and consisten

Monterey Park,CA

DescriptionJob Title: Utilization Management Review Nurse - HYBRID Department: Health Services About the Role: Astrana Health is looking for an LVN Utilization Review Nurse to assist our Health Servic

Woodland Hills,CA

Under limited supervision, analyzes and audits medical bills from providers in order to determine appropriate reimbursement. Audits, analyzes, arranges and revises submitted information to determine r

Atlanta,GA

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s

Atlanta,GA

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

Atlanta,GA

Description: Responsible for carrying out medical necessity reviews on all designated referrals for Home Care, DME Specialty Care services. The activities will include telephonic review for medical ne

Atlanta,GA

Social Media Community Engagement Manager ? App Reviews Digital ProductsHybrid - Atlanta�Are you looking to join a hungry and humble team of thinkers, creators, a

Atlanta,GA

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Atlanta,GA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Atlanta,GA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Atlanta,GA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Atlanta,GA

DescriptionPosition specific details: The successful candidate must be a licensed psychologist in Georgia and will preferably live in the state.The Psychologist Reviewer - Georgia is responsible for c

Atlanta,GA

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for

Atlanta,GA

Why Silverton Mortgage:?We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry?We believe in giving back and

Lawrenceville,GA

OverviewWe are seeking passionate and skilled RN's to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information has been provided and is accurate before sending back to

Atlanta,GA

Salary : $42,002.43 - $53,553.09 AnnuallyLocation : College Park, GAJob Type: Full-TimeJob Number: 7200-002Department: InspectionsOpening Date: 02/23/2024FLSA: Non-ExemptSummary A successful candidate

Norcross,GA

We Are LifeLink...Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donatio

Marietta,GA

About Conduent:Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcome

Job DescriptionJob Summary: Key Job ResponsibilitiesThe Utilization Review Case Manager validates the patient's placement to be at the most appropriate level of care based on nationally accep

Bar Review Operations Washington D.C., Dallas, TX Fully Remote Bar Review Course Delivery SpecialistCome join our Bar Review Operations team!We usually respond within **three days*