- Elevance Health (Grand Prairie, TX)
- **Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in person training sessions, ... and ensures essential face-to-face onboarding and skill development. The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network… more
- Elevance Health (Grand Prairie, TX)
- **Nurse Reviewer I** **Location:** Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... and ensures essential face-to-face onboarding and skill development. The **Nurse Reviewer I** will be responsible for conducting preauthorization, out of network… more
- PNC (Houston, TX)
- …or issues.Participates in continuous monitoring for assigned portfolios. + Oversees file review activities of reviewers as Reviewer in Charge for assigned ... success. We are looking to hire a Credit Risk Review Advisor Senior in Credit Risk Review ...credit exposures. You may have responsibility of being a Reviewer in Charge. The Reviewer in Charge… more
- Chenega Corporation (San Antonio, TX)
- …Management + Review trainee case adjudications for quality assurance. + Review a percentage of Independent Case Reviewer (ICR) case adjudications for ... **Summary** **C2 ALASKA, LLC** Telework The **Medical Quality Assurance Manager ** shall train and report on the work progress...reviews must uphold the requirements for a policy compliant review as per the Independent Case Reviewer … more
- Capital One (Plano, TX)
- …of hours to be regularly worked. Charlotte, NC: $175,500 - $200,300 for Sr. Credit Review Manager McLean, VA: $193,000 - $220,300 for Sr. Credit Review ... Manager New York, NY: $210,500 - $240,300 for Sr. Credit Review Manager Plano, TX: $175,500 - $200,300 for Sr. Credit Review Manager Richmond, VA:… more
- BAYADA Home Health Care (Austin, TX)
- …full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides support to all BAYADA Home Health Care Medicare service offices ... about BAYADA Benefits, click here (https://www.bayada.com/benefits/) . **Responsibilities:** + Review clinical information for appropriateness, congruency, and accuracy as… more
- Wolters Kluwer (Houston, TX)
- …and Director. You will supervise and lead a group of 8+ legal bill review analysts ("Team") within the LBACOE and ensure that their Team's workflow meets and/or ... analysts; (2) training new LBACOE invoice analysts on approved legal billing review techniques and platforms; (3) assessing the training needs of LBACOE invoice… more
- BAYADA Home Health Care (Austin, TX)
- …Home Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, ... match, direct deposit, and employee assistance program **Responsibilities:** + Review clinical information for appropriateness, congruency, and accuracy as it… more
- Scottish Rite for Children (Dallas, TX)
- …committed to giving children back their childhood! Job Posting Title: Case Manager and Utilization Review Coordinator Location: Dallas - Hospital Additional ... personnel regarding applicable federal, state and local regulations + Provide concurrent review and follow up with appropriate personnel regarding denials + Collect… more
- Terracon (San Antonio, TX)
- …deliver work products to satisfaction of client. Coordinates effort with Authorized Project Reviewer (APR) to make sure that APR has opportunity to engage throughout ... a large scale and complex project. + Works with client or National Account Manager (NAM) to define project scope, schedule and budget + Leads interactions with… more
Recent Jobs
-
Urgent Care Occupational Medicine Physician
- HCA Healthcare (Palm Beach County, FL)