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JobLeads - Portland, OR

…is now available as the Vice President of Operations Utilization Review . A Medical Utilization Review organization is seeking a lean thinking Vice

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JobLeads - FL

…AHRQ safety indicators as assigned. Assists with data management, performance improvement, medical record review and meeting organization to help

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Chickasaw Nation Industries - Rockville, MD

…a utilization review firm, or other health care claims processing organization involving medical and coding reviews. Extensive experience performing

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Chickasaw Nation Industries - Rockville, MD

…insurance industry, a utilization review firm, or another healthcare claims processing organization that involves medical and coding reviews of a variety of

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Chickasaw Nation Industries - Rockville, MD

Overview The Assistant Medical Review Manager supports the Centers for Medicare and Medicaid Services (CMS) by identifying improper payments made under Medicaid

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JobLeads - Washington, DC

…in a hospital or ambulatory care setting, professional medical or health care organization , or review entity. * Minimum of five years of clinical experience

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HCS Healthcare - San Antonio, TX

Job Description Medical Review Nurse Overview Are you looking for a fresh and rewarding new opportunity as a Registered Nurse? Are you striving to improve your

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Curo Health Services - Mooresville, NC

…Medicaid Audits Record review Spreadsheet management* Compliance Assistance * Chart review for medical record requests * Spreadsheet management of:Number of

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Merck & Co. - Rahway, NJ

…diseases. Under the direction and oversight of the Associate Vice-President, Head of Medical Safety Review (MSR), MSR Directors and managers, the Medical

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Manpower - Hutchinson, KS

…in Hutchinson, KansasThis local Hutchinson, Ks company is looking for a Medical review officer in Hutchinson, KansasThis permanent position in Hutchinson,

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Pinnacle Treatment - Cambridge City, IN

…management plan by applying hospital approved criteria to the clinical review hospitalized patients to determine medical necessity for hospitalization,

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UNIV. BEHAVIORAL OF DENTON - Denton, TX

…UBH of Denton is seeking a dynamic and talented Director of Utilization Review . www.ubhdenton.com/careers The Director of Utilization Review is responsible for

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Sacred Oak Medical Center - Houston, TX

…for the review of all PMG/IPA members usage patterns for medical necessity and appropriateness of care against screening criteria and for infection prevention

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HCS Healthcare - Austin, TX

… Review Nurse RN / LVN position include completing level of care medical necessity review based on clinical criteria, and producing executive reports based

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KEPRO, Inc. - Bloomington, MN

…was founded by physicians and clinical expertise is at the core of our organization . We are a leading quality improvement and care management organization . We

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Berkshire Hathaway Homestate Companies - Omaha, NE

…and maintains a close, positive communication relationship and working partnership with Medical Bill Review staff to ensure effective and efficient integrated

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Footprints To Recovery - Centennial, CO

Job Description Utilization Review Specialist Benefits Offered 401K, Medical Employment Type Full-Time Under general supervision, the UR Specialist reviews

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HCS Healthcare - San Antonio, TX

…Overview HCS Healthcare is currently partnered with a value driven managed care organization , actively interviewing for a Utilization Review Registered Nurse /

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HCS Healthcare - Philadelphia, PA

…improve healthcare every day? We have an IMMEDIATE need for multiple Utilization Review RN / Registered Nurse's! This award-winning team is growing and needs

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South Shore Hospital - Chicago, IL

…appropriate discharge plan. 7. Performs concurrent and retrospective data collection for medical staff peer review and quality improvement, internal and

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South Shore Hospital - Chicago, IL

…appropriate discharge plan. 7. Performs concurrent and retrospective data collection for medical staff peer review and quality improvement, internal and

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Comprehensive Healthcare - Yakima, WA

…trauma-informed, recovery-oriented services. What are we looking for in a Clinical Review Specialist? The Clinical Review Specialist is responsible for

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Cambrex - High Point, NC

…and quality. We are currently accepting resumes for the position of Analytical Data Review Scientist. About the Job: This position will be reporting to the Quality

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UnitedHealth Group - Franklin, TN

…the largest and fastest growing health information companies and the only organization in our industry with the information, technology and consulting expertise to

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ZOLL LifeVest - Pittsburgh, PA

…and reliable decision-making abilities. Show attention to detail and thoroughness in review of medical documentation. Provides structure for clinician to

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