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Remote Preservice Review jobs

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PRESERVICE REVIEW NURSE RN - REMOTE

Generally work is self-directed and not prescribed. Works with less structured, more complex issues. Serves as a resource to others. Assesses and interprets customer needs and requirements. Identifies solutions to non-standard req...

CompanyUnitedhealth Group
AddressCypress, CA
CategoryEducation/Training
Job typeFull-Time
Date Posted 2 months ago See detail

Preservice Review Nurse RN - Remote

Unitedhealth Group

Cypress, CA

Generally work is self-directed and not prescribed. Works with less structured, more complex issues. Serves as a resource to others. Assesses and interprets customer needs and requirements. Identifies solutions to non-standard req...

2 months ago seen See more...

Book Cover Reviewer For Books, Series, And Geeks | Remote | Part Time

Venice Review

Remote

$375 a week

Work from Home. Flexible working hours. Relaxed atmosphere. You have a passion For Books and can express your opinions clearly and convincingly. You have a device (television, notebook) that can stream the media. We will provide t...

2 weeks ago seen

Movie Poster Reviewer For Movies, Series, And Geeks | Remote | Part Time

Venice Review

Remote

$375 a week

Work from Home. Flexible working hours. Relaxed atmosphere. You have a passion For Movies and can express your opinions clearly and convincingly. You have a device (television, notebook) that can stream the media. We will provide...

2 weeks ago seen

Physician, Inpatient Concurrent Review (PART-TIME) (REMOTE) (UR exp. not req'd)

Corrohealth

Texas, United States

CorroHealth offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire whi...

3 weeks ago seen See more...

RN Coordinator-Utilization Review/Full Time/Remote

Henry Ford Health

Troy, MI

Bachelor of Science in Nursing, required. Minimum 3-5 years of clinical experience preferred. Previous utilization management or case management experience preferred. Knowledge of outside regulatory agencies that interface with th...

4 weeks ago seen See more...

Quality Analyst - Medical Bill Review (Remote) 2023-1273

Managed Care Advisors

Orlando, FL

* Provides input to SGS managers and teams regarding analysis, updates, and recommendations for modifications for procedures and processes to continually improve operations and protocols. Citizenship * Prior to hiring and training...

4 weeks ago seen See more...

REMOTE Registered Nurse (Utilization Review/MEDCOMPASS EXP REQUIRED)

A-Line Staffing Solutions

Atlanta, GA

Start Date: ASAP/TBD. Potential for Direct Hire?: YTBD. $36.21 p/hr, paid biweekly. Benefits are available after 90 days and include health, optical, dental, life, and short-term disability insurance. To be eligible for benefits y...

4 weeks ago seen See more...

DRG Reviewer (Remote)

Apixio

Charleston, SC

Responsible for auditing patient medical records using clinical and coding guideline knowledge along withpayer requirements to ensure reimbursement accuracy. Provide clear, concise, and compelling rationale and supporting clinical...

a month ago seen See more...

Scientist - Data Reviewer - Remote

Biospace

Richmond, VA

Performs a variety of complex sample preparation and analysis procedures to quantitatively measure pharmaceutical and biopharmaceutical compounds in a variety of formulations and /or biological matrices for stability and analytica...

a month ago seen See more...

NP/PA Utilization Review Advisor Opportunity in Greenville, NC (Partial Remote)

Ecu Health

Olin, NC

Employment by ECU Health Physicians. Support by a 9-hospital healthcare system including a 974-bed level 1 trauma center located in Greenville, North Carolina. Partial remote work opportunity-applicants must have a North Carolina...

a month ago seen See more...

NP/PA Utilization Review Advisor Opportunity in Greenville, NC (Partial Remote)

Ecu Health

Olin, NC

Employment by ECU Health Physicians. Support by a 9-hospital healthcare system including a 974-bed level 1 trauma center located in Greenville, North Carolina. Partial remote work opportunity-applicants must have a North Carolina...

a month ago seen See more...

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...

a month ago seen See more...

Home Health Pre Claim Reviewer - Remote

Reliant At Home

El Paso, TX

Responsible for preparing, organizing, submitting all Palmetto payor patients billing episodes into eServices. Ensures compliance with all State and Federal regulations prior to submission. Meets daily and weekly quota of chart su...

a month ago seen See more...

Insurance Premium Auditor/Quality Reviewer (1099) - REMOTE

Sedgwick

Remote

$67K - $84.8K a year

Physical Ideal for complex or large accounts, test audit states, new businesses or businesses undergoing changes in operations or scope. Virtual Meets the requirements for a physical audit and offers a cost-effective option in...

2 months ago seen See more...

Commercial Credit Review Officer (Remote)

Northwest Bancshares

Warren, PA

Ensure document and data integrity. Identify and resolve problems/issues. Prepare various loan reports. Report loan related exceptions. Recommend opportunities for improvements to review process. Assist with Classified Assets prep...

2 months ago seen See more...

Physician PM&R Board Certified - FOR REMOTE CASE REVIEW

Key Med Staff

Remote

$167K - $212K a year

Work remotely, anywhere in the US, with a secure internet platform. Flexible work schedules. Training provided. Must have unrestricted physician state licensure anywhere in the USA, no disciplinary actions. Must be in Active pract...

2 months ago seen See more...

Advisor, Supervision- Advertising Review (Remote Option Available)

Raymond James Financial, Inc.

Saint Petersburg, FL

$55.9K - $70.8K a year

Serve as a trusted business partner to our Financial Advisor teams by providing expertise with financial services related supervision and compliance issues. Have confidence in making recommendations based on research and analysis...

2 months ago seen See more...

Advisor, Supervision – E-Comm Review (Remote Option Available) Part-Time

Raymond James Financial, Inc.

Saint Petersburg, FL

$45.1K - $57.2K a year

Conducts supervision review of communications, through the use of various reports and systems. Interfaces with division leadership to inform them of any supervisory concerns that may arise with branch office managers/financial ad...

2 months ago seen See more...

Clinical Claim Review RN - Medical Disability - Remote

Optum

Nashville, TN

$28.03 - $54.95 an hour

Remain up to date with the contract requirements. Use clinical judgement to ensure a clear, comprehensive, and concise exam documentation that is reflective of the patients service level conditions and in compliance to contract r...

2 months ago seen See more...

Accounts Receivable Specialist, Data Entry, Contract Review, 100% Remote

Cognizant Technology Solutions

Earth City, MO

$43,100 - $50,800 a year

Contract entry;. Set up of Single and Multisite Client Sites in GEDI Service System;. Acts as contract entry back-up for all Accounting EA Reps during beginning of month invoicing and for PTO periods. Works with Sales and Sales Su...

2 months ago seen See more...

Remote Medical Claim Review LVN - Work PST Hours

Molina Healthcare

Long Beach, CA

$21.60 - $46.81 an hour

Performs clinical/medical reviews of retrospective Medical Claim Reviews, Medical Claims and previously denied cases, in which an appeal has been submitted, to ensure medical necessity and appropriate/accurate billing and claims p...

2 months ago seen See more...

Clinical Reviewer - Remote (IN PASRR)

Maximus Services, Llc

Virginia, United States

$24 - $29 an hour

Paid Time Off Tuition Reimbursement Quarterly Bonus Opportunities Work/Life Balance Growth and Development Responsible for completing medical and/or behavioral health assessments within contract requirements. Conducts on-site, vid...

2 months ago seen See more...

Clinical Reviewer, Grievance & Appeals - Remote

Connecticare

New York, NY

$63,000 - $110,000 a year

Prepare and present clinical summations/recommendations to the Medical Director or Pharmacist, or Independent Review Organization in accordance with state and federal regulations, NCQA requirements, and internal policy for final c...

2 months ago seen See more...

Nurse Reviewer - Remote Oklahoma

Gainwell Technologies Llc

Lahoma, OK

$49,200 - $70,300 a year

Reviews and interprets medical records and compares against criteria to determine appropriateness and reasonableness of care; apply critical thinking and decision making skills to determine if the medical record documentation supp...

2 months ago seen See more...

Environmental Scientist, Engineer – Senior-Level Technical Reviewer (Hybrid/Remote Work)

Toeroek Associates, Inc.

Colorado, United States

$70,000 - $100,000 a year

Conducts technical reviews of highly-technical documents prepared by facilities, states, tribes or other Federal agencies. Evaluates complex groundwater contamination, fate and transport, work plans, remediation plans, monitoring...

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....

2 months 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...

2 months ago seen See more...

Remote Document Review Attorney (Temporary)

Trustpoint International, Llc

Charleston, SC

$26 an hour

401(k). Health insurance. 8 hour shift. Monday to Friday. Overtime....

2 months ago seen See more...

Remote WCRC Medical Reviewer

Maximus

Remote

$50 - $52 a day

Maximus- REMOTE. Must have Workers Compensation Experience . Must be available to review 25-30 hours per week. Supplemental Opportunity. Templates for reviewing. Flexible schedule. Active license and no history of major disciplina...

2 months ago seen See more...

Sr Specialist, Process Review - Remote

Molina Healthcare

Long Beach, CA

$44,936.59 - $97,362.61 a year

Conduct interviews with staff and management to assess internal business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures and other...

2 months ago seen See more...

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People who searched for Remote Preservice Review jobs also searched for Contract Review, Compliance Reviewer, Review Analyst, Care Review, Qa Reviewer, Review Attorney, Content Review, Preservice Review Nurse, Utilization Review Specialist, Document Review Attorney, Medical Review, Nurse Utilization Review, Concurrent Review Nurse, Charge Review Specialist, Peer Review, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

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