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Full Time

The Credit Review Team serves as the second line of defense relative to credit risk. With guidance from the Credit Review Manager, the Lead Credit Review Officer is responsible for the day-to-day activities of an assigned working group. The Lead Credit Rev...

Buffalo, NY, USA

CAREERBUILDER APPLY

Full Time

Our client is currently seeking a RN Cardiac Reviewer- Field in the Allentown, NJ area. Please send resumes to Emily Burau at eburau@judge.com. This job will have the following responsibilities: Performs clinical and medical reviews, data collection and da...

Allentown, NJ 08501, USA

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Full Time

Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick Claims Management Services, Inc. has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do g...

Cincinnati, OH, United States

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Contractor

Pride Health has an exciting, new opportunity for a Utilization Review Nurse to join a healthcare facility in Rochester, MN! This is a wonderful chance to work with a dedicated team, while gaining amazing industry experience and maintaining a work/life bal...

Rochester, MN

Full Time

This position reports to the Commercial Loan Review Manager and performs various loan file and portfolio review duties within the scope of the internal Commercial Loan Review function. Primary duties include individual loan file reviews that encompass orig...

EverBank

Charlotte, NC, United States

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Contractor

Kforce has a client seeking a Legal Billing Reviewer in Tallahassee, Florida (FL). Summary: The Legal Bill Review Team is a unit within Claims legal. The Legal Bill Review Team supports Claims Litigation by reviewing all invoices submitted by outside c...

Tallahassee, FL 32301, USA

CAREERBUILDER APPLY

Full Time

The CSI Companies is currently seeking a Medical Claims Review RN with one of our clients in San Antonio, Texas. Please review description and requirements below. This is a great opportunity to join an expanding team!...

San Antonio, TX 78249, USA

CAREERBUILDER APPLY

Full Time | Pay: $68,533 - $78,836/year

RNs, are you looking for a place with daytime hours, awesome co-workers, opportunities for advancement and excellent benefits? We are proud to be and equal opportunity workplace and an affirmative action employer. TML MultiState IEBP offers a retirement pl...

1821 Rutherford Ln, Austin, TX 78754, USA

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Full Time

Job Title: Content Review Analyst – Language(Arabic or Spanish) Job Location: Austin, TX Pay Rate: $18.50/hr if you are working between 7 AM – 10 PM shifts, will be an additional $2/hr for shifts between 10 PM - 7 AM Shift Timings: 24/7 (changing on...

919 Congress Ave #1135, Austin, TX 78701, USA

CAREERBUILDER APPLY

Full Time

Based on severity or complexity of the enrollee's condition, ability to meet commercial review criteria and or scripted guidelines, the necessary treatment, and the discharge planning activity (not routinely conducted on a daily basis), the nurse reviewer...

Las Vegas, NV 89128, USA

CAREERBUILDER APPLY

Part Time

Responsible for review and completion of denial/appeal requests. Stays current with Federal and State regulations regarding medical necessity for inpatient and observation hospitalizations. Will collaborate with Case Managers, Utilization Review Medical Di...

Rapid City, SD, USA

CAREERBUILDER APPLY

Full Time | Pay: $80,000 - $87,500/year

Responsible for the assessment of the member's and families psychosocial, medical and educational level in conjunction with hospital staff to assist in the discharge planning of hospitalized patient. This includes providing authorization for needed service...

1020 31st Street, Downers Grove, IL, United States

Full Time | Pay: $24 - $28.50/hour

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing ® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage...

6870 Rote Road, Rockford, IL, United States

CAREERBUILDER APPLY

Full Time

Document Review Candidates Wanted! Are you someone with Document Review experience and have an active, good standing CA Bar Association status? Looking for multiple candidates to assist Silicon Valley Law Firm. Successful candidates must have some familiar...

3000 El Camino Real #2, Palo Alto, CA 94306, USA

Full Time | Pay: $28 - $32/hour

In this role, Chart Abstraction Nurses will be reviewing patient charts from a variety of heart centers, hospitals and cardiology offices from around the country. Charts being reviewed range from simple cardiovascular procedures to quadruple bypasses and a...

8415 Allison Pointe Boulevard, Indianapolis, IN, United States

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Contractor

Kforce has a client seeking a Mortgage Review Specialist in Waterloo, Iowa (IA). Currently we have a mandatory OT of 5 hours per week. The hours would be 7:00-4:30. There is a possibility of ten hours, that would be 6-4:30. Duties:...

Waterloo, IA, USA

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Full Time

KEPRO is a rapidly growing national quality improvement and care management organization. We work to ensure that over 1 billion people receive the right care, at the right time, in the right setting. KEPRO has an immediate opening for the following excelle...

Tampa, FL, USA

Full Time

We are a contract service working for a very large health insurance provider. Employees will work from home or downtown office location, will handle calls from MD/Patients/Imaging Facilities. This position will involve the implementation of evidence based...

Houston, TX, USA

Full Time

The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills to determine appropriateness of medical care. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES : Identify the necessity o...

Pittsburgh, PA, USA

CAREERBUILDER APPLY

Seasonal / Temp | Pay: $65/hour

Adams & Martin Group in Los Angeles is currently recruiting for upcoming foreign language reviews to be held in Century City and Downtown Los Angeles. Currently seeking those fluent in one or more of the following languages: German, French, Italian, Sp...

Los Angeles, CA, United States

Full Time

Plaza’s employees are protected by laws designed to protect employees from discrimination on the bases of race, religion, color, sex, pregnancy, gender identity, sexual orientation, parental status, national origin, age, disability, family medical history...

4820 Eastgate Mall #100, San Diego, CA 92121, USA

Full Time

Ensure that the results of asset reviews are adequately documented and the conclusions reached are sufficiently supported so that work papers (e.g., lineslips or other standardized template) should be complete and self-explanatory to an equally-qualified c...

555 Montgomery St, San Francisco, CA 94111, USA

CAREERBUILDER APPLY

Full Time

One of our best clients is currently seeking a Medical Claims Review RN in San Antonio, TX This job will have the following responsibilities: Responsible for reviewing retrospective hospitalization, home care, and inpatient/outpatient treatment plans for m...

San Antonio, TX, USA

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Contractor | Pay: $13/hour

Ascendo Resources has partnered with a large international Financial Services Institution in the Waterloo, IA area that is looking for dependable and punctual candidates who thrive in fast paced, physically challenging environments. Keep in mind this a con...

Waterloo, IA, USA

CAREERBUILDER APPLY

Contractor

Kforce has a client in search of a RMM Evidence Review Team Member in Merrifield, Virginia (VA). Primary Roles and Responsibilities of the Validation Team: Reviewing and validating correctness, relevancy, and completeness of work products (a.k.a. obje...

Merrifield, VA, USA

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