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Care Review Processor jobs

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CARE REVIEW PROCESSOR WITH UTILIZATION REVIEW/MANAGED CARE EXP. (REMOTE - CA)

Provide computer entries of authorization requests/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits. Determine provider contracting status and appropriateness. Determine diagnosis and tr...

CompanyOmg Technology
AddressLong Beach, CA
CategoryInformation Technology
Job typeContractor
Date Posted a month ago See detail

Care Review Processor with Utilization Review/Managed Care Exp. (REMOTE - CA)

Omg Technology

Long Beach, CA

Provide computer entries of authorization requests/provider inquiries by phone, mail, or fax. Including: Verify member eligibility and benefits. Determine provider contracting status and appropriateness. Determine diagnosis and tr...

a month ago seen See more...

Continuing Care Utilization Review Coordinator RN

Kaiser Permanente

Oakland, CA

Conducts Utilization Review for in-house patients and/or members who have been admitted to contracted facilities. Interviews patients/caregivers regarding care after hospitalization. Conducts clinical reviews based on established...

2 weeks ago seen See more...

Nurse Work from Home - Telephonic Chronic Care Review

Right Care Remote Medical Services Llc

Coxs Creek, KY

$17.50 an hour

Paid time off. Day shift. Monday to Friday. This position does not offer health insurance benefits. Do you want to proceed with your application? This position requires in - person training at a location near Bardstown KY ( Cox's...

2 months ago seen See more...

Processor, COB Review - Remote Must reside in (CA)

Molina Healthcare

California City, CA

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level....

4 weeks ago seen See more...

Behavioral Health Care Advocate - Utilization Review (Outpatient) - Remote

Optum

Minnesota, United States

$58,300 - $114,300 a year

Focus on outpatient Commercial, Medicaid and Medicare Behavioral Health services. Conducting outpatient reviews to determine appropriate care. Assessing if member care meets coverage guidelines. Shaping member treatment in partner...

4 weeks ago seen See more...

Patient Care Equipment Service Processor

Lancaster General Health

Lancaster, PA

$34.6K - $43.8K a year

Cleans and processes soiled equipment from healthcare units and stages for reuse. Maintains, delivers, and collects Patient Care Equipment to and from the requesting departments. Demonstrates all computer applications accurately;...

a month ago seen See more...

RN - LEAD CARE COORDINATOR - Utilization Review

Trinity Health

Maywood, IL

Benefits from Day One. Competitive compensation. Career Development. Tuition Reimbursement. On Site Fitness Center. Educational Stipend. Referral rewards....

a month ago seen See more...

Care Manager RN – Utilization Review

Providence

Missoula, MT

$36.40 - $57.63 an hour

Graduate of an accredited school of nursing Or. Graduate of an accredited health information technology program. Upon hire: Montana Registered Nurse License. 3 years of experience in Clinical Nursing. Hospital case management expe...

a month ago seen See more...

Remote Review Family Care Coordinator 1

Lifelink Foundation

Tampa, FL

Amazing culture since 1982. Company paid Medical, Dental, Disability & Life Insurance. Generous company paid Pension Plan for your Retirement. Paid Vacation, Sick Days & Holidays. Encouraging career track. Fitness Membership Reimb...

2 months ago seen See more...

Utilization Review RN Care Manager II

Professional Management Enterprises

Indianapolis, IN

Cold call outreach to members,. Completion of member multiple enrollment and follow-up assessments,. Creation of member care plans. Input documentation into multiple computer systems. Daily collaboration with CM/UM/Pharmacy peers...

2 months ago seen See more...

Remote Review Family Care Coordinator 1

Lifelink Foundation, Inc.

Tampa, FL

$40K - $50.7K a year

Amazing culture since 1982. Company paid Medical, Dental, Disability & Life Insurance. Generous company paid Pension Plan for your Retirement. Paid Vacation, Sick Days & Holidays. Encouraging career track. Fitness Membership Reimb...

2 months ago seen See more...

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What are the top cities open Care Review Processor jobs?

There are open Care Review Processor jobs in several cities including Long Beach, Bothell, Columbus, Henderson, New York, Richmond,

What companies are hiring for Care Review Processor jobs?

The top companies hiring now for Care Review Processor jobs are OMG Technology,

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