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Full-Time Review Manager jobs

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MEDICAL ECONOMICS (MEDICAL EXPENSE REVIEW) MANAGER-REMOTE

***This role is classified as hybrid and will be filled in one of the core CVS locations of Hartford CT, Woonsocket RI, Northbrook IL, Scottsdale AZ, Irving TX, Atlanta GA, Cary NC, Concord CA, Chicago, IL, or Blue Bell, PA. Addit...

CompanyCvs Health
AddressConnecticut, United States
CategoryHealthcare
Date Posted 3 weeks ago See detail

Medical Economics (Medical Expense Review) Manager-Remote

Cvs Health

Connecticut, United States

***This role is classified as hybrid and will be filled in one of the core CVS locations of Hartford CT, Woonsocket RI, Northbrook IL, Scottsdale AZ, Irving TX, Atlanta GA, Cary NC, Concord CA, Chicago, IL, or Blue Bell, PA. Addit...

3 weeks ago seen See more...

RN Case Manager I Utilization Review PRN Days

Birmingham Market Office

Dolomite, AL

This position integrates national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention Transition Management promoting appropriate length of stay,...

a week ago seen See more...

Group Manager II, AML - Request to Review

Td Bank

Lexington, SC

Provides people management leadership by hiring the best talent, setting goals, developing staff, managing employee performance and compensation decisions, promoting teamwork and handling any/all disciplinary actions, as required...

2 weeks ago seen See more...

Design Review Manager

Howard Hughes Corporation

Las Vegas, NV

Design Review ManagerWe believe in "Thinking Big" POSITION SUMMARY:REQ4613 Design Review Manager (Open)...

a month ago seen See more...

Review Management Supervisor

Peraton

United States

$51,000 - $82,000 a year

Provides management oversight to staff who review investigative cases to ensure it is complete and meets customer requirements. Provides quality oversight of the cases before submitting the case to the customer for final review. M...

a month ago seen See more...

Senior Consultant, Review Manager | Technology

Fti Consulting

New York, NY

Guide and manage reviews. Advise on review workflow and strategy, run reviews and manage client relationships from beginning to end of project and beyond project scope . Define the scope of work to include a list of deliverables a...

a month ago seen See more...

Review Manager, Director | Technology

Fti Consulting

New York, NY

Lead and manage reviews independently. Set review workflow and strategy, run the review and manage client relationships from beginning to end of project and beyond project scope. Create and monitor timelines for completion of vari...

a month ago seen See more...

Document Review Manager, Senior Consultant | Technology

Fti Consulting

New York, NY

Guide and manage reviews. Advise on review workflow and strategy, run reviews and manage client relationships from beginning to end of project and beyond project scope . Define the scope of work to include a list of deliverables a...

a month ago seen See more...

Medical Information and Review- Senior Manager

Biospace

Lexington, MA

Utilizing advanced Medical Information /clinical expertise develops, maintains and provides high quality medical and scientific information autonomously, including Standard and Custom Response Letters, Clinical Dossiers, and FAQs,...

2 weeks ago seen See more...

Medical Information & Review Manager

Biospace

Lexington, MA

Other pertinent publications in the therapeutic areas as needed.Accountabilities: Develop, maintain, and provide high quality medical and scientific information, including Standard and Custom Response Letters, Clinical Dossiers,...

a month ago seen See more...

Medical Review Manager (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA

$75.7K - $95.9K a year

Minimum three (3) years experience practicing nursing as a licensed Registered Nurse. Minimum of three (3) years experience of supervisory/managerial experience in the health insurance industry. Bachelors degree in Nursing is r...

a month ago seen See more...

Non-Clinical Coding and OASIS Review Manager

Bayada Home Health Care

Pennsauken, NJ

This role is fully remote, candidates may be based anywhere in the US. Base Salary: $62000/year depending on qualifications. Bonus Opportunity of $500/Quarter based on department metrics. BAYADA offers a comprehensive benefits pla...

2 months ago seen See more...

Sr Credit Review Manager - Commercial Real Estate

Citizens Bank

Chicago, IL

Undertake an independent, qualitative, and quantitative assessment of individual counterparties, facilities and portfolios including an assessment of the structure of facilities where Citizens maintains a risk relationship on eith...

2 months ago seen See more...

Quality Review Manager

Examworks Group, Inc.

Lawrenceville, GA

$71.2K - $90.2K a year

Collaborates with Planner team through education and recommendations on past/future treatment to optimize outcomes with client interfacing. Work autonomously and collaborate with the Clinical Services Team and all company personne...

2 months ago seen See more...

Financial Review Manager ENG & Portuguese, Transportation, Risk, and Compliance

Amazon

Seattle, WA

This position requires the ability to travel periodically.Key job responsibilities* Monitor and drive projects through to completion on time. * Demonstrable problem-solving skills using data to drive decisions.A day in the lifeFin...

2 months ago seen See more...

Tax Review Manager

Uplinq

Scottsdale, AZ

$80,000 a year

Comprehensive Tax Review and Compliance: Complete final review of returns. Oversee preparation of complex individual and business tax returns, ensuring they meet accuracy and compliance standards. Lead by example in using technolo...

2 months ago seen See more...

Utilization Management & Review Specialist

Med-Metrix

Parsippany, NJ

Serve as point of contact for client operational staff members impacted by UM/UR Processes. Track and monitor solutions implemented for clients and operational staff. Identifies system needs to support short and long term product...

2 weeks ago seen See more...

Emergency Management Invoice Compliance Reviewer

Ac Disaster Consulting

Remote - Denver, CO

Job Title: Invoice Compliance Reviewer. Full Time or Part Time: Full time. Temporary/Seasonal/Regular: Temporary. Compensation: $25-30/hour. Travel/Location: Remote. Review debris invoices to ensure billing accuracy and resolve an...

3 weeks ago seen See more...

Manager - Medical Promotional Review

Biospace

Plainsboro, NJ

Provide critical review of promotional pieces to ensure medical accuracy, validity and appropriateness of content in accordance with approved labeling, scientific data and relevant laws, regulations and NNI policies to support the...

3 weeks ago seen See more...

Nurse Case Manager/Utilization Review Nurse I

State Of Vermont

Burlington, VT

80% State paid medical premium and a dental plan at no cost for employees and their families. Work/Life balance: 11 paid holidays each year and a generous leave plan. State Paid Family and Medical Leave Insurance (FMLI). Two ways...

a month ago seen See more...

Utilization Review-Case Management (Full-Time)

Aurora San Diego

San Diego, CA

$66,560 - $124,800 a year

Pay Range: $32/hr. to $60/hr. Admissions: Conduct admission reviews. Concurrent/Stay Reviews: Conduct concurrent and extended stay reviews. Payment Appeals: Prepare and submit appeals to third party payers. Recordkeeping: Maintain...

a month ago seen See more...

Senior Manager, Medical Information and Review

Acadia Pharmaceuticals Inc.

San Diego, CA

Participates in the review of promotional and medical materials to ensure medical accuracy. Maintains an understanding of product knowledge and labeling, associated disease states, relevant literature, treatment guidelines, compet...

a month ago seen See more...

Manager of Peer Review and Clinical Support

Salem Health Hospitals & Clinics

Salem, OR

From $41.18 an hour

Relocation assistance available for qualified candidates. Full comprehensive medical, dental, and vision plans. Basic and voluntary life insurance. Short and long-term disability. Live Well Wellness Program. Employee Assistance Pr...

a month ago seen See more...

Utilization Management Reviewer I

Crawford & Company

United States

$75.3K - $95.3K a year

Uses clinical RN or RPT training and knowledge to render authorization decisions of medical necessity of requested medical treatment. Analyzes medical information and applies clinical knowledge and established criterion to facilit...

a month ago seen See more...

HYBRID/Local - File Review/Compliance Manager 50k-60k

Zeffert & Associates, Inc.

Missouri, United States

$50,000 - $60,000 a year

401(k). 401(k) matching. Dental insurance. Employee assistance program. Flexible schedule. Flexible spending account. Health insurance. Health savings account. Life insurance. Paid time off. Professional development assistance. Re...

a month ago seen See more...

Utilization Review Case Manager CMC

Utmb Health

Friendswood, TX

Demonstrates thorough knowledge of Inter Qual Criteria, CMC Specialty Referral Guidelines and Protocols used to determine status for inpatient admission or observation in Community Hospitals and UTMB-TDCJ Hospital. Performs utiliz...

a month ago seen See more...

Utilization Review RN - Utilization Management Dept OCGMC

Kpc Global Medical Centers Inc.

Santa Ana, CA

$50 - $85 an hour

Coordinates and reviews all medical records, as assigned to caseload. Actively participates in Case Management and Treatment Team meetings Serves as on-going educator to all departments. Responsible for reviewing patient charts in...

a month ago seen See more...

Utilization Review Nurse - Case Management

Kern Medical

Bakersfield, CA

$41.32 - $65.10 an hour

New Hire Bonus: $6,000.00. New Hire Premium: +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan. Shift Differential Pay: 10% of base pay for hours worked from 7:00 PM to 7:30 AM, with two (2) ho...

a month ago seen See more...

Senior Audit Manager - Credit Risk Portfolio Reviews

U.s. Bank

Minneapolis, MN

Healthcare (medical, dental, vision). Basic term and optional term life insurance. Short-term and long-term disability. Pregnancy disability and parental leave. 401(k) and employer-funded retirement plan. Paid vacation (from two t...

2 months ago seen See more...

UTILIZATION REVIEW NURSE - CASE MANAGEMENT

North Oaks Health System

Hammond, LA

Physical Effort RequiredStrength: SedentaryPush: occasionallyPull: occasionallyCarry: occasionallyLift: occasionallySit: frequentlyStand: frequentlyWalk: frequentlyResponsibilities:Monitors and facilitates initial and continued st...

2 months ago seen See more...

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What companies are hiring for Full-Time Review Manager jobs?

The top companies hiring now for Full-Time Review Manager jobs are Ascension, Axos Bank, Cathay Bank, First Guaranty Bank, Harbor Oaks Hospital, Hire Counsel, Insight Treatment Programs, Long Tail Health Solutions,

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