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CLIENT RELATIONSHIP MANAGER - MEDICAL CLAIM/BILL REVIEW

Managing a portfolio of clients to achieve operation objectives, retain revenue, and identify upsell opportunities. Understand client scope of work and serve as the client advocate when working with internal teams to ensure that c...

CompanyAlaffia Health
AddressRemote
CategoryRetail
Salary$90,000 - $110,000 a year
Date Posted 2 months ago See detail

Client Relationship Manager - Medical Claim/Bill Review

Alaffia Health

Remote

$90,000 - $110,000 a year

Managing a portfolio of clients to achieve operation objectives, retain revenue, and identify upsell opportunities. Understand client scope of work and serve as the client advocate when working with internal teams to ensure that c...

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...

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...

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...

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...

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...

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...

Interim Nurse Manager, Utilization Review

Firstchoice

Fresno, CA

$4,300 a week

State of California Registered Nurse (RN) License. Current American Heart Association (AHA) BLS Certification. Minimum of 2 years of hospital URM supervisory/management experience. MCG or InterQual Certification, preferred. 401(k)...

Utilization Management Denial Review Nurse - LVN

Ucla Health

Los Angeles, CA

$61,400 - $121,400 a year

DescriptionQualificationsWere seeking an exceptionally gifted, self-motivated leader with: * Current CA LVN licensure required * Two or more years of utilization review/Utilization Management experience in an HMO, MSO, IPA, or he...

Case Manager/Utilization Review

Saint Anthony Hospital

Chicago, IL

$70.9K - $89.7K a year

Bachelor's degree in healthcare or related field; BSN preferred. Licensed as a Registered Nurse in the State of Illinois. Five years recent clinical experience in a hospital setting, or four years recent clinical experience. Utili...

Utilization Review Case Manager - FT Days

Torrance Memorial Medical Center

Torrance, CA

$53.40 - $82.22 an hour

Tracks avoidable days....