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CareerBuilder Apply Only

Full-Time

Overview The Senior Director (MRR) Operations will identify, plan, develop and execute operations performance improvement projects to achieve targeted operational, clinical and financial objectives. The individual in this role will direct medical record r...

Bowie, MD

CAREERBUILDER APPLY

Full-Time

Medical Record Review Nurse (RN, NP, LPN) - Intermittent local and long distance travel required The Medical Record Review Nurse is responsible for the completion of target chart reviews and addendums. Responsibilities: The Medical Record Review Nurse wil...

DxID

East Rochester, NY

CAREERBUILDER APPLY

Full-Time | Pay: $32k - $38k/year

Great opportunity immediately available for recent college graduates with some paralegal experience. Mid-size Chicago law firm has an opening for a medical records review paralegal with at least 1 years of experience. You will be responsible for going thr...

Confidential

Chicago, IL

CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Utilization Management / Registered Nurse / Licensed Practical Nurse / Utilization Review Description: Under general supervision, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical informat...

Doral, FL

CAREERBUILDER APPLY

Full-Time

Contract Medical Review Nurse Job Summary: The Contract Medical Review Nurse position is responsible for performing medical record review and evaluation of medical services. Analyzes submitted claims and available medical records documentation to determin...

Milwaukee, WI

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Per Diem

Position Summary: The primary function of this role is remote response to Dignity Health hospitals to conduct emergency department admission screening reviews. Through collaboration with the contracting emergency departments and physicians, the admission...

Rancho Cordova, CA

Full-Time

Position Summary Under direction of the Central Business Office (CBO) Coding Manager, the Medical Record Chart Analyst is responsible for the clinical record review activities for the CBO to ensure documentation is complete and timely in accordance with r...

13900 Portland Avenue
Oklahoma City, OK

CAREERBUILDER APPLY

Contractor | Pay: $14.00 - $16.00/hour

Needed is one Medicare DME Appeal & CollectionsSpecialist for SLEEP APNEA Durable Medical Equipment Company. Appeal Medicare ruling of ineligibility for Durablemedical equipment coverage. The appealsare made on behalf of individual patients for DME ass...

Impact Employment Solutions of Georgia

Kennesaw, GA

CAREERBUILDER APPLY

Full-Time

REGISTERED NURSE / UTILIZATION REVIEW / HOME CARE A-Line Staffing Solutions is seeking experienced Registered Nurses to perform case management with a reputable healthcare organization in Brooklynn, NY. Seeking bi-lingual candidates who speak English and...

New York, NY

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CAREERBUILDER APPLY

Full-Time | Pay: $32.00 - $55.00/hour

Director Coding and Compliance / Certified Coder Looking for a certified professional coder for a direct hire position with a major hospital system. Please contact: Katherine 877-782-3334, extension 246 What are the 3-4 non-negotiable requirements on this...

South Bend, IN

Full-Time

What is the problem with most roles in Quality? You are usually walking into a seriously broken system, and the leadership is looking for you to fix it. What would your thoughts be about an opportunity to join an established, growing Medical Device compan...

Confidential Client

Indianapolis, IN

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CAREERBUILDER APPLY

Full-Time

*CB JOB SUMMARY Under general supervision, provides professional assessment, planning, coordination, implementation, and reporting of complex clinical data, and supports the operations of the ANMC specialty clinics and hospital services. REPRESENTATIVE DU...

Anchorage, AK

Full-Time

Position Description: Flexible? Friendly? Fast on your feet? That's a great start. Accurate? Accountable? Self Directed? These traits cantake you places. Our claims operations are the focal point of handlinginformation about services patients receive and...

Eden Prairie, MN

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1w
1 week ago

Full-Time

Primary Objective of Position The purpose of this job is to reduce medical necessity claim errors through complex medical review, requiring the analysis of available patient medical information, applying Medicare guidelines and then educate and train prov...

Grand Forks, ND

3w
3 weeks ago

Full-Time

Universal Health Services, Inc. (UHS) knows what it takes to lead, inspire and succeed. One of the nation’s largest and most respected hospital companies, UHS owns and operates through its subsidiaries acute care hospitals, behavioral health facilities an...

KING OF PRUSSIA, PA

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CAREERBUILDER APPLY
2w
2 weeks ago

Full-Time

Responsibilities: Independently performs DQR/QC on clinical components of assigned documents (eg, clinical study reports, investigator brochures, manuscripts, summary documents, regulatory responses, etc.). Formally documents findings of assigned document...

Collegeville, PA

Full-Time

Role: Record Retrieval Specialist Assignment: Medicare Risk Adjustment Location: Overland Park, KS Humana’s dream is to help our members and our own associates achieve lifelong well-being. Use your clinical experience to work with patients and providers i...

Overland Park, KS

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Full-Time

POSITION SUMMARY: Provides overall coordination in the delivery of medical services and discharge planning for a specified patient population. Performs concurrent and retrospective review of patient medical records for purposes of utilization review, comp...

Las Palmas Del Sol Healthcare

El Paso, TX

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CAREERBUILDER APPLY

Full-Time

Aurora Santa Rosa Hospital is a locked AcutePsychiatric Hospital, which caters to patients who suffer from a wide varietyof Mental Health diagnoses. We pride ourselves on our Patient Centered care,while maintaining an engaging environment for our staff...

1287 Fulton Road
Santa Rosa, CA

CAREERBUILDER APPLY
3w
3 weeks ago

Full-Time | Pay: $25.00/hour

Are you an experienced LVN with Utilization Review experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these qu...

Confidential

Long Beach, CA

CAREERBUILDER APPLY

Full-Time

2 Utilization Review Nurses Needed For Growing MLTC Organization Job Description Audit and analyze patient records to ensure quality patient care and appropriateness of services. Review all inpatient admissions and initiate discharge planning in a timely...

Confidential

New Hyde Park, NY

Full-Time

HEDIS REVIEW NURSE / RN / LVN - REMOTE Kelly Healthcare Resources has an exciting REMOTE contract HEDIS Review Nurse / RN / LVN opportunity available with our large client! As the HEDIS Review Nurse / RN / LVN with a global health insurance service compan...

Livingston, TX

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Full-Time | Pay: $90k - $100k/year

Utilization Review Nurse (RN) - Managed Care Salinas, CA Your Job Summary: The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. The UR Nurse will performs revie...

Confidential

Salinas, CA

CAREERBUILDER APPLY

Full-Time

SUMMARY The UR Coordinator proactively monitors utilization of the continuum of services, serves as a liaison to managed care organizations, optimizes reimbursement, and monitors the delivery of quality treatment to patients and their families at the appr...

Dallas, TX

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Full-Time

This position has significant responsibility for establishing and maintaining effective systems support for case management/utilization management and hospital revenue flow. Under general supervision, regularly performs a variety of complex duties as outl...

Woodland, CA

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