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Utilization Review Nurse Holy Redeemer Health System  Jenkintown, PA
Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c ... Read more

Jenkintown,PA

Per Diem1648 Huntingdon PikeNursing RN/LPNDaySUMMARY OF JOB:To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for c

Medical Review Nurse (Hybrid) National Financial Partners Corp.  Woodbury, NJ
Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the ... Read more

Woodbury,NJ

Who We AreNFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and the

Medical Review Nurse (Hybrid) National Financial Partners Corporation  Woodbury, NJ
Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th ... Read more

Woodbury,NJ

Who We Are NFP is a seven-time Best Places to Work award winner in Business Insurance who has also earned the 5-Star Diversity, Equity and Inclusion (DEI) award from Insurance Business magazine and th

Clinical Documentation Improvement Specialist Main Line Health, Inc.  Newtown Square, PA
Description:Could you be our next Clinical Documentation Improvement Specialist at Main Line Health?Why work as a Clinical Documentation Improvement Specialist with Main Line Health?* Make an Impact! ... Read more

Newtown Square,PA

Description:Could you be our next Clinical Documentation Improvement Specialist at Main Line Health?Why work as a Clinical Documentation Improvement Specialist with Main Line Health?* Make an Impact!

Internal Revenue Agent (Reviewer - Examiner) Temp NTE 1 Yr., MBE, MBMP 12 MONTH ROSTER (Amended) Department Of The Treasury  Philadelphia, PA
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more

Philadelphia,PA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

Privacy Engineer, Implementation Review Facebook  Trenton, NJ
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more

Trenton,NJ

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

Associate Medical Director, Utilization Management Reviewer Cohere Health  Philadelphia, PA
Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou ... Read more

Philadelphia,PA

Company Overview:Cohere Health is illuminating healthcare for patients, their doctors, and all those who are important in a patient's healthcare experience, both in and out of the doctor's office. Fou

Clinical Reviewer - Remote Maximus  Philadelphia, PA
Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati ... Read more

Philadelphia,PA

Description RequirementsMaximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews Independent Contractor Assessor's findings and writes determinati

Utilization Review Business Support Specialist - REMOTE Highmarkhealth  Philadelphia, PA
** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl ... Read more

Philadelphia,PA

** **Company :****Allegheny Health Network ** **Job Description :******GENERAL OVERVIEW:**This position is responsible for covering vast roles within the Utilization Review management team that incl

Civil Engineer/ EIT - Sewer Development Review/Capital Projects The City of Vancouver  Philadelphia, PA
Salary Range7,969.00 - 10,782.00Job SummaryPerform professional engineering, work and/or administration focusing in the review, design, planning, investigation, and construction of sanitary sewer coll ... Read more

Philadelphia,PA

Salary Range7,969.00 - 10,782.00Job SummaryPerform professional engineering, work and/or administration focusing in the review, design, planning, investigation, and construction of sanitary sewer coll

Physician Reviewer Dane Street, LLC  Philadelphia, PA
Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce ... Read more

Philadelphia,PA

Dane Street, a certified "Great Place to Work" company, is in search of a Board Certified Orthopaedic Spine Surgeon, Neurosurgeon, Neurologist, and Physical Medicine Rehabilitation physician to proce

Denials Review Specialist Med-Metrix LLC  Philadelphia, PA
Job Type Part-timeDescriptionJob PurposeThe Denials Review Specialist plays a crucial role in ensuring accurate and timely review of denied healthcare claims while leveraging expertise in utilization ... Read more

Philadelphia,PA

Job Type Part-timeDescriptionJob PurposeThe Denials Review Specialist plays a crucial role in ensuring accurate and timely review of denied healthcare claims while leveraging expertise in utilization

Product Security Code Review Engineer Accenture  Philadelphia, PA
We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver ... Read more

Philadelphia,PA

We Are Accenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diver

Sr/Engineer - Design Review - 90374634 - Philadelphia (Hybrid) Amtrak  Philadelphia, PA
Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess ... Read more

Philadelphia,PA

Your success is a train ride away!As we move America's workforce toward the future, Amtrak connects businesses and communities across the country. We employ more than 20,000 diverse, energetic profess

Clinical Documentation Coordinator - Utilization Review Management (Temple Physicians, Inc./40 hours days) Temple University Health System  Philadelphia, PA
Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase re ... Read more

Philadelphia,PA

Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase re

Desk Reviewer Philadelphia Corporation for Aging  Philadelphia, PA
Company name: Philadelphia Corporation for AgingTitle of position: Desk Reviewer - Long Term Care AssessmentPosition type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience.Location: T ... Read more

Philadelphia,PA

Company name: Philadelphia Corporation for AgingTitle of position: Desk Reviewer - Long Term Care AssessmentPosition type: Full Time Pay range: $38,500.35-$44,568.97 varies with experience.Location: T

Consumer Credit Review Executive Director JPMorgan Chase  Wilmington, DE
Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi ... Read more

Wilmington,DE

Credit Review is an independent function within Internal Audit at JPMorgan Chase Co. that aims to enhance and protect the firm by providing risk-based and objective assurance, advice and insight. Usi

Assoc QC Reviewer Thermo Fisher Scientific  King Of Prussia, PA
Job DescriptionThermo Fisher's clinical research business is a leading global contract research organization and world leader in serving science. We are passionate, deliberate, and driven by our missi ... Read more

King Of Prussia,PA

Job DescriptionThermo Fisher's clinical research business is a leading global contract research organization and world leader in serving science. We are passionate, deliberate, and driven by our missi

Utilization Review Nurse (Workers Compensation) Elite  King Of Prussia, PA
Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th ... Read more

King Of Prussia,PA

Utilization Review Nurse /Workers Comp Location - King of Prussia, PA Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine th

Quality Specialist BRM Reviewer Careerbuilder  Malvern, PA
Job Description:Description/Comment: "Title: Quality Specialist- BMROVERVIEWCatalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology and co ... Read more

Malvern,PA

Job Description:Description/Comment: "Title: Quality Specialist- BMROVERVIEWCatalent is a leading provider of advanced technologies and outsourced services for the pharmaceutical, biotechnology and co

Director, Medical Consult and Review Physician Oncology Merck & Co., Inc.  North Wales, PA
Job DescriptionThe Medical Consult and Review Physician (MCRP) previously called Global Medical Information Physician (GMIP) for Oncology provides clinical expertise and advice to internal stakeholder ... Read more

North Wales,PA

Job DescriptionThe Medical Consult and Review Physician (MCRP) previously called Global Medical Information Physician (GMIP) for Oncology provides clinical expertise and advice to internal stakeholder

RN SPRING RECORDS REVIEW Temporary summer 2024 The College of New Jersey  Trenton, NJ
To enrich education through diversity, The College of New Jersey is an Equal Opportunity Employer. The College has a strong commitment to achieving diversity among faculty and staff, and strongly enco ... Read more

Trenton,NJ

To enrich education through diversity, The College of New Jersey is an Equal Opportunity Employer. The College has a strong commitment to achieving diversity among faculty and staff, and strongly enco

HEDIS Data Reviewer vTech Solution, Inc.  Newtown Square, PA
Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo ... Read more

Newtown Square,PA

Duties: Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality repo

(DOE-027-24) School Facilities Project Reviewer (Government Representative 2) New Jersey Department of Education  Trenton, NJ
Notice of VacancyReference Number: DOE-027-24Title: School Facilities Project Reviewer (Government Representative 2)Range/Title Code: X98/55013Salary: To be determinedPosition Number: 012052Issue Date ... Read more

Trenton,NJ

Notice of VacancyReference Number: DOE-027-24Title: School Facilities Project Reviewer (Government Representative 2)Range/Title Code: X98/55013Salary: To be determinedPosition Number: 012052Issue Date

SVP Process Review Manager Citigroup, Inc.  Wilmington, DE
The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand ... Read more

Wilmington,DE

The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand

UR Clinical Review Nurse (RN) - Parttime Children's Healthcare of Atlanta  Atlanta, GA
Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s ... Read more

Atlanta,GA

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s

Privacy Engineer, Implementation Review Facebook  Atlanta, GA
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more

Atlanta,GA

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

RN, Targeted Review ($10,000 Sign On Bonus) Kaiser Permanente  Atlanta, GA
Description: Responsible for carrying out precertification and medical necessity reviews on all designated referrals as well as targeted outpatient procedures, services and inpatient admissions. The a ... Read more

Atlanta,GA

Description: Responsible for carrying out precertification and medical necessity reviews on all designated referrals as well as targeted outpatient procedures, services and inpatient admissions. The a

Social Media Community Engagement Manager - App Reviews & Digital Products Jackson Spalding  Atlanta, GA
Social Media Community Engagement Manager ? App Reviews Digital ProductsHybrid - Atlanta Are you looking to join a hungry and humble team of thinkers, creators, a ... Read more

Atlanta,GA

Social Media Community Engagement Manager ? App Reviews Digital ProductsHybrid - Atlanta Are you looking to join a hungry and humble team of thinkers, creators, a

Tax Return Reviewer, Global Mobility Services KPMG  Atlanta, GA
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more

Atlanta,GA

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Internal Revenue Agent (SR Employee Plans/Exempt Org. Reviewer)(12 mos Rost) NTE 1-yr, MBE (Amended) Department Of The Treasury  Atlanta, GA
DutiesWHAT IS THE TAX EXEMPT GOVERNMENT ENTITIES (TEGE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in t ... Read more

Atlanta,GA

DutiesWHAT IS THE TAX EXEMPT GOVERNMENT ENTITIES (TEGE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in t

DRG Nurse Reviewer Zelis  Atlanta, GA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more

Atlanta,GA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Estimate Review Specialist Sr Sedgwick  Atlanta, GA
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex ... Read more

Atlanta,GA

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Atlanta, GA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

Atlanta,GA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Desk Reviewer Genpact  Atlanta, GA
With a startup spirit and 115,000+ curious and courageous minds, we have the expertise to go deep with the worlds biggest brandsand we have fun doing it. Now, were calling all you rule-breakers and ri ... Read more

Atlanta,GA

With a startup spirit and 115,000+ curious and courageous minds, we have the expertise to go deep with the worlds biggest brandsand we have fun doing it. Now, were calling all you rule-breakers and ri

Psychologist Reviewer - Georgia Elevance Health  Atlanta, GA
DescriptionPosition specific details: The successful candidate must be a licensed psychologist in Georgia and will preferably live in the state.The Psychologist Reviewer - Georgia is responsible for c ... Read more

Atlanta,GA

DescriptionPosition specific details: The successful candidate must be a licensed psychologist in Georgia and will preferably live in the state.The Psychologist Reviewer - Georgia is responsible for c

Product Security Code Review Engineer Accenture  Atlanta, GA
We AreAccenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diverse ... Read more

Atlanta,GA

We AreAccenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diverse

Internal Revenue Agent (SR Employee Plans/Exempt Org. Reviewer)(12 mos Rost) NTE 1-yr, MBE (Amended) Internal Revenue Service  Atlanta, GA
SummaryClick on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the we ... Read more

Atlanta,GA

SummaryClick on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the we

Appraisal Reviewer Lead Clayton Homes  Atlanta, GA
Why Silverton Mortgage:?We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry?We believe in giving back and ... Read more

Atlanta,GA

Why Silverton Mortgage:?We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry?We believe in giving back and

Building Inspector/Plan Reviewer Careerbuilder  Atlanta, GA
Salary :$42,002.43 - $53,553.09 AnnuallyLocation :College Park, GAJob Type:Full-TimeJob Number:7200-002Department:InspectionsOpening Date:02/23/2024SummaryA successful candidate will play an active ro ... Read more

Atlanta,GA

Salary :$42,002.43 - $53,553.09 AnnuallyLocation :College Park, GAJob Type:Full-TimeJob Number:7200-002Department:InspectionsOpening Date:02/23/2024SummaryA successful candidate will play an active ro

Quality Review Manager ExamWorks  Lawrenceville, GA
OverviewWe are seeking passionate and skilled RN's to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information has been provided and is accurate before sending back to ... Read more

Lawrenceville,GA

OverviewWe are seeking passionate and skilled RN's to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information has been provided and is accurate before sending back to

Building Inspector/Plan Reviewer City of College Park, GA  Atlanta, GA
Salary : $42,002.43 - $53,553.09 AnnuallyLocation : College Park, GAJob Type: Full-TimeJob Number: 7200-002Department: InspectionsOpening Date: 02/23/2024FLSA: Non-ExemptSummary A successful candidate ... Read more

Atlanta,GA

Salary : $42,002.43 - $53,553.09 AnnuallyLocation : College Park, GAJob Type: Full-TimeJob Number: 7200-002Department: InspectionsOpening Date: 02/23/2024FLSA: Non-ExemptSummary A successful candidate

Quality Review Coordinator Vascular LifeLink  Norcross, GA
We Are LifeLink...Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donatio ... Read more

Norcross,GA

We Are LifeLink...Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donatio

Lead CDI DRG Auditor Emory Healthcare  Atlanta, GA
The Lead Clinical Documentation Integrity (CDI) DRG Auditor works under the direction of the Associate Director of CDI Quality and Education. He/she performs all the requirements of the Lead CDI DRG A ... Read more

Atlanta,GA

The Lead Clinical Documentation Integrity (CDI) DRG Auditor works under the direction of the Associate Director of CDI Quality and Education. He/she performs all the requirements of the Lead CDI DRG A

Travel Nurse RN - Case Manager, Utilization Review - $2,441 per week Hiring Now  Marietta, GA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: RNDu ... Read more

Marietta,GA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: RNDu

Document Review Attorney Beacon Hill  Atlanta, GA
To Apply for this Job Click Here Beacon Hill Legal is registering licensed attorneys with document review experience in anticipation of upcoming projects. All candidates must be licensed, and in good ... Read more

Atlanta,GA

To Apply for this Job Click Here Beacon Hill Legal is registering licensed attorneys with document review experience in anticipation of upcoming projects. All candidates must be licensed, and in good

Utilization Review Specialist Acadia Healthcare  Riverdale, GA
ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans ... Read more

Riverdale,GA

ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Atlanta, GA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

Atlanta,GA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Credit Investigator Eastern Region AVA Consulting  Alpharetta, GA
Job ID: TYA1305599 Job Title: Credit Investigator Eastern Region style="font- ... Read more

Alpharetta,GA

Job ID: TYA1305599 Job Title: Credit Investigator Eastern Region style="font-

Reviews Team Leader Midlands Metalheads Radio Limited, Registered  Fayetteville, GA
This unpaid voluntary position comes with some great perks such as a fantastic opportunity to build up your own personal profile, add leadership and writing experience to your CV and steer your journa ... Read more

Fayetteville,GA

This unpaid voluntary position comes with some great perks such as a fantastic opportunity to build up your own personal profile, add leadership and writing experience to your CV and steer your journa

Utilization Review Nurse South Shore Health  East Weymouth, MA
If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-16141Facility:LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190Departme ... Read more

East Weymouth,MA

If you are an existing employee of South Shore Health then please apply through the internal career site.Requisition Number:R-16141Facility:LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190Departme

Registered Nurse - Case Management (Utilization Review) 13 WEEKS TRAVEL NEED- BOSTON,MA ATC Healthcare Travelers  Boston, MA
ATC Healthcare Travelers - Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA Profession: Registered Nurse Specialty: Case Management (Utilization Review) Unit: ... Read more

Boston,MA

ATC Healthcare Travelers - Registered Nurse - Case Management (Utilization Review) @ TUFTS MEDICAL CENTER - BOSTON,MA Profession: Registered Nurse Specialty: Case Management (Utilization Review) Unit:

Utilization Review Nurse Beth Israel Lahey Health  Burlington, MA
When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:8Work Shift:Day (United States of America)Lahey Hospital ... Read more

Burlington,MA

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.Job Type:RegularScheduled Hours:8Work Shift:Day (United States of America)Lahey Hospital

Utilization Review Nurse Milford Regional Medical Center  Milford, MA
Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients ... Read more

Milford,MA

Per diem, 8a-4;30P as needed weekends + occ/ holidays About Us Milford Regional Medical Center is a full-service, community and regional teaching hospital located in Milford, Mass. and serves patients

Supervisor Claims Reviewer Partners Healthcare System  Somerville, MA
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri ... Read more

Somerville,MA

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri

Supervisor Claims Reviewer AllWays Health Partners  Somerville, MA
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri ... Read more

Somerville,MA

As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Bri

Privacy Engineer, Implementation Review Facebook  Boston, MA
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more

Boston,MA

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

Internal Revenue Agent (Reviewer - Examiner) Temp NTE 1 Yr., MBE, MBMP 12 MONTH ROSTER (Amended) Department Of The Treasury  Boston, MA
DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the ... Read more

Boston,MA

DutiesWHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in the

DRG Nurse Reviewer Zelis  Boston, MA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more

Boston,MA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Sr. Supervisor, Credit Risk Review Santander Bank  Boston, MA
Sr. Supervisor, Credit Risk ReviewBoston, United States of AmericaThe primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and pa ... Read more

Boston,MA

Sr. Supervisor, Credit Risk ReviewBoston, United States of AmericaThe primary function of the Commercial Credit Risk Review Senior Associate is to maintain subject matter expertise in, and lead and pa

Travel Nurse RN - Case Manager, Utilization Review - $2,521 per week Hiring Now  Boston, MA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: ... Read more

Boston,MA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Boston, Massachusetts.Job Description RequirementsSpecialty: Utilization ReviewDiscipline:

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Boston, MA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

Boston,MA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Senior Manager, Security Risk & Reviews Klaviyo  Boston, MA
At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot ... Read more

Boston,MA

At Klaviyo, we value the unique backgrounds, experiences and perspectives each Klaviyo (we call ourselves Klaviyos) brings to our workplace each and every day. We believe everyone deserves a fair shot

Site Plan Review Engineer Careerbuilder  Boston, MA
Residency Requirement:Employees must be Boston residents on their date of hire and for the duration of theiremployment subject to BWSC policies and collective bargaining agreementsOverview:Position Pu ... Read more

Boston,MA

Residency Requirement:Employees must be Boston residents on their date of hire and for the duration of theiremployment subject to BWSC policies and collective bargaining agreementsOverview:Position Pu

Utilization Reviewer - Clinical Evaluation Center Per diem McLean Hospital(MCL)  Belmont, MA
Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div ... Read more

Belmont,MA

Responsiblefor obtaining initial insurance authorizations for all applicable coverage andfor appropriate level of clinical care. Must demonstrateMcLean values of integrity, compassion and respect, div

After School Food Program Reviewer (SY23-24) Boston Public Schools  Boston, MA
Child and Adult Care Food Program - At-Risk After-School Care ProgramPOSITIONS AVAILABLE 2023-2024Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All individ ... Read more

Boston,MA

Child and Adult Care Food Program - At-Risk After-School Care ProgramPOSITIONS AVAILABLE 2023-2024Note: Interviews will be held virtually. Employment for the SY24 school year is temporary. All individ

Associate Director, US Medical Review Committee Operations AstraZeneca PLC  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more

Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Associate Director, US Medical Review Committee Operations Alexion Pharmaceuticals, Inc.  Boston, MA
Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple ... Read more

Boston,MA

Associate Director, US Medical Review Committee OperationsThis is what you will do:The position of Associate Director, US Medical Review Committee (MRC) Operations is responsible for the overall imple

Individual/Independent Consultant - Bias, Sensitivity, and Fairness Reviewers American Institutes for Research  Waltham, MA
**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi ... Read more

Waltham,MA

**Overview**Seeking Bias, Sensitivity, and Fairness Reviewers for a High-Stakes Standardized Assessment.AIR will contract directly with the Reviewer under a consulting purchase order agreement.Establi

Associate Director, Medical Review Physician Moderna Theraputics  Cambridge, MA
The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f ... Read more

Cambridge,MA

The RoleThe Clinical Safety and Risk Management group within the Clinical Safety and Pharmacovigilance department promotes patient safety throughout the lifecycle of Moderna's product portfolio from f

Medical Information & Review Manager Takeda Pharmaceutical Company Limited  Lexington, MA
By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda ... Read more

Lexington,MA

By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda

Onsite Document Review Project - Boston Beacon Hill  Boston, MA
To Apply for this Job Click Here Beacon Hill Legal's Boston office is registering licensed attorneys in anticipation of an upcoming document review being hosted ON-SITE in our clients Back Bay office ... Read more

Boston,MA

To Apply for this Job Click Here Beacon Hill Legal's Boston office is registering licensed attorneys in anticipation of an upcoming document review being hosted ON-SITE in our clients Back Bay office

Acuity Document Reviewer - MA, NY, NJ, PA, CT, MD, DC, VA FTI Consulting, Inc.  Boston, MA
Who We AreFTI Consulting is the world's leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted advisor to Fortune 500 companies and the world' ... Read more

Boston,MA

Who We AreFTI Consulting is the world's leading expert-driven consulting firm. Over the last 40 years, FTI Consulting experts have served as the trusted advisor to Fortune 500 companies and the world'

DATA REVIEW COORDINATOR, School of Medicine, Microbiology (22500538800616) Boston University  Boston, MA
The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally rec ... Read more

Boston,MA

The Data Review Coordinator provides routine, real-time review and verification of Animal Rule/GLP study data, including all animal observation and procedure data, to ensure adherence to generally rec

Quality control, bioassay data reviewer Randstad  Norwood, MA
job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti ... Read more

Norwood,MA

job summary: As the largest staffing and recruitment agency in the world, we can commit to finding you the perfect role that gives you the opportunity to learn and grow in the life sciences arena. Uti

UR Clinical Review Nurse (RN) - Parttime Children's Healthcare of Atlanta  Atlanta, GA
Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s ... Read more

Atlanta,GA

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).Work ShiftDayWork Day(s

Privacy Engineer, Implementation Review Facebook  Atlanta, GA
Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee ... Read more

Atlanta,GA

Summary: Facebook is seeking a data center Critical Facility Engineer to join our Data Center Facility Operations team. Our data centers serve as the foundation upon which our software operates to mee

RN, Targeted Review ($10,000 Sign On Bonus) Kaiser Permanente  Atlanta, GA
Description: Responsible for carrying out precertification and medical necessity reviews on all designated referrals as well as targeted outpatient procedures, services and inpatient admissions. The a ... Read more

Atlanta,GA

Description: Responsible for carrying out precertification and medical necessity reviews on all designated referrals as well as targeted outpatient procedures, services and inpatient admissions. The a

Social Media Community Engagement Manager - App Reviews & Digital Products Jackson Spalding  Atlanta, GA
Social Media Community Engagement Manager ? App Reviews Digital ProductsHybrid - Atlanta Are you looking to join a hungry and humble team of thinkers, creators, a ... Read more

Atlanta,GA

Social Media Community Engagement Manager ? App Reviews Digital ProductsHybrid - Atlanta Are you looking to join a hungry and humble team of thinkers, creators, a

Tax Return Reviewer, Global Mobility Services KPMG  Atlanta, GA
At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net ... Read more

Atlanta,GA

At KPMG, you can become an integral part of a dynamic team at one of the world's top tax firms. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMG's extensive net

Internal Revenue Agent (SR Employee Plans/Exempt Org. Reviewer)(12 mos Rost) NTE 1-yr, MBE (Amended) Department Of The Treasury  Atlanta, GA
DutiesWHAT IS THE TAX EXEMPT GOVERNMENT ENTITIES (TEGE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in t ... Read more

Atlanta,GA

DutiesWHAT IS THE TAX EXEMPT GOVERNMENT ENTITIES (TEGE) DIVISION?A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisionsVacancies will be filled in t

DRG Nurse Reviewer Zelis  Atlanta, GA
Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i ... Read more

Atlanta,GA

Position Overview:The DRG Validation Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG reviews based on industry standard i

Estimate Review Specialist Sr Sedgwick  Atlanta, GA
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex ... Read more

Atlanta,GA

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex

Medical Review Manager (Full-time, Remote) Integrity Management Services Inc.  Atlanta, GA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

Atlanta,GA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Desk Reviewer Genpact  Atlanta, GA
With a startup spirit and 115,000+ curious and courageous minds, we have the expertise to go deep with the worlds biggest brandsand we have fun doing it. Now, were calling all you rule-breakers and ri ... Read more

Atlanta,GA

With a startup spirit and 115,000+ curious and courageous minds, we have the expertise to go deep with the worlds biggest brandsand we have fun doing it. Now, were calling all you rule-breakers and ri

Psychologist Reviewer - Georgia Elevance Health  Atlanta, GA
DescriptionPosition specific details: The successful candidate must be a licensed psychologist in Georgia and will preferably live in the state.The Psychologist Reviewer - Georgia is responsible for c ... Read more

Atlanta,GA

DescriptionPosition specific details: The successful candidate must be a licensed psychologist in Georgia and will preferably live in the state.The Psychologist Reviewer - Georgia is responsible for c

Product Security Code Review Engineer Accenture  Atlanta, GA
We AreAccenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diverse ... Read more

Atlanta,GA

We AreAccenture is a global collective of innovators whose aim is to improve the way the world works and lives. Empowered with innovative tools, continuous learning and a global community of diverse

Internal Revenue Agent (SR Employee Plans/Exempt Org. Reviewer)(12 mos Rost) NTE 1-yr, MBE (Amended) Internal Revenue Service  Atlanta, GA
SummaryClick on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the we ... Read more

Atlanta,GA

SummaryClick on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Visit us on the we

Appraisal Reviewer Lead Clayton Homes  Atlanta, GA
Why Silverton Mortgage:?We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry?We believe in giving back and ... Read more

Atlanta,GA

Why Silverton Mortgage:?We are a people first organization that was voted a top place to work by the Atlanta Journal and Constitution and the Financial Services Industry?We believe in giving back and

Building Inspector/Plan Reviewer Careerbuilder  Atlanta, GA
Salary :$42,002.43 - $53,553.09 AnnuallyLocation :College Park, GAJob Type:Full-TimeJob Number:7200-002Department:InspectionsOpening Date:02/23/2024SummaryA successful candidate will play an active ro ... Read more

Atlanta,GA

Salary :$42,002.43 - $53,553.09 AnnuallyLocation :College Park, GAJob Type:Full-TimeJob Number:7200-002Department:InspectionsOpening Date:02/23/2024SummaryA successful candidate will play an active ro

Quality Review Manager ExamWorks  Lawrenceville, GA
OverviewWe are seeking passionate and skilled RN's to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information has been provided and is accurate before sending back to ... Read more

Lawrenceville,GA

OverviewWe are seeking passionate and skilled RN's to serve as a Quality Review Manager, reviewing cases and ensuring all necessary information has been provided and is accurate before sending back to

Building Inspector/Plan Reviewer City of College Park, GA  Atlanta, GA
Salary : $42,002.43 - $53,553.09 AnnuallyLocation : College Park, GAJob Type: Full-TimeJob Number: 7200-002Department: InspectionsOpening Date: 02/23/2024FLSA: Non-ExemptSummary A successful candidate ... Read more

Atlanta,GA

Salary : $42,002.43 - $53,553.09 AnnuallyLocation : College Park, GAJob Type: Full-TimeJob Number: 7200-002Department: InspectionsOpening Date: 02/23/2024FLSA: Non-ExemptSummary A successful candidate

Quality Review Coordinator Vascular LifeLink  Norcross, GA
We Are LifeLink...Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donatio ... Read more

Norcross,GA

We Are LifeLink...Our Vision is to maximize the gift of life while giving hope to donor families and transplant patients. Our Mission is to honor donors and save lives through organ and tissue donatio

Lead CDI DRG Auditor Emory Healthcare  Atlanta, GA
The Lead Clinical Documentation Integrity (CDI) DRG Auditor works under the direction of the Associate Director of CDI Quality and Education. He/she performs all the requirements of the Lead CDI DRG A ... Read more

Atlanta,GA

The Lead Clinical Documentation Integrity (CDI) DRG Auditor works under the direction of the Associate Director of CDI Quality and Education. He/she performs all the requirements of the Lead CDI DRG A

Travel Nurse RN - Case Manager, Utilization Review - $2,441 per week Hiring Now  Marietta, GA
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: RNDu ... Read more

Marietta,GA

Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Marietta, Georgia.Job Description RequirementsSpecialty: Utilization ReviewDiscipline: RNDu

Document Review Attorney Beacon Hill  Atlanta, GA
To Apply for this Job Click Here Beacon Hill Legal is registering licensed attorneys with document review experience in anticipation of upcoming projects. All candidates must be licensed, and in good ... Read more

Atlanta,GA

To Apply for this Job Click Here Beacon Hill Legal is registering licensed attorneys with document review experience in anticipation of upcoming projects. All candidates must be licensed, and in good

Utilization Review Specialist Acadia Healthcare  Riverdale, GA
ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans ... Read more

Riverdale,GA

ESSENTIAL FUNCTIONS:?Act as liaison between managed care organizations and the facility professional clinical staff.?Conduct reviews, in accordance with certification requirements, of insurance plans

Medical Review Manager (Full-time, Remote) Integrity Management Services, Inc.  Atlanta, GA
About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity ... Read more

Atlanta,GA

About UsIntegrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity

Credit Investigator Eastern Region AVA Consulting  Alpharetta, GA
Job ID: TYA1305599 Job Title: Credit Investigator Eastern Region style="font- ... Read more

Alpharetta,GA

Job ID: TYA1305599 Job Title: Credit Investigator Eastern Region style="font-

Reviews Team Leader Midlands Metalheads Radio Limited, Registered  Fayetteville, GA
This unpaid voluntary position comes with some great perks such as a fantastic opportunity to build up your own personal profile, add leadership and writing experience to your CV and steer your journa ... Read more

Fayetteville,GA

This unpaid voluntary position comes with some great perks such as a fantastic opportunity to build up your own personal profile, add leadership and writing experience to your CV and steer your journa

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