Utilization review nurse near me

Behavioral Health Utilization Review Clinician
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...

Behavioral Health Utilization Management Clinical Consultant (Tuesday - Saturday)
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At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach...

Requirement for a UM Review Assistant in California (Remote)
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Job description: Job Title: UM Review Assistant Duration: 6+ Months on w2 with no benefits Job Location: Remote (California) Job Summary: The Review Assistant role is pivotal...

Clinical Documentation Improvement Specialist
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Description Position at Nuvance Health Summary: Facilitates improvement in the overall quality, completeness and accuracy of medical record documentation. Obtains and promotes appropriate clinical...

Intake Specialist
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Float Health is hiring in Cleveland, OH! About Float Float is the full-stack platform for Specialty Pharma home infusion. We're on a mission to make healthcare safer, easier, and more efficient by...

Quality Assurance/Quality Control Specialist
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Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

Asset Protection Specialist
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Job Description Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their...

Army Property Accountability Specialist
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Overview LMI is seeking an Army Property Accountability Specialist to conduct asset and inventory management efforts in support of the Army PEO Armaments and Ammunition (A&A). This position will require travel to Army sites to support the...

Case Management Coordinator (Maricopa County, Arizona)
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We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold...

Research Assistant - Remote
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Job Description InfoResumeEdge is the world's first platform offering completely free access to both job seekers and recruiters. By setting up your profile, you unlock global exposure, dramatically increasing your chances of being...

Reimbursement Specialist - Provider Enrollment - Remote - MUST RESIDE IN NC
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At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Resettlement Program Officer
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About CWS Imagine waking up every morning with the chance to change someone's life. Imagine knowing your efforts will benefit both your career and our neighbors around the world. At CWS, our team knows they are making a...

Clinical Documentation Improvement Consultant - Telecommute
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Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation...

Facilities Planner Specialist
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Job Summary Manages and coordinates architectural planning work including the development of conceptual designs, programming, and code analysis for healthcare and workplace environments for small to mid-sized projects. Also...

Quality Specialist
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Job Description Conduct supplier audits to ensure adherence to established quality standards. In addition, investigate, analyze and resolve supplier quality issues, analyzing defect trends and leading continuous improvement...

SIU Investigator - Remote
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UPMC Health Plan has an exciting opportunity for a SIU Investigator! This is a remote, full-time role working daylight hours Monday through Friday. Experience as a Dental Hygienist to perform dental audits and investigations highly...

RESEARCH ASSOCIATE 1 or 2
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Posting Details Posting Summary Functional Position Title RESEARCH ASSOCIATE 1 or 2 Position Number 00058675 Appointment Type Regular...

Associate Researcher
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Title : Associate Researcher Location:: Los Angeles ,CA (Hybrid) Contract 12+ months Contract Responsibilities: Assist in set up of test and survey designs for...

Operations Associate
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Requisition Details GENERAL REQUISITION INFORMATION EEO Statement: UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and...

BCBA - $20,000 Retention Bonus- Hybrid Schedule
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Overview Grow your career with the industry leader in behavioral health - Proud Moments ABA. Proud Moments ABA provides the gold standard of Applied Behavior Analysis (ABA) services for children on the...

Quality Investigations Specialist
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Overview The Quality Investigations Specialist is an important part of the Quality team responsible for conducting timely and thorough investigations into grievances, complaints and alleged human rights violations. The...

Data Entry Clerk Work From Home - Part-Time Focus Group Participants (Up To $750/Week)
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Data Entry Clerk - Remote Work From Home Focus Group Panelist - Full Time / Part Time Description: Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Phone...

Research Assistant (Remote)
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Job Description We are seeking a detail-oriented and proactive Research Assistant to support our projects in a fully remote work environment. The ideal candidate will be skilled in data...

DIR - ASSESSMENT/REFERRAL BH
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Director of Admissions River Oaks Hospital (a UHS affiliated hospital), located in metropolitan New Orleans, Louisiana, is a private psychiatric facility for adults, adolescents, and children. Since 1970, River Oaks has established a...

Special Agent
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JOB DESCRIPTION The position advertised has been exempted from the federal civilian hiring freeze. As an FBI special agent, you'll directly impact national security. By harnessing your background to transition into federal law enforcement, you can...

Project Manager
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Project Manager This position manages projects that are typically between $15M to $50M usually without Customer Focus. May manage a portfolio of projects between $15M to $50M. Works with Supervisor/Contractors/Project Team to...

Medical Officer
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We're unique. You should be, too. We're changing lives every day. For both our patients and our...

Clinical Pharmacist - Transplant
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Your job is more than a job. The Clinical Pharmacist is responsible for working with physicians, care managers, and other clinical staff, as part of a medical care team focusing on patient outcomes, while maintaining cost. The...

Recruiting Coordinator 100% remote
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Job Role- Recruting Coordinator 100% remote Job Location- Remote Pay- $27.80/hr W2 Duration- 4 months contract 2+ years of Human Resources or Talent Acquisition Experience including onboarding...

COMPTROLLER (CLASS CODE 0460)
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Job Posting: Professional Accounting Work City of New Orleans $141,641.00 Annually New Orleans, LA Probationary 11367/0460 City Wide Continuous Kind Of Work Highly responsible...